444 NE 96 St (3)Application is hereby made for the approval of the detailed statement in toe plans and specifications herewith submitted for the build •
in 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.
Owners Name and Address .....!!.k" G
Registered Architect and /or Engineer - nr•• -,,,,n 9119* +f f+ren rr+•i, .
Cow /- 7 ‘ ,7
Name and address of licensed contractor
Location and legal description of lot to beet on:
Lot 5--%k .Sl! Block 5
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE.
Permit No.._...
Disapproved
(Signed)
SS.
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Subdivision
4-
State work to be done and purpose of building (by floors)........ _
Date..._...__.
._
No........ ....... Street_.....
and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation joof Covering
Estimate Total cost of improvements $ .e% � � ,c Amount of Permit $. Z ...
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot _
Maxirnum 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 permit dots 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, Permanent Supplement,
and has complied \sith 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 t work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcon• a •rs, on rformed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
_......to me well known,
peared
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 statgd are e..
PLANNING BOARD
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member
Member
1/ JoN!d o, "iO_a
Chairman
\fcrnber
Member .. .. _.
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannir.g Board.
A re- impectiun fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. BPcq — 7
Master Permit No.
Permit Type (circle): I ui ding Electrical Plumbing Mechanical Rooting
c C1I� 3Zlo Zito cdU)
y
Owner's Name (Fee Simple Titleholder) 1 J
1 —a... Phone # ois i -t 2.f%9j 29 Z ac.l a2.
Owner's Address 10 Li wear) 1; LAM •
City State .
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO
$ Value of Work For this Permit 411 Ot9
Total Fee Now Due $
Submittal Fee $ — U Permit Fee $
Notary $ C)C) Training/Education Fee $
Scanning $ Radon $
Code Enforcement $
(Continued on opposite side)
05' (0
4-44 oJE.. ci(
County Miami-Dade Zip 33 Ig°O
Zip 3%02O
Phone #
Contractor's Company Name IU� — 611 E3tut. ��2 .) Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) /d1 S — Phone # - ° Z ('•ci'Lc1 x..1 0
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 7 65.1 IJ�IJ(�
** * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
00
�
Zoning
Square Footage Of Work: 0/ A—
Structural Plan Review. $
CCF $ I - CO /CC
Technology Feet 1- SC .
Bond $
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
conunenced 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 reinspectis fee will be charged.
Signature
NOTARY P
Sign:
Print:
My Commi
* * •* * * * **
Chc 05/13/03
c
sion E
Owner or A
res:
APPLICATION APPROVED BY:
nt
s identification and who did take an oath.
y 3 o bi ,
* * * * * * * * * * * **'* **
* * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
i •Nd-/..9 ley
Signature
Contractor
The foregoin instrument w s acknowledged before me this The foregoing instrument was acknowledged before me this
day of D e c , �b I by P R I 3� Lr 1� n , day of , 20 , by
who is personally khown/to me or who has produced , who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
� EXplre � nded Thr
* *,# *s i Afkci?," l *
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Commission Expires:
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DS 2 3 AN Plans Examiner
Zoning
Engineer
Miami Shores Village
'Paint Color Approval and Agreement
Date i. 17/ 4 `t
Owner's Name t. c1
Owner's Address 23 V)
City 401ktuAsoul State
Phone # � " VC- 4 ‘2. 4 i 2 )c. to 2_
Zip ? o ?
Job Address (where the work is being done)
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO
1 1
Contractor's Company Name (if applicable)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls (! _ / 1� ta' '"' C%e te6c , t t3
Fascia (-49tr-eA✓' 4 tZr —
Drip Cap /drip Edge Carr^ 2ewov
Soffit aJW tv
Roof IJ1 0—
Flower bins IJ 1
Shutters 1../ 141 P_.3
Awnings
Chimney
Doors and door jams W Wi't'h
Garage doors
Railings [UA4l9Kv
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features t..'t44t -
Accessory Buildings
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 la . _ - ' ctio and zoning.
Signature
APPLICATION APPROVED BY:
Own r or Agent
Phone #
Date
Date
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /28/2004
Applicant: WILLIAM
Owner: WALKER
JOB ADDRESS: 444
Contractor
Local Phone:
Parcel # 1132060140580
NE 96
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1673
WALKER
WILLIAM
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 5 & E1/2 LOT 6 BLK 53 LOT SIZE 75.000
Fees:
FEE2004 -13163
FEE2004 -13164
FEE2004 -13165
FEE2004 -13166
FEE2004 -13167
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$1.20
$5.00
$0.40
$1.50
$68.10
Total Fees: $68.10
Total Receipts: $68.10
Permit Status: APPROVED Permit Expiration: 6/20/2005 Construction Value: $2,000.00
Work: PAINT
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.
BY:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 � a �j
Buil>lding Inspection Request
0
Date ,,� C'WPY( ye Insp'n 1 �'
Permit No. 3Pc5 1 G
Name P ' I 1
Address 444 NE, i
Company
Phone #
Inspection Dates/
Correction
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE . '">r K 195
PLUMBING ❑ PERMIT N° 5277 Contractor's / 7f
License No.
Work to be performed under this Permit r `t" Z''' evn / `�"''""
ROQFINQ ❑
Owner of r''
Building 't —•
Archi tect
Contractor
or Builder
Legal
Description
Address of AL 11
Building
/kiwi
r �
Value of
_
., f Project $
Signed.
Subdi-
vision
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 .orough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or •pe ficatio and that he assumes responsibility for work
done by his agents, servants or employees.
IN PECTOR
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 res,ponsibility for all work done by either, myself, my agent, servant or employee.
..:..-;.' A (../ ,...1 / ?A .,-A
ONTRACTCR OR BUILDER BY AUTHORITY
6 1
BY •