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558 NE 96 St (3)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/2/2005 Applicant: DAVID SEAN Owner: KINCHEN JOB ADDRESS: 558 Contractor Local Phone: Parcel # 1132060140680 NE 96 Fees: FEE2005 -10531 FEE2005 -10538 FEE2005 -10539 FEE2005 -10540 FEE2005 -10541 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/25/2006 Construction Value: $1,000.00 Work: PAINT Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -1126 KINCHEN DAVID SEAN ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOT 5 AUG 0 5 PAID ►c- #- s % 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: BLK Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: X305 795.2204 Fax: 305) 756.8972 RE EP E1 BUILDING g �� Permit No. PP O5: 117 -Ls PERMIT APPLICATIO Master Permit No. FBC 2001 =- �.. Permit Type (circle): Owner's Name (Fee Simple -J °8 /ye q 6 sr City /1 sifrizs Owner's Address Tenant/Lessee Name State Job Address (where the work is being done) �C L City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name .Q-)re r Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit) l(rn oC) Type of Work: ❑Addition ['Alteration ❑New ❑ lace Re air/Re / Repair/Replace Demolition Describe Work: x7PI /7 P4')/4 7 NC Submittal Fee $ Permit Fee $ , 00 CCF $ ' GO_ Notary $ �j• Training /Education Fee $ % g-� Technology Fee $'1 ='c -\ - 5C) Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 7 _? ) no 4 (Continued on opposite side) Miami Shores Village Electrical Plumbing Mechanical Roofing //V Phone # / 0 Y't © Zip � /38 Phone # Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip Bonding Company's Name (if applicable) c Bonding Company's Address City State Zip t 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. Signature 1 «�U t _ Signature Owner or Agent The foregoing instrument was ac j 1wledged before me this _ UC �� 1 day of 2 who is pers chc 05/13/03 NOTARY Sign: Print: My Com fission Expires * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this d'ayof ,20,by wn to me or who has produced As identification and whcit4rtke an oath. r ". \ \-) NOTARY PUBLIC: c r. O J Q Sign: a ti te r` • Print: who is personally known to me or who has produced as identification and who did take an oath. }Q m **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** .o_ oti �. o� APPLICATION APPROVED BY: My Commission Expires: , '* r Plans Examiner Engineer Zoning Date Owner's Name Owner's Address Miami Shores Village Paint Color Approval and Agreement f) s s� City V.A 1(t ti 01 State Job Address (where the work is being done) CS e" 1b City Miami Shores Village County Miami -D,ade 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 ��12 )57-6-71- c5V��" - C,3 7 Fascia Wi-kiT Drip Cap /drip Edge h re Soffit K/ -L1 re Roof / \) / 4- Flower bins / Shutters /VIA Awnings 1Vl Chimney n) lP Doors and door jams lek))41re 4 0. 11- Garage doors Railings Fences Decorative metal G04 -4 TE All brick (simulated or regular) /t- Stucco banding / /lam Any other stucco features Jt' , Accessory Buildings /44 Signature APPLICATION APPROVED BY: Ar cc 01CO J1 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 co 'on and zoning. Owner or Agent P& Z Official Phone # Zip 33136 Date /43 chc 6/18/03 r. 'LICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 1 Date 5 ( Job Address y f3 NE St S Tax Folio r, / /it 16/0 � � - ���/o Legal Description " (. * Ye- Lo `� Fj�� 54 5 Z Master Permit # 3 //Y Owner / Lessee / Tenant DAV f \ K.)LI-K.K.) Owner's Address 6 V aa / E , Contracting Co. Qualifier State O Architect /Engineer Bonding Company Mortgagor Kflk Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 2s5o2e CVLA.1.1 9A 1 I-Y1 ONT Square Ft. Estimated Cost[ OOO 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: Notary as to Owner and /or Condo President My Commission Expires: * . * * * PERMIT FEE: * Address Address Address Address Phone SS# - - Phone Competency# Ins. Co. Signature o Goollimmesumme Owner - Builder Date: t - as to Contractor or Owne r- Builder y Commission Expires: i/ /tI /%,Z * * * * * * * APPROVED: Zoning Building (a /I3if Electrical Mechanical Plumbing Engineering Fire Other 7ss s'0 *