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560 NE 95 St (6)MIAMI SIIORE4IILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 10 > t 3 Time Type Insp'n Permit No. 1> V � 3 Name Address Approved Correction Re- Insp'n Fee 5 ( /)i F , 9 S Company Phone # ° / f For Inspectdr: ! Z7 l 0 3 Name & Date Date a F c ( Job A Legal Descriptio / Tenant Contracting Co. Oyu/ Y) WORK DESCRIPTION 7 N PERMIT APPLICATION FOR MIAMI SHORES VILLAGE (c) O (0 : . - Tax Folio 1 1 '3 c Q b O J / 0 R o c) • Air Historically Designated: Yes No l 'iwnez's Address 76 Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle on a : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN „cc) 4/1 / 314 Square Ft. stimated Cost (value) /Q 6 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. pC Y `?1 2.1 Signature of owner and/or Condo President Date Si: ature of Contractor or Owner-Builder Date Notary as to Owner and/or Condo President Date My Conunission Expires: FEES: PERMIT APPROVED,, r y .7(O Zoning a.e Mechanical Nw, N Address My Commission Expires / a/e7 / Building Electrical Master Permit #g 6,0 Phone hi as to 1 ontracto or • • er- RADON C.C.F. `3 0 NOTARY S_0 0 BOND .2. 0- "- 33 )'a- a .b°) • i uilder l at - 1P'RY po ds: , ANG d E LA BECKER .2 (4 n OOMhMSSON NUMBER a . 'qP - 9: Q CC786697 9th NO GAY COMMISSION EXPIRES OF Ft NOV. 15,2002 Plumbing Structural Engineer OWNER'S NAME: ADDRESS: . --h a / io DATE: MIAMI SHORES VILLAGE Paint Color Approval and Agreement PHONE: 7 S �i S S ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: 1 PHONE: 75 cf ifs * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Soffit Roof Flower Bins ►k 1 E Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences APPROVED: Building 0 icial Are- N Decorative Metal All brick (simulated or regular) /V ✓ Stucco Banding A, f41 T e- Any other stucco features Accessory Build' gs Otiler C,-CP444 L C�V� a5 /5 . 5 -ot e wes t47 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Si � of Si nature of Owner Date Signature of Contractor 3/39 Date 0 0 Date * ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION r .. * s Date Job Address ORK DESCRIPTION: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 105( N.E. ;nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 s(D e 9S Sf Tax Folio Legal Description p Historically Designated: Yes wri er /Lessee/Tenet er /Lessee/Tenet L C9*-) ( 'I�o S Master Permit # Owner's Address D � 1 � � Phone `� O \ Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. No IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING Square Ft. ed Cost (value) �� c Ai 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). 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 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 constructi • .ri zoning. Furthermore, I authorize the above named contractor to do the work stated. Si a re •f 'wner . .'' or Con ep�t J v"` Date Signature of Contractor or Owner Builder Date !* Owne ident `Date Not as to Contractor or Owner Builder Date er My Commission • M Commission DD150048 '+ µ d- Expires November 15, 2008 My Commission Expires FEES: PERMIT b 0 ■ RADON C.C.F . ro NOTARY 5> 0 BOND APPROVED: Zoning .547 Building, TOTAL DUE 6S, Electrical Mechanical Plumbing Structural Engineer 4k • 7VIIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 0 «te) f , n _� PHONE: PTS ADDRESS OF SITE: 1R., 15 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls \� - ,Vi eJU�otia Fascia Soffit Roof Flower Bins v ■ -2 Shutters k,.v`k 1 "t Awnings ,„1A,, Chimney Doors and door jams ,,,1k*- Co r� Garage Doors 1,Att x x Railings t-itti, Fences j JJ f pk kAl), Decorative Metal 7 ( 4)4, APPROVED: Building Offic ate f _...., -.y ./: All brick (simulated or regular) Stucco Banding u\ }�- Any other stucco features NA; , Accessory Buildings ire., $x ; S` Other Otrl .Q !.�x N hifk— k94-) 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. I authorize the above -named contractor, if applicable, to do the ;_ k stated. urthermore , the paint colors will be as per the attached samp 380C -3 " Moon Dance /6 Sign: tur of Owl Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • WHEN PAINTING IS FINISHED, I �� 3 CALL FOR FINAL INSPECTION eion 0111CI Rure2 a • a if 1110111 LESLY CASTELLANOS ORTHO/NEURO/REHAB JA1H 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2003 Applicant: dOHi4 ) Owner: - Dtttetd C cLs - ` ) er JOB ADDRESS: 560 NE 95 Contractor Local Phone: Parcel # 1132060140800 Signed: Fees: FEE2003 -3106 FEE2003 -3107 FEE2003 -3108 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Signed: € ' / Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 5 Permit Expiration: 11/19/2003 Co Work: EXTERIOR PAINTING AS PER AGREEMENT (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work cov conformity with the plans, drawings, statements or specifications submitted to the prop done by either myself, my agent, servants or employes. 2 Building Permit Permit Number: BP2003 -836 4QAI Cc? S -te1Ign1,..3 Les )� ST Contractor's Address: (Contractor or Builder) Page 1 of 1 BLK 55 LOT SIZE 50.000 X 129 LESLY CASTELLANOS 1770 MERIDIAN AVE., APT-r MIAMI BEACH, FL 33139 \' > y D lQ W n .� �. BANK OF AMERICA aq. BANK OF AMERICA N.A. 0585 CORAL WAY tt-! ^ MIAMI, FLORIDA 33155 03 FoR BY: