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1292 NE 95 St (20)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Miami Shores Village Building Department Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) +Q \f LL f - Q Phone # (30 s) 01.2.5 �� l ( 1�! E: 1w Owner's Address 5 City M7t. ► S 0 re. S State "F . Tenant/Lessee Name Phone # Permit No. 61 — IMO Master Permit No. Job Address (where the work is being done) g_ ALE_ 9 5 + RECEIVED . .11y4 2 2 2.0!4 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name e. ct at-k: f u ( Cori c r-e +e o f So. FL. Phone # C3 fl .5) Contractor's Address a '71. ., 0 AI, Litt? ` - ( C'7' City j'`1 L a -n-) State F Co c- z J a Qualifier R o b e -r 4-o J. -D IA_ a,c e Zip 3 3 0 3 �- 3 a3- 4 Architect /Engineer's Name (if applicable) !-.O Q vL30 Ob - Phone # (30 5) - Architect/Engineer's Address 3 0 33 `j .v1/4" • A-00 City ` i. c -m State FL . $ Value of Work For this Permit 4 1., $ 00 -=" Number of: Bays Stories Families Type of Work: DAddition X teration [New Describe Work: /24 p o--C.Q. Co m V) . (C( ICV. \ 41 Zip 3 3 l 4...1" Square Footage Of Work: Bedrooms Baths Repair/Replace ❑ Demolition fa ,(L L s S r a v- eras' * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �� County Escrow ee f $ h � ♦ at Permit Fee $ � .2 JT' "' Notary $ Education/Training Fee $ ��LL 0, 90 Tech $ r, 6 3 Scanning $ 6 Code Enforcement $ Bond $ Struct. $ SO Minus Plans Check Fee $ /00 Total Fee Now Due $ (Continued on opposite side) Radon $ 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 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 and ' = . • will be charged. Signature Signa Owner or Agent The foregoing instrument was acknowledged before me this c 2-1. f rEV uV °. L , tUllll i� iii day of v Lit-y , 20 L'`' , b who is personally known to me or who has prodi(O lh 1/,�r_ As identifi S•r and Flo di i� h. as identification and ,, • t r a s V e m b er 13 9 S. 4i1 � ` cr NOT :UB IC: = . a ° ' : 1 OTARY PUBL A �' t Sign: � �.1�, • _ Sign: # CC967647 ( z4Ji l 7 / �'{ C / 1l'�jct. My Comiio Expir• M Commission Expires Print: t � (� T,Print: . 0 . - • �� 9( /C STAB • �� /// , � q 1 1 1 1 1 11 0 . Chc7/7 /03 Contractor The foregoing instrument was acknowledged before me this c day of °Li , 20 O by Rats Er 1 ji U ltlf � „• If LlCfr/ who is personally known to me or who has e . Mora/ atl1 1SSIOA1 c, APPLICATION APPROVED BY: , h�rin1111 111 � (Certificate of Competency Holder) State Certificate or Registration No. C GC — 0 03 Li 4 8 Certificate of Competency No. 3U1- 2 6 ))/ 3/46 5/L Plans Examiner Engineer Zoning Address Company Phon # Inspection MIAMI SHORES \4LLA°GE SBUILDING DEPARTMENT 305- 795 -2204 Build ng Inspectiq�Rgque A �[ Date aim' 0 7' Type Insp'n wgrAwi.soormin. ,�y- Permit No. k J 0 7r) 0 61 Name 0 I/ , Correction Re- Insp'n Fee L2 V9 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/26/2004 Applicant: BEATRIZ Owner: KOLTIS JOB ADDRESS: 1292 Contractor BEAUTIFUL CONCRETE Local Phone: 954- 693 -7777 Parcel # 1132060144040 Signed: NE 95 Building Permit Permit Number: BP2004 -1006 KOLTIS BEATRIZ ST Page 1 of 1 Contractor's Address: 1818 N . UNIVERSITY DR. #100 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W75FT LOTS 1 & 2 BLK 85 LOT SIZE 75.000 Fees: FEE2004 -7553 FEE2004 -7554 FEE2004 -7555 FEE2004 -7556 FEE2004 -7557 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $225.00 $1.20 $0.40 $5.63 $6.00 $238.23 Total Fees: $20 Total Receipts: 66 r DI G\ ` Permit Status: APPROVED Permit Expiration: 1/18/2005 Construction Value: $1,800.00 Work: REPLACE 2 COLUMNS & STIARS RENOVATION (INSPECTOR) ith 2 7 PAID In consideration of the issuance to me of this permit, 1 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: BU PERMIT APPLICATION FBC 2001 Permit Type (circle: Building ) Electrical Owner's Name (Fee Simple Titleholder) StSry/C > V � 9- �. Phone # (3c) 2 2 s- 8581 Owner's Address 12. 92 146 Rc sT City MIAMI 5 4 0 rai State 'K.. Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 17— t■I 6 - c 5 City Miami Shores Village Is Building Historically Designated YES T Cont ractor's Company Name Got) 32'?- L4 . ��Av / V(, CO GD�� (D SO Phone # Contractor's Address 21 1 7-0 .(A) ( y k I. c. T. City `1 Qualifier ENED t,e ti 2. 20Q4 State Certificate or Registration No. C C. • o S3v gg Certificate of Competency No. Architect/Engineer's Name (if applicable) L0/2.6 2 o S o1 304") Z — Gh' 9� $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration Describe Work: f R E pAG 2 a6w 4./1 g-taa ./ie,:( zat)o-,[1170Aes Submittal Fee $ Notary $ Scanning $ Radon $ Total Fee Now Due $ (Continued on opposite side) ■A Permit Fee $ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Training/Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o. 00 (\cah Permit No. P L t 00 (o Master Permit No. Plumbing Mechanical County Miami-Dade Zip NO State Pe °Z-/ d/4.. Zip . 30 32 Code Enforcement $ Structural Plan Review. $ 2 5 kv. Roofing New ❑ Repair/Replace ❑ Demolition CCF $ CO /CC Technology Fee $ Zoning Bond $ AUG 18 PAID 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: 1 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 and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 _ , by who is personally known to me or who has produced 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. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner AUG 16 200 Engineer Zoning