BP-03-1925Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2003 -1925
Printed: 12/16 /2003
Applicant: ALVENA JOHNSON
Owner: JOHNSON ALVENA
JOB ADDRESS: 445 NE 94 ST
Contractor
Local Phone:
Parcel # 1132060140520
Signed: (INSPECTOR)
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 20 & 21 BLK 52 LOT SIZE 100.000 X
Fees: Description Amount
FEE2003 -8300 Building Fee $60.00
FEE2003 -8301 CCF $0.60
FEE2003 -8302 Notary Fee $5.00
FEE2003 -8303 Training and Education Fee $0.20
FEE2003 -8304 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 6/7/2004 Construction Value: $300.00
Work: PAINT EXTERIOR
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:
ECEOVED
DEC g3
BUILDING
PERMIT APPLICATION
FBC 2001
City State
Total Fee Now Due $ A, 7. 3 D •
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Nfiami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit N
Master Permit No.
Permit Type (circle): Building `/�/� Electrical Plumbing Mechanical Roofing
Owner's Name (Fee le Titleholder) r �` ` i c' e 0 Lit, Sal sal,' Phone # L I ( ` 2 S 7 3 ( r
Owner's Address L C P J& `-h S r (.
City V 1, ( ^i 514 State I` Zip 1 3 3 i 3PY
Tenant/Lessee Name Phone #
Job Address (where the work is being done) (►
City Miami Shores Village County Miami Dade Zip
Is Building Historically Designated YES NO l/
Contractor's Company Name Phone #
Contractor's Address
Type of Work: ❑Addition DAlteration ❑New
Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 3 Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ .� Permit Fee $ 0 , CCF $ .
Notary $ e O c) Training/Education Fee $ a. I D Technology Fee $ Q . S �)
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
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 FI .CTRICAL 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 whi occurs / even (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be app ed and a einspection fee will be charged.
Signature
NOTARY P L IC:
Sign:
Print:
My Commission Expires:
Chc 10/14/03
Owner or gent
The foregoing instrument was acknowledged before me this c36
' /
day of O , 20 , by 14 I i iLd \Q hfson -,
who is rsonall known to me or who has roduded
Pe Y P
As identification and who did take an oath.
NOTARY PUBLIC:
i _ mission ' DD231984
Expires: 1u 13, 2007
Ronded 'riding Co., Inc
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
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.
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
Plans Examiner
Engineer
Zoning
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEC 1 2003
Date `- I l Di 03
Phone #
V A (C, Vl �f 1' )L ) 7 b) q/2- 5
Owner's Name � J `� 5 1
Owner' Address I 5 - M f q 4
City V VI t 1141 1 r State Zip
3 1 3
list
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 site must be listed and indicate the color to be painted
Walls ''I ► ' fl
Fascia 1
Drip Cap /drip Edge T k- '\
Soffit �►&t 111
Roof
, T- - 15c 1-1 _ 1 5
Flower bins k.A4
Shutters V\ (. 4
Awnings f6 1 PL ✓✓1
Chimney V\ t
Doors and door j s V \. 1- '-
Garage doors t "(
Railings l " I
Fences T &
Miami Shores Village
Paint Color Approval and Agreement
A
Decorative metal 1
All brick (simulated or r ar) 4-
Stucco banding Y1 l
Any other stucco features , r
Accessory Buildings IA 1 '
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 re p atini constructi9n and zoning.
Signature
APPLICATION APPROVED BY:
Owner or Agent
P& Z Offrdal
Date � - z ) PI 03
Date
chc 6/18/03