PT-09-268Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Parcel Number Applicant
602 96 Street 1132060141
Miami Shores, FL Block: Lot:
Owner Information Address Phone CeII
MIAMI SHORES PRESBYTERIAN CHURC 602 NE 96 ST (305)754 -9541
MIAMI FL 33138-2742
Contractor(s) Phone CeII Phone
EXCELL CAULKING & WATERPROOF (954)922 -5630 (954)562 -3800
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
Amount
$76.20
$25.40
$300.00
$9.41
$411.01
Authorized Signature: Owner / Applicant / CDriiactor / Agent
Building Department Copy
February 27, 2009
.Datity
Expiration: 08/26/2009
Valuation:
Total Sq Feet:
Type of Work: Exterior
Color:
Additional Info:
Classification: Commercial
Color: _Approved
Color: _Approved_
Code Comments:
Color: _Denied
Invoice #
PT -2-09 -34045 $ 411.01 $ 411.01 $ 0.00
Check #: 10383
Total Amt Paid Amt Due
MIAMI SHORES PRESBYTERIAN
February 27, 2009
Date
$ 127,000.00
0
Available Inspections:
Inspection Type:
Final
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.
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 107225
Permit Number: PT -2 -09 -268
Scheduled Inspection Date: May 14, 2009
Inspector: Bruhn, Norman
Owner: CHURCH,
Job Address: 602 NE 96 Street
Project: <NONE>
Miami Shores, FL
Contractor: EXCELL CAULKING & WATERPROOFING INC
Building Department Comments
se_.. •n nnnn
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)754 -9541
Parcel Number 1132060141410
Phone: (954)922 -5630
Passed ,
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
n _ -._ n _Z nn
Miami Shores Village
Building Department
10050 NE 2 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
PERMIT NO. 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.
6
/ q / ( Space above reserved for use of recording office
1. Legal description of property and street/address: (0O N ` L / -CT. / t r n,, , vlfl,v J l*vQ,ti5 PL. 3313
2. Description of improvement: r G X T Z Cie f L PA f t fA(, /)f'tTCitP Pfd
3. Owner(s) name and address: 11'11 /MA f+a>4tS (L(;sI q 12:o r+f, 2c i+ 66.). ,UL g67k �T- i�u/fi�NaPts (: t 3 3/38
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name, address and phone number: C X c t( e A-u UK, I16• 1 A 0200 f=iN6 ;G.
2�)I 4#D It CT 1 Pro t,&_'n Q FL 3
5. Surety: (Payment bond required by ow er from contractor, if any)
Name, address and phone number 0I 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(1)(a)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 date is 1 year from the date of recording unless a different 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 1, 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.
Signa_ture(s) of Owner(s) or ner(s)' AUthorized Ofificeri Director /Paf�tnerAila�iager
y Ci < i;;/,,-- 6- ) dtix By
Print Name 61 I ot.,. 0 m L'r Print Name
Title/Office id , x a ss t/ha y v •v' e ✓ Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The instrument was acknowledged before me this
By 141 i (dam. 6 . o /r►E12
individually, or ❑ as for
- ,Personally known, or ❑ produced the following type of identification:
• Signature of Notary Public:
Print Name:
(SEAL)
day of u S f
S v /V/ ec.
111111 11111 11111 11111 11111 11111 11111 1111 1111
CFN 2a ®08R.088 200
OR e): 26632 Ps 4560; (113s)
RECORDED 10/31 i /2008 15:25 :10
HARVEY RUVIHv CLERK OF COURT
MIAMI -DADE COUNTYp FLORIDA
LAST PAGE
1
. 02.0 Of"
NOTARY PUBLICSTATF OF FLORIDA
.. " Sylvia Halter
m ••• commission #DD665957
Expires: JUNE 08
•••. ��,.••• E 08, 2011
BONDED MU ATLANTIC BONDING Co, INC.
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BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: PAINT PERMIT Sows Owner's Name (Fee Simple Titleholder) ! t l i, lvt7 ^
Owner's Address (OD) d L & e:I --
Cit fba4,4 S6luiUz-) State PL
Tenant/Lessee Name hyl__
E -MAIL: # i n d'11 Qt @
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name &all (Aut,Kut1 , W A- 'iagto,-rN6 Phone #
Contractor's Address o9-6 / i Nike- b (L , S im
City State L. Zip 33oo)-0
Qualifier Name _� t ® .C14 Kt)
Phone # t f��J S(030
State Certificate or Registration No. Certificate of Competency No. 4 1'7 &SO OO
044 -biibt e_e,)
OWNER BUILDER:
Value of Work For this Permit $ 42 I /192 6u
Describe Work: E
C rb ff
4JT2 C r ors)
Miami Shores Village
Building Department
fo050 N E 2nd Avenue, Miami Shores, Florida 33138
Ta (305) 795,.2204 : (305) 756.8972
Permit No 0 l
( /Lit 96 scr ::r
County Miami -Dade
aster Permit No.
