341 NE 92 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 t
Bui ding Inspection Request O� J
Date_
Type Insp'n I 1 7 \ ---
Permit No. £P
Name SCJY
Address �1 I I L 92 S+
Company
Phone #
Inspection Date I
Approved
Correction ❑
Re- Insp'n Fee ❑
rir
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit Z, t
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
' Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
k Owner's Name (Fee Simple Titleholder) tyke. V1 L J • \C� c..\A PO Phone # WS 7S 74 9 3
Owner's Address 3-f) NE_ qa
City Y t 1/4 Slikves State FC- Zip 3, 3E
Tenant/Lessee Name H A Phone # NlA-
Ylob Address (where the work is being done) 34 t N e cld a v
City Miami Shores Village County Miami -Dade Zip '3313'6
f
Is Building Historically Designated YES NO
Contractor's Company Name Cc' tq/c -(G tiT/W4• fOp 1J 'Phon # JDfJ f c /,tee
Contractor's Address /I' 7( A -•,e -- /30 Si • ( 3 es") f9 . 4 - 00/a.
City 1' 0'frid/ -- (Xcle. .3 State Zip • 3 3/3 f
Qualifier 2 --4/ )1....____
Architect/Engineer's Name (if applicable) Phone #
•
Type of Work: Addition ❑Alteration ['New ❑, Repair/Replace ❑ Demolition
Describe Work:
1 1..1 44 .4..i eiV st____70411 .41-X/e4it.1
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $/ v \ Permit Fee $ &i W 0 • CCF $ 1 4 • CO /CC
Notary $ 5- Training/Education Fee $ ' 00
Scanning $ Radon $ Zoning
Code Enforcement $
Structural Plan Review. $
Total Fee Now Due $ IS9 0 pi Q500 •
(Continued on opposite side)
Permit No. fipoq -tZeq .
Master Permit No.
Square Footage Of Work:
Technology Fee $ e 150
RECEIVED
2 8 2064
ob oa°e00 0
Bond $
Bonding Company's Name (if applicable)
'` r
Bonding Company's Address" /11/1e-
City State Zip •
Mortgage Lender's Name (if applicable) s /
Mortgage Lender's Address ® V
City State Zip
Application is hereby made to obtain a permit to do the work and in: nations as indicated T ° = stallation has
commenced prior to the issuance of a permit and that all work „ be performed to meet ; regulating
construction in this jurisdiction. I understand that a sepa at° • .st be secured for ELFr'r ` ; 3, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a lifted copy of the recorded notice of commencement must be posted at the job site
for the first inspection which. occurs seve dl s after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro will be charged.
Owner . gent
The foregoing instrument s a• . owledged me this 2 y The foregoing instrument was acknow edged before e this 2 i
day of � , 20 � b , " / "` 4/, O , day of , 20 by �.�I .
who is personally kno to e or who has produced .11)L"'
tification and who did take an oath.
who is personally known to me or ho has produced
NOTARY PUBLIC:
Sign: %� � ��
Print: / Lltt
,,,,1,,,, likhael Waskoewyc2
My Commission Expires: ,s��pra/i'$�
* * * * * * * * * * * * * * * * * * * * **
; oFa
nmt
111 . Y
it Y.s :t4
11.
State Certificate or Registration No. Certificate of Competency No.
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
As identification and who did take an oath.
QJlmtificate of Competency Holder)
m•mL
al/17 mjcleVoy
Signature �, ._4 •
NOTARY PUBLIC:
Sign:
Print:
Contractor
Fi
My Cotnlni 'J _ r1'/ reds• Bo
/ /1t1 tlant
�/ cBonil o., Inc.
*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * ** * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date 7—q- -0
Owner's Name / / y G' /P 0 Phone #
Owner's Address 3 '7" (2 C�
City �i i' ,c�'/ l7'' State Zip 33 / e
Job Address (where the work is being done) 3 ( e 7 »' Qv',
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls /7‘C- / – 9
Fascia /U /A/ A,
Drip Cap /drip Edge e /" /�
Soffit
Roof
Flower bins
Miami Shores Village
Paint Color Approval and Agreement
ffv/k
Shutters a-/ b
Awnings /IV Q
Chimney l7 C � ,�.,/ /
Doors and door jams / / e - /2- / cr
Garage doors /-fC / 2 '
Railings life / / i t
Fences i i'
Decorative metal
All brick (simulated or regular)
Stucco banding !v/ if
Any other stucco features
Accessory Buildings
Other 6 Li z1' / O W 'J - ,!/C ^/2 Y .
