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357 NE 97 St (2)PERMIT APPLICATION FOR MIAMI SHORES VI Date 2// 0/ 9i Job Address 3; N E CI`I 4 , Si • Tax Folio Legal Description Historically Designated: Yes Owner te 1 \1 1 0 tr 1 '�" ir'� <[F' 'v' �; t� Master Permit # Owner's Address J Phone j s 4 Contracting Co. �(� 1 Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION , i r'-4- t ),r)v- C nor' [. ) PC r \n Gulf \ l 4 i ` 1 w;\\ \o, e0.6,-, Y1 (, % vl t �2 U.; vl t 4 �pp Square Ft. Estimated Cost (value) 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 of owner and/or Condo President Date Signature :r wner- �/ 4,D FEES: PERMIT r " RADON Notary as to Owner and/or Condo President Date isdotary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: C.C.F. NOTARY L� . 2 :))-a TOTAL DUE Date ate APPROVED: Building C if Electrical Mechanical Plumbing Engineering Correction 111105334 P /,' MIAMI SHORES VILLAGE �'� BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date c ei k e k\M Type Insp'n F1A41, Permit No. + �zth5 _ Name 934\k IRO Vita Address 351 N� c A S Company 1 /1.(Ol • Phone # q54- 82A -2-`11 Inspection Date C k\ l 005 . Appro . Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -279 Printed: 3/2/2005 Applicant: CHERYL FREDERICK Owner: FREDERICK CHERYL JOB ADDRESS: 357 NE 97 ST Contractor Local Phone: Parcel # 1132060135750 Signed: (INSPECTOR) Building Permit Contractor's Address: Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 18 & E1/2 LOT 17 BLK 42 Fees: Description Amount FEE2005 -2776 Building Painting Fee $60.00 FEE2005 -2777 CCF $0.60 FEE2005 -2778 Training and Education Fee $0.20 FEE2005 -2779 Technology Fee $1.50 Total Fees: $62.30 Total Fees: $62.30 Total Receipts: $62.30 Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $800.00 Work: PAINT HOUSE EXTERIOR Page 1 of 1 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 at work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Code Enforcement $ ill AIDING PERMIT APPLICATION VW 2001 Total Fee Now Due $ (Continued on opposite side) Permit 'Type (circle): Building Electrical Plumbing Mechanical Roofing ` Phone #1 ( c_c - LL) / 9' ( h , Owner's Name (Fee Simple Titleholder) c�1. -(6, r .. Owner s Address J 3 4C, c Sr city (- 4'4\ J(* ela Slate _ A Tcnanl /Lessee Name .loh Address (where the work is being done) . g 3 0L . � I' S f city Miami Shores Village _ County Miami -Dade Zip ... g ( g Is Building historically Designated YES_ _ NO <L•' Contractor's Company Name r -- _ Phone it ('owl:100(s Address Slate Zip Onalilier Stale ('eitificate or Registration No. Certificate of Competency No. Architect /Engineer's Name (if applicable) $ Value of Work For this Permit 1 8 ° • 61 ' .- r J< \.vi.L 11 ti 11 V 1 IJ V 111 !Lit %.,/ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Department Permit No. ,,}'taster Permit No. Zip__ - e� Phone Ph one 11 Pg Square Footage Of Work: Z- ( also, E( - Type oI' Work: ❑Addition [/\Iteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: ��lZ C f-{ Z� — c- y S'1C;6 ********* *******************Fees****************************** Submittal Fee $ Permit Fee $ I -e.' , t�>C CCF $ c � J () CO /CC Nolarn $ 9 'Training /Education Fee $ : :790 Technology Fee $ - Scanning $ Radon $ Zoning Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Wi t,` (°`n 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. T 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 constniction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESIII]I' IN YOUR PAYING TWICE FOR 'IMPROVEMENTS TO YOiJI2 PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITFI YOTJR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 01? COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant oilsi 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 inspections which occurs seven (7) days afier the building permit is is.s'ued hi the absence of such posted police, the inspection will not be ap ' owed and al ispeclion fee will be charged. Signature Chc 05 /13/03 gent Owner ► Contractor le foregoing instrument was acknowledged before Inc this_ day of ,20 ho is personally known to ine or who has produced as identification and who did lake an oath. NOTARY PUBLIC: finny g i Jjoneli 323870 P �i :11,014 � _: ;'`._•_ ` Oommtss a. ' Atlantic Bond 2008 I 1 4 41. Expires: May Bondt o� � � npbssion Expires: vos g ******** * * * * * * * * ** ** * * * * * * * * * *�c ** * * * ** ** * * ** ** ********************* * * * * * * * * ** * * * * ** ** * * * * * * * * * * *** * * * *A1. The foregoing instnunent wa acknlged before hi — Pei) day of -r e i) , 2000S b � who is personally known to n le r who has lduced j u ica //4 and who did take an oath NOTARY P ' t Sign �_ � �r driver 7/ ssion Expires: ***************** * * * * * * * * * * * * * * * * * * * * * * * **a APPLICATION APPROVED BY: Signature * ** **4* *4 *4* **4 * ** ** *4 *444 *4* 4 1 Plans Exauliner Engineer Zoning ..2(a s2 7o5 ---7/V(77 ,Faint Color Approval Date U ,6(S 1/ C- Owner's Name _ Owner's Address C+ Gil.! 9-3- ST, �� p Cit �� St�tZ & State F Zip (� Job Address (where the work is being done) t• 6. 9 9- & /yy City Miami Shores Village County Miami -Dade Zip g�r g e 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 3 -Z - v«s Walls Fascia Drip Cap /drip Edge 9' Z — 0 D Soffit (G -0 1 Roof SP 6L 7T L Flower bins r J 6 Shutters du 66 Awnings 464 6 Chimney 4P O i `/ _ 5 Doors and door jams Garage doors Railings KG Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other d ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I c o' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re: ating co ction a Signature APPLICATION APPROVED BY: Miami Shores Village h�ec� 7ua� Owner or Age P& Z Official and Agreement ACC Phone # � 8 Z5 .Z l Play House Plum 90RR 16/095 Silvery Moonlight 50BG 63/014 Icebreaker 5ORB 72/005 A Date Date chc 6/18/03 • 4 • Date Owner's Name Owner's Address City State Zip Job Address (where the work is being done) 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 if n(6∎ S uCe") Fascia 3 0114 r Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorate etal 11 bric - mulated or regular) Stucco banding l Any other stucco fea res Accessory Buildings - - -\ Other Paint; Color Approval and Agreement OWNER'S AFFIDAVIT: I certify that all the applicable laws regulating construction and zo APPLICATIO1` APPROVED BY Miami Shores Village Owner or Agent P L Phone # A ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** all work will be done in compliance with all Date Dat: /i ,: � � cuc 6'18/0: