PAINTpprove
31
Date
Type Insp
Permit No.
Name
Address
Company
Phone #
For Inspector: c
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
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.
//)� // / / + / /,''L -,aiy 19 9 /
✓Ownei s Name and Address
Loren /'7. gerd vent No. /ZO t Street / JUC 96"
Re stered Architect andior Engineer /�
N 6
ame and address of licensed contractor 14.) t `t
Location �/ �, a j nd legal description of lot to be built on: Q �
Lot v1 Block �� Subdivision 0 /-4C/l -. ¢ // 5 6 ' /4" '/ Kr L
Street and Number where work is to be done /23'6 NE •-S'h Sf
0- work to be done and purpose of building (by floors). state exterior colors (submit samples)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
'R 0,12 J Estimated Total cost of improvements S J � � Amount of Permit S �'
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
&•, <•%ri ®r re- pa/n v� sins /e - �r�,� 6D�se
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 b}he Act. The undersigned agrees to employ only such subcontractors. on work to be performed
u nder this permit, as are licen d by Miami Shores Village.
Remarks
(Signed)
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 foregoin_ application. and that he did sign the same, and that all facts therein by him stated are true.
�jr4 i
Permit No. ✓ ^�'. 6 1 Date I Read. Sworn to and Subscribed before me.
Disapproved kii W / Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Notary Public. State of Florida
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
. 10650 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972
Date 4I2S 1 D3 Job Address I 13 6 N • E.' L r • Tax Folio
Legal Description 1 Historically Designated: Yes No
Own /Lessee/Tenet W-0.0/% ch gD 4 t. t rl S Master Permit # 61 0 9 (0)/
Owner's Address 12S N • e • q, .614 .
Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
'f p
WORK DESCRIPTION: 41 P4 T t 3 P&L S 0 44) ...se O Wo4ck. c* Q Jk E • • — •
CAD—CL-11 ti Coo eI- O,n ��- � �4 o' C iS 6.■1 I. d
Square Ft. 33 0. •- •
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 ANY 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). 1 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 all disciplines.
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. Furthermore, I authorize the above named contractor to do the work stated.
Signature o
•
owner ant_ . r•e: • - .en
/-
• Jr, • ..
Notary as to ■wner an. o Con o • esid t
My Commission Expires
.►�` Angela M Becker
: My Commission DD150048
Expires November 15, 2006
FEES: PERMIT ( O 6/�RADON
APPROVED:
yss43
Zoning Building
4 a te
3
Date
Estimated Cost (value) t 4 J •
C.C.t =' 91
NOTARY
Phone — O ^ , O O Z.
Signature of Contractor or Owner Builder Date
Notary as to Contractor or Owner Builder Date
My Commission Expires
✓ t ® O BOND
TOTAL DUE V ' 7 • /10
Electrical
Mechanical Plumbing !/ Structural Engineer
Shores Village
IllgitlIE2ReAvetnie
Phone: 305 - 795 -2204
Printed: 4/28/2003
Applicant: ROBERT
Owner: BARRIS
JOB ADDRESS: 1286 NE 95
Contractor
Local Phone:
Parcel # 1132060144050
Building Permit
Permit Number: BP2003 -671
BARRIS
ROBERT
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOTS 3 & 4
Fees: Description
FEE2003 -2479 Building Permit Application Fee
FEE2003 -2480 CCF
FEE2003 -2481 Notary Fee
Total Fees:
Amount
$60.00
$2.40
$5.00
$67.40
Total Fees: $67.40
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/22/2003 Construction Value: $4,000.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
x:'27 19843 L 1,:000000? 2 260
GUARD AN,SAFETY BLUE WDBL
npliance with all ordinances and regulations pertaining thereto and in strict
ii Shores Village. In accepting this permit I assume responisibility for all work
3Y:
Page 1 of 1
BLK 85 LOT SIZE IRREGULAR
MIAMI SHORES VILLAGE
„faint Color Approval and Agreement
DATE: 4" /2J 10
OWNER'S NAME: Vt, kcA- Avt. Aivieg.t.s PHONE:3C):
ADDRESS: 12•S' C, eiJ Srf • 1'1i A4i; cS fin2E5 4
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *;
ADDRESS OF SITE: t25 N• E • 9SLL S4 . A.LArti
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:
All Elements on the site must be listed and indicate the color to
Walls epempApore DQ_PT 2A
Fascia (441,4- - I}osij 1_ Al 6
Drip Cap/Drip Edge �j h f- k tt5u& L,47v 1)6 .
Soffit 1,6Ai .. V
Roof (331A i !e
Flower Bins 4r `)CCU.
Shutters
Awnings
Chimney O4Q12,1 RAU^ •
Doors and door jams
Garage Doors a�lcAl�} -1 &ur
Railings
Fences t�..g21- Pct -
Decorative Metal
d
i Doug.
P,as P d , Vi4i14A ��.
All brick (simulated or regular) "1 pi i Ll
Stucco Banding �.1� 1 i- i► 264,4 s • _ \ 1 ocuA
Any other stucco futures DPC. f tj ' Y1 W1 Cvty
Accessory Buildings
Other
APPROVED:
ae
Building Offi 7
r .3C/o
Date
�bid4, L ooI to Acutl
►1,�,., s dad
roo --
1B
' lighthouse landing 1044
1B
lady finger
2B
sandy brown
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
1046
2B
deer path
1047
OWNER'S AFFIDAVIT: I certify that all the foregoing informat
and that all work will be done in compliance with all applicable la
construction and zoning. I authorize the above -named contractor, it applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
sam es
S. gnature of Owner 1 ate Signature of Contractor Date
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
4/23/01
1045 ''