Signature
APPLICATION APPROVED BY:
County Miami -Dade Zip
NO
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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
i
)4
Date
Date id j.k.v /d
chc 6/18/03
CERTIFICATE OF APPROPRIATENESS
ADDRESS OF PROPERTY: 341 N.E. 92 Street
NAME(S) OF APPLICANT(S): Frank & Maria Taddeo
APPLICATION DATE: (Date Application Received by Village Clerk) 12/3/04
CERTIFICATE OF APPROPRIATENESS REOUEST FOR:
BOARD DECISION:
APPROVED
DENIED
A. Request to paint exterior of home.
Benjamin Moore — HC -9 (Walls)
Benjamin Moore — HC -124 (Doors & Trim)
APPROVED WITH CONDITIONS
SIGNATURE & TITLE &AV /il ria
DATE: it.11 S/O 1
ADDRESS OF PROPERTY:
PRESENT USE OF PROPERTY:
SIGNATURE OF APPLICANT
MIAMI SHORES VILLAGE
APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
NAME OF PROPERTY (If applicable):
34 •I av E q d vt(9
NAME(S) OF APPLICANT(S): 1 arov
(Note: If the applicant is a person other than the owner(s), evidence of that person's authority as agent other than the
owner(s), evidence of that person's authority as agent must be attached to the application.)
CONTACT TELEPHONE NUMBERS: 3�x� 75 �� � � / ?' Z `I � / 2
APPLICANT ADDRESS :
(If different than property address)
„.4 „.1 to,,
INDICATE CLASSIFICATION OF PROPOSED WORK:
MAINTENANCE OR REPAIRS RESTORATION REHABILITATION
DEMOLITION NEW CONSTRUCTION
OTHER (PLEASE EXPLAIN)
DESCRIPTION OF THE PROPOSED PROJECT: r Tn - I ti l ■ J'C�' (,(). t€ D(/1 --
t
PLEASE PROVIDE THE FOLLOWING SUPPLEMENTARY INFORMATION:
SITE PLAN (W/ DIMENSIONS) FLOOR PLANS (W/ DIMENSIONS) ELEVATION (W /DIMENSIONS)
LABELED PHOTOS SURVEY (WITHIN 5 YEARS) COLOR SAMPLE
MATERIAL SAMPLE OTHER
CERTIFICATION
UNDER PENALTY OF PERJURY, I (WE) CERTIFY THAT ALL INFORMATION IN THIS
APPLICATION AND THE ATTACHMENTS HERETO IS TRUE AND CORRECT TO THE BEST OF MY
(OUR) KNOWLEDGE AND BELIEF, THAT THE WORK FOR WHICH APPROVAL IS SOUGHT HEREIN
IS BEING PROPOSED IN GOOD FAITH AND WILL BE PROMPTLY PERFORMED IN THE EVENT OF
THE APPROVAL OF THIS APPLICATION AND THE GRANTING OF A BUILDING PERMIT, AND
THAT I (WE) DESIRE THAT THIS APPLICATION B - NTED AND SUPPORT THE GRANTING OF
THIS APPLICATION.
SIGNATURE OF OWNER(S): •, � !