zip 35/31
Phone #
C
>��-�
Type of Work: El Addition / ❑ Alteration / ENew / ® Repair/ t�� R2 epvlatce t
M 1 ',; 1 e -1 ST/At
Zip
1,5 -1 .201 r 3L
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 oldie
notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy oldie 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 $ 300 r , CCF $ 1 - L ° Technology Fee: q • I l
Training/Education Fee $ Z5 > 41 Notary $ Code Enforcement $ 44 1 1% Double Fee $ Zoning $ Total Fee Now Due $ 01
See Reverse side --+
Signature
who is
Directions: Please circle corresponding number to appropriate color sample.
Walls: 1 2
Fascia_ 1 2
Drip Cap/Drip Edge:
Soffit: 1
Roof: 1
Flower Bins: 1 2 3 4
2 3 4
2 3 4
1 2 3 4
Doors and Door Jams: 1 2 3 4
1 2 3 ,4
1 2 3 4
1 2 3 4
1 2 3 4
2 3 4
1 2 3 4
Other:
Shutters: 1
Awnings: 1
Chimney:
Garage Doors:
Railings:
Fences:
All brick (simulated or regular):
Stucco Banding: 1
Any other Stucco Features:
Accessory Buildings
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 zoni
owner or-Agent
The foregoing instrument was acknowledged before me this o?s
day of 20 Or, by
NOTARY PUBLIC:
Sign:
Print ' S /V &
My Commission Expif`es:
APPLICATION APPROVED BY:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to he painted
1 2
2 3
2 3
3 4
3 4
3 4
who has produced
As identification and who did take an oath.
4
4
Atl
1
3
4
Signature
Contractor
The foVng instrument was acknowledged before me this /S
d a y o f 7 2 0 QL b y ( S /#rM K D ,
who Czersonally knows o)e or who has produced
as identification and who did take an oath.
Plans Examiner
Preservation Board
Code Enforcement
NOTA14 1: LIC: NOTARY PUBLIC - STATE OF FLORIDA
71 RI AX
�tacrsrnxEofFLO `_� ' . Holly Moody
/s2 Sylvia Halter Print 1-� p U.d ` i (Yl ADby �;� Commission #DD649821
Gbn aBioa #DD66S9 Expires: APR. 20, 2011
�, „� Expi res: JUNE 08, 20 Commissi Expires: Baal) THRU ATLAN IIC BONDING co., INC.
aoN1 TWtgATLANTIe CO., INC,
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(Revised 04/24/07)
Pteturn to: I
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Bill To
MIAMI SHORES BAPTIST CHURCH CHURCI-
MIAMI SHORES PRESBYTERIAN CHURCH
602 NE 96 ST
MIAMI, FL 33138 -2742
Date
02/25/2009
02/25/2009
02/25/2009
02/25/2009
Fee Name
CCF
Technology Fee
Permit Fee
Education Surcharge
Wednesday, February 25, 2009
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Invoice Number: PT -2 -09 -34045
Invoice Date: February 25, 2009
Permit Number: PT -2 -09 -268
Bond Number:
Comments:
Fee Type
Calculated
Percentage
Fixed
Calculated
Total Fees Due:
Fee Amount
$76.20
$9.41
$300.00
$25.40
$411.01
Payments
Date Pay Type Check Number Amount Paid Change
02/25/2009 Check 10383 $411.01 $0.00
Total Paid: $411.01
Total Due: $0.00
August 26, 2008
Miami Shores Village
Building Department
10050 N. E. Second Avenue
Miami Shores, FL 33138
Dear Building Department Personnel,
Please be advised that Excell Caulking & Waterproofing, Inc. 2011 Harding Street,
Hollywood, Fl 33020 is authorized to apply for permits for exterior painting and
waterproofing for the entire church campus.
Sincerely yours,
Wilda G. Womer, Business Manager
MIflMI SUOPtS PPtSbYTtPIBE1 (flUPCB
O 16t
RECEIVE
FEB 2 �
--.1
602 N.E. 96'" STREET • MIAMI SHORES, FloRIdA 33138 • TEIEpl ioNE: 305- 754 -9541 • Fax: 305 -758 -9597
E-MAIL: MSpc @bEEISouTH.NET • WEb SITE: VWVW.M5pC.NET