PAINTMIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby utnde for the approval of the detailed st: tetucnt or the plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address . .R> /d......MI .Ch 44
Registered Architect and /or Engineer ��}
Name and address of licensed contractor l.L.i4L h . - l'
Location and legal description of lot to be built on:
Lot Block Sub // division ti
Street and Number where work is to be done / 0 aL� .1. _
State work to be done and purpos building (by floors) .. — .-.
f ..._.� ... ilk) ) 7...Xu . � -a'__ _ ° °-1' _cr ... °�. 5.. D . cep
Building Inspector
,tt. ,11 ...t ,.- ttt111111111 t...t,tttt „01
and for no other purpose.
Ncw Building Remodeling Addition Repairs i No. of Stories
To be constructed of Kind of foundation ,y� Roo Covering
Estimated Total cost of improvements $..- J a �^ Amount of Permit S.. A!1 .. .
Zone cubage required .Plan Cubage
Distance •to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said buildin, ;. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building per:nit does hereby certify that he understands and accepts his obligations 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 rovisions thereof, and will require simi.ar 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 wor to be performed under this
permit. as are licensed by Miami Shores Village.
Remarks (Signed) ... .. ... _._
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No..__ci - 3 57 Date , 3/(r ) Read, Sworn to and Subscribed before me.
Disapproved Date —
Notary Public, State of Florida
(Signed)
My Commiuion Expires _..._..._.._ ..�. _ _..
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member — —._.
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Pl.rnnir,g Board.
A re.in.pec•tion Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING DETMENT 4 - A
305- 795 -2204
Bui ding Inspection Request
Date (D 1 1 Time
Type Insp'n `V I PCI
Permit No. s ( � 19.2C.C/5 — { Co
Name 5'' (S
Address 1bK0 1 %
Company
Phone #
For Inspector: (al P. Name &
Correction
Re- Insp'n Fee
y '` MIAMI SHORES VILLAGE 7g
BUILDING INSPECTION DEPARTMENT /1 3
APPLICATION FOR BUILDING PERMIT it/i:1- -' /72.
Application is hereby mode for the approval of the detailed statement us the plans and specifications herewith submitted for the build •
int; or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iinilding Division of Miami Shores Village sha:i be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during prggrest, of the work.
Owner's Name and Address
3
b .._.. S _ / 19 ._._
4 is f� ' �'t:v�!!�._ _ No2T t- ..__ treet • 4 • Q1<!
Registered Architect and /or Engineer.... ...... ...... .... ..:.. ............ MITT. !TV ,. ..
Name and address of licensed contractor.. .......
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done �_ • �._ _. _. _.
State work to be done and purpose of building (by floors).... .fib 5.,,?-,�%G' i shg.��1 te�
r' •
and for no other purpose.
Ncw Building RemodCling Addition Repairs No. of Stories
To be constructed of Kind of f u a io Roof Covering
Estimated Total cost of improvements $ Amount of Permit $.
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Niaximum live load to be borne by each floor
I hereby submit all the 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 obligations as an employer
of Labor under the 'Florida Workmen's Compensation Act, being Srction 5966, Compiled General Laws of Florida, Permanent Sup clement,
and has complied %sith the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo d 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 sucl notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subco ors
on w ork to • perfo under
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority. a notary public, duly auth orized to administer oaths and take acknowledgments, personally ap-
peared __._.._.
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 foregoing application, and that he did sign the same, and that all facts
therein by him stature true..
at
Permit No.._
Disapproved
(Signed)
Building Inspector
Chairman
Member
Member .. .. _.....__..._._..._._ ...._.
Council Approved Date
NOTE: A charge of $1.00 will be made for
the 1'Lanni,,;; Board.
A re fce of 31.00 will be charged
materials and /or workmanship.
Read, Sworn to and Subscribed before me.
My Commission Expires _
PLANNING BOARD DATE
Member
Member
Member
Disapproved
Notary Public, State of Florida
making corrections itt changes to this application after approval
to me well known,
Date
has hero obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
$EF.IT APPLICATION
10050 N.E. 2nd Avenue • Miami Flt c. ami Shores, F
Date ` 0 3 Job Address /0g-- I, E- '. Tax Folio
Legal Description 1 4 . 44 - r - A I s'e-biS aos 6C e4t Designated: Yes No
,/ D ,/�. -Q / t ->
Owner /Lessee/Tenet /"1 � s /�iL 2 �/T � 'r`� Master Permit # /
Owner's Address 0; 6 Ai• e—• 9( r4 Phone 3O5 7C vi-0 9
Contractin Co. C e : ) hi dT1/J 4 Address 44 ( J A)D j W Z , 1 ) ( Y e - -
Qualifier C— , VI ;LO 1/4 1
State # Municipal #
✓IIAMI SHORES VILLAGE i
38 • Phone: 305- 795 -2204 • 3 0 5 - - 8 9 7 2 Fax: 9 2
Competency # 9 4 Ins. Co. 2V f'1 f e
SS# Phone 305 ! ,s / -7f t /
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: '-- t ~ A•1( �itc 0; Ai3 U ;- e9A) a:2z.° e
APP404' ON ( vy , I ,
Square Ft. Estimated Cost (value) / • CO
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 ANY 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 staridards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
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. Furth( rmore, I authorize the above named contractor to do the work stated.
---,,,• Ar. e kr4P—e_. V47,5
n r�fb Condo Prp sid v e t , lss Date
�L J .. , L
No .1 as to 0 ner an .. Co .a 'resid - at- .... __ ....
My Commie x #IN a M Be ,1 48
t,1
` • Ex piOes NO VV ! .15;2008 ' ,
FEES: PERMIT 6 b (ls;j ,1 l ! #A' 1 ! - C.C.F NOTARY 5, V 6 BOND
APPROVED: TOTAL DUE ‘ 6 .. ! T
5 /c%
Zoning al 1 Buildin Electrical
re of Contractor
Sig
•
ar as to i i ntracto
My Commission Expires
ui der
Date
Mechanical Plumbing Structural Engineer
All Elements n the site must be listed and indicate the color to be painted.
Walls
Fascia v1�
Drip Cap/Drip Edge
Soffit v
Roof
Flower Bins N 4
Shutters �F 11(-€M i vig-CCi
Awnings
g
Chimney ,,1 k
Doors and door jaf s (7) Rep FORS —
Garage Doors f i r
Railings
Fences
Decorative Metal —• � — .( vL4.k
DATE: S r 0 3
OWNER'S NAME: 1(A ,Gegs PHONE: M7 011 0?
ADDRESS: /0 X3'4' /�• �, q(r,
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICNSE (if app 'able) ?It 55 00(2.1'1
f
COMPANY NAME: V i c ] T- i1414-7 14 PHONE: 7 -7/6 ,
` 1 "
**************: c****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
samples.
MIAMI SHO !:S VILLAGE
Paiint Color App al and Agreement
Building Offic'
ate
All brick (simulated or regular)
Stucco Banding
Any other stucco fea ures
Accessory Buildings
Other
,kowE
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. I authorize the above -named co tractor, if applicable, to
do the work stated. Furthermore , the pa - c. ors will b: as per t - attached
Signature of Owner Date Signature of Contrac • Date
**************** c****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
FLORIDA 8NNTE
----Me Sunshine State
•A&
' PATRICIA CALPINUASTRE
1551 N E 105 STREET
MIAMI
02-14-64 F
-06
2841
-1999
01- -1993
S236-687-64-554 02-1
CLASS: E
SAFE DRIVER TA. ' 7 - 01 993
$:0AN 0
Ae4,0j
1 1
4
8094". 124
• •
,`'
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/8/2003
Applicant: CESAR SASTRE
Owner: SASTRE CESAR
JOB ADDRESS: 1086 NE 96 ST
Parcel # 1132060143480
(INSPECTOR)
In consideration of the Issuance to me of this permit, I agree to perform the work cc
conformity with the plans, drawings, statements or specifications submitted to the prc
done by either myself, my agent, servants or employes.
Signe
Building Permit
Permit Number: BP2003 -746
Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE
Local Phone: 305 - 751 - 7164
Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 4 BLK 81 LOT SIZE
Fees: Description Amount
FEE2003 -2777 Building Permit Application Fee $60.00
FEE2003 -2778 CCF $1.20
FEE2003 -2779 Notary Fee $5.00
Total Fees: $66.20
Total Fees: $66.20
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 11/4/2003 Construction Value: $1,500.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
(Contractor or Builder)
ROBERT S. VISCOUNT, JR.
840 GRAND CONCOURSE
MIAMI SHORES, FL 33138
•
Pay r of the / nn
o (
order (( t
Bank ofAmerica.
ACH R/T 003100277
For 7 f � 7 " "3 -7 y'(�
Page 1 of 1
1:063 L00 2 771: 0 133 L6ii' 2590
S ao Dollars
BY:
2590
Date 5 7' 03 63-27/631 FL
I $ . Z
Colas on O..
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