297 NE 97 St (4)MIAMI SHORES VILLAGE
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
BUILDING DEPARTMENT �,
305- 795 -2204 t
Bui }ding Inspection Request
Date��
Type Insp 'n porn+ b --1•44j
Permit No. 1 1f05 -2!
j �
Name f fl ,, ' n
Address aq NE q1
Company O
, MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
.0-
Date ,,
s 4
Type Insp'n
i\
Permit No.
Name ;: •
)
Address r.)-
f''
-
Company v
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
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 joh 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
oing instrument was ackn wlledgee me this 7 Y 9 )r ` C' SC(} C" _ day of , 20 _, by
The fore
day of
who ' rsonally now to me or who has produced
Chc 05/13/03
The foregoing instrument was acknowledged before me this
* * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
who is personally known to me or who has produced
s identi • tion and who did take an oath. as identification and who did take an oath.
NOTARY NOTARY PUBLIC:
= / F � ;= 23198
Sign: Sign:
Print:
md Print:
My Commission Expires: My Commission Expires:
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** jk***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
JAN 11 NO
Contractor
{
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
• FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Ti
Owner's Address 95A/ E
Cit I" i - 5hM/l e 5 State
Tenant/Lessee Name
Job Address (where the work is being done) 299-
is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City State
Qualifier
$ Value of Work For this Perm / C Q 0r V
Type of Work: ❑Additi
Describe Work:
Total Fee Now Due $
(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
❑Alteration ['New
/4 n7• gp770Ve v/
(ell_ '5 C_C,
Permit No. 12:) D 0—q
Master Permit No.
Electrical Plumbing
kr Pe /9/ 5 Phone #
9 s-7
7% L
Zip ,.331 .6)
Phone #
3
City Miami Shores Village County Miami -Dade Zip 33/3 2
0 CA) r? I - Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
- REMOVED
OV(D
JAN 2 J
CI 0 Ca 0
Mechanical Roofing
2/5 - /S3 9
Zip
❑ Repair/Replace ❑ Demolition
Submittal Fee $ Permit Fee S Go .00 CCF $ � Q CO /CC—
Notary $ 5 Training/Education Fee $ e Zv Technology Fee $ f - d
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
(
■
Date
Soffit _
Roof eA o o
Flower bins
Shutters
Signature
Miami Shores Village
• Paint Color Approval and Agreement
Owner's Name
� f ,
Owner's Address �.' ' i, e
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Phone 3 &3 -/ S 3 ?
z(P,4/
County Miami -Dade Zip
NO
Contractor's Company Name (if applicable)
Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls 5 . /75 -7-0-779,49/ 7
Fascia
Drip Cap /drip Edge
Awnings
Chimney
X 0W (1 002 73 `› e-ei r-
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular) 5• ' ' /0z g e ;
Stucco banding
Any other stucco features
Accessory Buildings
■ Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NER'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.
APPLICATION APPROVED BY:
Owner or Agent
P& Z Official
Date / / ?/d S
chc 6/18/03
Date
Owner's Name
Owne
City L ° Sf' On -e
Walls = .
Fascia
Drip Cap /drip Edge
Soffit ) � _
Roof �/ lam/ f
Flower bins
Shutters
Signature
Miami Shores Village
Paint Color Approval and Agreement
//7e-e /7,-C76
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
** * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate
APPLICATION APPROVED BY:
State
29?- �C /•E ,
1.141-
Awnings �1� /�
Chimney ' / l 44'4? /
Doors and door jams ' LA ! / 2 ' e
Garage doors
Railings i
Fences
Decorative metal
All brick (simulated or tit)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
P& Z Official
Phone# (OS / 275-/c3
Zip �� e
Ri
Date
•
LIP; 7
-
L3
SW 6114
Bagel
SW 6115
Totally Tan
SW 61 12
Biscuit
1 7 ( ' (idfr
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.
Owner or
Agent
Date )/C6-
/ chc 6/18/03
CA/led -Ikiii-AgAye, 4\7\0_5-
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/20/2005
Applicant: JENNIFER BOLTON
Owner: BOLTON JENNIFER
JOB ADDRESS: 297 NE 97 ST
Contractor
Local Phone:
Parcel # 1132060134290
Signed:
Building Permit
Permit Number: BP2005 -29
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 BLK 31 LOT SIZE 53.810 X
Fees: Description Amount
FEE2005 -861 Building Painting Fee $60.00
FEE2005 -862 CCF $0.60
FEE2005 -863 Training and Education Fee $0.20
FEE2005 -864 Technology Fee $1.50
FEE2005 -865 Notary Fee $5.00
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 7/6/2005 Construction Value: $1,000.00
Work: PAINT
(INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
t
Date 6/0/2 Job Address Z 92____IVe- 97 S Tax Folic
Legal Description
Owner / Lessee / Tenant JOGllil
6C974-
Owner's Address 19'7 /Vc 777 57 Phone
Qualifie 07 )4. e /iwepQit Address
Contracting Co.
� t ss4� / T - V y - d O 7 7 phone 1-457-‘7v.5
State li: Municipal # Competency # 67/Y /3/ Ins.Co. p
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): :UILDI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION DGI(' C
W
ture of owner and /or Condo President
D.� MICHAEL ?WASKLWYCZ
Notary Pali; State of Flan
My Conn. expires Apr 10,169$
No. CCSSSgg
Notary as to Owner anctra Centio President
My Commission Expires:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORN
Zoning Building
Master Permit #
Square Ft. Estimated Cost(value) //CO'
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 regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature •f Contractor or ' er- Builder
Da te
r as to Contractor or
Owner- Notary lder
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT / '9° RADON C . C . F . NOTARY 6 TOTAL DUE 1/ ) 1 ' 1 f / °
Fire / ;1-1 Other
Aq?
Electrical
Mechanical Plumbing Engineering