DATE: /
DATE:
DATE:
DATE:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/21/2004
Applicant: ELAINE
Owner: STONE
JOB ADDRESS: 341
Contractor COMPLETE HOME PAINTING
Local Phone: 305 - 895 - 1368
Parcel # 1132060136380
Signed:
NE 92
(INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1289
STONE
ELAINE
ST
Contractor's Address: 1476 NE 130 STREET
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18
Permit Status: APPROVED Permit Expiration: 3/27/2005 Construction Value: $2,500.00
Work: PAINT
BY:
BLK 47 LOT SIZE
Fees:
FEE2004 -12840
FEE2004 -12841
FEE2004 -12842
FEE2004 -12844
FEE2004 -12845
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$1.80
$5.00
$0.60
$1.50
$68.90
Total Fees: $68.90
Total Receipts: $68.90
JAN 0 3 PAID
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.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/21/2004
Applicant: ELAINE
Owner: STONE
JOB ADDRESS: 341
Contractor COMPLETE HOME
Local Phone: 305 - 895 - 1368
Parcel # 1132060136380
Signed:
NE 92
PAINTING
(INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1289
STONE
ELAINE
ST
Contractor's Address: 1476 NE 130 STREET
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18
BLK 47 LOT SIZE
Fees:
FEE2004 -12840
FEE2004 -12841
FEE2004 -12842
FEE2004 -12844
FEE2004 -12845
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$1.80
$5.00
$0.60
$1.50
$68.90
Total Fees: $68.90
Total Receipts: $68.90
JAN 0 3 PAID
Permit Status: APPROVED Permit Expiration: 3/27/2005 Construction Value: $2,500.00
Work: PAINT
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.
BY:
0
/ / PERMIT APPLLICATION FOR MIAMI SHORES VILLAGE
Date / / /�/ `CO Z 7 / /V ` I Job Address f✓ , l Tax Folio
Legal Description Historically Designated: Yes / No
/r
Owner/Lessee / Tenant Q / jN ri
Owner's Address 5V/ / / V . �/ 7 7 S
Contracting Co. w/V L -11 - - Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �,Z
Square Ft. Estimated Cost (value)
Application is hereby
certify that all work wi
permits are required for
OWNER'S AFFIDAVI
laws regulating construe
Signature of owner an
Notary as to Owner and/
My Commission Expires
APPROVED:
Zoning
Mechanical
FEES: PERMIT '70. 0 RADON
PRATT & LAMBERT
Calibrated Colors'" IV
Address
�lL (02 U� A'' -
Signature of Co tractor or Owner- Builder
Master Permit # / / -- Z-04. — O /3 - 4.380
Phone 2 SG d ? O
9
ar
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PA vim" TW!C1 Fnu nvmPnvVMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH Y 0 Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
and installation as indicated above, and on the attached addendum (if applicable). I
s of all laws regulating construction in this jurisdiction. I understand that separate
POOLS, ROOFING and MECHANICAL WORK.
rmation is accurate and that • :rk will be done in compliance with all applicable
rize the above -named con a•Z to do the work stated.
#.4`r
4- 1/4 96 )
• - g
Notary as to Contractor or Owneer
My Commission Expires:
OFFICIAL NOTARY SEAL
CASANDRA B STEPHENS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC542901
MY COMMISSION EXP. APR. 7,2000
Date
Date
C.C.F. . 0'0 NOTARY TOTAL DUE 4 70, ra
Building Electrical
Plumbing Engineering
1753 2 -P
y.
Italian - 5tfav 1
PRATT & LAMBERT
Calibrated Colors °D IV
t 1-rrtvi ,r- r'dOPERTY (if applicable) :
ADDRESS OF PROPERTY:
NAME(S) OF APPLICANT(S):
(NOTE: IF THE APPLICANT IS A PERSON
OTHER THAN THE OWNER(S) • EVIDENCE
OF THAT PERSON'S AUTHORITY AS AGENT
MUST BE ATTACHED TO THE APPLICATION.)
TELEPHONE OF APPLICANT(S): (305) 75 O x(305)
ADDRESS OF APPLICANT(S):
(if different than address of property)
PRESENT USE OF PROPERTY:
CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED:
the letter next to the appropriate classification)
FORM : MSHPB.COA (adopted 4/95)
ORES VILLAGE HISTORIC PRESERVATION BOARD
APPLICATION FOR A
FICATE OF APPROPRIATENESS
please type or print clearly
3L 11 92■
C� I�1 A14 IQ 1 c /1C . 3 f,
l r '14 I , . i -O �+.=
MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing form. integrity and
material of a building or structure and the existing form or vegetative cover of a site. It may include initial stabilization work.
where necessary, as well as on -going maintenance and repair. Samples of material must he submitted with the Application.
B. RESTORATION: The process of accurately recovering the form and details of a property and its setting as it appeared at
a particular period of time by means of the removal of later work or by the replacement of missing earlier work. All
applications for restoration shall include site plans (if required by the Building Permit), a statement with bibliography
historically justifying the work, and any additional photos or information to support the proposed work.
