PAINTDate Job Address Tax Folio
•
• • • •• • • •
Legal Description : Hi�oi:cally Detigfialtd• • Yes No
Owner /Lessee/Tenet
®� ! � r • •• • • • • •
Owner's Address • • • • • •
Contracting Co. * Address * • •
6�
Qualifier SS# Phone
State # Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WQR DESCRIPTION: / fel4 C '&-4N A/®U, fE " R O F /'4 /A'r` ,Q66
G4 t,� / emr - J'g4 2 2. / i4/ /JW C 6. 7� e
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
Sig'4TlQf ow er and/or Condo P siden Da e Signature of Contractor or Owner Builder Date
Ak ),IA 03
Ndfary as to an or C utio-Prudent t l Notary as to Contractor or Owner Builder Date
My Commission Expires
PERMIT APPLICATION FOR 1VIJAM.I:SORES `VILLAGE
• • • • • • • • • •
10050 N.M. 4 nd Avenue • Miami Shore:, Flcaid$ 33 :54 •I'horje: 105- 795 -2204 • Fax: 305- 756 -8972
• • • • • • • • • yy
A _ / /1 _ .J' • • •• • • • • • � •,
Master •
Permit # .y
p •: et 757— 49
• • it
My Commission 4g2ilpt5: DDidCa
, ,,very z. ^.r .o,
FEES: PERMIT ' 00
APPROVED: w
Zoning % '
Mechanical Plumbing
RADON
-C; Building
• • *00 • • • • 000
Competency # Ins. Co.
t;mated Cost (value) 1 ) 9 ®0 ' 0U
NOTARY ` ) ' t/ O t BOND
1 1 7 i / pp C.C.F / ' 6O
V ' Cp 6 ,� /i/ D 3 TOTAL DUE ` l0
'3 Electrical
Structural Engineer
Type Insp' n ti ! i I fr2Ifl)
A . 62603 nS
Permit
Name
Address
Company
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ' 'V 1 Time
Phone #
For Inspector: Q 3/0(3 Name & Date
Approved
Correction
Re- Insp'n Fee
cos 6 32_
k
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
r,
Type Insp'n ;
Permit No. 6 ��
Named) J '1 J •
Address e
Company
Phone #
r For Inspector: J' Name & Date
Approved
Correction
Re- Insp'n Fee
Time
OWNER'S NAME
S. T. e- NE DI
PRESENT ADDRESS
qo$ N. E. 9z "'" f+
LICENSE NO.
PHONE NO,
JOB LOCATION (ST. OR AVE.)
7-r IJ.E 77. - Sr.
LOT
A.
BLOCK
1
SUBDIVISION
G.lde.. 4AAa pa.,L A 1.1C,{..;„
GENERAL CONTRACTOR
ow ner - - Pa .. L... 6,e/
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 99 `c
DATE S 3 - C. V'
PERMIT FEE $ V •
BUILDER'S BOND
NO. y DATE
Alfara.i1
ZONE REQUIREMENTS CU. FT.
PLAN CUBE IZ ° ° CU. FT.
eo
EST. COST $ ZC " '
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: !.J•..
BUILDING PERMIT AND INSPECTION RECORD--MIAMI SHORES VILLAGE
DATE
- L Y
NEW CONSTRUCTION
TYPE
ea)
STORIES
oiaC
ROOF CONSTRUCTION
Tile rexlsL A?)
INTERIOR CONSTRUCTION
Coy oar" OKI64'A7 1 ' 14 a
REPAIRS
d ee"Ae
/ DESCRIPTION /
+-4u..,4,r - '2000ra _ El. i 4 4 rn7 r`bo. - Pet( 3 er - 's4 ioy� plus. Ww g Awl
DESCRIPTION /
ALTERATION
r
ADDITION G k airI4. -
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
I ISSUED
BY
TO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: !.J•..
BUILDING PERMIT AND INSPECTION RECORD--MIAMI SHORES VILLAGE
DATE
- L Y
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
ROOF
SEPTIC TANK
FEE
BEAMS & LINTELS I
POOL
SEWER
$
FRAMING I I
AIR COND.
SOLAR HEATER
RANGE CONN.
FINAL
CLEAN UP
GAS
SEWER
SLAB
$
$
FIXTURES
SLAB
SEPTIC TANK
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE- INSPECT
BY
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
S
SEWER
$
TUB & TOP OUT
$
SOLAR HEATER
RANGE CONN.
$
GAS
SEWER
$
$
FIXTURES
a
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
$
SEWER
$
FIXTURES
SEPTIC TANK
A
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE S
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
A
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
PHONE
FEE $
REPAI RS
DATE
I ALTERATION
I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
L. 7 Li • i AL. ►.l JL.A. , 1W IJ • 1L L1 - 1A.LJ 1'J
Paint Color Approval and A • • . • .... ...... • • • •
DATE: 'n 0,
• • • • • • •
• • • • • • • ••••
OWNER'S NAME: ../DNA" 4. � '4 72 /t , PjJONE: ?AX 7.17-9-9
ADDRESS: 9D Z :: ': . :
***** * * * * * * * * * * * * * * * * * * * * * * * * *r * *`r* tr.'s **%** % * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if epp;oallla) �" •"
COMPANY NAME: • :PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the , -'
Walls 292- 5 '.44,0"
Fascia ArD Ao -a,�nr ck
Drip Cap/Drip Ede G✓/9/TG- - ' &1irgV ajf•5)
Soffit
Roof 4.,..W/76
Flower Bins
Shutters
Awnings
Chimney 0
Doors and door jams j/)JT:e
Garage Doors
Railings
Fences
Decorative Metal 4iN i f
All brick (simulated or regular) L /f1 /7°a'
Stucco Banding
Any other stucco features
Accessory
Other
OWNER'S AFFIDAVIT: I certify that all the
j
X 6 \ 1°
w�ss -
�.a
kr1 At
C.�
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, if applicable, to
do or stated. Furthermo_e , the paint colors will be as per the attached
gnature of Owner VI ate Signature of Contractor
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: 7 eda &id n WHEN PAINTING IS FINISHED,
®� cw CALL FOR FINAL INSPECTION
e kg.4-/s'
Buildin '4 fficial Date
a � �� 4/23/01
6e rF,e COL o6Y
4 0 •
zaz
rAdm"
1.=
041 • • 0 • • 000 . .
• • • O • • • • •
• • • 0 • •• • •
• 000 0 • • • 410 •
• • • 0 • • • • •
• • • • 0 • • 000 . •
• 0 4100 •
• 0 • • • • • •
••• 0 • • • • •
•• • • 0 • • • • • •
• 0 • •• • • •
• 0 • • •••
• • 0410 • • • • • • •
• • • • • • • •
• • • ••• • • •
• • • • • • • • • •
• • • • • • • • • • • •
• • 000 • • • •••
6
•
•
•
•
•
•
•
• •
•
•
•
• • ••
• • •
• •
••••
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•
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• •
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cp
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -778
Printed: 5/13/2003
Applicant: JOHN
Owner: MANSPILE
JOB ADDRESS: 905 NE 92
Contractor
Local Phone:
Parcel # 1132060050010
Fees: Description Amount
FEE2003 -2876 Building Permit Application Fee $60.00
FEE2003 -2877 CCF $1.20
FEE2003 -2878 Notary Fee $5.00
Total Fees: $66.20
Total Fees: $66.20
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/9/2003 Construction Value:
Work: PRESSURE CLEAN HOUSE & ROOF PAINT ROOF WHITE
(INSPECTOR)
Building Permit
MANSPILE
JOHN
ST
Contractor's Address:
$1,800.00
Page 1 of 1
Legal Description: GOLDEN GATE PARK ADD PB 6 -130 LOT A LOT SIZE 124.680 X 140 OR
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.
Signe
Contractor or Builder) BY: