BP-03-1583Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /2/2003
Applicant: HERBERT SPAHN
Owner: SPAHN HERBERT
JOB ADDRESS: 1005 NE 95 ST
Contractor
Local Phone:
Parcel # 1132060143570
Building Permit
Permit Number: BP2003 -1583
Contractor's Address:
Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOT 17 & W1/2 LOT 18 BLK 81 LOT
Fees: Description Amount
FEE2003 -5938 Building Fee $60.00
FEE2003 -5939 CCF $1.20
FEE2003 -5940 Notary Fee $5.00
Total Fees: $66.20
Total Fees: $66.20
Total Receipts: $66.20
OCT 0 3 PAID
Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $1,400.00
Work: PAINT ROOF
Page 1 of 1
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:
F �
Miami Shores Village
Building Department
BUILDING Permit No. 2061153
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) (4- 4 - 1 - 1 - J 'shone # T° - 74 - '7 - 3
Owner's Address 1®o' q qi G
City yv r ef-A, 4 ' , a State Zip 3 3 ) 3 - g
Tenant/Lessee Name Phone #
Job Address (w a the work is being done) (0 ®` -Airq'� 4-7`
City Miami Shores Villa a County Miami-Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) . Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit I ` 0 Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition [Alteration New ,,, [ Repair/Replace ❑ Demolition
Describe Work: P - C
******** * ****** ***** *******, Fees************* ***************** S. /-��
0 Permit Fee $ Notary $ S
County Escrow Fee $ � - d— C
Education/Training Fee $ Tech $ Scanning $ Radon $ � ,1C G
Code Enforcement $ Bond $ Struct. $ OCT 0 3 ppm
Minus Plans Check Fee $ Total Fee Now Due $ • (Continued on opposite side)
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Bonding Company's Name (if applicable)
Bonding Company's Address
City
NOT
Sign:
Print
My Commission Expires:
State Certificate or Registration No.
Chc7/7/03
State
il
7."•_
0 �
i ce r� r ■irk
VIII r
Owner or Agent
The foregoing instrument was acknowledged before me this
day of • .— _., 20Z by ITC. f J jo(r �!I'1 . ,
who is personally known to me or who has produced
As ide cation and who did take an oath.
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 buildin
promise in good faith that a copy of the notice of commencement and construction tructi estimated lien laaw brochure will l be to the person , the applicant must
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 reinspe tion fee will be charged.
,01+4.PU , Mabel Vargas -:
ssion #DD231984
Bonded Thru
Atlantic Bonding Co., Inc.
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of • , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
Certificate of Competency No.
* * * * * * * * * * * ** ►***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *****.**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
OCT - 2 2003
Plans Examiner
Engineer
Zoning
•
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: C o 0 3 •
OWNER'S N 6 SPA nf ' PHONE: C
. ADDRESS: (c. .0
* * * * * ** ** * * * * * * * * * * * * * * * ** ***** * * * * * * * * * * * * * ** * * * * * * * ** * **#*„
ADDRESS OF SITE: G`A-
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * ** * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
- Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
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. I authorize the above -named contractor, if applicable, to
do the work state Furthe i ore the paint colors will be as per the attached
A
Signature of Own3 ! D =te • Signature of Contractor * * * * Date
to * * * * **
* * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
sam
( � Y
Building Official Date
4/23/01