C. REHABILITATION: The process of returning a property to a state of utility through repair or alteration which makes
possible an efficient contemporary use while preserving those portions or features of the property which are significant to its
historical. architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building
Permit). and any other supplementary information, such as drawings. that will support the proposed project.
D. DEMOLITION: The process of destroying or tearing down a building or structure or a part thereof, or the process of
removing or destroying an archeological site or a part thereof. The applicant shall include a report explaining why the proposed
action should occur. If this action is to occur for reasons of financial hardship, all pertinent financial data should be included
pertaining to the cost of preservation. demolition and new construction. Any other material pertinent to the application is also
encouraged as supplementary information.
E. NEW CONSTRUCTION: The process of constructing a building or structure that has never existed at that location.
Applications shall include : a site plan elevations. floor plan and/or landscape plan.
DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made
and how they will be accomplished - use continuation sheet if necessary - all applications
shall be accompanied by at least one 3" x 5" photograph of the property):
Kka) Iv re
han,e,
dvt-
NA o-ek *let, pdikivd-7'i)
I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN
THIS APPLICATION AND ITS ATTACHMENTS IS TR AND CORRECT:
SIGNATURE OF APPLICANT(S): thia nil DATE: j 9 Cv
DATE:
SIGNATURE OF OWNER(S): OiAi
3. DENIED
SIGNATURE OF CHAIRMAN:
CERTIFICATION
FOR BOARD USE ONLY
APPLICATION DATE (date application received by Secretary of the Board):
1f )'lt, DATE:
DECISION OF THE BOARD (circle the appropriate number):
I. APPROVED
APPROVED WITH CONDITIONS (set forth conditions below):
Gce-'om Fax- ,ScArvOre.
eizt
DATE: 3/ 1 / L'
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.
Owner's Name and Address 6 cv ` C F/�
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot / Block 7
Street and Number where work is to be done 3.Y/
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
State work to be done and purpose of building (by floors . state exterior colors (submit samples)
Pi
f e4J 11-C l)Ai
Subdivision )// 2 '7L / 2i' 0 /1 .IGZ de l 63 ,ga
and for no other purpose.
New Building Remodeling Addition Repairs
To be constructed of Kind of foundation Roof Cove)
Estimated Total cost of improvements S /OW Amount of Permit $ 3 7 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 constru
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 ha- complied with the .rove thereof. and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under his .ermit; and will .os or use to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agr s • emplo only such - ubc. // rac•. on ork to be performed
under this permit, as are licensed by Miami Shores Village. .
Remarks (Signed)
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
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 fofegoipg application. and that he did sign the same. and that all facts therein by him stated are true.
Permit No. Date 44IP Read. Sworn to and Subscribed before me.
Disapproved ��, �1 / ' , Date
(Signed)
Building Inspector
Date
19/./
No cY2' Street �a
Notary Public. State of Florida
to me well known.
My Commission Expires
PLANNING BOARD DATE
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 S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
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.
Owner's Name and Address & 2 LD 37 Si- O P
Registered Architect andior Engineer
Name and address of licensed contractor L/ LL//tj
Location and legal des ription of lot to be built on: y� n ? ,`4
Lot / 7 v / t Block !/ 7 Subdivision ��/ LI(,./ / A 1 // 36 r/J die.' l'
Street and Number where work is to be done 3'( i MG c a ST •
c
State work to be done and purpose of building (bv floors), state exterior colors (submit samples) -1 (ii. pat Q CSC -��54 .
d ialeiL,/ and for no other purpose
New Building Remodeling V Addition Repairs it.,' No of Stories a?
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S /0775 c --- 0 Ocf Amount of Permit $ VdiS
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 be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .bligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and h complied with the provisions thereof. and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be perform unde this permit: and will p.st 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 a to employ only suc s . contracto ... on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 foregoi•g application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved
(Signed)
V714-19
LR
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date'""
Date
Read, Sworn to and Subscribed before me.
7. /957
7C1 -v0 /
Date A 1)6 " 6 ' 3 ( 19 k /
No / Street All
Notary Public. State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.