1220 NE 94 St (4)MIAMI SHORES VILLAGE
BUILDING DE
305 -7. 2204
Building Inspection Request
Date I O
Type Insp'n B1CAC\ , \ ?awk
Permit No. '' cC�'�" r:. l�. i3 `
Name a/
Address ODO NE 94S4
Company
Phone #
Inspection Date 1 1 1 0 LI
Approved ►.
Correction c
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
; BUILDING D_E RTMENT
305 -7C) -_204
B ilding Inspection Request-
Date
Approved
Correction
Re- Insp'n Fee
Utz o
_ c
Type Insp' n .r�k'kC I (� 1 ?c: (-4
Permit No. ,][00)
Name D(X
Address 1 Do O I `k S 1
Company
Phone #
Inspection Date 1110LI
Miami Shores Village
kAP
V P V 0 Building Department
[ PE2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. M Ito 3 - D
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle):
Electrical Plumbing • Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Y 4 2W 2 T Phone # 30.F ' S7- a / 32
Owner's Address /o? a 0 iug. 9 s.,4- City / �1 A•ttivl ` 11 ¢ S State Zip 3. /.3?
Tenant/Lessee Name � J Phone # A///9
Job Address (where the work is being done) - 0 AL E. 5 c e
City Miami Shores Village County Miami -Dade Zip 3 ?/ 38
Is Building Historically Designated YES NO
$ Value of Work For this Permit
(Continued on opposite side)
/up
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) hone #
Square Footage Of Wor
Type of Work: ❑Addition i Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: / f � k)(, /o us E
* , * * * * * * * * * * * * *, * ** * * * * * * * * Fees * * * * * * * * * * * * * * * * * * * ** * * * * * ****
Submittal Fee S - > Permit Fee $ (0 .()D CCF $ o ( 0
Notary $ _ -- V CJ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due S OS -L D \( & n ` ?LA
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 CONDmONERS, 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 w occu ?s seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be •,•proved�� spection fee will be charged.
Signature
gent
The foregoing instrument was acknowledged before me thi
day'en1.4n) , by yCt
who is personally known to me or who h produced f -' j) L
1)�, � C' - (30 . 0-5 ) - 74 As identification and who did take an oath.
NOT P LIC:
Sign: -_Q
Print: - '~
My Commission Expires: y ' ''awl
State Certificate or Registration No.
APPLICATION APPROVED BY:
Chc 10/14/03
1 NOTARY PUBLIC:
RA Sign:
L
Signature
Contractor
The foregoing instrurnent 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.
Print: .
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
Certificate of Competency No.
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOV 2 5 2003
Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: /UP 116/s4 Ere a? I", 00 3
OWNER'S NAME: 7'4 Y/9 II/Va. PHONE: 30s �S /- 2/ 3 2.
ADDRESS: laav /Ue-- '? cat% /// /l4-44i ghfo2ES r2- 33138'
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable) PHONE:
COMPANY NAME:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Fascia
Drip Cap/Drip Edge 04
Soffit p 60 c
_
F ower Bins
Shutters A 74
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
udt -r•
Decorative Metal ,J /
�11 brick7(simulated or regular)/,me Gaiti-/Tr
Stucco Banding A
Any other stucco features if
Accessory Buildings
Other
APPROVED:
Building Official
N,
A
4 �
SW 6114\
Bagel
OWNER'S AFFIDAVI T: I certify that all the foregoing information 13 a�■rt. — 6%;
and that all work will be done in compliance with all applicable laws a regulating
to
construction and zoning. I authorize the above -named contractor, if applicable,
do the work stated. Furthermore , the paint colors will be as per the attached
sam
ow)
Signa e of er ate Signature ** *�* *
of Contractor * * * * * * * * * * * ** D * * * * * * * **
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
3 4/23/01
/7)
Date
SW 7005
Pure White
SW 7006
Extra White
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/1/2003
Applicant: MARLEN
Owner: TABARES
JOB ADDRESS: 1220 NE 94
Contractor
Local Phone:
Parcel # 1132050100220
Signed: (INSPECTOR)
Buflding Permit
Permit Number: BP2003 -1840
TABARES
MARLEN
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 25 LOT SIZE 75.000 X 177 OR
Fees: Description Amount
FEE2003 -7546 Building Fee $60.00
FEE2003 -7547 CCF $0.60
FEE2003 -7548 Notary Fee $5.00
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $65.60
Permit Status: APPROVED Permit Expiration: 5/22/2004 Construction Value: $1,000.00
Work: PAINT EXTERIOR OF HOUSE AS AGREED
inn 0 4 PM
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:
PERMIT APPLICATION FOR MIA1
Date, o 7 Job Address /,( 2 v /lam ,/fj Tax Folic
Legal Description Historically D _ L
Owner/Lessee / Tenant m�4/� / = :4 A) / /4/74---i Master Permit # 1 /(7d- ' ` /
Owner's Address l ,2 c: A)/..-: y / S T Phone 7/ _ ,,e/ J
Contracting Co. 4 / s Cvci - !Ai S Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION CLL 4 ■ '13 t A, 7 4 T G /" / -4 '
Square Ft. 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 w • stated.
Not
My Co
e
7
a . e er and/or Condo President Date
ANNE WALSH WRIGHT
ti ii = FAY EMISSION # CC 386514
EXPIRES: June 23,1998
,, &undow T Notary Pubfc Underwrite
APPROVED:
Zoning
Mechanical Plumbing
Building
Date
1/B
Si>n Lure of Contractor :r Owner- Builder
Electrical
331 3/8
Notary as to Contractor or Owner- Builder
My Commission Expires:
a?.
FEES: PtERIVIIT L/ • RADON C.C.F. NOTARY , 5"' TOTAL DUE
Date
711
Date
-4G �
Engineering