BP-04-404Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2004 -404
Printed: 3/26/2004
Applica t:
Owner:
JOB ADDRESS: 534 NE 95
Parcel # 1132060140820
Signed: (INSPECTOR)
ST
Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
Local Phone: 305 - 895 -1368
Permit Status: APPROVED Permit Expiration: 9/20/2004 Construction Value: $900.00
Work: PAINT ROOF WHITE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 8 & 9 BLK 55 LOT SIZE 100.000 X
Fees: Description Amount
FEE2004 -3214 Building Painting Fee $60.00
FEE2004 -3215 CCF $0.60
FEE2004 -3216 Notary Fee $5.00
FEE2004 -3217 Training and Education Fee $0.20
FEE2004 -3218 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle
Owner's Address ' 3 F r
Cit /1 Q sT / 5l � State
Tenant/Lessee Name
Total Fee Now Due $
(Continued on opposite side)
co x.30
Miami Shores Village
Building. l) epartment
10050 N.E.2nd Avenue, Mann Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
it aL
2004
Electrical
Plumbing
Zip __33_/
Phone #
MAR 2 4 PAID
\C_ \O
Permit Noe;u 200q — 1 () LI
aster Permit No
Mechanical Roofing
Owner's Name (Fee Simple Titleholder) , GtQ /C/ �ta— j Phone �'� J 5P c: 7
Job Address (where the work is being done) 5 V /1s, 9,f - "
City Hami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO l/"
Z M /
Contractor's Company Name 0 /0/ �, Mf
I A- Phone # (-3 ) i f -e- r - r - 734C -
Contractor's Address / 76 /&J 47
City � Q / S . Zip 33/6/
Qualifier ate — I - ILA- -,.‘ y -e----
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 9 '6r- Square Footage Of Work:
Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work:
* * * * * * * * * * * * * * * ** **** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(tea • 0 0 CCF $ (Co 0 ° CO/CC
Submittal Fee $ Permit Fee $
Notary $ 5. 00 Training/Education Fee $ ^ 20 Technology Fee $ 1_50
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State l ' 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 F7.RCTRICAL WORK, PLUMING, SIGNS,
WFTJ.S, 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.
f f 7
Signature j 4.! f!����� Si gnature �� / � 4 ; " ,4__ ; �- . __
Owner or Agent / Contractor t.
The foregoing instrument was acknowledged before a this / i The foregoing instrument was acknowledged before me this 2i/
/
day of ' ,c%, 20 eV, by /W// kick ...I , day of j�6a) , 201)4by 0:c UQiJJi ZuJO,qtcuiti
who is personally known to me or who has produced who is personally known to me or who has produced
r "' take an oath. r as identification and who did take an oath.
APPLICATION APPROVED BY:
Chc 12/15/03
NOTARY PUBL
Sign:
Print: Print:
C s mission #DD231984
My Commission Expires: My Commission Expii
' : *; E ires: Jul 13, 2007
(Certificate of Competency Holder) " Atlantic Bonding Co., Inc.
State Certificate or Registration No. Certificate of Competency No.
************************************************************ `1 ************ * * * * * * * * * ** * * ** * * ** * * * * * * * * * * **
MAR 2 4 gl
� 3 /)1 lay
Plans Examiner
Engineer
Zoning
Date
Owner's Name ,,tU ?' , " Phone # 3Or- 7
Owner's Address 5 /L/ qd�
City f ) /QM/ State R Zip
Job Address (where the work is being done)
City Miami Shores Villa=
Is Building Historically Designated YES
i
s ho ne #( /,1' ************************************************************* /Cr,
* * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Contractor's Company Name (if applicable) C
Signature .‘aZN G" ).14;„1„
Owner or Agent
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
County Miami -Dade
NO
P& Z Official
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof IiC.J % e& •
Frower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Zip 3 313
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
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 regulating construction and zoning.
Date
Date 1/ 9
chc 6/18/03