544 NE 93 St (9)BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit
Total Fee Now Due $
(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
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Phone # ° 7 I/
Owner's Address S ` iA Q
City iv) Lt .> - State Pt Zip 3. � I U
Tenant/Lessee Name A :a- Phone # , (A-
Job Address (where the work is being done) .S' Yq rl c' CO '
City Miami Shores Village County Miami -Dade Zip •3. /a 8
Is Building Historically Designated YES NO ?c -
Contractor's Company Name Phone #
Contractor's 1:7 b Address Pc 0. X S? 1 o
M
City 1 ck XI\M 1 FL_ State F Zip 3153
Qualifier PA. %- 0 K c i,.../ GL. e
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition [� ❑Alteration ❑New .2' Repair/Replace ❑ Demolition
Describe Work: � Gl r D"1 e x ( i r1 rear I &$ v -o of o R l y 3 rcpp/4 e
kA-11.\ o re — --{".1 cd-- r o ek}A ,
Permit No. 6e7 U — 1 401 .
Master Permit No.
Square Footage Of Work: LbO
F * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * ** *ass *s * * * * * * * *s * **
Submittal Fee $ 50 .0 Permit Fee $ 5C , ' 1 / /� CCF $ I/ 9 .
Notary $ Training/Education Fee $ Technology Fee $ i
Scanning $ (/` Radon $ ,...--- Bond $
Code Enforcement $ -..--` Structural Plan Review. $
Bonding Company's Name (if applicable)
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
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
igIrture
NOTARUBLIC:
Sign:
Print: S
My Commission Expires:
APPLICATION APPROVED BY:
Chc 10/14/03
Owner or Agent
The foregoing instrument was acknowledged before me this / 7
day of n .fc h , 20 04 , by G"' el 2—e ttrm fir.
who i ersonally kno o me or who has produced NJ /t
As identification and who did take an oath.
U'cmnGl,V
OFFICIAL NOTARY SEAL
SUZANNE VANDIVER
* * * * * * * * * * * * * * * * * * * ** WA mmiBIiieerververt irm * * * * * * * * * * * * * * * * * * **
COMMISSION NO. Q ficate •f Competency Holder)
MY COMM ION EXP B. 23 006
State Certificate or Registration No. Certificate of Competency No.
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Sigratu: c
4 (dU j C 1
Contractor
The foregoing instrument was acknowledged before me this ,- 3
day of 4NtC ■,-c k , 20 0
who is personall k nown to me or who has produced
NOTARY PUBLI
Si
Print:
My Co
identification
o did take an oath.
I COMMISSION # DD 241500
r * sowi EXPIRES: August k�B91919taA 8169°4813
* * * * * **
* * * * * ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
MAR
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Contractor's Company Name
$ Value of Work For this Permit
Type of Work:
Describe Work:
Total Fee Now Due $ 15.E
(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
RECEIVE
DEC, fl 2083
�cC
N -
❑Addition ❑Alteration ❑New
Job Address (where the work is being done) &- � C`:
City Miami Shores Village
Is Building Historically Designated YES
Permit Nob :7,400Z ¥i' O
Master Permit No.
Permit Type (circle: Building // (2- Electrical Plumbing Mechanical Roofing
C
Owner's Name (Fee Simple Titleholder) l C k-Phone # 1 ? if? d
Owner's Address 5q L( A
City i11\ t ( S State T (
Zip
County Miami -Dade
3?(3ts
Tenant/Lessee Name Phone #
Phone #
Zip
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1.2 0 O v CCF $ (or)
Notary $ s" Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
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 notice of commencement and construction lien law brochure will be delivered to the person
whose properly is subject to a tachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whi occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be app ved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this q
day of � , 200 by GYe j r 1 6 . RN) 3 v . � Gx- ;
who is personally known to me or who has produced 6-5S Z- 2-8 �—
3 , 11
NOT
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * **
State Certificate or Registration No. Certificate of Competency No.
*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** , 3i ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 10/14/03
As identifica ' who did take an oath.
Contractor
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:
Print:
Commission 4 1984 My Commission Expires:
Expires: Jul 1 e QQ
" '(Certifiateiof Competency Holder)
o&t, 11h0 /pf
EOOZ T T 330
Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:
OWNER'S NAME: PHONE:
ADDRESS:
*:****************:*************** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
** ******************************* * * * * * * * * *4c * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls 5fc)vt ccv Sl? &
Fascia /4 lb& 43(-3 Q
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
sz1c
All brick (simulated or regular) 4, ('r
Stucco Banding
Any other stucco features A
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 zor}ing. I authorize the above -named contractor, if applicable, to
do the work st ed. /Furthermore , the paint colors will be as per the attached
samples.
Sina e of Owner Date Signature of Contractor Date
********************************* * * * * * * *a: * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building Official O Date 4/23/01
( //d(d3
0
r
0
m
m
D
Z
0
0
0
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Date
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Address
Company
Phone #3O' SS� o
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 70-AO4
Building Inspection Request (Al
Date f j _ / O
f • o ��
Type Insp'n J i ✓✓ �'.
E, /
Permit No. �J- ' d
Name
Address ) `+ \. i ���
Company — r) r
Phone # _� C�� '
Inspection Date ,
Approved
Correction
Re- Insp'n Fee
ti
5 &7
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -1910
Printed: 12/11/2003
Applicant: GREGORY RUDNICK
Owner: RUDNICK GREGORY
JOB ADDRESS: 544 NE 93 ST
Contractor
Local Phone:
Parcel # 1132060141070
• Signed: (INSPECTOR)
Building Permit
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 6/5/2004 Construction Value: $200.00
Work: EXTERIOR PAINTING
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 4 & 5 & W2OFT LOT 3 BLK 57
Fees: Description Amount
FEE2003 -8040 Building Fee $60.00
FEE2003 -8041 Notary Fee $5.00
FEE2003 -8042 CCF $0.60
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $65.60
Signed: (Contractor or Builder) BY:
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.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address .f " 4/4 9,3 Tax Folio // J 0/ /01.741 v�
Legal Description ` a k r1dlil �� T '79J/Ma Permit # 3,--Aie
Owner / Lessee / Tenant
Owner's Address ■ 5 VV
Contracting Co. \`ci 6;.c�v. 4 Ve
/ki l
/M 522
Zoning
Mechanical
. // phone 73. 3 =- 77,/
Address .:=.
Qual.'.f ier SS# *- phone 1�r 03 7�
State# Competency/147110r Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC PAVING FENCE SIGN e)/
WORK DESCRIPTION Cam,, pa7;44.1.-e/ ),,, ) `' �� �P)
Square Ft. Estimated Cost) ev
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. 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.
; C\
Signature of Owner and /or Condo President
Date:
,f
(y/aw,
Not y a Owner and /or Condo President
My ommission Expires: NOTARY PUBLIC. STATE OF FLORIDA
N cCOMMISS**N EXPIRESkAPRIL 16,
3ONDEp THRU STEMBLERADAMS 8 WET
PERMIT FEE: APPROVED: Fire
Plumbing
Si: " re of Contractor or Owner - Builder
D
Notary as to Co act
i reS ow 1 ST g 1d
a (¢ , NOTR Y NANOFTEoRIDA
My Commission E
NI *COMMISSWN EXPIREAPRIL 16 €'
19
BONDED TH U STEMBLER AMS & SWEf
Other
9 , 7 � Electrical
Engineering