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1215 NE 97 St (3)Date /1 -0Q / ' / 7Job Address /O( /6 (& / 7 - Tax Folio Owner's Address Square Ft. / 4 00 Sig No - • My Co PERMIT APPLICATION FOR MIAMI SHORES VILLAGE wner and/•. Condo President 0 �j Owner and/or Condo Preside Dat ssion Expires: - "'Ro OLGA FERNANDEZ My Commission CC455088 Expires Apr. 25, 1999 Bonded by HAI 800-422-1555 Mechanical Plumbing 7 Estimated Cost (value) 1 1 o5 009 ✓ v Legal Description Historically Designated: Yes No 4 Owner/Lessee / Tenant r• z 4 kt< c i p C= 6 l l r) (Master Permit # 4 42- / 7 to 0/Jr N e_ 9 - Phone 757 6202 90 Contracting Co. `vC. //A ( i Address b• Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f 1 L( - 1 r - i i n L - c t2r� ©F � TO vc/ . �1 Electrical Engineering 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 AN 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 standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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 re: s1 g construction and zoning. Furthermore, I authorize the above -named contractor to do the work: stated. Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: 1, //� FEES: PERMIT / RADON C.C.F._p 60 NOTARY �-- BOND APPROVED: TOTAL DUE C40, I 1 Bui1c pDepai tment 1_050 N.E.2nd Avenue, Miami Shores Florida 33138 Tel: '(305) 79 .2f044 84i305)'56.8972 �. L• '7 Gi r. n C' C:��1 BUIL ING PERMIT AP' _l ION FBC 2001 ter Permit Type (circle): Building Miami Shores Village Owner's Name (Fee Simple Titleholder) DOI./ kv Phone # Permit No. 2 ° So V Master Permit No. Electrical Plumbing Mechanical Roofing ( :;)1 ".12 - 1 d- Owner's Address 1�� u - r City LA State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO State Certificate or Registration NcCq to513f77 $ Value of Work For this Permit Type of Work: Describe Work: Total Fee Now Due $ (Continued on opposite side) ❑Addition . VA ,1teration County Miami -D)de Zip Contractor's Company Name Poi 1'l4 07744114414,.. • Phone # Contractor's Address ' s 1 i 1( dam^ City 1p State Qualifier 0A' _9 000, Square Footage Of Work: [New cp.&'2 Submittal Fee $ Permit Fee $ Notary $ V Training/Education Fee $ (0° Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ CCF $ * * * * *** * * * * * * * * * * * * * * * * * * * ** F ees * *,t * ** * * * * * * * * * * * * * * * * * * * * * * ** Zip 33 -cam Technology Fee $ Bond $ o Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # ❑ Repair /Replace ❑ Demolition 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. 1 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 inss'ctio hick occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will nmt big oved and a reinspection fee will be charged. Signature \ \" Signature Sign.:- - NOTARY PU Owner or Agent Contractor The foregoing instrument was acknowledged before me this 4 The foregoing instrument was acknowledged before me this day of di, - '26 by , day of , 20 , by wh9'is personally known to rrle or who has produced who is personally known to me or who has produced LIC: My Commission xpires: APPLICATION APPROVED BY: Chc 05/13/03 entification and who did take an oath. /te **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 6 My Commission Expires: as identification and who did take an oath. Yi H. Gd9ARY PUBLIC: '= Commission #DD323870 Sign: Expires: ' ay 2008 Bonded Thru Print: ' Atlantic Bons mg .., Inc. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -307 Printed: 3/28/2005 Applicant: DONAL Owner: KAFKA JOB ADDRESS: 1215 NE 97 Contractor Local Phone: 954 - 472 - 8470 Parcel # 1132050090380 Signed: (INSPECTOR) Building Permit KAFKA DONAL ST BUELL RICHARD GENERAL CONTRACTOR Contractor's Address: 7511 FILMORE STREET Permit Status: APPROVED Permit Expiration: 8/31/2005 Construction Value: $2,000.00 Work: PAINT HOUSE EXTERIOR AS PER ATTACHED Page 1 of 1 Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 12 BLK 3 LOT SIZE Fees: Description Amount FEE2005 -2851 Building Painting Fee $60.00 FEE2005 -2854 Technology Fee $1.50 FEE2005 -2855 CCF $1.20 FEE2005 -2856 Training and Education Fee $0.40 Total Fees: $63.10 Total Fees: $63.10 Total Receipts: $63.10 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: cri, MIAMI SHORES VILLAGE KJ BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ? /z a /05 Type Insp' n t r�Gq / PCB t•- Permit No, 2 P 3c,"1 Name DID r — C 1 kj r tccci Address X 2 1 5 NE- c Company (005)133- � - C..1 1 1 2I C..r)Ci d d Phone # 12 , Inspection Date a I Approved Correction Re- Insp'n Fee CRITIQUE SHEET JOB ADDRESS 1_91- / �( APPLICANT PHONE # APPUCATION e7 SHEET OF MISCELLANEOUS PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL BY I. Subject to compliance wtth alt Federal. State. County.W age cute: and regulations. Vlttt &ge a no responsibility for accuracy otlor results from these plans. 2. This copy of plans must be available on building site or no Inspection will be conducted. INITIALS DATE ROOF SCALE a r . 3• s• PENNYWISE SW 6349 1- House body SW 2 - Wood Shutter color SW 3 - Fasia de Techo SW 4 - Puerta Principal SW 6083 Sable 5 - Techo de Tiles Spanish S- Standart Weight Color Buttered Antique Unseal 6 - Residential Garage door Clopay Value Plus Serie Traditional Long panel color SW 7 - Driveway Seregetti Stone grande Gettysburg Gray 8 - Exterior Lighting as per sample:- Peaiter. iv FRONT ELEVATION RESIDENCE FOR MR.DQNALD KAFKA Address : 1215 NE 97th Street Miami Shores Villas - Fl - 33138 45 Degree Inc. Address :3716 NE 168th Street NMB - FI - 33160 Date Owner's N Owner's Address O State City Miami Shores Village Paint Color Approval and Agreement Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Walls /' : _ -A - , 1/4—a J ' 14, Fascia i.. Drip Cap /drip Edge Soffit ,,�� Roof /C - 4 Flower bins '�' d 'GL — � Awnings /')— Chimney Shutters Doors and door jams Garage doors Railings Fences Decorative metal Signature / All brick (simulated or regular) '' Stucco banding Any other stucco features Accessory Buildings y �f Owner or Agent APPLICATION APPROVED BY: Zip County Contractor's Company Name (if applicable) Phone # *************** *********************************************** **************** * * ' k * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements the site must be listed and indicate th° pnlnr f" naintad P& Z Officiate Zip SW 6108 lotto SW 6667 Afterglow SW 6142 Macadamia Date Date TT 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. DA2/8 chc 6/18/03 Date Owner's Name Owner's Address C Signature APPLICATION Job Address (where the work is being done) City Miami Shores Village County Is Building Historically Designated YES Walls Fascia Drip Cap /drip Edge Soffit Roof Miami Shores Village Paint Color Approval and Agreement Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences 1 w Decorative metal I ' All brick (simulated or regular OVED BY: Phone # Zip r I I U Contractor's Company Name (if applicable) Phone **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I * * * * * * * ** * * * * * * * * * * ** * * * * * * * * *7 *** * * * * * * * * * ** * * * * * ** All elements on the site must be listed and indicate the color to be painted Zip / SW 7010 White Duck SW 7011 Natural Choice Stucco banding Any other stucco features Accessory Buildings _ t 7 C v Other , (5 A/$ * # * * * * * # # # # # # # # # # # # # # # # # # # # # # ## IN —� / OWNER'S AFFIDAVIT: I certify th; all the foregoing information is accurate and that a work will be (1 (1 lance with all applicable laws regulating cons ' ti .- an g Q1AA-(0).Jv Owner or Agent P& Z Official Date Date chc 6/18/0;