1219 NE 96 St (9)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -763
Printed: 6/9/2004
Applicant: ANNA MARIA
Owner: MARIA ANNA
JOB ADDRESS: 1219 NE 96 ST
Contractor
Local Phone:
Parcel # 1132060143810
Signed: (INSPECTOR)
Building Permit
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 11/30/2004 Construction Value: $500.00
Work: PAINT EXTERIOR HOUSE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W25FT LOT 12 ALL LOTS 13 & 14
Fees: Description Amount
FEE2004 -5845 Building Painting Fee $60.00
FEE2004 -5846 CCF $0.60
FEE2004 -5847 Notary Fee $5.00
FEE2004 -5848 Training and Education Fee $0.20
FEE2004 -5849 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
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:
JRECE VE
f ' t,i 2004
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Contractor's Company Name
Type of Work: ['Addition
Describe Work:
Owner's Name (Fee Simple Titleholder) .(. /,q 2, 27O � Whone # 30,5- /-57
- 257 • 0
Owner's Address / oZ / 9 t' 6 9 0 / p�
City A/ ", i� State , Zip . 33 / 3 CJ
Tenant/Lessee Name Phone #
Job Address (where the work is being done) J e ,q ' 4
D /
City Miami Shores Village County MiaDade Zip
Is Building Historically Designated YES NO
$ Value of Work For this Permit ✓ -
Contractor's Address
City State Zip
Qualifier
Staie Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
itY
Pi / c - / 0X )
Submittal Fee $ Permit Fee $ (DO s UD CCF $ • (Q d CO /CC
Notary $ 6° Training/Education Fee $ • AO Technology Fee $ 1 c
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ (Q ! C 9(6
y
(Continued on opposite side) 1 11.8 i n 1 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
Phone #
Permit No. Bp 9zO
Master Permit No.
Square Footage Of Work:
['Alteration ENew ❑ Repair/Replace ['Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a rei pection fee will be charged.
Signa
Chc 05/13/03
/14,i(
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 3 The foregoing instrume • was acknowledged before me this_
day of N?'he , 20 , by Eli T 1 c b c i C CcYh10,
who is personally known to me or who has produced 22$- 22-- -1
As identification and who did take an oath.
APPLICATION APPROVED BY:
NOTARY
Sign: �_� - Sign:
Print: �:'C�� ^��rl�lrL,�LI�� Print:
f 1 al' uS
My Commission Expires: 2 °? ` ? Commission #DD231984 My Commission Expires:
of tioQ, Bonded Thru
Atlantic Bonding Co. Inc
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(2/ (
Signature
day of
who is personally
LIC:
, 20
to me . who has produced
as identification
d who did take an oath.
Plans Examiner
Engineer
Zoning
Si
City
Miami Shores Village
Paint Color Approval and Agreement
Date 0 /P/4/R
Owner's Nam, 6,6,/g'' O/
/P Owner's Address l 9 /% _ 9e #
�'✓LC �,►vr t S h,.. -t- State I" Z
44 33/3,'
Job Address (where the work is being done) fog /
County Miami -Dade Zip
Is Building Historically Designated YES NO .�
Contractor's Company Name (if applicable) n Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the c
Walls 3.3 y° /f9O /A &2'6'4/ afS L
Fascia Gilt/ 7E5
City Miami Shores Village
Drip Cap /drip Edge
Soffit
Roof
Flower bins '3 3
,tlC -f3.2 �- H c- /3 Izt
Shutters '
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal 844 CA","
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other i4/4 AoDel)D Weig/e-1 33 ?/ /, a
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and
applicable laws regulating construction and zoning.
APPLICATION APPROVED BY:
Owner or Agent
P &ZOIf'i •
Zip
Phone # �5 Z, 7 75
33/ 3�
1B
banan - appeal
Date
332
A
* * * **
with all
06
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -763
Printed: 6/9/2004
Applicant: ANNA MARIA
Owner: MARIA ANNA
JOB ADDRESS: 1219 NE 96 ST
Contractor
Local Phone:
Parcel # 1132060143810
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 11/30/2004 Construction Value: $500.00
Work: PAINT EXTERIOR HOUSE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W25FT LOT 12 ALL LOTS 13 & 14
Fees: Description Amount
FEE2004 -5845 Building Painting Fee $60.00
FEE2004 -5846 CCF $0.60
FEE2004 -5847 Notary Fee $5.00
FEE2004 -5848 Training and Education Fee $0.20
FEE2004 -5849 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
Signed: (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 accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil ng Inspection Request
Date 1 1 6
Type Insp'n 11)4-
Permit No. SP 2004-11 J
Name
Address 1).-KI NE q0(31
Company al)feY
Phone #
Inspection Date 11
Approved
i C71 Correction
Re- Insp'n Fee ❑
Inspection Date
Approved
Correction
Re- Insp' n Fee ❑
A5►
MIAMI SHORES yILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil ng Inspection Request
Date 11 6
Type lnsp'n (.I I
Permit No. DP 2601-- - X 7 3
Name nI Y 1
Address e N 105
Compan ra
Phone #