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898 NE 95 St (10)? EIRINiIII'II' APPLICATION FOR MIAMI SHORES VILLAGE D; Address tw N • g ' 9 � Tax Folio Le6f.1..-.,0.,2 - - �� ®4.1 Historically Designated: Yes No II" — Owner/Lessee / Tenant I D . Master Permit # 3 y Owner's Address S 41 , A/. g . S s �' Phone ` 6 — 4 ® 0 Contracting Co. 9■/ , Qualifier Ni 6— . State # Municipal # Competency # Ins. Co. Architect/Engineer N A►- . Address Bonding Company Address Mortgagor Address Permit Type (circle one): WORK DESCRIPTION '31 � 6 . C1 . !mac Y \ki l R J3 r(\ o re C40" FEES: PERMIT Si y atur'f owne and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: UILIDING ]ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) Z., CO • 69 ' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDS E': 0 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 wyfk stated. RADON 2-- 22, S,G SS# Notary as to Contractor or Owner- Builder Date • issierr g. ce i /041,9, OF NOYAWIV SISAL �% SAN®FIA NJ C.INVIEL :A\ 7o COMIISSION NUCIDER ia tc d CC4O12 1 o f my OOmmeet ®N huh. TOTAL DUE ' Address kJI & 76-S -cf -Phone ntractor or Owner- Builder Date APPROVED: Building / Nk Electrical Zoning g Mechanical Plumbing Engineering v�llarni Shores Mo! ge 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/2/2004 Applicant: DONGLAS SEATON Owner: SEATON DONGLAS JOB ADDRESS: 841 NE 95 ST Contractor Local Phone: Parcel # 1132060142940 212Icl:ng Pernrat Permit Number: BP2004 -868 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 13 & W1/2 LOT 14 BLK 75 LOT SIZE Fees: Description Amount FEE2004 -6575 Building Painting Fee $60.00 FEE2004 -6576 CCF $0.60 FEE2004 -6577 Training and Education Fee $0.20 FEE2004 -6578 Technology Fee $1.50 Total Fees: $62.30 Total Fees: $62.30 Total Receipts: $62.30 Permit Status: APPLIED Permit Expiration: 12/20/2004 Construction Value: $500.00 Work: PAINT JUL 02 Signed: (INSPECTOR) 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: Noma Shores Vmmma e 10050 NE 2nd Avenue F'srm:t Phone: 305- 795 -2204 Permit Number: BP2004 -868 Printed: 7/2/2004 Applicant: DONGLAS SEATON Owner: SEATON DONGLAS JOB ADDRESS: 841 NE 95 ST Contractor Local Phone: Parcel # 1132060142940 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 13 & W1/2 LOT 14 BLK 75 LOT SIZE Fees: Description Amount FEE2004 -6575 Building Painting Fee $60.00 FEE2004 -6576 CCF $0.60 FEE2004 -6577 Training and Education Fee $0.20 FEE2004 -6578 Technology Fee $1.50 Total Fees: $62.30 Total Fees: $62.30 Total Receipts: $62.30 Permit Status: APPLIED Permit Expiration: 12/20/2004 Construction Value: $500.00 Work: PAINT .. Signed: (INSPECTOR) . 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: Miami Shores Village Building Department RECEEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 UM 2 RPH \ \I e : (31 ' 5.2204 Fax: (305) 756.8972 BUILDING Permit No. — PERMIT APPLICATION FBC 2001 Plumbing Master Permit No. Mechanical Permit Type (circle): Building Electrical Owner's Name (Fee Simple . -holy ry �li �� S�� s+ I O S � Q�,Cti Phone # 30,..S Owner's Address L_. C City M ‘UAVy‘• S h61/4"--.5, State ' F - C., Zip , 3 12, S Tenant/Lessee Name Phone # Job Address (where the work is being done) c 6()(1 OE C IS S City Miami Shores Village County Miami -Da e Zip 3 �� Is Buildin g Historically Designated YES NO Contractor's Company Name Contractor's Address / City Qualifier State State Certificate or Registration No. Architect/Engineer's Name (if applicable) U // tv / / Phone # $ Value of Work For this Permit , a b0 Square Footage Of Work: Type of Work: ❑Addition ['Alteration [New Describe Work: A � o� ' �� ' 'Q `I' . 1 .24 ∎0( S Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 612 Certificate of Competency No. Repair/Replace ❑ Demolition �d • CAS * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bond $ Structural Plan Review. $ ?0(ci C t (aS v ' CO /CC ee $ . 3 0 Roofing — I /4-kS Bonding Company's Name (if applicable) Bonding Company's Address City State ( v/ r / Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature Owner or Agent The foregoing instrument was acknowledged before me this 3 day , 20O'*, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: V. Print: _) E4.41 . APPLICATION APPROVED BY: Chc 05/13/03 State J 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. My Commission Expires: My Conunission Expires: * * * * * * * * * * * * * * * * * * * *J 4 R, kR�keek******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTARY P�UBUCC - STATE OF meek C E7�YIFtE$g c•P4DED THRU Leee.NOTARYI 7 3d"37 Zip 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: Sign: Print: Plans Examiner Engineer Zoning Date' . Miami Shores Village Paint Color Approval and Agreement O v\ s -emu Owner's Name D q�,11 c� Owner's Address $ ' tv �' City [111 CA VrN S ( - 10 re-,S State VI APPLICATION APPROVED BY: P &ZOffi Phone # C s) ?6 ?? - I Zip G' Job Address (where the work is being done) City Miami Shores Village County Miami -Da e Zip 3 13 Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the col Walls G c)b1 esQ Fascia WV ) • Date • * * * * * * * * * ** Drip Cap /drip Edge Soffit ‘ t ' Roof \'N'N Flower bins \ill