1201 NE 97 St (9)BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5642
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description — � Bl
Address of
Building
CONTRACTOR OR BUILDER
DATE 195
Contractor's
Licesse No.
Work to be performed under this Permit
Subdi-
vision
Value of II Amount of
Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in tho 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 tha 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 the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY •
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
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
Registered Architect and /or Engin€ rr
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
I Street and Number where work is to be done. 11.
State work to be done and purpose of building (by floors)....-
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $i_.
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
be sent to
The undersigned applicant for this building pennit 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, Pennanent 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 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 work 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
Disapproved
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
Date
/V
Notary Public, State of Florida
Street A./
Date.. l Read, Sworn to and Subscribed before me.
..... , 19 s7
Dat
Building Inspector l._ My Commission 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 Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
❑
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 5600
Bl.
DATE
195
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
Permit $
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 the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed BY •
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
PERMIT APPLICATION
FBC 2001
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Aveiue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. n
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ® C 6 -c k S S r 4-7 Phone # , C 7_51 / /ei f
Owner's Address /2 0 i ' i 7 7 ,s
City ,//4 l /q/l l .5 l -(C/! .3 State / ---- C Zip "3 . / 3/
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /20i e 7 ; 14- It
City Miami Shores Village County Miami -Dade Zip - ,j /. 6F
Is Building Historically Designated YES NO X
Contractor's Company Name gr ( l' Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit !?
Square Footage Of Work:
Type of Work: ❑Adddition ['Alteration ENew Er ❑ Demolition
Describe Work: 1" bv7 (6; 6/ SL
* **** * * *** * * * * * *,��,� * * *,�* F ees * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ f Permit Fee $ 620. ± " ` CCF $ ) f 17 CO /CC ,.--
Notary $ iv) Training/Education Fee $ 0° l) Technology Fee $ 4 •>w
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ 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 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
Signature
Owner or Agent � Contractor
The foregoi g instrument was acknowledged before me tlu The foregoing instrument was acknowledged before me this
day of , 20 0 by /V day of , 20 —, by
who is personally known to or who has produce A L who is personally known to me or who has produced
5" 3 9 -/ 7?) - '10 ie's tdenn lc ton and who did take an oath. as identification and who did take an oath.
NOTARY P IC
NOTARY PUBLIC:
Sign: �r Sign
- - - Glnny H. Gunel
YP�
Pnn e Q ��t ___ p ' ' '' "L � ' , Cnmmission #DD3238 / Print:
Expires: May 26, 2008
Bonded Thru My Commission Expires:
Chc 05/13/03
My Commission Expires: _
Atlantic Bonding Co.,
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
* * * * ** * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Datq
Owner's Name u6-4-ifs
Owner's Address 2 . (V 9 7 'I`- S
City / �'�i?�l ( S gam State L Zip (3 A
Job Address (where the work is being done) L 2 0) N( ' 7 1/( 57
City Miami Shores Village County Miami -Dade Zip 3 3 / 3�
Is Building Historically Designated YES NO
applicable) Phone #
Contractor's Company Name (if a p � )
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls U2/- // £
Fascia W H/ ' E
Drip Cap /drip Edge al / / 7 E
Soffit 1'1/H'7_
Roof _ J it
Flower bins Ai 4
n
Shutters 0 v iq-
Awnings N 4-
Chimney Gtr 71
Doors and door jams W N/' £"
Garage doors w' Hy 76--
Railings AM-
Fences l/ N (7f
Decorative metal f( 4
All brick (simulated or regular) U, ( / _ / 7 .
Stucco banding /!/'h ((
Any other stucco features 11 �
it
17 /4
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Accessory Buildings
Other
Signature
APPLICATION APPROVED BY:
Owner or Agent
P& Z Official
Phone #
Attach Color Samples
With Numbers
Lrn
Date
7
Date
4 Zf? 3
' Buil ing Inspection Request \\O
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
No
1 / Q?
R- ,ZQi(J
31575 1 -/1
N
o
Miami Shores Village �0/1 5PS
Paint Color Approval and Agreement
Owner's Nam C �
e��� �d � � �
Owner's Address 1) l volA S
City I 1G.vers i S - c - S State PL
Job Address (where the work is being done) 1 2.0 I
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
Walls wh ' ` , ,
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
Signature 5
APPLICATION APPROVED BY:
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foredo
applicable laws regulating construction and zoning. _
*
Owner or Agent
P& Z
Phone # 5) 75g - ! f
zip 3 3 1,3 g'
**
Attach Color Samples
With Numbers
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ork will be done m compliance with all
Date 1 / (j/d
Date /. 2V/
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/10/2004
Applicant: DOUGLAS
Owner: SEATON
JOB ADDRESS: 1201
Contractor
Local Phone:
Parcel # 1132050090370
Work: PAINT HOUSE EXTERIOR
Signed:
NE 97
(INSPECTOR)
Building Permq
Permit Number: BP2004 -1583
SEATON
DOUGLAS
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 6/1/2005 Construction Value: $800.00
Page 1 of 1
Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 11
BLK 3 LOT SIZE
Fees:
FEE2004 -12139
FEE2004 -12140
FEE2004 -12141
FEE2004 -12142
FEE2004 -12143
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $67.30
440 0k
I N) -ase7(-,
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: