The URL can be used to link to this page

PT-06-1143Issue Date: 5/4/2006 Owner's Name: ORCAR LONGA Permit Type: Paint Work Classification: New Job Address: 314 94 Street NE Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: EXTERIOR PAINTING Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 10/29/2006 Type of Work: Exterior Color: MOONSCAPE Additional Info: Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -5 -06 -1143 Phone: (954)254 -0491 1132060136190 Lot: PB: Total Square Feet: 0 Total Valuation: $ 200.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT - 5 - 06 - 24675 Total: 'JUL 0 6 PAID is! Amt Due $67.30 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING 0 PERMIT APPLICATION 11 MA 2 211116 Master Permit No. Permit Type (circl Owner's Name (Fee Simple Titleholder) (J23 C, 4)/t Phone # `l 5 CV . Q 1 ? ( 3/V , Owner's Address City /6e6.40// 4)0! Tenant/Lessee Name Job Address (where the work is being done) Value of Work For this Permit $ Type of Work: DAddition Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 419 z0®, Electrical v Plumbing Mechanical Roofing Zip Phone # 3 r City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Permit No, — I i43 Phone # C f S ql 2-s c T f Square / Linear Footage Of Work: 441- epair/Replace D Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 1:)C. 0 CCF $ CD 62D CO /CC CO i Notary $� - lO Training/Education Fee $ �� C) Technology Fee $ . �� Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Zoning $ See Reverse side 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 >'ch occurs s n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no %e approv and ' pection fee will be charged Owner $ Agent The fore o f g instrument was acknowledged before me this day of ' - `C-k 4 20 ,by who is personally known to me or who has produced Lo NOTARY PUBLIC: As 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: / 0 .LO ID Sign: dez 76455 Print: SEP 27, 2009 My Commission Expires: Bonded Thru Atlantic Bonding Co., Inc. * * * *, * * * * * * * * * * * * * * * ** -* * *** * * * * * * * * * *** * ** * ** * * * ** ** * * ** * * **, * ** * * * * * *, * * * ** * *** * *** * * * * * * * * ** r* (Revised 02/08/06) APPLICATION APPROVED : Y: cA0A_LA0 Plans Examiner Engineer Zoning Date Owner's Name Owner's Address y' City Job Address (where the work is being done) City Miami Shores Villa= County Miami-Dade Zip Is Building Historically Designated YES NO Walls Gtw C,i 5 1 Fascia 1 / Drip Cap /drip Edge Go it. z ! e-,... Soffit Id rsti Roof r.Jh, Flower bins Shutters Awnings Chimney )11c cNA Doors and door jams II. f Garage doors Railings Fences Decorative metal Signature APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement S CAA ,avt / Phone # 15 Z 5 ( l 3 , i e i . (, 34_ E5'State ' I Zip 3(1 nee SY S/ Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * ** * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted 1. t4-6j er or Agent P & , Z icial Wig Moonscape 61YY 89/135 All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFID all the foregoing information is accurate and that all work will be done in compliance with all applicable laws gulating con do and zoning. Date .5 ( • v Date chc 6/18/03