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PAINTPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 0 03 1 l- "rl c ST • Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / 1 / ►4 �-e o4/ ' Owner's Address /0 DS 96- S7 Contracting Co. 0/02 �30 I deele Address // /7 7 Qualifier e/9.4)c .e /de "iv P2 State # Architect/Engineer Address Bonding Company Address 0) 77OUSe 4 e- x0 ,0/7 Notary to Owner and/or Condo President My Commission Expir s°" - '6'f i Muter 5FA �'I My Commission E tl GIADYSi VII .iAR :44.)TPak? t trniiC '57 411; OF II r ).?1.l i FEES: PERMIT RADON APPROVED: Zoning Buil Mechanical Plumbing ' NOTARY Master Permit # 2 157 /p Phone 737— 33, Phone f ,pr 2 Municipal #30 -0 a3 / Competency # 6 // 3 S L Ins. Co. Ll S /-6 Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �2e'SScC &(9 / /9-,-/c/ ✓ - iEe/ 7 /1/ t to l/v 1 / 7 , Square Ft. Estimated Cost (value) 9 Electrical 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYNG 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. < Signa ndo Pres 4 -nt Date / Signatur f Contr ct r or er- Builder Date No as to Contractor or Owner - Builder i• - , ` r .OTAYS GUM VILIAR MAW MAX STATE OF >FIZDA COl'a tSKON CC714103 I n 4 kiik446 C1'1 EXP. Ma. 8 e Date BOND TOTAL DUE Vt. --.6-2 Engineering Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. ( Y� f 3 ITT eA M c J O R - 5C 5 Registered Architect andior Engineer /� �� �� Name and address of licensed contractor ...0e /�- /� 7 I ^° �� `" ' Location an / legal descr' tion of lot to be built on: Lot /ZW a 4/ 10 Block / Subdivision Wilee i / .0 o6 " 4 .5% 0 Street and Number where work is to be done io o' C - pJ- j "�i State work to be done and purpose of building (by floors). state exterior colors (submit samples) / / / Ex`ri /O, ,-a/../-- /,J / � / /6 and for no other purpose New Building Remodeling Addition Repairs 7 No of Stories 1 To be constructed of �y� Kind of foundation Roof Covering Estimated Total cost of improvements S / G' / � J /fir/ / Re Amount of Permit S 5 ' NO Zone cubage required Plan Cubage - Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 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 I Signed I 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 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 foregoing application. and that he did sign the same. and that all facts therein by him stated are true. Date / /A7e, Permit No. 2 f S Disapproved Date Notary Public, State of Florida (Signed) Chairman Member _. Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Building Inspector My Commission Expires PLANNING BOARD DATE Read. Sworn to and Subscribed before me. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date I I C �job Address 1 uo (Vs" 6 )4 - S7 Tax Folio h 0 t 3 S �o Legal Description M. S• a ® lc' 17 "T1, NI "/. Lo- 19 cl) - $) l- LTS I•.Ir - - ysyc. ly.)-. Owner / Lessee - rennint 14 �` e-(3ca -T S97.44 J J Master Permit # -3l Owner's Address / Phone - 74 --- 7-,3(.9 - / - . 54 Contracting Co. �6cDG� A/'lE� <! /C ;'',e4/9Address 1 h ; < /Y'c� �� ' 3 � Qualifier i4/ '/ / ‘ c 6 : ; " SS# Phone "57 ` F,/',33 a Z .1 . 44- '7 404( - 17-1 State # Municipal #.203g9.2 Competency # 0000/7C331ns.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING WORK DESCRIPTION Square Ft. fq.wt..) Signature of owns Da g/e2 a.c ,� Notary as to Owner My Commission Expi ** * * * 1 00ctia- r�5i . / 4 - c 1 ELECTRICAL and / Condo President /99 and /or Condo President res: NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES 5/09/94 Bided thru Etembier ldams &iSweet Address b) O f ox 01 Y- i i vb►; q 3► a� S yog FENCE SIGN PLUMBING MECHANICAL ROOFING PAVING Estimated Cost(value) 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 Cont Date: FEES: PERMIT ... Y(5 6 RADON C.C.F. 1 415 NOTARY 1 TOTAL DUE APPROVED: Fire Zoning Building Mechanical Plumbing Engineering rac ire Notary as to Con My Commission Ex 0 0 or Owner- Builder G RAMSA 1 CUNDIFF p COMMISSION NUMBER CC252686 MY COMMISSION EXP. * * F F03 JAN. 12 1997**. Other Electrical Date 1 6 9 7 Job Address I o 0 A I c 51 Legal Description P I rt.