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BP-05-872Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/13/2005 Applicant: BUFORD PITTS Owner: PITTS BUFORD JOB ADDRESS: 142 NW 95 ST Contractor Local Phone: Parcel # 1131010330620 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -872 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 6 PB 10 -39 LOT 5 & 6 BLK 132 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -8111 Building Fee $100.00 FEE2005 -8113 CCF $1.20 FEE2005 -8114 Notary Fee $5.00 FEE2005 -8115 Training and Education Fee $0.40 FEE2005 -8116 Technology Fee $2.50 FEE2005 -8117 Scanning Fee $3.00 Total Fees: $112.10 Total Fees: $112.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/6/2005 Construction Value: $2,000.00 Work: REPLACE 25 FT FACIA BOARD PRESURE CLEAN ROOF SEAL ROOF PAINT �' � n :;;I 2 0PAS® I 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simp e Titleholder) Owner's Address Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated Contractor's Company Name Contractor's Address City State Certificate or Registration No. $ Value of Work For this Permit/ 2( Type of Work: Describe Work: Submittal Fee $ Notary $ Scanning $ ❑Additipn ['Alteration Code Enforcement $ (Continued on opposite side) &5 Permit Fee $ Radon $ Total Fee Now Due $ oZ l Miami Shores Village Building Department 10050 N.E. !� �.�, , • ,, Tel: (3a� o 2E 4 Flax ° 3 6` JUN 2195 County Miami-Dade YES NO /� State Florida 33138 )756.8972 Z�- DNew JUN 13 5 Permit No. 'BR'S- ETD - aster Permit No. Plumbing Mechanical Roofing Phone # S $ 1 Certificate of Competency No. Zip 5 ,_q * *a' Phone # S l 1 Qualifier ** *** * * * ** * * * * * * * * * * ** * * *Feeg* * ** ** * * * * * * * * ** ** * * * * * * * * ** Training/Education Fee $ `'"(1 Zip Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: fl-411 I c1 e it epl ce 4,R g ❑ Demolition CCF $ I . CO /CC Technology Fee $ SO Zoning Bond $ � • Structural Plan Review. $ �� 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 bu ' ing permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charge I Signature> j Owne "or Agent Contractor The foregoing instrument was acknowledged before me this ' 0 The foregoing instrum as acknowledged before me this �.b day of 20 by f3 FOR) P1 , , day of , 20 who to me or who has produced who is personally known to me or wh as produced NOTARY P Sign: Print: My Co s fission Expires: * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 APPLICATION APPROVED BY: Signature s ide tification and who did take an oath. as identification and w : did take an oath. Mabel V ; , • TARY PUBLIC: n 8DD23I9;' Sign: nt r7 JuQ ! 3, 2007 r. Print: antic Bonding Co *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** * * * * ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: 6- Plans Examiner Engineer Zoning oS Proof of ownership provided ( ) Was acknowledged before me this C4V day of B Prod t � Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT 1 I e g v being the legal property owner, for the property Located at: 17 2— A-) J // uced aoc54 3 C Legally described as Do hereby petition the Village of Miami Shores to act'as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),.nd I have read and understand the following disclosure Statement, which entitles me td work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. ! You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. initial of reviewing clerk. The fore oing instrument rsonally known to me or who has who did take an oath. • • as identificatio " . Commiss '►`. Ex Ju8 s "° Bonded Th !antic Bonding S 231984 2007 Inc. 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION i Master Permit No. Contractor's Name: ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (fL Section A (General Information) Process No. ❑ Other. Are there Gas Vent Stacks located on the roof? ❑ Y 1 Page 2 Job Address: Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles k9 iO 96 Roof Type ❑ New Roof ❑ Re- Roofing ❑ Recovering ❑ Repair iaintenance Roof System Information Steep Sloped area (ft. Section B (Roof Plan) If yes, what type? ❑ Natural ❑ LPGX ig-IVIortar/Adhesive Set Tile ❑ Wood Shingles/Shakes Total (ft. Page 1 of 1 ■ ■ ■■>•■■■m■rlrlommEmmm= _ - - - -- :i:! =_ wiam mmwvm■■m■ ■■1•■■mti/ ■■■■II - - -mm: mm. . 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