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70 NE 92 St (2)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT 11T° 4179 • Bl. DATF Contractor's License No. 195 Work to be performed under this Permit • Subdi- vision Value of Amount of-- Project $ Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. , Signed. BY 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY eS Issue Date: 5/22/2006 Owner's Name: PHILIP AND ELINOR MARTIN Permit Type: Paint Work Classification: Miscellaneous Job Address: 70 92 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/18/2006 Type of Work: Exterior Color: WHITE Additional Info: Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -5 -06 -1331 Phone: (305)757 -9903 1132060130020 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT -5 -06 -24886 Total: HAY 22PAID Amt Due $67.30 Amt Paid $67.30 $67.30 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING IFEIMEEVM Permit No. — 'SS i PERMIT APPLICATION MY l 2 2O Master Permit No. FBC 2004 B Y. Permit Type (circle): Buildi Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) E / e / V 6 fi I& ` 4/ Phone # Jo r- 257-- 99 Owner's Address 1 10 U I C i city/4M) `J I`1 i?S State ' L , Zip .9 J 1 Miami Shores Village Building Department Tenant/Lessee Name Phone # Job Address (where the work is being done) 70 u l & G :- / -- City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO /\ Contractor's Company Name /I/ I C /9- &` go fr/we /t/ Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ l Certificate of Competency No. Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration [ Tew ❑ Repair/Replace ❑ Demolition Describe Work: 6J ei-i -4- v L -5 / D j ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ (-Q all_... . CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —* 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. Sign: Print: My * * * * * * ** Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2:Z.. The foregoing instrument was acknowledged before me this day of Mr-A-1 20 CfgbyFJ i m r 2i 1\40 41 a of , 20 _, by , who is personally known to me or who has produced who is personally known to me or who has produced NOTARY PUBLIC: sc.'? a APPLICATION APPROVED BY: (Revised 02/08/06) on Expir As identification and who did take an oath. Signature NOTARY PUBLIC: as identification and who did t an oath. Sign: Print: My Commission Expires: 1 *******************************************************,************ * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** 5/3- Plans Examiner Engineer Zoning Date Owner's Name Owner's Address City State Zip Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone if ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Doors and door jams Garage doors Railings Fences Signature Miami Shores Village Paint Color Approval and Agreement Drip Cap /drip Edge Soffit �J ` Roof (/ / Flower bins Shutters Awnings Chimney Phone # Decorative metal All brick (simulated or regular) Stucco handing Any other stucco features 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 zoning. Owner or Agent Attach Co Samples With ► mb'rs Date APPLICATION APPROVED BY: Date P& Z Official chc 6/18/03 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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.. !../._R....__A(! P/V Registered Architect and /or Engineer Name and address of licensed contractor p d 0 Gi w v Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ® Q ��� State work to be done a d purpose of building (by floors) ln......et.L: Disapproved Date (Signed) a ✓_ - -- - - - -. Building MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT , 19...IP No... 7 O Street c2 S ..- a.... r Date..._ ', PLANNING BOARD DATE New Building Remodeling Addition Repairs No. of Stories and for no other purpose. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ &- o () 0 Amount of Permit $ 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 the 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post 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 agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. [� !�6 Remarks (Signed) G yr STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 for going application, and that he did sign the same, and that all facts therein by him state are Permit No Date _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My,Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.