-„ A-tsS Sr C .3 P ,Leseee-/—Tenast viceAter S P,4 4A) Master Permit # ? ?5S7 Contracting Co. �E(,' /Q 74/NT /''✓7 ( T J Address 5- 4/ 2 / Qualifier I1► /dPLz c SS# - Phone S - eS 3 3 State # Architect /Engineer /T ' Bonding Company N,/I Address Mortgagor kt S t-{O)C_ Address Permit Type(circle one): BUILDING ELECTRICAL Owner's Address WORK DESCRIPTION Square Ft. (4- 0 8 e) Estimated Cost(value 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 of trier a4ld /or Condo President dtt- Date: Notary o Own= and /qtr C,f o President My Commission Expires: s O FEES: PERMIT 3 7 APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 11d■E 4� 1 f M ietpal a 6 3890) -S Competency 0000/7433 Ins .Co .4$$Oe /A ri oN .CA/Pce /ezJ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN E - rE,e o ,e./ 7A / A/ T/ n/ C ( J/ / /� /0 i 7j 7e �p.RY Pv6 OFFICIAL NOTARY SEAL O S u <1 RAISA I CUNDIFF COMMISSION NUMBER a CC252686 COMMISS N rXP. OFF AN. 121997 RADON C.C.F. / Mechanical Plumbing_ Tax Folio dJ- -O 1 y4 - 3y 7 O (-07 17 bN/ L 0-r 1-'7 ec-1- Address Signature of Contr Date: 3//4, S' Notary as o Contrac My Commission Expires. * * * 00 NOTARY Phone tor or Owner- Builder �pS F OFFICIAL NOTARY SEAL o 7 <i RAISA I CUNDIFF • } T ;� COMMISSION NUMBER Q CC252686 9t �O MY G�ppMMISSIO XP. `c 0F F JNN. 12 1 Z TOTAL DUE L I3. S- Other Electrical Engineering N Inspection Number: INSP -18852 Permit Number: PT -6-06 -1480 Inspection Date: 06/13/2006 Inspector: Grande, Claudio Owner: SPAHN, HERBERT Job Address: 1005 95 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, June 12, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)757 -2368 Parcel Number 1132060143570 Lot: Page 1 of 2 Passed 1 67/3/ 0 ( l c Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until N Inspection Number: INSP -18852 Permit Number: PT -6-06 -1480 Inspection Date: 06/13/2006 Inspector: Grande, Claudio Owner: SPAHN, HERBERT Job Address: 1005 95 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, June 12, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)757 -2368 Parcel Number 1132060143570 Lot: Page 1 of 2 Qualifier Name Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING IrV' Permit No. P PERMIT APPLICATION �fl� 1 !Va s Permit No. FBC 2004 B Y: Electrical Plumbing ) Mechanical Roofing Owner's Name (Fee Simple Titleholder)) it Hz-AA ,' 5pA 0) j-Pn e # .> [.9 4 - 7 - - i-3 c P Owner's Address C b 0 4i ,,I,.( c 5 i City / A. Pl ( 5 /-/ d R e tate F c— Tenant/Lessee Name Job Address (where t wart - is1 n* done) / a b 4 l'ik Zl i 5 —7 City Miami Shores Vi e County Miami -Dade Zip ') / 3 FOLIO / PARCEL # Is Building Historically Designated YES NO t� +Or e CLkyle Contractor's Company Name 14 r62 13 p -r C Phone # 47 5 - 7 C 7 – 5 G� Contractor's Address City State Zip State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 0 0U Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration Repair/Replace ❑ Demolition Describe Work: pit b 5 v f t, rieY - PA / /\-)-)" 6`}4 7 & i 1 U y� /DT ° Til G If -oor \\ ) ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ,00 CCF $ 1 ,.49 CO /CC Notary $ Training/Education Fee $ ® .00 Technology Fee $ Q • . Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ b.E3 . AN 01 k1 Zip - 23. 1 3 Phone # Phone # 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 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. 1 Signature NOTARY PUBLIC: Owner or Agent The fore oing instrument was acknow , dged � before me this day of C y 20Ceb 1 1� r rl J hl JY of who is personally known to me or who has pr uced I CI who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. My . ission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Ce//° The foregoing instrument was acknowledged before me this 20 , by NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning .• Date G Ji�o G Owner's Name r4 e -(0->>Lr -r A Al `J Phone # u — - 7 S - 3 C )-' c Owner's Address City M /)'r iv)i hi- ° P-r5 State F-L._ Zip ) 3 y Job Address (where the work_beingdo City Miami Shores Villas County Miami -Dade Zip Is Building Historically Designated YES NO 1/ Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted V V Walls Fascia Drip Cap /drip Edge Soffit Roof l) Flower bins Shutters Awnings Chimney Doors and door jams Garage doors ✓ Railings Ad Fences IV Decorative metal All brick (simulated or regular) jJv. Stucco banding 1 4 Signature Miami Shores Village Paint Color Approval and Agreement N� Any other stucco features 't) Accessory Buildings I� J APPLICATION APPROVED BY: 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. / bb/ v a C Li '�. P& Z Officia l Attach Color Samples With Numbers W1 17� Date U / 6 4 Date chc 6/18/03 Issue Date: 6/1/2006 Owner's Name: HERBERT SPAHN Permit Type: Paint Work Classification: New Job Address: 1005 95 Street NE Comments: EXTERIOR PAINTING Additional Information Miami Shores Village, FL 33138- Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/28/2006 Contractor(s) Phone Primary Contractor HOME OWNER Yes 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -6 -06 -1480 Phone: (305)757 -2368 1132060143570 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,000.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $1.50 $68.90 Invoice Number PT - 6 - 06 - 25035 Total: Amt Due $68.90 Amt Paid $68.90 $68.90 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.