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BP-05-895Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/22/2005 Applicant: ROBERT GARDNER Owner: GARDNER ROBERT JOB ADDRESS: 465 NE 96 ST Contractor FOUR SEASONS INC Local Phone: Parcel # 1132060170120 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -895 Contractor's Address: 8355 SW 43 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT Fees: Description Amount FEE2005 -8375 Building Fee $60.00 FEE2005 -8376 CCF $1.20 FEE2005 -8377 Notary Fee $5.00 FEE2005 -8378 Training and Education Fee $0.40 FEE2005 -8379 Technology Fee $1.50 FEE2005 -8380 Scanning Fee $3.00 Total Fees: $71.10 Total Fees: $71.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/11/2005 Construction Value: $1,300.00 Work: EXTERIOR PAINTING HOUSE 'A22, PAID o 0 ) 0 G 4 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Owner's Address F 6 Z City f JA wLd 5 H0 (/1 e S City /In qyvi i r Qualifier no Jn :Y u r r∎ o K Psi $ Value of Work For this Permit Type of Work: Describe Work: ['Addition 17- - rio Submittal Fee $ (/) Permit Fee $ Scanning $ l - 00 Radon $ (Continued on opposite side) State Total Fee Now Due $ 4 f ` 10 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: ) 756.8972 r a r t � I� f p� 2o0 to0 cal State F-1 1 4 2an. ['Alteration ❑New P $ 5- CO Training/Education Fee $ 0 1 Plumbing Job Address (where the work is being done) y b ?6 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Pci;rt4 nr The o/6/4 Contractor's Company Name rb vr Seca Jon s t ; n+; ny Contractor's Address to 0. Al W (o ,5 te.e Permit No. t--- Master Permit No. Mechanical Permit Type (circle): Owner's Name (Fee Simple Titleholder) ObQW4' C,,q,. i Phone # j t3 75'7 - 0 `(`C `/ Zip `3 3 ° o' Tenant/Lessee Name Phone # Zip .3 Phone # 3©s - a a -alt L Zip 331aco State Certificate or Registration No. Certificate of Competency No. 0'56600 (a (o C Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ;DO() S9® f * ,� ,��a+ ,�,� , � *,�,� * * *,� *,�,�,� *F *,�,� * *** * *,� �,� ** ,� * x,� ,�,� ❑ Repair/Replace ❑ Demolition CCF $ 1. d) CO /CC Technology Fee $ (• S Code Enforcement $ Structural Plan Review. $ Roofing Zoning Bond $ P id � -� 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 an reinspection fee will be charged. Signature Chc 05/13/03 NOTARY PUBLIC: Sign: Print: My Commission xpires: APPLICATION APPROVED BY: who has produced cation and who idta�a an oath. [ abe1 Vargas � t • `°��P 6 e ' �a °•�<N•.��.�mmissio dD23198NOTARY PUBLIC: ui X 3, 2007 ru ngCo Inc Signature Owner or Agent Contractor The foregoing instrument was ac wledged before me this id The foregoing instrument was acknowledged before me this 4 day of , 20 by C OC l .� Ar of 20 0 by Robe( ) r C f i who who is`pgrsonally know to me or who has produced tification and who did take an oath. Sign: Print: My Commis . n Expires i5 argas m e t r o , . ) ) Expire, ing Co. lift, * * * * * * * * * * * * * * ** *****,*****,**********************,** * * *•* * * * * * * ** * * ** * * * * * * ** * ** * ** * ** * * * * * * * * * * ** ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * **j6 * * ** * * * * ** * * * ** * * * * * * * * * * * * * * * ** * * ** Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date Owner's Name Po a `r0 �7 d A) ev Owner's Address L 6 r g 9 51� Cit ml B ; 5/44QS State Job Address (where the work is being done) L / 6 ( City Miami Shores Village Is Building Historically Designated YES NO . v 6) /4 , D kats �u��k; ^S (vet l i ` 44" Phone #3D _ aao�a Contractor's Company Name (if applicable) dr ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls kip Fascia n p in Mil re - ' r i (1 d i► i 2 - (� ` Drip Cap /drip Edge 6enja►hti'1 1 e r j r",1(eun4 (.Afi9'j't' o Soffit pi Vi Roof AV t Flower bins NJ (i Shutters Ni p Awnings (V f / J\ Chimney /✓ 1 (r- Doors and door jams 6e h l Q V�ir Olo ()re - ri (14114 tit/Veil" Garage doors b r i << a -1 Win r {.e - 0 Railings e) r o i. i tA) Ir► rt e - Fences Ht l A Decorative metal ./V /P All brick (simulated or regular) Al / I Stucco banding AV/ I1 Any other stucco features Ir■ ( N e e — Accessory Buildings AI / J la 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. Signature APPLICATION APPROVED BY: County Miami -Dade L %ii)'!I Phone # 3 0 -- 7 s 2— o y zip 3 31 3 Zip 3-3/59 5G1( c[ertin Zoning proved Date Date sail cloth chc 6/18/03