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746 NE 94 St (4)STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) } SS. Date t Date Addition Read. Sworn to and Subscribed before me. [T .--a_ a, 1.11.P,��y/- ision ✓0z Repairs No. of Stories Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared Notary Public. State of Florida r the building or other structure herein a, and all provisions of the Laws of the Village shall be complied with. whether J •, I 19 v Streety�� "f zr� io�co (submit samples) and for no other purpose. undation Roof Covering Amount of Permit S Plan Cubage Distance to next nearest buitarng Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. � ) Q (� Remarks (Signed) / Y t j�� .A/t 1 / 1 - 1 1 ,- ---b a IA �,cs l l st to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fo goin application. and that he did sign the same. and that all facts therein by him stated are true. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and'or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILI Date a/9 Job Address ly e 14 4 Tax Folio Legal Description I p� Historically Designated: Yes Owner/Lessee / Tenant J ( /l r �i D l �r� °I ��� Master Permit # Owner's Address Phone Contracting Co. Address Eger SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION 7dz Signat •wner and/•• "ondo President a te Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON Square Ft. Estimated Cost (value) Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) 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. C.C.F. Signature o 0 tr, tor or •wn- - &uilder Date Notary as to Contractor or Owner - Builder My Commission Expires: .U` NOTARY BOND �SIL�,riJ IMI 4WW i{JL:+d vpeu^WCId Date APPROVED: Zoning Buildin Mechanical Plumbing Engineering Electrical Miami Shores Village iq 11 c) Michae t Building Department BUILDING PERMIT APPLICATIOO: FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address - 1‘ 1 0::• City \\, \NQn State Tenant/Lessee Name N t 4- )(lob Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Nam Contractor's Address M/ City / /91// Qualifier 21/, K . Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 23 D Type of Work: ❑Addition ['Alteration Describe Work: Submittal Fee $ Permit Fee $ Notary $ 5-0(-) Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) r0 Training/Education Fee $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 rreiNd57,9c.ptiii Faz: 0305) 756.8972 Electrical Plumbing q`k. ST`ReeX. .1 /- / State •g nv..ev a Master Permit No. Phone # Phone # - kye ‘kG C\ % County Miami -Dade Zip -&3p NO X / Ne w Structural Plan Review. $ 13 c\c. 4c;04 Permit No.1 I ' k \ lo ~^� Phone # (30s) Zip 33/6/ State Certificate or Registration No. Certificate of Competency No. e/./37 Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition 8e /fie-7dc-A7‘7-4 1 7 ' i rl' e ees * *** * * * * ** * * * *** * * * * * * * * * * * * ** Mechanical Roofing CCF $ l - vu r CO /CC Technology Fee $ ( -JO Radon $ Zoning Bond $ * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 M. Ic:_a:.:1I,..,kew Y cz Cotnru�s „on 1)0525359 Bonded Thru Atlamic b. ,,wing Co., Inc. a • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) / Mortgage Lender's Address V 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. Signature v Signature M. Owner or Agen The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of 20,4 , by Vi v lA 6 � , day of , 20 , by who is persona y known to me or who has produced who ho 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. NOTARY PUBLIC: NOTARY PUBLIC: Sign: % "/t o Sign: Print: 7 t q Yt1TA Qw ^ "'DA Print: My Commission Expires: My Commission Expires: ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor Plans Examiner Engineer Zoning Date Owner's Name \`IVekl G Owner's Address Cit \-\. oh • Address (where the work is being done) � S'V ‘4,G- c4.\. City Miami Shores Village County Miami -Dade NO)C Walls Fascia Drip Cap /drip Edge Miami Shores Village Paint Color Approval and Agreement CV,1t.Q C \ s State c \at\a'A Soffit Roof Flower bins Shutters i'"J Awnings kti Chimney W/ r Doors and door jams F2 v-n - 6 6 / Z Garage doors ©/ 7 Railings ex> LA-A-- Fences W / r, Decorative metal dv All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings f !^' / r/ Other G (ignature `'I St--. APPLICATION APPROVED BY: Owner or Agent 1 Phone # C 30S1 S%g - 6cko . Zip --63 \5 Z -- \3 is Building Historically Designated YES Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted t3/-r)— O / 7 - £ mac / 2-- L �;.. 3/B HC -142 Attach Color minc, With Numbers L40 * ** 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 chc 6/18/03 Issue Date: 5/9/2006 Owner's Name: VIVIANE GUTTER Permit Type: Paint Work Classification: New Job Address: 746 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: 10/31/2006 Contractor(s) Phone COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Primary Contractor Yes Comments: EXTERIOR PAINTING Additional Information Type of Work: Exterior Color: BM 017, HC 142, BM 692, 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -5 -06 -1166 Phone: (305)758 -6902 1132060141660 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,300.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $1.50 $68.90 Invoice Number PT - 5 - 06 - 24714 Total: Amt Due $68.90 Amt Paid $68.90 $68.90 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. Inspection Number: INSP -16528 Inspection Date: 07/20/2006 Inspector: Desharnis, George Owner: GUTTER, VIVIANE Job Address: 746 94 Street NE Project: <NONE> Building Department Comments Wednesday, July 19, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r GUL2 1RCC'D Contractor: COMPLETE HOME PAINTING BY MICHAEL Block: Permit Number: PT -5 -06 -1166 Permit Typ : Paint Inspection Typ : Fin Work Classification: New Phone Number (305)758 -6902 Parcel Number 1132060141660 Lot: Phone: 305 - 895 -1368 Page 1 of 2 Passed Inspector Comments c q.) P ` �' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -16528 Inspection Date: 07/20/2006 Inspector: Desharnis, George Owner: GUTTER, VIVIANE Job Address: 746 94 Street NE Project: <NONE> Building Department Comments Wednesday, July 19, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r GUL2 1RCC'D Contractor: COMPLETE HOME PAINTING BY MICHAEL Block: Permit Number: PT -5 -06 -1166 Permit Typ : Paint Inspection Typ : Fin Work Classification: New Phone Number (305)758 -6902 Parcel Number 1132060141660 Lot: Phone: 305 - 895 -1368 Page 1 of 2