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1090 NE 96 St (3)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of 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 .. .(..1..!..1..�.1� .� ....__ ?�!1 .. L`� _ N o / 0 0 d ..... Street._. N y �I .. Registered Architect and /or Engineer -, ,., • , _�. j .�_ .�. __ ,_ 3 �_ -�-- Name and address of licensed contractor... X 4 %' X 1`-CI I t * S j 5'Nb -C 1 Pl ' 11 Location and le al description of lot to be ilt on: n e-' D d /114,1t2' Lot j ° Block SubdivisionW...n J 1 � - -- 2 Stzeet and Number where work is to be done /0 2 b l�l�. ._:... ‘ f ..... - .. — � . — State work to be done and rpose of building (by floors) l �� -r 6 7,7; r -•• -- " -• = - / g°.q-• 151-_"-.-,--7-- 1 1 4._ CLGs.<_7--- be sent to G) -_.� -T r f ' -a.. .,1•�t - -rte and for no other purpose. New Building Remodeling Addition Repairs � No. of Stories To be constructed of Kind of foundation � y Roof Covering Estimated Total cost of improvements $... c.J�...O O • Amount of Permit S. 3 l e0O 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 building. All notices with reference to the building and its construction may X9 0. ?'Z sT. .ca:. 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 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 inspe tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subetS etors, n work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks - -. _ . _ (Signed) ... STATE OF FLORIDA, ss. COUNTY OF DADE. ` Bcfore me, the undersi ned authorit , a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ...6 t-11. 0 ,e( 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._ Date Disapproved Date (Signed) 1 � �� j'O ReC Building Inspector My PLANNING BOARD DATE bsoribed before me. to me well known, Notary Publi6, State of Florida NOTARY PUBLIC STATE OF FLORIDA Commission Expires... .MY- COMISSIA 1.- E- Xp••.11 y --i9 -.1993 BONDED THRU GENERAL INS. UND. Chairman Member Member Member Member ...... — - - - _ _ Member —.. Council Approved. Date Disapproved D - a te . NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plmning Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date r Type Insp'ni� Permit No. � a.� �' ��� r Name Address Inspection Date Correction CompanyC, mpLat,' Phone # Re- Insp'n Fee ❑ ti BUILDING PERMIT APPLI FBC 2001 Tenant/Lessee Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit yr Type of Work: ❑Addition Describe Work: (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 e Aate4, Ole ct 1 Notary $ "` Training/Education Fee $ 0.00 Total Fee Now Due $ Iu\ckc' aster Permit No. Permit Type (circ e): t uilding Electrical Plumbing Mechanical Roofing / Owner's Name (F :e Sim Titleholder P2 l� /�t e s!j aetz, Phone #( 30,7 D 7(3 ' 5' n Owner's Address ' . `7 Sl City //947/ � State , Zip 33/3 g Phone # Job Address (where the work is being done) /OW' ,V 6 We' City Miami Shores Village County Miami -Da Zip 3 . q o Is Building Historically Designated YES NO Contractor's Company Name ' r �' ' — Yhone � 0 Li > Contractor's Address /4/7, /� �1 ' City /7 /¢iy/ State re — Qualifier Zip Permit No. 33 /d/ State Certificate or Registration No. Certificate of Competency No. Z2/# Phone # Square Footage Of Work: 5/e ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition e42 h fre-Le * * * * * * * * * * * * * * * * * * * * * * * *** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ PerniitTee $ i 0 r ✓ CCF $ e CO /CC Technology Fee $ Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ 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 of be approved and a reinspection fee will be charged. ignature Owner or Agent The foregoing instrument was acknowledged before me this 25-- Th • egoing instrument was acknowledged before me this � l day of �„ ` ��l , 20 Gs', by /'1t t�L l! JLq c4 'Z who is personally known t! .�;orialaimas ho is perso ally k • Trto me o o has produced e an oath. as identification and who did take an oath. Wires • 10, NOTARY PUBLIC: =i+' Bonded Thrn NOTARY PUBLIC: Bonding Co.. tac. /r--' 4Ginny o�?el Sign: // • t. I K! /rft� :�1YP ' + 1 • S. `�'ommissio �i P •r =' . 4.: Expires: 11' r. ____ � My Commission Expires: i OFM1 . Atlantic : • rnission Expires: ********************************************************************** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** Y ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 NM31MI5 Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Owner's Name M, /7 E S.fry'00L Phone # (3sJ 7S7' 7 O y Owner's Address / City /' "/ 10 0/ JD # State Pe • Zip Date Job Address (where the work is being done) City Miami Shores Village 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 Walls / O 9 hC / Fascia a L)ri - Drip Cap /drip Edge 91 y Soffit /4)A 1rre-- Roof s'/ At Flower bins /v/ it Shutters E —Cfe4c Gi Gc Al (g' Al ) Awnings Chimney /V/ A9 Doors and door jams W Garage doors (NI L rVe_ Railings W/* Fences IC01- Decorative metal aJ 961 All brick (simulated or regular) 11 ' Stucco banding Any other stucco features / '/ Accessory Buildings 1^'� 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 r construction and zoning. S ignature Owner or Agent APPLICATION APPROVED BY: P &ZOffi 090 /-' 96 ,s7' 33/ County Miami -Dade Zip NO. Date 3/2 Date chc 6/1 8/03 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -461 Printed: 4/8/2005 Page 1 of 1 Applicant: ALAN SANDLER Owner: SANDLER ALAN JOB ADDRESS: 1090 NE 96 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 Parcel # 1132060143470 Legal Description: MIAMI SHORES SEC "a Fees: Description Amount FEE2005 -3997 Building Painting Fee $60.00 FEE2005 -3998 CCF $1.80 FEE2005 -3999 Notary Fee $5.00 FEE2005 -4000 Training and Education Fee $0.60 FEE2005 -4001 Technology Fee $1.50 Total Fees: $68.90 Permit Status: APPROVED Permit Expiration: 9/27/2005 Construction Value: $2,450.00 Work: PRESSURE CLEAN AND PAINT HOUSE EXTERIOR Signed: (INSPECTOR) DO 1 97 i t-% c-• n n -' r•• • - - 6c)6(/ 4 alIDO 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: EGULAR OR