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PAINTMIAMI SHORES VILLAGE (NO BUILDING DEPARTMENT 305-795-2204 Buil ngInspectibn Request MA() Date Type Irisp'n Permit No. ')P v .`fi Name Address Approved Correction Re- Insp'n Fee rzin N Company CC)? ;Pre v Phone # Inspection Date Miami Shores Village 10050 NE 2nd Avenue Printed: 10 /8/2003 Applicant: LANA & TOM CARNEY Owner: CARNEY LANA & TOM JOB ADDRESS: 670 NE 93 ST Contractor Local Phone: Parcel # 1132060141510 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -1573 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 OF LOT 12 Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $1,750.00 Work: PAINT AND TRIM OUTSIDE HOUSE Fees: Description Amount FEE2003 -5866 Building Fee $60.00 FEE2003 -5868 Notary Fee $5.00 FEE2003 -5869 CCF $1.20 Total Fees: $66.20 NOV 0 1 PA 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: BLK 63 Total Fees: $66.20 Total Receipts: $0.00 Ocoi - e fa id �� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1573 Printed: 10 /8/2003 Applicant: LANA & TOM CARNEY Owner: CARNEY LANA & TOM JOB ADDRESS: 670 NE 93 ST Contractor Local Phone: Parcel # 1132060141510 Signed: (INSPECTOR) Building Permit Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 OF LOT 12 Fees: Description Amount FEE2003 -5866 Building Fee $60.00 FEE2003 -5868 Notary Fee $5.00 FEE2003 -5869 CCF $1.20 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $1,750.00 Work: PAINT AND TRIM OUTSIDE HOUSE 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: BLK 63 [2Ir [r [IC BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical �F ��] `7 Owner's Name (Fee Simple Titleholder) / Zip A C • bi Phone # Owner's Address l0 7 v P � 3 City 60 .4 .r. chc, State Cr e--- Tenant/Lessee Name A—'C Job Address (where the work is being done) 6 ° ki 4 6 73 City Miami Shores Village County Miami -D Zip S 3 9 Is Building Historically Designated YES NO Permit No. '023 - 5 7`3 Master Permit No. Zip Phone # Roofing 'toS 1c7 �Z Contractor's Company Name A_,57 Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) ° � - Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit ( ' � �' • e----- Square Footage Of Work: /-7pv a Number of: Bays Stories a Families ( Bedrooms Type of Work: ['Addition ['Alteration ['New Describe Work: , 'i e r d 'Z' c /1.� Cr G1 0 v S r '< 1 /"l ! &J ( V dZ °7 County Escrow Fee $ Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Minus Plans Check Fee $ Total Fee Now Due $ 9-- Baths ❑ Repair/Replace ❑ Demolition 2-0 Permit Fee $ log .00 Notary $ S • W Cod -a-cO . * * * * * * * * * * ** 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Scanning $ Radon $ Struct. $ (Continued on opposite side) j , "`v Ge &S Bonding Company's Name (if applicable) — Bonding Company's Address City State! Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Application is hereby made to obtain a pen certify that no work or installation has commenced prior to the issuance of a pc the standards of all laws regulating construction in this jurisdiction. I understand t separate permit must oe secures 'or ni,r,L1 RICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. , S day of Chc7/7 /03 Owner or Agen The foregoing instrument was acknowledged�beforre me this 2003, byTh ra$ O A ISO who is personally known to me or who has produced As identification and who did ga an ath ... • • III onding Co., Inc. NOTARY] : LIC: Sign: Print: My Commission Expires: Signature Commission #DD231984 ' NOTARY PUBLIC: Expires: Jul 13, 2007 Sign:. GEC/ V0 /2 Zip 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. Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: \ \O 3 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: <7 /se OWNER'S NAME: -° 4< '2 C 4 PHONE:-_'7S .7 ADDRESS: *******1 . ***** ********* . ************************** ************.****** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) N PHONE. c2 COMPANY NAME: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls f /6. Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins (- E zP . Shutters Awnings Chimney tk/ Doors and door jams N Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) ° Stucco Banding Any other stucco features Accessory Buildings eJZ) Other b . Building Of cial Date c3-°1-1 w cj En 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 authorize the above -named contractor, to do the work stated. Furthermore the paint colors will be as per the attached s..• •les. c ignature of Owner * D * * * * * * * ** * Signature * * * * * * * * * * * * * * ** ** * * * ** S FINISHED, APPROVED: WHEN PAINTIN CALL FOR FINAL INSPECTION 4/23/01 ell acts * * * * * * Z r -C Date * * * * * * * * * * * **