Shutters Awnings Chimney Doors and door jams 4\N 'k se--- Garage doors vt'� -e— Railings �f` Fences Decorative metal \ All brick (simulated or regular) t \� Stucco banding U■ct 1— 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. Signature ,„.C.. l Owner or Agent * * * * * * * * * * * ** Date (1 3 oU Inspection Number: INSP -20042 Inspection Date: 07/27/2006 Inspector: Grande, Claudio Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, July 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 U_ 2 8 RECC Owner: CROUSILLANT, CESAR AND CHRISTINE Job Address: 841 95 Street NE Miami Shores Village, FL 33138- Block: Permit Number: PT -6 -06 -1614 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)756 -7640 Parcel Number 1132060142940 Lot: Page 2 of 2 Passed j Inspector Comments ■ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -20042 Inspection Date: 07/27/2006 Inspector: Grande, Claudio Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, July 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 U_ 2 8 RECC Owner: CROUSILLANT, CESAR AND CHRISTINE Job Address: 841 95 Street NE Miami Shores Village, FL 33138- Block: Permit Number: PT -6 -06 -1614 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)756 -7640 Parcel Number 1132060142940 Lot: Page 2 of 2 Issue Date: 6/23/2006 Expires: 12/11/2006 Owner's Name: CESAR AND CHRISTINE CROUSILLANT Permit Type: Paint Work Classification: New Job Address: 841 95 Street NE 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 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type_of_Work Additional Info Color Classification 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. Permit Status: APPROVED Permit Number: PT -6 -06 -1614 Phone: (305)756 -7640 Parcel #: 1132060142940 Block: Lot: Section: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 1,000.00 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 - 6 - 06 - 25214 Total: Amt Due $67.30 Amt Paid 5) • Building Department File Copy L pplicant Signature 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 . mc' 01151a0, BUILDING j G „ PERMIT APPLICATION FBC 2004 �' Permit Type (circle): Building Elec>< icat �/ Plumbing 1 Owner's Name (Fee Simple Titleholder)Onvish Q 5 CQS�f U' tI Bust 114 Phone # 305 79 `C o 7 (o 0 Owner's Address I41 E, 9 S 5-1- eit r ()LW . ( S1/ioveS State Ft_ Zip 3:3 13 ) Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Contractor's Company Name Contractor's Address Type of Work: Describe Work: ❑Addition ❑Alteration - Pa hi,. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te14305) 795.2204 Fax: (305) 756.8972 • L ! 4 E qs County Miami -Dade Is Building Historically Designated YES NO X Phone # tDIA MQ es "6) p(V ' (Y✓` hone # City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) in k___. Phone # Permit No. PTa 1 4 Master Permit No. Mechanical Roofing Zip 3313 Value of Work For this Permit $ l 1 600 Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * *, *, F * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** Submittal Fee $ U , Permit Fee $ C O e% • CCF $ CD • © CO /CC Notary $ 6 , ®UJ Training/Education Fee $ -� Technology Fee $ f -( Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ "7 ° SCE , 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 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. A Signature C • i //:/L Owner or Agent Contractor The foregoing instrument was acknowledged before me this , ' The foregoing instrument was acknowledged before me this day of " +" 20C,byCJ 2_ (•S i 7 IU D CEO U5 1 biaf of , 20 , by who is personally known to me or who has produced LIC STATE `1 1`hO RI�7yo is personally known to me or who has produced NOTARY PUBLIC: k ' ) 1 NO' 'CRY As identification . • . w � iggY n gglalld2Z as identification and who did take an oath. SE P. # D 27, 20 5 NOTARY PUBLIC: : P.. 27, 2009 Bonding Co., Inc. Bonded Sign: Print: My Comm' • . ' : Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Sign: Print: My Commission Expires: 2 3/0‘. Plans Examiner Engineer Zoning Walls: / Fascia: ,VA 2 F Drip Cap /Drip Edge: Arad c-e Soffit: A/A e Roof: Flower Bins: dV Shutters: /t/ //1 Awnings: 0 /, Chimney: N/4 Doors and door jams: r / g A c - Garage Doors: Railings: ,i✓ Fences: a/ Decorative Metal: A/ /.6 All brick (simulated or regular): et/� Stucco Banding: A de- Any other stucco features: iQ Accessory/Buildings: Al A Other: A /// APPROVED: r Buildin• Official Miami Shores Village ^ 1G, 14- 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com Paint Color Approval and Agreement DATE: n OWNER'S NAME: Chl'15 VLQ 4 US'kV CALLS( i lG C PHONE: 305 75 2 R(p4Q ADDRESS: PA I k(F e i5i V Sk nitiovui Chn rr S �L. 331 ADDRESS OF SITE: same co C ,QO CONTRACTOR & LICENSE (if applicable) S`e ( u h COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Date Signature of Contractor Date 23 SW 6154 Nacre SW 6157 Favorite Tan OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and th. " ' ce with all applicable laws regulating construction and zoning. I authorize the above- nat..__ the work stated. Furthermore, the paint colors will be as per the attached samples. Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION