BP-05-394Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/5/2005
Applicant: MICHAEL
Owner: MEYER
JOB ADDRESS: 530 NE 96
Parcel # PARC2004 -3
Legal Description:
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -394
MEYER
MICHAEL
ST
Contractor DIEZ CONSTRUCTION CORP. Contractor's Address: 4800 S. W. 114 AVE.
Local Phone: 786- 236 -2041
Permit Status: APPROVED Permit Expiration: 9/14/2005 Construction Value: $4,000.00
Work: PAINTING HOME
Page 1 of 1
Fees:
FEE2005 -4306
FEE2005 -4307
FEE2005 -4308
FEE2005 -4309
FEE2005 -4310
FEE2005 -4312
Description
Building Painting Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$60.00
$2.40
$5.00
$0.80
$2.50
$3.00
$73.70
Total Fees: $73.70
Total Receipts: $0.00
In consideration of the issuance to me of this permit, 1 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:
a
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
.it Aite GAe l e,r/
Owner's Address �3 0 NE / c32—
City VG . f State ��— Zip 33 13 g
Phone #
Owner's Name (Fee Simple Titleholder)
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)i9 .8972
Electrical
County Miami -Dade
Contractor's Company Name bfGla Ca L✓&'?d
Contractor's Address -AO ° 7.S 4V
City /1/1 /mil State
Qualifier ---2.;-.4-503c0 <� i r�Z,
ualifier
State Certificate or Registration No. C
$ Value of Work For this Permit 1
Type of Work: ['Addition ['Alteration P
Describe Work: 4 1 1,6Me.
Total Fee Now Due $
(Continued on opposite side)
Plumbing
ew
Permit No. 8
seer Permit - No. —i -2 0
Mechanical Roofing
Phone # 36 7 l 1
Zip 33/3
Zip 3 3
Phone #l�2, <P�°7 q 161
:1
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
❑ Repair/Replape ❑ Demolition
* ** ** * * * * * * * * * * * * * * * ** * * *** F ees ** * * * * * ** * ** * * * * * * * * ** * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 reinspection fee will be charged
Signa
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 20 , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
Signature
NOTARY PUBLI
Sign:
Print:
* * * * * * * * * * * * * * * * * * * * * **
1 22
' 4
ontractor
The foregoing instrument was acknowledged before me this l e
day of)1C. J( , 200 by
who is personally known to me or who has produced
as identification and who did take an oath.
ieU /)
My Commission Expires: s-•- /,› - " 7
* * * * * **
xaminer
Engineer
Zoning
s r
Date //nn /��
Owner's Name Ivti r°le((ey
Owner's Address 2-30 AK (07 - 5 r
State ft,
c 14 -
-
Job Address (where the work is being done) s o lle q l 6 S4
City Miami Shores Village County Miami -Dade Zip 33kY
Is Building Historically Designated YES NO
rce/c ' a"7 6 . Phone #( (791 � 1
Contractor's Company Name (if applicable) � /6a ��'
***************************************************************************** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls 4`'°7oh.i
Fascia ttikl
Drip Cap /drip / E ° / dge
Soffit W (" / r � ��
Roof - t - e i C' (/ /6 ,S . x- daila
Attach Color Samples
With Numbers
Signature
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
Flower bins
Shutters
Awnings
Chimney
Doors and door jams kAw-1 k h
Garage doors (AA
Railings
Fences 4 see..
Decorative metal
Honeytone
_ 31 /214
All brick (simulated or regular)
Stucco banding 1A ft,
Any other stucco features
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 laws regulating constriction and zoning.
Owner or Agent
eker,/
Zip
Phone # 3&s /'z( e—fit
33 /3V
Date ;1) (s—
Date 34 3/C
chc 6/18/03