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
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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