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373 NE 92 St (2)Correction 1 Y MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Type Insp'n Permit No. Name Address3 1 3 0 ,, r, ` qaj2A Company cy isf Phone # Inspection Date 1 3D ( rD BUILDING PERMIT APPLICATION FBC 2001 V Owner's Address Type of Work: ❑Additio ❑Alteration Describe Work: t2 A/ 14 Total Fee Now Due $ J S (3 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 3 3 Ai 2w sT2t - � — ❑New Permit No. Master Permit No. Permit Type (circlet Building Electrical Plumbing Mechanic:al Roofing Owner's Name (Fee Simple Titleholder) {t'1A''t24(.. Phone # City $'l !sJW►1 S (41)*ZS' State PL_ Zip 3 3 13 E Tenant/Lessee Name • Phone # Job Address (where the work is being done) 7 7 ?j / j 9. Z S'r �'r City Miami Shores Village County Miami -Dade Zip 31> i 3 $ Is Building Historically Designated YES NO __ Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier ngineer's Name (if applicable) IM /W2 4C_. A- 61 PR E Lt- Phone # _& �IZ� 637 oro $ Value of Work For this Permit bdC Square Footage Of Work: ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ `'"( — c-c Permit Fee $ 6 © CCF $ -.: CO /CC Notary s5. w Training/Education Fee $ t 0 Technology Fee $ ' i S C7 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) r . • Bonding Company's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person Also, a certified copy of the recorded notice of commencement must be posted at the job site even (7 days after the building permit is issued. In the absence of such posted notice, the reins 1 s e will be charged whose property i ubject to attachme for the fir nspectr en ich o s inspecti will not b . ov d . Si Owner or Agent The foregoing instrumentwas acknowledged before me this 4 day of 1 V GI/CA , 20 0 , bytk l4O/1 OcfriPoic who is personally known to me or who has produced NOTARY Sign: Print:: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 As identification and who did take an oath. Signature The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Commission #DD2 :4 Print: pires: Jul 13, 2007 Bonded Thru My Commission Expires: * * * * * 1 ** 1 * B *** * Psel************************ * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** „$ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor MAR 1 1 200k Plans Examiner Engineer Zoning Miami Shores Village `t- ° 1 s . Paint Color Approval and Agreement'c'° Date '?' Owner's Name Owner's Address Arc A- OA PQ c. ? 3- N - cG . 4 2 S 1"f :L—'1 City WI /00'v-I / S i.1?JYi ' State 4 FZZA4.4 ' A—_ Zip Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated . 'YES Contractor's Company Name (if applicable) ****** *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4 All elements on the site must be listed and indicate the Walls 21t.6 MPTD 4124 I IU 4 (0. Fascia Wt-i'lr Drip Cap /drip Edge 1,0 14'1711 Flower bins Nam Shutters Awnings Chimney Railings Fences Signature Soffit Roof at G L ?a Doors and door jams WWI ii Garage doors wkel (� t 41-c4` I� O00 'vac To B L / u �1 Decorative metal N6� G � a rk ed or regular) All brick (simulated Stucco banding ICU /-hfl' Any other stucco features COCA) vt-tAaS v- wt. -tTL-� Accessory Buildings /VD ltt[ Other /1/ . ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** applicable laws re .t . ting c , : ,ti`s' • . Q z nmg. APPLICATION APPROVED BY: ' S 1 3 hu cEZ S Tfli - 7 - S C LI Owner or Agent County Miami -Dade NO ?C foregoing information is accurate and tha, P &ZOffi' e cE Phone# OS ' 1 si. 7G 3 "S13 6 Date -11-6 S )a / 2Ltut, k. dark- '7 7 Date chc 6/18/03 111 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -294 Printed: 3/11/2004 Applicant: DEBRA CAMPBELL Owner: CAMPBELL DEBRA JOB ADDRESS: 373 NE 92 ST Contractor Local Phone: Parcel # 1132060136400 Signed: (INSPECTOR) Building Permit Contractor's Address: Permit Status: APPROVED Permit Expiration: 8/31/2004 Construction Value: $600.00 Work: PAINT EXTERIOR OF HOUSE AS AGREED Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 21 & 22 BLK 47 LOT SIZE Fees: Description Amount FEE2004 -2643 Building Painting Fee $60.00 FEE2004 -2644 CCF $0.60 FEE2004 -2645 Notary Fee $5.00 FEE2004 -2646 Training and Education Fee $0.20 FEE2004 -2647 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $6 .30 Total Receipts: - 5 .00 VAR 15 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (2. ' ' � 6 Job Address 3 it) E c 1 . 