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1250 NE 94 St (2)fe e Re Wsc 0 ` 4 . BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's ddress /Z SO Al 6 City/ 1/9M/..S State Tenant/Lessee Name Job Address (where the work is being done) S° A// �� • --57 City Miami Shores Village County Miami -Dade Zip 33/38 /38 Is Building Historically Designated YES NO X (A1 Contractor's Company Name Contractor's Address City $ Value of Work For this Permit #00 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition 0Altera,tion ❑New Describe Work: C i (TE j0 / 47Ad° - * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ COQ . UU Total Fee Now Due $ (6 - 3' , (Continued on opposite side) Electrical Plumbing Mechanical /Z,eE4 V • E Phone # (QS..) 9j 47d. 5 rL e, fil, Zip 33 /3P Phone # Co Notary $ 5 - 00 Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Zoning Structural Plan Review. $ Permit No. 6 PO L — 1 3 Master Permit No. Phone # Zip Square Footage Of Work: 02 200 St ❑ Repair/Replace CCF $ (0 0 CO /CC ❑ Demolition Technology Fee $ 1, 50 Bond $ Roofing Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Sib 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 CC)NDITIONERS, 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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved cp d a reinspecti fee will be charged. Signature Signature My Commission Exp * * * * * * * * * * * * * * * * * * * * Chc 05/13/03 Owner or Agent Contractor The foregoing 'instrument was ac 0 wted ed fore me thus 0) The foregoing instrument was acknowledged before me this day of . tT day oW 1 200q by a ( 0 I en I , who is personall own to me or who has produced T.-01 As identification and who did take an oath. �xpIr . lsondcd Thal NOTARY , 11 ua 4 Sign: ` • . :�' Print: APPLICATION APPROVED 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: ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ■ tit).',. J nrga i sicm `i)))2319t.y inn ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /02\;Neci ,20,by *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ' . Paint Color Approval and Agreement • bate I2 01 19 / 9 -93,z61 / 4 Owner s Name t" . ei u O - 1-.e A' Phone # / Z 50 �! 94i z'� Owner's Address 3/3s7 City MO/ j t,0 -5 State L. O,Pi1 . 5,J Zip Job Address (where the work is being done) /4060 A/ '.4 r err County Miami -Dade Zip 3 / -3' City Miami Shores Village tY Is Building Historically Designated YES NO x- Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ents on the site ust be listed and indicate the color to be painted 64 Ore.,/ Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Laos yd Doors and door jams wl'N^ Garage doors w 6/4,0 "/ talrre p el IGL�3 Railings f Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other Signature APPLICATION APPROVED BY: E / xte 241'E ti TE Miami Shores Village 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. er or Agent P& Z Official Date Date 21 SW 6140 Moderate White SW 6142 Macadamia SW 6143 Basket Beige A�gacrr: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/7/2004 Applicant: MARCELO Owner: LEAL JOB ADDRESS: 1250 Contractor Local Phone: Parcel # 1132050100200 NE 94 Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -1563 LEAL MARCELO ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 5/30/2005 Construction Value: $400.00 Work: PAINT AS AGREED BY: Page 1 of 1 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 W35FT OF LOT 21 & E65FT OF LOT 22 LOT Fees: FEE2004 -12216 FEE2004 -12217 FEE2004 -12218 FEE2004 -12219 FEE2004 -12220 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $67.30 0 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. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY 7 TO RETAIN COPY) Job Address Legal Description J oc / "' aoe Master W Owner / Lessee / Tenant S 7LL/ f- 0 FE Owner's Address /0 Contracting Co. X(' y11 / 4 U Qualifier /! y' / 4/A State# / ate Architect /Engineer Bonding Company Mortgagor Date: Notary as to Owner and /or Condo President My Commission Expires: * * * * * * PERMIT FEE: APPROVED: Zoning t3,SD /c) 47) / / Tax Folio /1 ✓��5 / 4 ,X00' Permit # / % f Mechanical Competency# Fire Address T 7 \ £" ? c) /e12 phone * Plumbing Address Address Address phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN • WORK DESCRIPTION �G � �°�/ ig/0 V , Square Ft. Estimated Cost 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. 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. J12 Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder Date: &ad/ Electrical Engineering taryr as to Contractor R6 - C 8�1N Of FLORIDA y Comm* sion Expires* )' COMMSION EXPES APRIl6, 1992 BONDEVIHRO STEMBL R -ADAMS & SWEET Other Date PERMIT APPLICATI FO Job Address / X' 7r �� ' Legal Description (/Les. / Tenant F>9 6. Z' (-LS Owner's Address / 2 . b s�z Architect/Engineer Bonding Company Address MIAMI SHORES VILLAGE Tax Folio //— 0/0 — Historically Designated: Yes No_ Master Permit # 7 Phone — 257 "— 4q57 Contracting Co. ace} Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Mortgagor Address Permit Type (circle one): c UILDIING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .�?' ig Ci f' � o (/ ,t /7= r Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF C MMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P OPERTY (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. gnature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 4 / 0 • RADON APPROVED: Zoning Mechanical Building 7 gnature of Contractor or Owner - Builder Date Notary as to Contractor or Owner- Builder My Commission Expires: :: 1�t C.C.F. '`S NOTARY r- TOTAL DUE y- • O Electrical Date Plumbing Engineering Date.:2/‘/77 WORK DESCRIPTION FEES: PERMIT RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ' /5b /)e 9 f Tax Folio Legal Description / Tenant Hr 4 FA arc-LS "y Address /g GO Contracting Co. CJ l,V/s- ( E 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 �y Square Ft Estimated Cost (value) �l 60(9 - 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 owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: M { -- :.,`•"'° - = O � P (ZY ::: OF ' 2 I CIAL NOTARY SEAL r� ei SANDRA C1 MOPJYIEL L -6 "9 r COMMISSION PLUMBER 9j "� i aY COMMISSION •EXP. ' AUG 17 1998 _6 C.C.F. 0 e NOTARY J BOND TOTAL DUE Gib! ,6O APPROVED: Zoning Building Mechanical Plumbing ` f � � -e�� W/frTr U Historically Designated: Yes No ( Phone Master Permit # otary as to Contractor or Owner - Builder Date Electrical Date Engineering