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443 NE 94 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILL Date r7 40/ 0/ Job Address 4 7 1 93 �/' ' 7 - A Tax Folio Legal Description 3� L g4n/BAR-A- I � Owner / Lessee / Tenant Q / 4/2---1- A 11 I12- 4- Master Permit 88 2 �'z , c (E) Owner's Address L/ / hl. Contracting Co. (O GU F) I-V2 Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL // PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION / � ' I\) g r�" 7 2 O Square Ft. Estimated Cost(value) � 2 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 co truction and zoning. Furthermore, I authorize the above -named contractor to do the work stated Signature of owner and /or Condo President Date: Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * FEES: PERMIT S Z S U RADON C.C.F. APPROVED: Fire Zoning Build n Mechanical Signature of Contractor or Owner- Builder Notary as to C My Commission NOT ' Y S. Phone 2.:5 J —fl 6 ) 0 vAtBuilder, Y let s , OFFICIAL. NOTARY Sc.,^•i 1v .„, (T e.. 0 BARBAH G ANN )y COMMISSION (`II,J4,s r: ki(e Q CC36011H Q ` Rfly MMISSI *td EXP.1* F OF F\. MAR. 29,13('' L v er TOASTED MACAROON TOTAL DUE 4/3 V Electrical n_ Engineering p gag MIAMI O S VILLAGE BUILDING DEPARTMENT�> O� 305- 795 -2204 Building Inspection Request Date �} Type Insp'n 1'u Permit No. C5 1 302— Name COY red Address 443 INC Company O Y V `V ez Phone # Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/13/2005 Applicant: BARBARA Owner: ARTHUR JOB ADDRESS: 443 Contractor Local Phone: Parcel # 1132060140510 Fees: FEE2005 -12353 FEE2005 -12354 FEE2005 -12355 FEE2005 -12356 Description Building Painting Fee CCF Notary Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $1.50 $67.10 Total Fees: $67.10 Total Receipts: $0.00 Permit Status: APPROVED Work: PAINT HOUSE NE 94 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1302 ARTHUR BARBARA ST Contractor's Address: Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 18 & 19 Permit Expiration: 3/7/2006 Construction Value: $200.00 BY: Page 1 of 1 BLK 52 LOT SIZE 100.000 X SEP 1 5 PAIL'', 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. • I BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): City M I A MI ,5 State F (..! Tenant/Lessee Name t,47 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES /A Architect/Engineer's Name (if applicable) /kJ' 6ALLON..S $ Value of Work For this Permit a Type of Work: ['Addition ). Total Fee Now Due $ 4 3O t (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 p' SE Elect Owner's Name (Fee Simple Tit e older) j(- P- s Flo L Owner's Address 44 3 ! S i- pAf t a ['Alteration State County NO Miami -Dade ❑New Describe Work: m ) - 7 ! D'J3t . — J.A t) � (_ P,Z t i R e - r ) Permit No.S �. Ca3.M ster Permit No. Mechanical Roofing Phone # 3oS - FS Zip 3 I Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ Bond $ Zip Contractor's Company Name O try NeR C ON, t1 R/AC 0 R one # Contractor's Address City Qualifier Zip '" ®mooF Square Footage Of Work: / ❑ Repair /Replace ❑ Demolition z. * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Submittal Fee $ Permit Fee $ CCF $ 0 COCD CO /CC Notary $C� Training/Education Fee $ ©, 22r) Technology Fee $ t Bonding Company's Name (if applicable) 4. Bonding Company's Address • City State Zip Mortgage Lender's Name (if applicable) ; t 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 fo 11.4 first inspect! whic 'occur seven (7) days after the building permit is issued. In the absence of such posted notice, the 'n will not . - a pprov. o and reinspection ee w' be charged. I 4 Signature ��'�a��. A_ C: .� 1 Signature ! \ ' \ 111 ' Owner or Agent Contractor The fore o : instrument was acknowledged before me thi The foregoing instrument was acknowledged before me this day of ) , 2C byJ , Y T''/ J), day of ,20,by who is personally known to me or who has produced l LD NOTARY PUBLIC: Sign: 1 _l Print: a .I V c t r r,ts_ My Commission Expires: As identification and who did take an oath. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** .001 * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 Plans Examiner ' j� Engineer ` / � Zoning 7 Date Owner's Name Owt►e� 's ddress City Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Decorative metal MI brick (simulated or rggular) T Signature APPLICATION APPRO Miami Shores Village Paint Color Approval and Agreement -r r G State County o/p, Walls Fascia Drip Cap /drip Edge Soffit Roof f L L Iv Flower bins R" Shutters e ,� Awnings 1" & y / Chimney Pi ft Doors and door jams Urr r i r O Garage doors p V PT Railings N f '�`/' r, / r� NO Miami -Dade sag, 4 . Qic ro / p k Phone # ( : ; C1C � 3 1 3 6 Owner or Agent Zip Phone # Ts-4 o -3-(' Contractor's Company Name (if applicable) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elerne is on the site must bJisted and indicate the color to be painted j - - 3 r3c40 ... .AM► i op t Attach Color Samples With Numbers Date Date N�hl D CD 0 tuF Stucco banding P Any other stucco features AA `� P a Iv Accessory Buildings a Other uV D ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFF ►t VIT: I ce that .t a ,•regoing • h •n is accurate and that all work will be done compliance with all applicable laws re: b • g constru Od/O clic 6/18/03