PT-08-1869Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores , FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
602 NE 96 Street 1132060141410
Miami Shores Village, FL Block: Lot:
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Expiration: 04/27/2009
Applicant
MIAMI SHORES
Qwner Information Address Phone CeII
MIAMI SHORES PRESBYTERIAN 602 NE 96 ST
MIAMI FL 33138 -2742
•
Contractor(s) Phone CeII Phone
EXCELL CAULKING & WATERPROOF (954)922 -5630 (954)562 -3800
(305)754 -9541
Valuation:
Total Sq Feet:
Type of Work: Exterior
Color
Additional Info:
Classification: Commercial
Color: _Approved
Color: _Approved_
Code Comments : BUILDING, TRIM, DETAILS -
Color: _
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
12 Y rI .∎ n
OCT1 i 20U8 .
C
MIAMI SHORES � �
HORES VILL
Amount
$32.40
$10.80
$1,620.00
$40.50
$1,703.70
Authorized Signature : Owner / Applicant / Contractor / Agent
Building Department Copy
Total
$ 0.00 $ 0.00
Payment Type :
Amt Paid I Amt Due
$ 0.00 ..
October 29, 2008
Date
$ 54,000.00
0
Available Inspections:
Inspection Type :
Final
1
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 responsibility for all work done by either myself, my agent, servants , or employes . I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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 . Futhermore , I authorize the above -named contractor to do the work stated .
Wednesday, October 29, 2008 1
'Inspection Number: INSP -98169
Permit Number: PT -10 -08 -1869
Scheduled Inspection Date: April 27, 2009
Inspector: Bruhn, Norman
Owner: CHURCH,
Job Address: 602 NE 96 Street
Miami Shores, FL
Project: <NONE>
Contractor: EXCELL CAULKING & WATERPROOFING INC
Building Department Comments
0 B X1
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
permit for chapel only
w__ n• nn nn
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Paint
Inspection Type: Final
Work Classification: New
hone Number (305)754-9541
Parcel Number 1132060141410
Phone: (954)922 -5630
BUILDING
PERMIT APPLICATION
FBC 2004
OWNER BUILDER:
Miami Shores Village
I iIECMEVMM
OCT 2 2 2008
Building Department BY rte_
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel 505) 795.2204 Paz: 805) 756.8972 ff ���( (�
69 Permit No. Pry/ U )
OCT3 2
MIA 'y I SHORES VILLAGE
Master Permit No.
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) A j 1/11 j Somas pg.irSO /41J e p ho eri # S' 7S +-�( S4
Owner's Address fob � .a7i7t�c�
r'
City / i'1/I/ t ` %CI State pt. Zip 33/38
Tenant/Lessee Name 3 Q.m t, Phone #
E -MAIL: —At)llutetd i14519a.li t1
Job Address (where the work is being done) h T742k/L 1 &I'f C
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
r
Contractor's Company Name )ell C.fIZtothU61 p 0-7-up t Ft au Phone # 1ST 9.2a-J To
Contractor's Address )0j1 1A - 2btN6 ST/t'_ 7
City /J'bW State F L Zip 3 30 .)-D
Qualifier Name ( AR y ,S K 0 Phone # fs gob at(
State Certificate or Registration No. Certificate of Competency No. 611 6s 000 c
Value of Work For this Permit $ bPi 064 Type of Work: O Addition / ® Alteration / ONew / O Repair/Replace
Describe Work: )(Ty.% /Q 2 (D4 77AJ43 ( l'f} /SIT)
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
"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.
* * * * * * * * * *, *, * * * * * * * *, * * * * * *, * * * * * * * * ** F ees * *, *, * * * * * * * * * * * *, *** * * * * * * * * * *** * * * ** * * * * **
Permit Fee $ V
CCF $ � Technology Fee: 0 , ,
tb
5
Training/Education Fee $ 1��, J ; :,�, '
Double Fee $ ing $
Code Enforcement $
Total Fee Now Due $
See Reverse side -+
r
Signature
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap/Drip Ed e:
Soffit: 1
Roof: fi,� -f'�1 cx
Flower Bins: 1
Shutters: 1
Awnings: 1
Chimney: 1
Stucco Banding: 1
NOTARY PUBLI
Sign:
Print: y ,
My Commission Expires:
J
2
2
2 3
All brick (simulated or regular): 1 2
Any other Stucco Features: 1 2 3
Owner or Agent
APPLICATION APPROVED BY:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
2 3
3 4
3 4
3 4
3 4
3
Accessory Buildings Other:
4
3 4
3
3
Doors and Door Jams: 1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
Fences: 1 2 3 4
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.
The foregoing insstrument was acknowledged before me this
1 (i
day of , 20 l76 by t Uite/& & _ wewtEee ,
who is- rsonally known to or who has produced
As identification and who did take an oath.
✓/ I4 . NO'11 P'U1SL1 4'FATE OF FLORIDA
. 0.0.•„4 Sylvia Halter
f Commission #DD665957
4
4
4
Signature
The fore
day of
who
oing instrum nt was acknowledged
20 C
rsonally known to me o who has p
P
as identi
LI
/
NOTAR
Sign:
Print:
My Commission Expires:
m
Attach color sani..
'•.,,, Expires: JUNE 08, 2011
** * ** * *�4* sir * ****�k. *** **** * *+kiQ S ���rQ, �AIU*& aka******* * ******** ** * ** * ****** ** ******** a****** ** ***
Contrac
bef ! me this )/
b ,
duced
Plans Examiner
Preservation Board
Code Enforcement
ation and who did take an oath.
NOTARY PUBLIC - STATE OF FLORIDA
Holly Moody
1,7r 'ssion #DD649821
APR. 20, 2011
BONDED THRU ATLANTIC BONDING CO., INC.
(Revised 04 /24/07)
August 28, 2008
Miami Shores Village
Building Department
10050 N. E. Second Avenue
Miami Shores, FL 33138
Dear Building Department Personnel,
Sincerely yours,
� d- At)
Wilda G. Womer, Business Manager
MIBMI SflOfS PPtSbYTtPIBI1 (BUQOE
ifll e ci z z tao¢
Please be advised that Excell Caulking & Waterproofing, Inc., 2011 Harding Street,
Hollywood, FL 33020 is authorized to apply for permits for painting and waterproofing
for the entire church campus on Ninety-six Street and Park Drive.
602 N.E. 96'" STREEr • MIAMI SIioRES, FLORI IA 33158 • TELEphoNE: 305- 7549541 • FAx 305- 758-9597
E -MIL: Mspc @bELLsouTIi.NET • WEb SITE: WwW.MSpC.NET
Miami Shores Village
Building Department
10050 NE 2 nd Ave
Miami. F133138
(305)795 -2204 (ph); (305)756 -8972 (fax)
ATTENTION
YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION
FROM THE BUILDING DEPARTMENT.
This permit is valid for 180 days. If it is not finalized during this period of
time, the permit will expire, and it will require payment of a renewal fee to
reinstate it and to be able to call final inspection to close the permit.
PLEASE, WHEN FINISH YOUR PAINTING; CALL THE BUILDING
DEPARTMENT AT 305 -795 -2204 TO SCHEDULE YOUR FINAL
INSPECTION IN ORDER TO CLOSE YOUR PERMIT.
Owner or contractor's signature
Thank you for your cooperation
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
`b
PERMIT NO. l TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
�I"_ nn " Space above reserved for use of recording office
1. Legal description of property and street/address: 1, O tJ G / A 6 t t ► vif S I-fraES t PL 3313
2. .Description of improvement: XTt ti O L P q t t_r ;PS _ i l Arfr� AR00 Pt
3. Owner(s) name and address: Yl1 iE}Mi �f+r> t[,tt (, 6 E. g 6 /Lei -p tes 3/3,g
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name, address and phone number t'1(ce(( e AuUl1,W6, ; IA.)Prrk/EP4.00C1 6 T#L:L. i
-b11 44ibI SrI? r t4ata 110.tcoi Fl. 3 ;Dab
5. Surety: (Payment bond required by °wrier from contractor, if any)
Name, address and phone number (•. 1 A
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1Xa)7., Florida Statutes,
Name, address and phone number.
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number.
9. Expiration date of this Notice of Commencement:
(the expiration data is 1 year from the date of recording unless a di fere t date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
-. .aC .:: aAE '.
u tin c B
Print Name
Title/Office
e # e
kl d.s IT we) m et.
T ,� ce ••ta.ba da+✓
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
1pregoing in�ment was acknowledged before me this day of !� £(S
Lc/ / /ara 6-. lc�0q.,
for ('
Fi ggersonally known, or ❑ produced the following type of identification:
kndividually, or ❑ as
Mat OF /
H
ortg RTIFY that this is a true ,I,tolofrnei
etil of
Print Name:
(SEAL)
S y /vi tc.
1 1 11 111 11 111 11111 111 1111
FN 2OO O8RO88 r 2nr:
OR Bk 26632 P9 4560; C 1 p 9 )
RECORDED 10/30/2008 15:25:10
HARVEY RUVI1'if CLERK OF COURT
MIAMI -DOE COUHTV, FLORIDA
LAST PAGE
1
NOTARY PUBUC,ST®TE, OF F UNUDA
Sylvia Halter
tommtssion # DD665957
„„•••' Expires: JUNE 08, 2011
BONDED MU ATLANTIC BONDING CO., xNc.
1 D BY
AI <S boa l Gr+�,
2. 172— / 1(4/1 / 5-6
� f='
"3 3o 2,