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860 NE 92 St (9)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Registered Architect and/or Engineer —9 �'_ Name and address of licensed contractor ��f`'ed - ✓'�� Location and legit] description of lot to be buil on: Lot "f Block riot ors (submit samples) Street and Number where work is to be done Sta ork toye do a an ypurpose of building (by floors). state e /57(1 d , New Building Remodeling Addition To be constructed of c .� Estimated Total cost of improvements S t�' Amount of Permit $ ' 7 /' • -g re j 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 plans specifications for said building. All notices with reference to the building and it construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }ss. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared _ 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 forgoing application, and that he did sign the same. and that all facts therein by him stated are true. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Pernt]t No. 4'97 li Building Inspector / Date �/ g 19 C /' 9 No. �/t7 Street_ Subdivisio4 C(/,4Ai / % ` j + r'n" / / j..2,0, B ©/4© / Repairs Kind of foundation 7`f 7 cZ. Date u / / / / y Read, Sworn to and Subscribed before me. PLANNING BOARD DATE No. of Stories Roof Covering Notary Public. State of Florida and for no other purpose. My Commission Expires 2 to me well known. Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. •.1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 17 C Ab Address ® 7 2 S Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 10,1 �i Ga / f d „ C 9 Master Permit # 1743 �g f Owner's Address Af J �C I ate," sk, Phone 30 - - 7/f Contractin Co. 7 6 \iln ( E Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BU 1 G E E RICAL PLUMBING MECHANICAL ROOFING, PAVING FENCE SIGN O� a My Commission Expires: FEES: PERMIT Square Ft. Estimated Cost (value) 2 !s' © 8 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 Date N My Commiss RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. I ' t ' NOTARY BOND TOTAL DUE Address 1 4, ,.. ontractD u 6 L') 7;;ral a — Cc L a M , C 3 i M. Mif `N.IA(/ ' P 7..,;p Electrical Date Date Engineering BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) ‘ Phone # Owner's Address , • nef City ,v State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name j City Qualifier Building Department Total Fee Now Due $ S Value of Work For this Permit (Continued on opposite side) Miami Shores Village 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 • ; • /,_„4 County Miami-Dade NO Contractor's Address 1 et Master Permit No. Phone # , Permit No. Mechanical Zip State - Zip 7 % ) . Roofing State Certificate or Registration No. Certificate of Competency No.C.# Architect/Engineer's Name (if applicable) Phone # Type of Work: Ll Addition LI Alteration New Repair/Replace n Demolition Describe Work: 'N *.? Submittal Fee S Permit Fee $ C CC; CCF S I. 20 CO/CC Notary S 5 _CO Training/Education Fee $ i LI 0 Technology Fee $ 1 . SC Scanning $ Radon $ Zoning Bond S Code Enforcement $ Structural Plan Review. $ ****************************F Square Footage Of Work: 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. /A Signature K (23 ° (? S gnaaire Owner 4 Agent The for //ee//oing instrument was acknowledged before me thisz L day ofLl.; ,20 who is personally known to me or who has produced 1 _ identification and who did take an oath. NOTARY,.PI3BLIC: Sign: f(. ��. _ � f. Print: ( �' t My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' 9 ************ * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: Chc 05/13/03 The foregoing instrument was acknowledged before me this day of 'dd da f. .� v� , 200' , by ��4 who is personally kno to e or who has produced tion and who did take an oath. IffilWeAratr * * * * * * * * * *4' * * * * * ** * * * * * ** NOTARY PUBLIC: Sign: Print: ):v My Co �°•` `� = Commission #DD323870 Expires: �May T 26, 2008 1* mitt ondngCb*;' ssion E * * * * * * ** es: AA0 AC. adi • " Plans Examiner Engineer Zoning * * * * * * * * ** ********** * * * * * * * * * * ** Miami Shores Village and Agreement 36s - 9Sr7 - 4 /73) < < Jaint Color Approval Date % -Q23 "0 Owner's Name O'er 1 4 C6 o p e Owner's Address % (DO /U & qr2 54 City & M 4 I , S l e 1. &S State T7 Job Address (where the work is being done) D 6 `v c City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name (if applicable) le., ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Le.) p Drip Cap /drip Edge N / 4 Soffit / v f t - Roof 6Ohjt Flower bins /t/' Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences b /4 AA // c / Decorative metal 41! A All brick (simulated or regular) // 1,1...) L f e_. Stucco banding 1v Any other stucco features /,v Accessory Buildings iV ICATION APPROVED BY: P& Z Offici Phone # Zip 35/ 3 qJ 5f County Miami-Dade Zip (1 � S— c , V Phone # 3 / tS 753 7 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. tore ‹e C . ,O• 0 Owner or Age' Date - c2 5 —© Date / A4) y chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/6/2004 Applicant: CAROLYN A COOPER Owner: COOPER CAROLYN A JOB ADDRESS: 860 NE 92 ST Contractor Local Phone: Parcel # 1132060050150 Legal Description: GOLDEN GATE PARK ADDN PB 6 - 130 LOT 5 & W1/2 LOT 4 BLK 2 LOT SIZE Fees: Description Amount FEE2004 -9816 Building Fee $60.00 FEE2004 -9817 CCF $1.20 FEE2004 -9818 Notary Fee $5.00 FEE2004 -9819 Training and Education Fee $0.40 FEE2004 -9820 Technology Fee $1.50 Total Fees: $68.10 Total Fees: $68.10 Total Receipts: $68.10 Permit Status: APPROVED Permit Expiration: 3/22/2005 Construction Value: $1,800.00 Work: PAINTING OF INTERIOR Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1278 Contractor's Address: Page 1 of 1 OCT28 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1278 Printed: 10/6/2004 Applicant: CAROLYN A COOPER Owner: COOPER CAROLYN A JOB ADDRESS: 860 NE 92 ST Contractor Local Phone: Parcel # 1132060050150 Contractor's Address: Permit Status: APPROVED Permit Expiration: 3/22/2005 Construction Value: $1,800.00 Work: PAINTING OF INTERIOR Page 1 of 1 Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 5 & W1/2 LOT 4 BLK 2 LOT SIZE Fees: Description Amount FEE2004 -9816 Building Fee $60.00 FEE2004 -9817 CCF $1.20 FEE2004 -9818 Notary Fee $5.00 FEE2004 -9819 Training and Education Fee $0.40 FEE2004 -9820 Technology Fee $1.50 Total Fees: $68.10 Total Fees: $68.10 Total Receipts: $68.10 ttst eP40 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: