960 NE 92 St (12)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
Address
Compan
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
� �
TypeInsp'n p T I. ( ruD�i
0#
Permit No. 6 X (o1G,
Name 130 0( _
Address 31 Fv O /li 992 St
CompanV C A- /7407 ' 5
Phone #
o
o
3ZZ
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle). Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Kr (l 4 A Di 'c hone # - :�C _ __
1 4 - - 2-
Owner's Address r 1 (c(' NE. (f1 ti JT
Cit tifiA('\t S..� .3 State L. Zip '3'3 t3 g
Tenant/Lessee Name rt \Cs._
,' )4ob Address (where the work is being done) L o I V. q2 4 Sr City Miami Shores Village County Miami -Dade Zip 3 (3 N
Is Building Historically Designated YES NO
Phone #
Contractor's Company Name
Contractor's Address / e / 76 Ave 4.30
City S to Zip ,3J a� ‘d C,_,4
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition EAlteration New ❑ Repair/Replace ❑ Demolition
Describe Work:
(Continued on opposite side)
Miami Shores Village
Building Department
to +e
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
" k 14- 0 *,
/0o Z
Total Fee Now Due $ (08 t iU C L / 67
Master Permit No.
Phone # / 8 1 ` P,
Square Footage Of Work:
Submittal Fee $ Permit Fee $ •CO • CCF $ 1 U`-' CO /CC
Notary $ 5 .C:5(2) . Training/Education Fee $ . G d , Technology Fee $ 1. 3 .
Scanning $ Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
Bond $
%
Permit No. 7a4'0(
Bonding Company's Name (if applicable)
Bonding Company's Address
City i State
Mortgage Lender's Name (if applicable)
Mortgage Lerlder'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 IlVIPROVEMENTS 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 properly 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 whit occurs seven (7) days after th'e building permit is issued. In the absence of such posted notice, the
inspection will of be appro and a reinspection fee will be charged.
Signatur
Owner or Ag; nt
The foregoing instrument was acknowledged before me this
day of � 2€ , by 406117f elfiC
who is person a Ily known
. :,
1" •fS . !�nhl ice..
...
NOTARY PUBLIC: of ,,
Sign: % ✓f LAI
Print: "C./7 - ,.771w0EJlr W? c
My Commission Expires:
State Certificate or Registration No.
APPLICATION APPROVED BY:
Chc 12/15/03
11
Zip
Signature 7 d r v t 400:0 0
Contractor
The fore oing instrument was acknowledgedbefore me this 1
, 204,
who is personally known to me or who has produced
e an oath. identification and who did take an oath.
11 ateg -i
Co
5-
NOTARY P
Si
Print:
I'Iy Commission Expires:
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
Certificate of Competency No.
************************** * * * * * * * * * * * * * * * * ** * ** * * * * * * * * ** ` Mk************ * * * * * * * * * * * * * * * * ** * * * * ** * * * * * **
MAY 1 3 . 2004
Plans Examiner
Engineer
Zoning
e ob Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Walls He - y 7
Fascia /J c
Drip Cap /drip Edge
Soffit NC
Roof N / �
Fences
Signature
APPLICATION APPROVED BY:
N/#
Miami Shores Village
Paint Color Approval
Date 1'
›s firwner's Name Ve o f Deirvo bonck
Owner's Address q (0 NE qZnd
City MI Aim V c)fitwe5 State FL Zip
q D iE ( Vinct 51
County Miami -Dade Zip 3313
NO g.
iTipl eft- ore, Pc lfi1in6 Phone #305 � 5 1
Contractor's Company Name (if applicable)
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * **�* 44 * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Flower bins
Shutters 11 C - /g
Awnings /v /l
Chimney NG o 4 7
Doors and door jams /-/G - /5-4?
Garage doors f 1 - 4
Railings /t/ 11
/r / 0
Decorative metal N / if
All brick (simulated or regular) N /1}
Stucco banding /v /,o.
Any other stucco features �'" 1
Accessory Buildings
Other it' /
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 re: ting ction and zoning.
1-
Agent
P& Z Official
and Agreement
Phone # 3c)5- 7S - 5' L
?3138
Date °Q 21
Date 5-- (/ /(V
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -616
Printed: 5/13/2004
Applicant: KENT BONDE
Owner: BONDE KENT
JOB ADDRESS: 960 NE 92 ST
Contractor
Local Phone:
Parcel # 1132060060110
Signed:
COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 14 & E1/2 LOT 13 LOT SIZE 75.000 X
Fees: Description Amount
FEE2004 -4879 Building Painting Fee $60.00
FEE2004 -4880 CCF $1.80
FEE2004 -4881 Notary Fee $5.00
FEE2004 -4882 Training and Education Fee $0.60
FEE2004 -4883 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 11/3/2004 Construction Value: $2,400.00
Work: PAINT EXTERIOR AS AGREED
(INSPECTOR)
Building Permit
Page 1 of 1
i iAy14 PAID
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
Printed: 5/13/2004
Applicant: KENT BONDE
Owner: BONDE KENT
JOB ADDRESS: 960 NE 92 ST
Contractor
Local Phone:
Parcel # 1132060060110
Building Permit
Permit Number: BP2004 -616
COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Permit Status: APPROVED Permit Expiration: 11/3/2004 Construction Value: $2,400.00
Work: PAINT EXTERIOR AS AGREED
Signed: (INSPECTOR)
Page 1 of 1
Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 14 & E1/2 LOT 13 LOT SIZE 75.000 X
Fees: Description Amount
FEE2004 -4879 Building Painting Fee $60.00
FEE2004 -4880 CCF $1.80
FEE2004 -4881 Notary Fee $5.00
FEE2004 -4882 Training and Education Fee $0.60
FEE2004 -4883 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
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: