PAINTMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date fr.dO3
Type Insp'n RIO t t Zv i
Permit N - ?,7. - S
Name !�'td (,SUSC krLOWd4
Address 3` (j NE 93
Company & 4(V.
Z53Z
Phone# ;)d.• / 7,)4, -54 3 1
Inspection Date daZ 0,5
Approved
Correction
Re- Insp'n Fee ❑
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4/15 /9 6 Job Address 346 N. E. 93 Street Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee /Tenant Mr & Mrs. T. Takarada Master Permit # 3 Ts j3
Owner'sAddress 346 N.E. 93 Street Phone 756 -5639
Contracting Co. Frank W. Bruegger Painting Inc. Address 730 N.E. 76 Street
Miami, Fla. 33138
Qualifier Frank Bruegger SS# Phone 754-1577
American Phoenix
State # Municipal #30-0229997 Competency # 000011486 Ins. Co. Co .
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Exterior Painting & Pressure Cleaning
Square Ft. Estimated Cost (value) 1,988 . 0 0
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 AN 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 ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
C71 07(
‘gnat t3 of owner d/or Condo President / Date
V// 4/96
Date
Notary as t wner and/or Condo President
My Commission Expires:
FEES: PERMIT 1 10 RADON
OFFICIAL NOTARY SEAL
ARCIA HILMS
't.rC STATE OF FLORIDA
:: NO. CC339927
: EXP. JAN. 20,1998
C.C.F.
APPROVED:
Zoning Building ql Setif" ‘S
Mechanical Plumbing
NOTARY
ank Bragger
S of Contractor o r wner—Buil
der
12 &W4) 4 )
Notary as to Contractor or Owner- Builder
My Commission Expires:
Electrical
4/15/96
Date
OFFICIAL NOTARY SEAL
MARCIA HILMS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC339927
MY COMMISSION EXP. JAN. 20,1998
TOTAL DUE
t
Date
Engineering
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi Inspection Request
Date
Type Insp'n
Permit No. D - 37
Name
Address . / S 6'
Company
Phone # r
Inspection Date
A
Correction
Re- Insp'n Fee
(!r
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle)
Owner's Name (Fee Simple Title
Owner's Address 3
City iA nj
Contractor's Address
City
Qualifier
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Contractor's Company Name (, t (: L
State
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
LiKe TCl ;(,ratkel Phone 30S 7S6 'l
State
Zip 13g
Phone #
Zip
Permit No. SrC3 55 :)
Master Permit No.
Tenant/Lessee Name Phone # 3 30S 7 c
3
Job Address (where the work is being done) 3 NE, 43 '91
City Miami Shores Village County Miami-Dade Zip 3 3 1 3E
Is Building Historically Designated YES NO V
State Certificate or Registration No. Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit - �' Square Footage Of Work:
Type of Work: ['Addition ['Alteration ['New ❑ Repair /Replace ❑ Demolition
****************************F
Submittal Fee $ Permit Fee $ � (1C..) - C CCF $ r ((j Ci; CO /CC
r \ �
Notary $ -( Training /Education Fee $ ( 7 C Technology Fee $ ! • ,_ =
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF you INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice;) of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The fore
day of
who is pers
NOTARY PUB
Sign:
Print:
My Commission Ex
Chc 05/13/03
Owner or Agent
nally know s
•
IC '
* * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
State Zip
me or who has produced
entification and who did take an oath.
•
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Signature
Print: ,
i~ �1 TARY PUBLI(b:
Sign: I,
My Commission Expires:
Contractor
Engineer
Zoning
iI
strument was acktpwl dged ef before me this \ The foregoing instrument was acknowledged before me this
20 �, by �7Q� - 5,T� roc G day of 1, , 20 , by
who is personally known to me or who has produced
•
' as identification and who did take an oath.
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Arc
Plans Examiner
•
Date
Owner's Name
Owner's Address Ftt J `1 A�
e 4 E 't
City State
Job Address (where the work is being done) .3? i
City Miami Shores Village County Miami -Dade Zip
Is Building historically Designated YES NO
Contractor's Company Name (if applicable)
Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on p the site must be listed and indicate the color to be painted
✓ Walls 5 " � JGUVYI
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings .
V Chimney
Doors and door jams
Garage doors
if Railings
Fences
4
Signature
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
!%
5evA ,Q mean
Moon l.16 wi WI 'r..e
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Owner or Agent
P& Z 6ial
Phone# 3 ° 9 - 7S -S6 q
Zip 33 1 8'
Moonlight White 2143 -60
Sweet Salmon 2167 -60
Date
Date % /
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
building Permit
Phone: 305= 795 -2204 Permit Number: 13 P2005 -537
Printed: 4/29/2005
Applicant: HATSUSE TAKARADA
Owner: TAKARADA HATSUSE
JOB ADDRESS: 346 NE 93 ST
Contractor
Local Phone:
Parcel # 1132060136330
Signed:
(INSPECTOR)
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 10/11/2005 Construction Value: $400.00
Work: PAINT
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W1/2 LOT 5 & LOTS 6 & 7 BLK 47 LOT SIZE
Fees: Description Amount
FEE2005 -5348 Building Painting Fee $60.00
FEE2005 -5349 CCF $0.60
FEE2005 -5350 Notary Fee $5.00
FEE2005 -5351 Training and Education Fee $0.20
FEE2005 -5352 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: