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PAINTPERMIT APPLICATION F€04.441F1NIISORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33)38 • Phone: N)5-195-2204 • Fax: 305- 756 -8972 Date y.� --,5 Job Address Tax Folio • • • • ••• • •• • • • • Legal Description Hi�le> caTly Desigia� d' };es No • caner /Lessee/Tenet / - C:% / "k' �C Master Permit # • b ?' C)) > -. b ? 5 • Owner's Address 3 3 �6 -+'Th "' - / :5 5 (1 • • • : Phi ' • o �' - ? .5 - c A- 52G-.7 S, • • ontracting Co Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. / Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING V )'�WORK DESCRIPTION: �6/��/ ?7 /' C % /s S .XOC".4 (/t /rn./00e!,S Square Ft. Estimated Cost (Jt}lue) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fy�ffie�ynore, I authorize the above named contractor to do the work stated. i' ice' . A / s of owner# 0 President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT APPROVED: Zoning Mechanical Date RADON C.C.F Signature of Contractor or Owner Builder Date Date Notary as to Contractor or Owner Builder Date My Commission Expires NOTARY (<) Cam/ BOND TOTAL DUE _. D ' r% 3uilding, 4 � �T \ Electrical Plumbing Structural Engineer • • 1VIIAMI SHORE.YILLAGE Paint Color Approva,Eailiii Agl?eement • DATE: �3 .• ••• • .•• • • y �y- • .. • OWNER'S NAME: ", cam 2 : • P1 -503- ?,_S <6. S ADDRESS: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1,4* *g4g4t * *• * * * * * * * * * * * * * * * * * ** • • ADDRESS OF SITE: do the work stated. Fu he sip,, samples / KJ ri APPROVED: ,a_ . Building Offi 3 • • • • . Drip Cap/Drip Edge Soffit Roof - t'ee_415 ' ,L Flower Bins Shutters Awnings ,� Chimney l v�T cad' : r te) Lyi p Doors and door jams ?. Garage Doors ,A43/ Railings Fences • • - • • •• • CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls saa' y � -arc/ Fascia 0 co 0 >- co Decorative Metal L ,f,/,,/z�� All brick (simulated or regular) wl color '• 4,, P Stucco Banding f Any other stucco features CO/ o Q Accessory Buildings 15 5 0 Other 6 (ar harm W :Q_ fke r 14 J C (ca q OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I au horize the above -named contractor, if applicable, to re , the paint colors will be as per the attached 0 0 0 $i . ure .per Date Signature of Contractor Date ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 c( Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/15/2003 Applicant: ANNETTE - Owner: Ate JOB ADDRESS: 33 NE 93 Contractor Local Phone: Parcel # 1132060130380 Fees: FEE2003 -2155 FEE2003 -2156 FEE2003 -2157 Description Building Permit Application Fee Notary Fee CCF Amount $60.00 $5.00 $1.20 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/12/2003 Construction Value: $2,000.00 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the bui ordinances pertaining thereto and with the understanding that the work will be perform and approved by the proper municipal authorities. This Permit may be revoked at and authorization. A further condition upon which this permit is granted is the understandi ordinances and regulations pertaining to the work covered hereby whether shown on I by his agents, servants or employees. Signed: / Signed: In consideration of the issuance to me of this permit, I agree to perform the work cc with the plans, drawings, statements or specifications submitted to the proper authori myself, my agent, servants or em INSPECTOR) Building Permit Permit Number: BP2003 -585 (Contractor or B' At1V1ANAA MI �� ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & W1/2 LOT 16 BLK 3 LOT SIZE ROBERTA A. BRITTO 800 WEST AVE. APT. 735 MIAMI BEACH, FL 33139 -5599 Pay the order of Banko America. ACH FUr 063100277 For f i •nr innnn• n.. Page 1 of 1 ZG/ Date _ - G Dollars 1315 63 -4/630 FL 1039 Dada= IN. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date �/ �- Z 19 �V Owner's Name and Address 7 oF- ol6 , 33 / v1 ' 3 , C7 No. / -_ d , - �7� Street Registered Architect andior Engineer C I e T l ' , 11F / Q �N /1V 4 i lc 1i C /' ,, Name and address of licensed contractor /e L -7.0 4,0)4- Z /7 7 0T .41 /AA Location and legal .escription of lot to be built on: / �( Lot Sw % Block Subdivision � �j !J / 0M / /J�OI Y it g Street and Number where work is to be done State work to bed done and purpose of building (by floors). state exterior colors (submit samples) eq./PL-7 e.,7/e? tre L — 604L iii ) and for no other purpose. New Building Remodeling Addition Repairs No. To be constructed of Kind of foundation Roof Covering_ Estimated Total cost of improvements S ` 2 # Amount of Permit S —3 / ' / Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may toe 5 .► The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. , O % Remarks (Signed) '!/ f 47' ��� 4 STATE OF FLORIDA COUNTY OF DADE. ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. SA3 vD J Date 6 " ft Read. Sworn to and Subscribed before me. Disapproved L , ., , _ Date Notary Public, State of Florida (Signed) Building Inspector PLANNING BOARD DATE My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.