PAINTtsonaing t.ompany
Mortgagor
WORK DESCRIPTION ( qL
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
*
PERMIT FEE: APPROVED:
.7 Zoning
.1 00,147 Mechanical
;ATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
41 'Y Sf Tax Fol io fi I2 r �® 0/Q
ibd Master Permit # ,Olo'G
g 146
Fire
Plumbing
/12, V 9-4 V S7
C /4 1V4Y Address
l.Bs# /71 - - 067?
Competency# d /q .W
Address
Address
Address
phone
Ins. Co. /31(/h G .
phone
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
-<-/c7! Aid
Estimated Cost d4000 D db
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.
Signature •f Contractor or ner- Builder
Date:
y as to Contractor .-
et-AfR FLORIDA
qt Commission Expires:Wy COMMISSION EXPIRES APRIL 16, 1992
* * * * * * * BDNDED*KlRU STEMBIA -ADAMS & S ET
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date e 11 q C6 Job Address 1 300 Y i E `i ST Tax Folio
Legal Description Historically Designated: Yes No `7
Owner/Lessee / Tenant f 10 �) ( e se Master Permit #
Owner's Address ( 0 I VC B ; 5 C4-) t
Contracting Co. 3 1 'lam n P 1 U T i CQ COO
Qualifier CA 2 I Os R&D 1 aniiJ
State # Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING
WORK DESCRIPTION WOO d
/ fcr%),.(iA-/ r,i9/0,2
Square Ft. Estimated Cost (value) � QO0
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.
Signa
ELECTRICAL
Te
01 ie
APPROVED:
Zoning Building
Mechanical
d/or Condo President ate
Notary as to or Condo President Date
My Commission E res:
a MIC.AL cc =r 7 .,.
ABBIE :.9EHUiR
N OTARY PUE; 'C `_ .: IT i M • t1 i :br a
COMM L:s: ': .: _ 'Lt 1 :•37;J
8/V..6 Phone
Address I ( 4 3 .3
SS #` ? Phone 305 - V65R
Competency # Cq 3 1 500352 Ins. Co.
Address
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
?e' es so P c /I -k) 4IU d I i'<u ✓
moo X02 Tw 7- 7CV L/// hi ' .
•tary Builder
I mYo'.0",i7Y,tE)SOff. F;Ed .;,f; 7
e et- 9
of Contract 6r or Owner- Builder Date
Date
FEES: PERMIT \ F 0 RADON C.C.F. O NOTARY BOND
TOTAL DUE �f
Electrical
Plumbing Engineering
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (cir
older) .�4 c/ / /e-4"4.147-/ Phone # J 71 — 3 (D d-
/ 2 2$ c A/6 /L Ti& -e•e-
s l� � / ��
C State
Owner's Name (Fee S
Owner's Address
City / /
Tenant/Lessee Name
Building
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name � ✓�'�� � 8, . ' 1; `-'il a-�tf
Contractor's, Ad��dreess 3 d - 6 � . ��' / 7 / &
/l .
Cit /2 1 / 4 c ay✓i �*.e C- State C 'z
Qualifier
Architect/Engineer's Name (if applicable) Phone #
/ GidC�
$ Value of Work For this Permit Square Footage Of Work:
� � G
Type of Work: ❑Addition
ertion ❑New
Describe Work: v #7/4L' /
* * * * * * * * * * * * * * * ** * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * *a **
Submittal Fee $ V . Permit Fee $ (. (t t-11 CCF $
Notary $ Training/Education Fee 5 ' Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305V795:2204 756.8972
Electrical
Permit No. _ C
Master Permit No.
Plumbing Mechanical
Zip
Phone #
/c) ) A/e / i 14,4" �l
Phone # ,cYt
Zip /
Zip - �� L�
Structural Plan Review. $
Roofing
❑ Repair/Replace ❑ Demolition
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 a reinspection fee will be charged
Signature
)
Owner or Agent
The forning ins ent was ac wledged beforethi
day of 20 D
who is ersonally known to me oho has produced
NOT
Sign:
Print:
_ :11:
LIC:
•" ray 9F1rr
COIF
COM„q
ION NO. =MY
My Commission Expir
* * * * * * * * * * * * * * * * * * * * * * * * * **
State Certificate or Registration No.
APPLICATION APPROVED BY:
Chc 10/14/03
egoing instrument was ackn jedged before m .this
The
day o
who ersonally km s tom
As identification and who did take an oath. 00• -(, J 35_g , ; , , , ,`
take an oath.
NOTARY PUBLIC:
Sign:
- Ps /6 `
(Certificate of Competency Holder)
Certificate of Competency No.
************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
JAN252 S
Contractor
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
LA
fitwei-\
Owner's Name
Owner's Address
City State Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
�
All elements on the sit ust be listed and indicate the color to be painted //����
Walls ��T �--�
Fascia
Drip Cap /drip E
Soffit
Roof
Flower bins
Shutter
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Signature
APPLICATION APPROVED BY:
Owner or Agent
Phone #
44.
Attach Color Samples
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.