27 S T Tax Folio Historically Designated: Yes No O w n e r / L e s s e e / T e n a n t M - P C A wt r 4 E L. 1 7 4 76S Legal Description 2L 't2 (it°'-/ Owner's Address 313 N E °l z" S Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. A r c h i t e c t / E n g i n e e r 141 k't4L A' C . A n v t P 9 — -- / eci-%Tb Address 3 3 N F" 4 12 7 S T Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P jar 0-tetnet, ,moo w A L-if -t 1 frtM Square Ft. 5 £ S p 4v Estimated Cost (value) ' ( 62:9:; 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 ab j con ��' t•T t• the work stated. Signature of owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON ri/P.V (A v& (I) 90 a•` ignature of Contractor or Owner -B j Notary as to Owner and/or Condo President Date Notary as to Contractor or Own My Commission Expires: C.C.F. Id' NOTARY Master Permit # Phone 1 5 - APPROVED: Zoning Building { Electrical Mechanical Plumbing Engineering A;Y)D " c 104-1 1)/ C44- P ° BOND /Z 6 Date i a /96 Date TOTAL DUE 74Se176 • • 0,0)0' i 4 I 2 A. ti J 14.8' SKETCH OF SURVEY m SCALE: 1" = 20' air , a',.s m., / 7 100.0' .v /,c' Az:tee Z6.7/ ' oues70g - 055 . oe'65 Ai: tWO.0 eL /150' 100.0 9z''''° 4r b Vic a/ /0.7 3790 ' ' X / U7 • . 3:20 • S7 ArzeZ fel.C62 -T_ pig • D.20' 0 1 J.N. 5880 F.B. 159 -5 7 4 50" Date: June 7, 1989. /5 /6 SCALE: 1" = iso' /7 7 /o► c�3R STAeEE r rt. /0 ALLY W. DE I.A TORRE 2527 S.W. 8th St. Miami, Fl. 33135 4 1 t(k S a' 55.4;/Z.7.5 a T �T ',ots 2. ^c Block 47, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, :c:,:c>rdi.r to the Plat thereof as recorded in Plat Book 10 .,t L 6t 70 of the Public Records of Dade County Florida. t'ro,eerty address : 373 N.E. 92nd St. Miami Shores, Dade County, F1. Certified to Park and DeborAl Campbell. Therrel,l3aisden and Meyer Weis. Attorneys' Title Insurance Fund. Inc. Sun Bank /Miami a National Association its :-.ucctn ;or. and /or Phone: 541 -4722 Scales as Shown. 1 HEREBY CERTIFY: That attached "SKI;'1'('11 OF SURVEY of the above described property is true and correct to the hest of my knowledge and belief as reccntlh surve.ed and platted under my direction, also that the survey represented hereon meets the minimum technical standards for land su rvcvors as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027 of the Florida Statutes. A:et*? .te.W- NOTE: NOT VALID UNLESS SEALED WITH Bv: Wilson I)c La Torre: THE IMROSSE[) SURVF,I'OR'S SEAL Professional Land Surveyor No. I870 State of Florida • 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 Pea. K �' �� E �-' 3/ 3 ro -(' and/or Engineer WI Pe nn tI L A (A M PI S E L 1. A/ A Name and address of licensed contractor Location and legal description of lot to be built on: Q f 6 c n G , Lot / 4'a 6Z Block Subdivision .� Zvi ' 1 141 e D ✓02iJ(J' Q' 3 6 0© 1r+' 37 N . 9 Z Si tEt-r Street and Number where work is to be done State work to be done and purpose of building by floors), state exterior colors (submit samples) R F'LA smo h PYCOm 2602 AM° 5,r`tsfa4 tech -r xn.ZS ppl.r —fovse- and for no other purpose. Repairs No of Stories 1 New Building Remodeling Addition To be constructed of Estimated Total cost of improvements S Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said bu The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and compliance from all contractors or sub - contractors employed by him in the work to be performed u on the site of the work such public notice or notices as are required by the Act. The undersigned under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. 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. Disapproved (Signed) Council Approved O(Arv APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Kind of foundation Roof Covering S� � ca �� Amount of Permit $ T* J SS. lct Building Inspector Date' Chairman Member Member Read. Sworn to and Subscribed before me. PLANNING BOARD DATE Date - 5 19 6 6 ) No. Street Z �o 51- ding and its construction may be sent to atons as an employer of Labor under the Florida Workmen's plie with t e pr. isio • thereof, and will require similar and 1 111 .o -t ause to be .oste. .r ' nspection onl ru• . . . ractors. o. /o� ,/ performed Notary Public. State of Florida My Commission Expires Member Member Member ate 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.