WINDOWS/ SHUTTERS1 0
l
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Project: <NONE>
Contractor:
Buildin4 Department Comments
Thursday, December 22, 2005
l Inspection Number: INSP- 3941
Inspection Date: 12/22/2005
Inspector: Grande, Claudio
Owner: BLACK - GORDON, FLORENCE
Job Address: 135 94 Street NE
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: BP2005 -1479
Permit Type: Imported Permit
Inspection Type: WINDOWS
Work Classification: Shutters
Phone Number
Parcel Number 1132060132881
Lot:
Page 1 of 2
135 NE 94 ST
ONLY FINAL SHUTTERS
I Inspector
Passed
Comments
S D/
it(4/0
I _
1 f-P
GA(A„
'
0
v
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -3247
Permit vumber: -1479
Inspection Date: 12/19/2005
Inspector: Grande, Claudio
Owner: BLACK - GORDON, FLORENCE
Job Address: 135 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Building Department Comments
Friday, December 16, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final Shutters
Work Classification: Shutters
Phone Number
Parcel Number 1132060132881
Lot:
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10/14/2005
Applicant: FLORENCE
Owner: BLACK - GORDON
JOB ADDRESS: 135 NE 94
Contractor
Local Phone:
Parcel # 1132060132881
Rul] or:_ng Perrnn°
Permit Number: o P2005 -1479
ST
BLACK - GORDON
FLORENCE
Contractor's Address:
Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 19 & E3OFT LOT 18 BLK
Fees:
FEE2005 -13547
FEE2005 -13548
FE E2005-13549
FEE2005 -13550
FEE2005 -13551
FEE2005 -13552
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$220.00
$1.80
$5.00
$0.60
$5.50
$3.00
$235.90
Total Fees: $235.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/11/2006 Construction Value: $2,250.00
Work: REPLACE WINDOWS AND SHUTTERS
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.
Signed: (Contractor or Builder)
BY:
Page 1 of 1
V 0 2 PAID
G � t r- c.soa -
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 Contractor
The fore oing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this
day of , 2005 by 4(.1` , day of , 20 by
who is personally known to me or who has produced who is personally known to me or who has produced
ib
NOTARY PUB IC:
Sign:
Print:
My C
chc 05/13/03
As identification and who did take an oath. as identification and who did take an oath.
OTARY PUBLUC•STATE OF FLORIDA
/ Yorleny dez
� 4 455
ssion
* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** }***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
** j* * * * * * * s) * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simpte Titleholder) /� � (if W '5.47 Phone # D5 2/ - /53 5'
Owner's Address i-/..5 iki• E " 57
City //PI/ / 5 e 5 State 7 -
Tenant/Lessee Name
Job Address (where the work is being done) /3.7 A/ E -
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit /2 2s0 0 0
e,v.,
Type of Work: ❑Addition [Alteration Ublew � Repair/Replace� ❑ Demolition
Describe Work: /
RE"?/ C� (.L1/ ,1 oG 0 w S 4 J Ew $
Submittal Fee $
Notary $ 5. 00
Scanning $ 3 .0 D
(Continued on opposite side)
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees **** * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
Radon $
Total Fee Now Due $ 2_65- ci0
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
r Te1 : (304.795.2 204 1 :: (005) 756.8972
Training/Education Fee $ 0 60
Zoning
Code Enforcement $ Structural Plan Review. $
Permit NoE R) V 4
Master Permit No.
Zip .33
Phone #
Phone #
Phone #
Square Footage Of Work:
CCF $ 1 . 8Q CO /CC
Technology Fee $ - 50
Bond $
zip 3.3/3,8
1 0
Passed
O
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -3941 j Permit Number: BP2005 -1479
Inspection Date: 12/22/2005
Inspector: Grande, Claudio
Owner: BLACK - GORDON, FLORENCE
Job Address: 135 94 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
Building Deaartment Comments
Thursday, December 22, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: WINDOWS
Work Classification: Shutters
Phone Number
Parcel Number 1132060132881
Lot:
Page 1 of 2
.,
135 NE 94 ST
ONLY FINAL SHUTTERS
I al
Passed
v
Inspector Comments
S D"
it
`�,�b`x� 0
two )
v
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 12/19/2005
Inspector: Grande, Claudio
Owner: BLACK - GORDON, FLORENCE
Job Address: 135 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Building Department Comments
Friday, December 16, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
i nspection Number: INSP- 3247
Permit Numbe 8P2005 -1479
Block:
Permit Type: Imported Permit
Inspection Type: Final Shutters
Work Classification: Shutters
Phone Number
Parcel Number 1132060132881
Lot:
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10/14/2005
Applicant: FLORENCE
Owner: BLACK - GORDON
JOB ADDRESS: 135 NE 94
Contractor
Local Phone:
Parcel # 1132060132881
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
wilding Permt
Permit Number: = P2005 -147
BLACK - GORDON
FLORENCE
ST
Contractor's Address:
Page 1 of 1
Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E3OFT LOT 18 BLK
Fees:
FEE2005 -13547
FEE2005 -13548
FEE2005 -13549
FEE2005 -13550
FEE2005 -13551
FEE2005 -13552
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$220.00
$1.80
$5.00
$0.60
$5.50
$3.00
$235.90
Total Fees: $235.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/11/2006 Construction Value: $2,250.00
Work: REPLACE WINDOWS AND SHUTTERS
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.
BY:
NOV 02 PAID
Gam-- mot— tT c -L�
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
My C
chc 05/13/03
Owner or Agent Contractor
The fore oing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this
day of , 20Cr) byt , 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 D V Di iR 1r • I OTARY PUBLIC•STATE OF FLORIDA NOTARY _ _
Sign: Aitt:L I • , i , 455 Sign:
* * * * * * * * * * * * * * * * * * * * * * ** *********************,*************************,*,*** * * * * * * * * * * * * * * * * * * * * *** * * * ** **
** s * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY:
Signature
My Commission Expires:
Plans Examiner
1 / Engineer
Zoning
BUILDING OCT Zga5 Permit No: — 1+19
PERMIT APPLICATIO Master Permit No.
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) / 5.4/170—S Phone # (.. Z /5- /53 9
Owner's Address I- S • E ' 57 •
City i4P/!e 5 State FL -
Tenant/Lessee Name
Job Address (where the work is being done) /35 /V ' E - 1
City Miami Shores Village County Miami -Dade Zip .33/3 3
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City
Qualifier
Total Fee Now Due $ 2_6 S - (=ID
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
c_J.
� 5�- 9 . 05) 756.8972
j � E'• �,�� 1' 1
/%V
Type of Work: ❑Addition
Describe Work:
le6 / Gain oZo ry
$ Value of Work For this Permit 226 0
Electrical
Plumbing
Zip
Phone #
Phone #
State Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Mechanical Roofing
/ LetL
Alteration New Repair/Replace ❑ Demolition
4 ‘)7 74 e - $
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ i2'0 O� CCF $ ) - 50 CO /CC
Notary $ 5- Training/Education Fee $ 0 . 6 0 Technology Fee $ 5 - 50
Scanning $ 3 .0 0 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
10 -13 -05 A11 :19 IN