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1050 NE 96 St (7)BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building DATE B 195 o PERMIT N° 6521 Contractor's ti License No. 0 1 Owner of Building . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Lot B1 Work to be performed under this Permit Signed ' Subdi- vision Value of Project $ INSPECTOR Amount of Permit $ 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in a statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. j BY 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 specificationfi' submitted, to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or EY AUTHORITY 6 ik2 /b 5 oic BUILDING PERMIT APPLICA Ol d` FBC ' 0 2001 �" ����� °° Permit Type (circle): > / 6wner's Name (Fee Simple Title u . -r J 00 a ea t , Phone ,3tS��r - '�' 11 �� Owner's Address / / a� Ale- 4 ' City /gt4•J/ ,�N vjU State jam- Zip 33i3 Tenant/Lessee Name Phone # ✓Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES K tontractor's Company Name ",/G /� �'t 790 r Phone.3 d Sj t‘fr Contractor's Address / 4? C dim /3 0 City Qualifier V r / State State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: EAddition ' escribe Work: Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: j 05) 795.2204 :Fax: (305) 756.8972 ALF AIM ❑Alteration New ❑ Repair/Replace ❑ Demolition frt • Electrical Plumbing Mechanical Roofing 9-0 joi—e County Miami -Dade Zip 3 3/ 3 c NO c� Permit No. r(>5 _ J'P • Master Permit No. Zip 33/6! Square Footage Of Work: A * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ � J ll . CCF $ 1 2 . CO /CC Notary $ Training /Education Fee $ , L10 Technology Fee $ I.50 Structural Plan Review. $ )7c,16 4 Zoning Bond $ 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 approved and a reinspection fee will be charged. Signature Owner or Agent ` Contractor The foregoing instrument was acknowledged before me thus The foregoin instrument was acknowledged before me thus j 0 day of 9 , 20 OT by ,'Mcf c 4., ' , day of 1 1 by who is person nown to me or t „ __ who .erson ly k� n to e or who has produced As ide i' t . . identification and who did take an oath. -f !0 NOTARY PUBLIC: Zorn NOTARY PUBLI I - / ,\ ewa on Mabel V, •gas Sign: r ✓� Sign: ` + _ asi`f�fil+" WWt;A ?.31984 �`— Print: . ee f Londe Chic 05/13/03 Print: C My Commission Expires: ///(/0 APPLICATION APPROVED BY: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �` AN 1 3 20 Plans Examiner e *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning Miami Shores Village • - Paint Color Approval and Agreement Date JOAS a 7.0 Owner's Address ore 7 1 City ' IOW/ fZgle;› State Zip Owner's Name Job Address (where the work is being done) /0T0 ' 9.6 County Miami -Dade Zip City Miami Shores Village Is Building Historically Designated YES NO Phone #(3 OT3 7 6 - 7 , d3 GJ 33/')!r Phone # 00 z9 Contractor's Company Name (if applicable) **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *"l" ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted .S-J '7 Walls °� r/9 riA. a' Fascia �•� "� ' 7 Drip Cap /drip Edge $ C! Vs 4) Soffit --tr-Sa Roof It/ Flower bins Shutters Garage doors Railings Fences Signature APPLICATION APPROVED BY: Awnings d°' / "�j Chimney r p Doors and door jams JJ 1 / l ia Ar6,--(7 7 r / � - U Owner or Agent • 1. Decorative metal p All brick (simulated or regular) PM •9 Stucco banding fr / ' Any other stucco features A' /e Accessory Buildings $4• 7 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 construction and zoning. Date 010- Date / /( // 5 chc 6/18/03 Paint Color Approval and Agre Date Owner's Name ` Q %N Ccic4_,z) P Owner's Address /0.7-0 ! G 6 sr- City / wt, ` State f Miami Shores Village E Job Address (where the work is being done) / / OJ r; A dfrf= ci6 .sA City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted 4 / 9 2 /gPk —/ , / L ( 9 Z 4. /1-to---- Walls Fascia �c � Drip Cap /drip Edge ..5 !^-4 o1 't ° 7 (/el l ' L = Soffit (-/ 9 Z de , Roof , Flower bins d Shutters /1., 11 Awnings / Chimney /1-7,17- Doors and door jams £ 1 .Or` Garage doors W4 of 'ev/ P Z 7 i A-7 Railings 14/ Pr Fences '' Decorative metal d`' All brick (simulated or regular) Pe- JU— '� / "�, Stucco banding ' Any other stucco features ate' 1 C Signature APPLICATION APPROVED BY: Owner or Agent Phone # Zip 3 3/Ar e iMfifiNED JAN 9 9 2045 1/ @0 Date Date White Dove 06 492 Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance with all applicable laws regulating construction and zoning. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu ding Inspection Request A Date Type Insp'n Permit No. Name C i Address (' s Company Phone # Inspection Date Approved Correction Re- Insp'n Fee 41 ] vl )rt QCo �1- --(MIAMI SHORES VILLAGE DING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request \ O \ Date Type Insp'n (� } Permit No. Approved Correction Re- Insp'n Fee Name �) ¢� Address f (\ ` -) / — '? Company Phone # Inspection Date Miami Shores Village 10050 NE 2nd Avenue Parcel # 1132060143520 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -36 Printed: 1/21/2005 Page 1 of 1 Applicant: JOHN CAMP Owner: CAMP JOHN JOB ADDRESS: 1050 NE 96 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 Fees: Description Amount FEE2005 -911 Building Painting Fee $60.00 FEE2005 -914 CCF $1.20 FEE2005 -915 Notary Fee $5.00 FEE2005 -916 Training and Education Fee $0.40 FEE2005 -917 Technology Fee $1.50 Total Fees: $68.10 Permit Status: APPROVED Permit Expiration: 7/9/2005 Construction Value: $2,400.00 Work: PAINT HOUSE EXTERIOR Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 9 & ALL LOT 10 BLK 81 Total Fees: $68.10 Total Receipts: $0.00 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -36 Printed: 1/21/2005 Page 1 of 1 Applicant: JOHN CAMP Owner: CAMP JOHN JOB ADDRESS: 1050 NE 96 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 Parcel # 1132060143520 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 9 & ALL LOT 10 BLK 81 Fees: Description Amount FEE2005 -911 Building Painting Fee $60.00 FEE2005 -914 CCF $1.20 FEE2005 -915 Notary Fee $5.00 FEE2005 -916 Training and Education Fee $0.40 FEE2005 -917 Technology Fee $1.50 Total Fees: $68.10 Permit Status: APPROVED Permit Expiration: 7/9/2005 Construction Value: $2,400.00 Work: PAINT HOUSE EXTERIOR Total Fees: $68.10 Total Receipts: $0.00 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: