785 NE 94 St (4)Date
Legal Description Historically Designated: Yes No
/ T e n a n t W 1 1 ‘ ISri g 5
Owner's Address 1 g N e 6 14 sr
Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION
Square Ft Estimated Cost (value)
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.
, 14S
Signature of owner and/or do President Date Signature of Contractor or Owner - Builder Date
A 1 4 a
Notary as to Owner and/or Con resident
My
PVd FFICIAL NO AR SAL
e, NICOLE A BERGERT
2 l ^ _` 0 COMMISSION NUMBER
a ._� Q CC661267
7i MY COMMISSION EXPIRES
'OF F∎ JULY 2,2001
FEES: PERMIT
S PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
O Job Address 18C q l-I' S I Tax Folio
J4vt(SE Ph/1'3
RADON
APPROVED:
Zoning Building v.% Electrical
Mechanical Plumbing Engineering
Date Notary as to Contractor or Owner - Builder Date
My Commission Expires:
C.C.F.
Master Permit #
Phone
0 30S — qG! I — r37
NOTARY BOND
TOTAL DUE
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/29/2005
Applicant: MARY
Owner: BRIGGS
JOB ADDRESS: 785
Contractor
Local Phone:
Parcel # 1132060142030
NE 94
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2005 -1260
BRIGGS
MARY
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 24 & ALL LOTS 25 & 26 LESS E15FT
Page 1 of 1
Fees:
FEE2005 -11777
FEE2005 -11778
FEE2005 -11779
FEE2005 -11780
FEE2005 -11781
Description
Building Painting Fe e
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 2/20/2006 Construction Value: $1,000.00
Work: PAINT HOUSE
AUG 3 0 PAID
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.
BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/29/2005
Applicant: MARY
Owner: BRIGGS
JOB ADDRESS: 785
Contractor
Local Phone:
Parcel # 1132060142030
NE 94
Building Permit
Permit Number: BP2005 -1260
BRIGGS
MARY
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 24 & ALL LOTS 25 & 26 LESS E15FT
Fees:
FEE2005 -11777
FEE2005 -11778
FEE2005 -11779
FEE2005 -11780
FEE2005 -11781
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 2/20/2006 Construction Value: $1,000.00
Work: PAINT HOUSE
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:
Page 1 of 1
AUG 30 PAID
*` Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 -3; 6. 972
tk % 716
Electrical
Plumbing
Owner's Name (Fee Simple Titleholder) UJ J � I I O e rl r S Phone #
Owner's Address 7 B c N� 1 S r
City Y 1 kM I 3 S State Zip 33/3 0
Tenant/Lessee Name /v / A Phone #
Qi sr
Job Address (where the work is being done)
City Miami Shores Villa •e County Miami -Da e
Is Building Historically Designated YES NO
r Permit No.
Contractor's Company Name ee0r C CO 1 lado Pain-i Phone # .C" 8 ! S 5C3S
Contractor's Address R w N O , 7 S
City I aMA 1
Qualifier
State -FL- Zip 33) 6)
State Certificate or Registration No. Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
Zip - 13 F
$ Value of Work For this Permit T( V Square Footage Of Work:
Type of Work: Addition ❑Alteration ❑New
❑ Repair /Replace Demolition
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee 5 Permit Fee $ `. 1(x) CCF $ ` GO CO /CC
Notary 5 5 • Training /Education Fee $ 1 Z 0 Technology Fee $ 1 ' SO
Scanning $ Radon $ Zoning Bond $
Code Enforcement 5 Structural Plan Review. $
Total Fee Now Due 5 6:5 • }p dC b* - — 7 I28
(Continued on opposite side)
Permit No. BPS - 12-GO
)
Mechanical Roofing
3os- 7s1-g'83 y
r
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable) A" k
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.
Signature
Owner or Ag t Contractor
The fore ing instrument acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 0.3, by WI (1 'GL'WI gf �Gj1 S , day of , 20 , by
who is person Iy known 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.
NOTARY PUBLIC:
Sign: •
Print: YiccAQ 4
My Commissior
chc 05/13/03
r NICOLE A BE' RT
:; MI ; MY COMMISSION # DD 441715
MI
% 'f e,... Bonded Thru Notary Public Underwrkers
APPLICATION APPROVED BY:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
�2s�vJ�
Signature
NOTARY PUBLIC:
Sign:
Print:
g
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Plans Examiner
Engineer
Zoning
Railings
Fences
Other
Signature
All elements on the site mus
✓ E -/
vsp
Walls
Fascia
Drip Cap/drip �Edge !
Soffit 0 5 () ())..)
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
APPLICATION APPROVED BY:
Owner or Agent
P& Z Officia
• • • ' Miami Shores Village
Paint Color Approval and Agreement
Date 00/6(
Owner's Name a))Il idAV 4 Mal brii.7.5
Phone #1 —751 -��3
Maly
Owner's Address •
City j/1 S State Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
e listed and indicate the color to be painted
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
w i ndor -s
Accessory Buildings frGM Arnwr _ y
_ _
1 Body: Desert Plain ECC -21 -1
2 Trim: Palisade ECC -21 -2'
3 Accent: Imperial Palm ECC -21 -3
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 (5/2
Date C/O 5
chc 6/18/03
' MIAMI it VILLAG C,
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat JO
Type Insp'n ft r
Permit No. BP0 \Z-6
Name ?N 9 .
Address 783 NC ` 4
Company OULAML
Phone #
Inspection Datet
Approved
Correction
Re- Insp'n Fee