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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. �sl�rJ � c:1rE.z1A [;ErA1 L. �, r 9S PST. 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CLIMATPOL CORPORATION G5G0 NW 77 AVE MIAMI, FL.OR CDP. 505.15552 52505 4, wl7.J,Ol 5 0455: A 41445 '9,197.6 4��hSCJ1 Joe .1o. 1071