70 NE 94 St (9)IFIEIR `MI[T AIFIFILII(CATIION FO
Date Job Address 0 N • E . o f Lk S Tax Folio
—
Legal Description Historically Designated: Yes No w -
Owner/Lessee / Tenan Jr& E E o (2 \ 07 EN Master Permit # 14-7D- 7
Owner's Address Phone lAoaae (3■S I S
west (.30s 9 5 too
Contracting Co) Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): ELIDING ELECTRICAL PLUM r :;) NG MECHANICAL ROOFING PASO FENCE SIGN
WORK DESCRIPT1101
1
MIAMI SEIIO
ES VILLAGE
-- A t NiTI N Gr — ),A F E i ,vss c..€1' w, 10 NE. ° t k-1 5 .
Square Ft. Estimated Cost (value 4 2 000 . 0 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IIN YOUR
PAYING TWICE FOR IIIYIIPROVIEMIENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIITIEII 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.
Signature of owner and/or Condo President
Date ignature of C
Notary as to Owner and/or Condo President Date Notary : o ontracto
My Commission Expires: My Co 'ssion Exp
FEES: PERMIT 6v RADON C.C.F. /2 NOTARY BOND
Owner- Builder D�
�- 3 g3 - S8- a2o2 o S r
i ti..• . �. "r«. T" YS
CLAMS) VILLAR
GARY PUBLIC STATE OF FLORIDA
I COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1 002
Date
APPROVED: TOTAL DUE
Zoning Building 7 9 0 ige Electrical
Mechanical Plumbing Structural Engineer
Inspection Date: 06/29/2006
Inspector: Grande, Claudio
Owner: TOTTEN, GREGORY
Job Address: 70 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060130310
Lot:
Building Department Comments
Wednesday, June 28, 2006
Page 1 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- 9nspectlo
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 06/29/2006
Inspector: Grande, Claudio
Owner: TOTTEN, GREGORY
Job Address: 70 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060130310
Lot:
Building Department Comments
Wednesday, June 28, 2006
Page 1 of 2
4 a J
z (� 4 :3 1 .1D NYl 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
L Tely;(,3 O> y�I 756.8972
v
BUILDING
PERMIT APPLICATION BY:
FBC 2004
Permit Type (circle
Tenant/Lessee Name
Value of Work For this Permit $
Miami Shores Village
Building Department
82.000
Electrical
Job Address (where the work is being done) '70 KI, q g St
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO V
Phone #
Architect/Engineer's Name (if applicable) Phone #
Permit No.
Master Permit No.
Plumbing Mechanical Roofing
Owner's Name (Fee Simp = - o der) 6TQ; Q 4 \ 1 1 0Imo' ` ' " 'Phone #
Owner's Address 7O 41 jL
City Ih/A , State
I
Zip J3138
Zip 33 13g
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Square Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ETew ❑ Repair/Replace ❑ Demolition
Per L
Describe Work: PQ 4 601,0-/ b c_.
******** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ (a0 (/ CCF $ V , Z.-CD CO /CC
Notary $ S Op Training/Education Fee $ 0 . Technology Fee $ 1 • SC •
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ G I
See Reverse side -4
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 appro d a einspection fee will be charged.
/.
l / i
Signature t �-� l ,' 1 // Signature
• o gent n
The fore � instrume / . ac ledged before et his r I The foregoing instrument was acknowledged before me this
day of `' , 20 ' I, y (i r j , day of , 20 , by
who is persona ! own to me or who has produced � who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTA : PUB IC: NOTARY PUBLIC:
Sign:
Print:
My C mmission Expires:
* * * ** * * * * * * * * * * * * * ** * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY:
(Revised 02/08/06)
4 7 ( °Cd'
Contractor
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
• • 0
Date
Owner's Name
Owner's Address
City
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Signature
I�4
Miami Shores Village
Paint Color Approval and Agreement
<, (h /^
, OS State
Job Address (where the work is being done)
City Miami Shores Village County Miami -D de Zip
Historically Designated . YES NO �
Is Building FListo y b
((1 P� I f� (r t=1 Orel
(T ic IA
Contractor's Company Name (if applicable)
****************************************************************************** * * * * * * * * * * * * * * * *: * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be Dainted
Walls M ei`WnN
Fascia
it
Drip Cap /drip Edge ��
�eA �w
y ifr
INA p
KJ1 pc
Decorative metal
All brick (simulated
Stucco banding
Any other stucco features
Accessory Buildings
) k
wormixammyibILOO
or regular)
fi ( fr
N) k
APPLICATION APPROVED BY
N (�
Owner or Agent
P& Z Official
Phone # 2 J� — ^ �- �J
Zip
CD (�f7
Phone
Attach Color Samples
With Numbers
.2337
A (, to
skerA. Lvt
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 f cot clion and zoning.
Date
Date
•
chc 6/18/03
Issue Date: 6/2/2006
Owner's Name: GREGORY TOTTEN
Permit Type: Paint
Work Classification: New
Job Address: 70 94 Street NE
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
Expires: 11/27/2006
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Comments:
EXTERIOR PAINTING
Additional Information
Type of Work: Exterior Color: BEACON YELLOW AND WHITE
Additional Info:
Classification: Residential
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.
Fees Due Amount
CCF $1.20
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $1.50
Total: $68.10
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT -5 -06 -1477
Phone:
1132060130310
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,200.00
Required inspections
Final
Amt Paid
Invoice Number Amt Due
PT - 5 - 06 - 25032 $68.10
Total: PM
2 �
G1 : q -
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.
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