580 NE 92 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 3,1
Type Insp'n (� no\ �� 99 `` it n1--
Permit No. !3P �CCM - 361.
Name IOb5
Address SOU grc. s
Company
Phone #
Inspection Date
Approved
Correction ❑
Re- Insp'n Fee 71
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. P V � D
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner Name (Fee Simple Titleholder) � �e 9 + >/tif Phone # r�' :; - � f ` �` `'
Owner's Address .c; �G� 711 e L _ 1-- ,/
City f) Li rt # 14,;,, . S it c Y( ;state , Lr� Zip 14/5/
Tenant /Lessee Name S/ h 7:31 614 S i-ci c ,<< fu C_e� Phone # >L a / �S . /' /6 % ,
30 S-- X39 -3a -2y
�( Job Address (where the work is being done) "� > ,/,,�. ; , l
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO v'"
Contractor's Company Name
Contractor's Address
City ,/ State Zip
Qualifier
Architect/Engineer's Name (if applicable)
Type of Work: ❑Addition ❑Alteration
- x Describe Work: : .
Total Fee Now Due $
(Continued on opposite side)
Gov.
/'
Miami Shores Village
Building Department
•
$ Value of Work For this Permit Square Footage Of Work:
❑ New
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ / 0 0 . CCF $ ) t " 0 CO /CC
Notary $ Training/Education Fee $ , 9 0 Technology Fee $ o� ..S 6
Scanning $ Radon $ Zoning Bond $
Code Enforcement $
Structural Plan Review. $
1 P
3� r • 9 35' . 3 '
Phone # ,: 4 0
Phone #
❑ Repair/Replace ❑ Demolition
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 b a.proved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me t •
day of /lt 4C C 20 Cy, by JO-tl z's , :fie 4 .
who is personally known to me or who has produced
As identification and who did take an oath.
Auf
MY COMMI SION # DD 185088
„' ' Bonded Thru
Notary public Underwriters
NOTARY P
Sign:
Print:
My Commission Expires.
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
Signature r
Sign:
Print:
My Commission
(Certificate of Competency Holder)
)/ ) / ot
Contractor
The foregoing instrument was acknowledged befor
day of kiCYe�ti- , 20 { by
State Certificate or Registration No. Certificate of Competency No.
C-' X
me this i f
111111 >
who is personally known to me or who has produced
— as identification and who did take an oath.
NOTARY PUBLIC:
AWYER
1 � •! 1 MY COMMISSION # DD 1:
une 19, 2007
Et dad Thru Notary Public Underwriters
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
77p3
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
MAR - 8 2004
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Date d° ' 0 9
Owner's Name 5r;0465 "oep fi6fe 7j 6S Phone # ,S G S - 7S7V69Z
Owner's Address - .1T.° p r 9 2
State ,C/• Zip 1 .5�
City �/' ie> trvu
Job Address (where the work is being done) s o /4 ' £ ? Z St
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable) O ) A/4 /7 /'i J 64 7 r /too a% f hone # 3 01 -38X -- -//2„3
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls / � �2
Fascia (/ JAi ,.7
Drip Cap /drip Edge OA i �e
Soffit a,/ Ai 1 e
Roof
Flower bins
Shutters 0/G e 1 1 - c-
Awnings
Chimney
Doors and door jams
Garage doors
Railings /� n
Fences
Decorative metal &/‘0 . fe
All brick (simulated or regular)
Stucco banding_
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S A}I IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws r : g co • ction and zoning.
Signature _.,u!l\ \1i11111b. Date
APPLICATION APPROVED BY:
er or Agent
Attach Color Samples
With Numbers
Date
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -795 -2204 Permit Number: BP2004 -301
Printed: 3/10/2004
Applicant: STOBS PROPERTIES
Owner: ROBERT J
JOB ADDRESS: 580 NE 92 ST
Contractor 0 J PAINTING AND WATERPROOFING Contractor's Address: 13585 S. W. 116 TERR.
Local Phone: 305 - 388 -1923
Parcel # 1132060141340
Fees: Description Amount
FEE2004 -2579 Building Fee $100.00
FEE2004 -2580 CCF $1.20
FEE2004 -2581 Training and Education Fee $0.40
FEE2004 -2582 Technology Fee $2.50
Total Fees: $104.10
Total Fees: $104.10
Total Receipts: $104.10
Permit Status: APPROVED Permit Expiration: 8/31/2004 Construction Value: $2,000.00
Work: EXTERIOR PAINTING
Signed: (INSPECTOR)
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:
Building Permit
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 NELY1 /2 LOT 24 BLK 59 & TR C PER PB 35-40
Date 1/29/97
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 580 N.E. 92nd Street Tax Folio
Legal Description
Owner / Lessee / Tenant Owner .S TO h .S , Master Permit # 1- 1.028 7
Owner's Address same
Contracting Co. Stobs Bros. Construction Co.
Qualifier James R. Stobs, II SS# Phone 751 -1692
State 4fr CGC 011055 Municipal # Competency # Ins.Co.
Architect /Engineer n/a Address
Bonding Company n/a Address
Mortgagor n/a Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Painting Exterior - _ ■fit
Square Ft. n/a Estimated Cost(value) 1,000.00
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.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * *
APPROVED:
Fire
Zoning • Buildin
Mechanical Plumbing
Address same
Sin
Date:
♦'ll r
Contractor or Owner- Builder
A
.f,
nuary 29,199
. %Y lOPatuacanuRWrS
Ex 1NftIP:SAWYER
* * COMMISSION NUMBER
Q CC466534
7,.. cis MY COMMISSION EXP.
Nota
My C
ture
0
Phone 305/751 -1692
r- Builder
* **
FEES: PERMIT / 0 . RADON C.C.F. ' NOTARY TOTAL DUE 4) 'V.
Other
Electrical
Engineering