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806 NE 92 St (7)MIAMI SHORES VILLAGE BUILDIlK6 DEPARTMENT 305- 795 -2204 Buijding Inspection Request Dat Typelnsp'n l Permit No. P - 1082, Name S tICJ' n. c l Address 92,4- Company `rX-) Phone # Inspection Datee r Approved Correction Re-Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -1082 Printed: 1/4/2005 Applicant: JEAN GAUDINI Owner: GAUDINI JEAN JOB ADDRESS: 806 NE 92 ST Contractor Local Phone: Parcel # 1132060050200 Building Permit Contractor's Address: Page 1 of 1 Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 12 &13 BLK 2 LOT SIZE 102.500 Fees: Description Amount FEE2005 -23 Building Painting Fee $60.00 FEE2005 -24 CCF $0.60 FEE2005 -25 Notary Fee $5.00 FEE2005 -26 Technology Fee $1.50 FEE2005 -27 Training and Education Fee $0.20 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 2/6/2005 Construction Value: $100.00 Work: PAINT WOOD TRIM OF HOUSE 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1082 Printed: 1/4/2005 Applicant: JEAN GAUDINI Owner: GAUDINI JEAN JOB ADDRESS: 806 NE 92 ST Contractor Local Phone: Parcel # 1132060050200 Building Permit Contractor's Address: Page 1 of 1 Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 12 &13 BLK 2 LOT SIZE 102.500 Fees: Description Amount FEE2005 -23 Building Painting Fee $60.00 FEE2005 -24 CCF $0.60 FEE2005 -25 Notary Fee $5.00 FEE2005 -26 Technology Fee $1.50 FEE2005 -27 Training and Education Fee $0.20 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 2/6/2005 Construction Value: $100.00 Work: PAINT WOOD TRIM OF HOUSE 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 APPLICATION FBC 2001 (Continued on opposite side) Job Address (where the work is being done) Contractor's Company Name r/C4/A Total Fee Now Due $ ♦i t 5 3 3 7 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 �• t _. I�G Permit Type (circle): Building ,/ Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple i i e polder) --► & p . 901)J /I Owner's Address 6 ('r, )5/, Cj .9 i 57 Citl. /y1 / 5'1D iI5 State f L Zip --33 /3 Is Building Historically Designated YES NO t/ Permit No. We A — 1 O Master Permit No. Tenant/Lessee Name Phone # g b & 6/r E ,i7JD 5 7 City Miami Shores Village County Miami -Dade * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Phone #N3 05 — 7S ' - ye7o Phone # Zip Contractor's Address Cite State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit � O U ' C Square Footage Of Work: Type of Work: ❑Addition ❑Alteration :New ❑ Repair /Replace ❑ Demolition Describe Work: / A/ r /n/ 6 vl/ 0 v t T / (' '1 '') / ,{Q S L Submittal Fee $ Permit Fee $ 0 CCF $ 0 v" " CO /CC ` Notary $ Training/Education Fee $ 0 • al' Technology Fee $ 1 . 6? Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Naine (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 certifiedeoopy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days of eer 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. NOTARY Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1,0 The foregoing trument was acknowledged before me this 1 r) day of Q t , 20 04, by ea\1 A . ∎) Ain t , day of , 20 _ , by who is personally known to me or who has produced As identification and who did take an oath. 231984 res: Jul 13, 2007 Bonded Thru ature NOTARY PUBLIC: Sign: Print: My Commission Expires: .4" y DEG o who is personally known me or who has produced as identi tion and who did take an oath. Plans Examiner Engineer Zoning Miami Shores Village • • Paint Color Approval and Agreement Date /E G '/ Owner's Name - J t- F4 ✓ (i9 l4P/ Al Owner's Address �� 4/ j City 6/f / !/M / 5 /l h5 ' State Job Address (where the work is being done) R d 1O 44 / City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO �� / � Contractor's Company Name (if applicable) /Y Off G W /k /f /L Ph # 3�� 7V ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls /� Fascia j� 7,9//4 /fl/ /i1 ('F adig 646 - Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Signature APPLICATION APPROVED BY: e./tz t Owner or Agent P& Z Official Zip Phone # Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings a^te. N Other /e. e-r. A •e-e fk ****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ****, * * * * * ** * * * ** 1,5 t OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in comp i ric applicable laws regulating construction and zoning. Date C A\u1D `� Date tutge chc 6/18/03 thall % Miami Shores Village 6t1, -1 QZ Paint Color Approval and Agreement Date f o// 7' �' (�. / Owner's Name � � � ,�/ �� C Phone # % C (o Owner's Address d /V ' E - d NZ....) 5 Cit MO/ .vw; State Zip Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences APPLICATION APPROVED BY: Owner or Agent P& Z Official) 5 06 Date ., Job Address (where the work is being done) ,k' /,9 ( f/ 0 1 , 5 City Miami Shores Village County Miami -Dade Zip .3 3 / 3 cp Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Attach Color Samples With Numbers Aanatee Grey 90YY 49/095 Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings //�� L Other �/ ( �' /y- /'/ f % / /1! 6 . �iC cbl✓T ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Date /a/ 6 c 6/18/03