Date
Date
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -105
Printed: 2/8/2005
Applicant: DAVID FRENCH
Owner: FRENCH DAVID
JOB ADDRESS: 10050 NE 12 AVE
Contractor DONAHUE, JOHN
Local Phone: 305 - 945 -0374
Parcel # 1132050190370
Building Permit
Contractor's Address: 3862 NE 171 ST #4
Legal Description: MIAMI SHORES SEC 8 REV PB 43 - 67 LOT 16 & E5FT OF LOT 15 BLK
Fees: Description Amount
FEE2005 -1678 Building Painting Fee $60.00
FEE2005 -1679 CCF $1.20
FEE2005 -1680 Notary Fee $5.00
FEE2005 -1681 Training and Education Fee $0.40
FEE2005 -1682 Technology Fee $1.50
FEE2005 -1683 Submittal Fee ($50.00)
Total Fees: $18.10
Total Fees: $18.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 7/23/2005 Construction Value: $1,150.00
Work: PAINT EXTERIOR WALLS ONLY
Signed: (INSPECTOR)
Page 1 of 1
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:
r
BUILDING
PERMIT APPLICATION
1+ RC 2001
Owner's Address 1 3C , (,
City I !_t-
Contractor's Company Name
C'ontractor's Address
City
(Qualifier
Type of Work: ['Addition
Describe Work: -?„ • r'
Total Fee Now Due $
(Continued on opposite side)
imam. v illage
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
s ' Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) )167.144/ Phone #
Tenant /Lessee Name Phone #
State j` t
Job Address (where the work is being done)
Cite Miami Shores Village
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
f.)l (
County
State t:i
❑Alteration ❑New
Structural Plan Review. $
oa.tz
Zip 1): l :1
( fi t-, ( -)tb' .e 4
Stale Certificate or Registration No. Certificate of Competency No.
•
Permit No. of � O
Master Permit No.
Zip
Phone #
Zip
$ Value of Work For this Permit + fib C y Square Footage Of Work: ) / ((
❑ Repair/Replace
❑ Demolition
o2(
* * * * * * * * * * * ** * ** * * * * * * * * * ** F ees * *** * * * * * * * * * * * * * * * * ** *** * ** **
Submittal Fee $ Permit Fee $ • w CCF ?J t , CO /CC
Notary S 5 .,00 Training/Education Fee $ • (CO Technology Fee $ i 50
Scanning $ Radon $ Zoning Bond $
Code Enforcement $
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 10 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 i • ection whici occurs seven (7) days after the building permit is issued: '1n the absence of such posted notice, the
inspection will ► •t be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged befor me tl is LI
day of , 20 054
NOTARY PU
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
who is personally known to me or who has produced
Cf2 I ,
* * * * *
s identification and who did take an oath.
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:
My Commission Expires:
:fi * * * *AeiVi ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ko ,r
s
j q >E
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Sign:
Print:
******************************** * * * * * * * * * * * * * * * * * * * * * * * * * ***1.4
Plans Examiner
Engineer
Zoning
di/zi 17 x-/
Date
Fascia \
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Signatur
Miami Shores Village
Paint Color Approval and Agreement
Owner's Name
Owner's Address
City • State Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WY) n '�r Alll a ej ents on the site must be listed and indicate the color to be painted
w
Walls ) I
6 % ; &1 '
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * ** * ** * * * * * * **
OWNER'S AF
applicable laws re
AVIT: Ice
ating cons
APPLICATION APPROVED BY:
Phone #
(50n1
Attach Color Samples
With Numbers
that all the foregoing information is accurate and that all work will be done in compliance with all
on and zoning.
Owner or Agent
Date
Date
chc 6/18/03
Located at: (,3 0o �= L S •
Proof of ownership provided ( )
Was acknowledged before me this
By D,kujCQ 1(ey
Produced
t,
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
being the legal property owner, for the property
Legally described as
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),.4nd I have read and understand the following disclosure
Statement, which entitles me to *brk as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with - bolding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
initial of reviewing clerk. Tlie foregoing instrument
day of LSQJ► ✓ , 20 OS.
who is personally known to me or who has
as identific . • n and who did take an oath.
Mtlbol) argas
Eommissio, DD231984
ti - x . .h.; 13 , 2007
FIO
I;onded Thru
;Innnr FlOWIinr,( ' o I,n
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/24/2005
Applicant: REVEREND JOHN
Owner: FAVALORA
JOB ADDRESS: 1300
Contractor
Local Phone:
Parcel # 1132050100120
NE 94
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -180
FAVALORA
REVEREND JOHN
ST
Contractor's Address:
Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 14 LOT SIZE 128.580 X 136 OR
Fees:
FEE2005 -2473
FEE2005 -2474
FEE2005 -2475
FEE2005 -2477
FEE2005 -2478
Description
Building Painting Fee
CCF
Notary Fee
Technology Fee
Training and Education Fee
Total Fees:
Amount
$60.00
$2.40
$5.00
$1.50
$0.60
$69.50
Total Fees: $69.50
Total Receipts: $69.50
Permit Status: APPROVED Permit Expiration: 8/3/2005 Construction Value: $2,500.00
Work: PAINT HOUSE EXTERIOR IN WHITE
Page 1 of 1
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: