665 NE 97 St (12)Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Signature
Miami Shores Village
Paint Color Approval and Agreement
Date z-7-76-0
-7' 76 -05
g9vL J • gR-SCft
66 5 t'L 9 7 1.17
Owner's Name
Owner's Address
City/7(fl 51 CS State FC--
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
APPLICATION APPROVED BY:
Si
l flit iva P5
rr //
/2XMAY/
Owner or Agent
‘ (V C 7
County Miami-Dade Zip
NO _ Y
Contractor's Company Name (if applicable)
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be lis ed and indicate
r /
Atut6107 & 5; S -t -SV
)5r
X11
i / - f Xd
P& Z Official
Zip 3 3) 38
Phone #
3 758-9375"
v
33�.'
VIT
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
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 construction and zoning.
Date
Date
z6
= 04
. !1
0
0
G 0
chc 6/18/03
* **
Date
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Signature
Miami Shores Village
EUV
Paint Color Approval and Agree �� e n
NAY 245 9
Owner or Agent
APPLICATION APPROVED BY:
P&, icial
Phone #
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 7 7 32 W 6(31+4" De (31 a
Fascia
or Sampl
lumbers 1
Any other stucco features
Accessory Buildings /
Other C
* * * * * **
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * **
,„_ � � '
OWNER'S AFFIDAVIT:
AVIT: I certify that all the foregoing information is accurate and that all work wi1lbbn'done in compliance with all
applicable laws regulating construction and zoning.
p p o ON Css g o q q C q C
Date
Date
•
Date
Owner's Name
Owner's Address
City State Zip
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name (if applicable) Phone #
********************************** * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
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 construction and zoning.
Signature
Miami Shores Village
Paint Color Approval and Agreement
Phone #
APPLICATION APPROVED BY:
C¢LtIN1ts 0 boa
2r3
chc 6/18/03
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shore , Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING �, Perm No. // d 7 0,
PERMIT APPLICATION 0 l
aster Permit No.
FBC 2001 - l
Permit Type (circle):
Owner's Name (Fee Simple leh Io der) AWL- b rE i —SC I-- Phone # S ^ / s ' 7S
Owner's Address 665"
D £ /t/ 9 7 57,
City Jl(1/1I S floret S State FL-
Tenant/Lessee Name
Job Address (where the work is being done)
yC 9 716' 5
City Miami Shores Village County Miami -Dade Zip 3 3 ' 3 3
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City ' tate
Qualifier
State Certificate or Registration No.
Architect /Engineer's Name (if applicable)
$ Value of Work For this Permit
Describe Work:
Total Fee Now Due $
i
f
(Continued on opposite side)
Electrical ' lumbing Mechanical Roofing
‘3 r 2- 2 -
Type of Work: ❑Addition - .n
Certificate of Competency No.
Phone #
Square Footage Of Work:
Zip .
Phone #
Repair /Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
Code Enforcement $ Structural Plan Review. $
❑ Demolition
Submittal Fee $ Permit Fee $ 2 0. �- CCF $ CI
, 60d CO /CC �—
L
Notary $ J 6
Training /Education Fee $ O. Technology Fee $ l t 6
Bond $
Scanning $ Radon $ Zoning
Bonding Company's Name (if applicable)
M IP
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: 1 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.
Signaturb
e
The for
day
who
Or1ner or Agent
oing was ckr'ledged , me this C9 "' The foregoing instrument was acknowledged before me this
NOTARY P ot r rY ?o GIIZTly PUBLIC:
. '�
w. 6 • ! • — e Commission 23
Sin:ja..�i�, �,r; Expires: May 26, 20081 n:
OP F `�¢'• n a e T ru
Atlantic Bo Bon d ding Co., In 'Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY:
Chc 05/13/03
or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
* * * **
* * * * * * * *
Signature
day of
My Commission Expires:
* * * * * * * * * * * * * * * * *
Contractor
,20,by
as identification and who did take an oath.
* * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:X 0 /Q/ /
OWNER'S NAME AA? /ei : 'F PHONE: dos) 93? .4 S-w)
ADDRESS �6' /N L� . 87-v .�c.^i
* * * * * * * * ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
All Elements on the site must be listed and indicate the color to be painted.
Walls ti/r eAtA/ yL-zew i .XY 6068
Fascia 1.1477( 4 P 1".//h . 7 - 4c" /05C
Soffit
Roofs ri A qov/ /1 77` ' -26' o
Flower Bins A
Shutters /0
Awnings AVA7
Chimney J
Doors and door jams 4/0 724 pmt.-- A/4 fQ3 ,
Garage Doors <,ip Pi'4g c.,h4)7 /050
Railings
Fences K .t t
Decorative Metal a R
w
All brick (simulated or regular)
Stucco Banding A/74-
Any other stucco features 42/4
Accessory Buildings , lf /P9
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. I authorize the above -named contractor, if applicable, to
do the - ated. Furthermore , the paint colors will be as per the attached
4111GarivirI ~--
ignatur
* * * * **
APPROVED:
of Owner
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Building Of .. 'al
YAlei
Date
PHONE:
Signature of Contractor
Date
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
1 COURTESY NOTICE
10050
N.E. SECOND AVE.
MIAMI SHORES, FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (305) 756 -8972
Dear Property Owner:
While making inspections in the area, I noticed the
following items needing your attention:
O Property is in need of mowing / cleaning
O Trash on site
O Exterior of structure requires maintenance
O Trees/bushes /hedges need trimming
O Commercial vehicle in residential zone
O Inoperable vehicle on property
O Vehicle parked in landscaped area
O Vehicle parking areas must be paved
4
O Vessel / boat not properly stored
JCL Interior / exterior work requires permits Nt.
O Prohibited signs on property
fk
O Non - domestic animals on property
_
O Other. t. w `f
Corrective action needed by: 471 ! J i •
VA..
Failure to correct the violation by the above date may
result in a Notice of Violation to appear before the
Code Enforcement Board which may impose fines up
to $500 per day. The Village residents have always
taken great pride in the community and we know that
you share in this effort to keep the "Village Beautiful ".
Your cooperation is appreciated.
0J1 //1/0(
Code Enforcement Officer Date
(305) 795 -2204