948 NE 97 St (4)PROPERTY OWNER
(� I
Name t / RGI - '�" L l ■ AYI. /J , h1 \ Ff 0 ('t<
Address 941 F 17 ,13 \ y) ,�, J
C✓I� rnwt i .S f Tote s li FL- .31l 6
Home Telephone os) 3.5 / l S??9
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Business Telephone 305 -) / 3 ,, B �
J (7 / - 7
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Fax CC) S) 3-1.-11 /
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TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the ]Miami Shores Village:
Step 1.
Complete the attached permit application which roust be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
A PPLI CAT ION
`� c Job Address:
9 NF c 4L St 4-
Apt. City
Folio Number Description of Work
Block
Lot
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
PB
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
ARCHITECT
Name
License No.
Address
Telephone
Fax
Address
I
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
in am) SH oeuzS
'
Master Permit No.
Subsidiary Permit No.
PG Zoning
Square F4et
X Value of Wh DOA&
FL
State
Linear Feet
PERMIT APPLICATION
',�� c - r j q
Units_ Floors
33/38
Zip
7ziez e x7 ' 2/
Tax Asses ppraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
Page 2
Print Name
Sworn to and subscribed before me this
2 O .
Signature of Notary Pu tc -State of Fl
SEAL:
Personally kno
: 1-! °C
2 i day of SC—r2
da
Type of Identification Produced:
PERMIT APPLICATION
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1'r Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STA ' ORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of OO
Signature of Contractor / Qualifier
Print Name
Swom to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
......... INA M. ROPER
:.g MY COMMISSION # DD 019438
a : EXPIRES: April 22, 2005
a,,, Bonded Thru Notary tueftc Underwriters
ti Personally known OR, Produced Identification
Type of Identification Produced:
MIAMI SHORES VILLAG
P= �.int Color Approval .and Agreement
DATE: yh-0/0 Z
OWNER'S NAME: V196; L`jFRock PHONE: 30 rJ - c:99 1
ADDRESS: qto NE 13 She , ril o mi .51 ftne.s. 33/3c?
********************************** * * * * * * * * * * * * * * *4 * * * * * * * * * * * * **
ADDRESS OF SITE: gLfc9 S J✓l io, r, SNcS1eS ,FL 331
CONTRACTOR & LICENSE (if applicable) -S42
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls Lavv2a5teA
Fascia
Drip Cap/Drip Edge Gesc\
Soffit .0 tQn « fi� .
Roof W i t I ' R_ .
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 7'R; r
APPROVED:
Red Gev\t
OWNER'S AFFIDAVIT: I certify that all the foregoing
and that all work will be done in compliance with all appl
construction and zoning. I authorize the above -named col
do th; . work stated. Furthermore , the paint colors will be
sari-4 'e-I
\' 2
Signa - of Owner Date Signature of Cor
r/
Building Offi a l Date
hl.
0
a
WHEN PAINTI
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
M31A3Y3dZ10 - 100
an321OOW NIWVfN38
CALL FOR FINAL INSPECTION
0
4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
DateG9,k /G2 Job Address we A) . 9 Tax Folio
Legal Description L , //) liCe
Owner/Lessee / Tenant v / /L. U.7f c ( Master Permit #
Owner's Address 94 8 N • t •
State #
Square Ft.
APPROVED:
Zoning
Mechanical
N. as to Owner and/or Condo President
My Commission Expires:
A? '0,, Johnny Bou Nassar
fo
�� _Commission * DD 040753
% c� Ezpices July 10, 2005
,� F 4•, Bad Tluu
�� F; .`� Mantic Bonding Co., Inc.
FEES: PERMIT 0 0 RADON C.C.F.
Building
Plumbing
7/ 0
Historically Designated:
Contracting Co. .7 ' '9 :T • co/UsTe&trk CO' . Address 4 // • 4 -0. 2 : 1 %1 lie
Qualifier .7"(.)/9/U ,O.CIE/6O 2 ss# Phone '70
Municipal # Competency # Ins. Co.
Architect/Engineer A./ye iC / /9SSC3 G%9TE'c Address /20O Al • C2 /V S7T Y Ili
FT -Giw ! / �
Bonding Company Address
Mortgagor Address
Permit Type (circle one : BUILDIN 5 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION _. -t )9770 c 7 ,e,e)C> 2/V
Estimated Cost (value) Sid 3, 2 GC) • CO
ARMING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
"ING TWICE FOR IMPROVEMENTS ' V 2 94 PROPF Y'F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH vMUR LENDRr
AN ATTORNEY BEFORE RECORDII OUR NOTIC O C .NCEI1 rfT.)
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. F ennore, I authorize the above -named contractor to , II • • e work stated.
ture giContncctor or Owner- Jjtlilder Date
No as to Contractor or Owner- Builder
My Commission Expires:
E lectrical
Yes
U1J� r5
Phone WS . 9 e'94'/
Y P , Johnny Bou Nassar
p p
Commission # DD 010753
:4_ Expires ]ul 1 0 2005
7 41 . 1 . Th
',taw � i' o ding Atlantic Co., Inc.
BONDS bo I
TOTAL DUES NI a 0
No
Structural Engineer
Virgil R Lijfrock or
Diane N. Lijfrock
305-751-8741
Y 10001 ME. First Avenue
El Mani Shores. FL 331
31 Pay To
The Or Of
BANK OF ERICA
0 02992 FL
ACH R/T 063100277
For
Date
63 -27
//./0z
I:063/002774 00 34 34 36 7 009ii' 00.4
144
Lo o' 7
ogars
Miami Shores Village
10050 NE 2nd Avenue
Printed: 9/30/2002
Applicant: VIRGIL & DIANE
Owner: LIJFOCK
JOB ADDRESS: 948 NE 97
Contractor
Local Phone:
Parcel # 1132060143170
Signed:
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2002 -1642
LIJFOCK
VIRGIL & DIANE
ST
Contractor's Address:
Permit Status: Approved Permit Expiration: 3/24/2003 Construction Value: $500.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 5 BLK 77 LOT SIZE 9160 SQ FT OR
Fees:
FEE2002 -5346
FEE2002 -5347
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
(INSPECTOR) BY:
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, s rvants or employes. r
- rte,
Signed. (Contractor or Builder) BY: