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946 NE 96 StPERMIT APPLICATION FOR MIAMI SHORES VILi. Date / Job Address F4 Q 4 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant C L /a u 8 S4 SA Master Permit # '{ 2 Owner's Address Phone g� -� Lis 62 �i � �� / . 1 : / < SU Contracting Co. FEES: ' ERMIT RADON Municipal # i Address Address SS# Phone Competency # Ins. Co. Address Qualifier State # Architect/Engineer Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION t a M v D E C OP O f t Li E. S 1 L.l IT E fz� a ^ I� � (tE (-k c). o P- r-lo �'U - Square Ft. Estimated Cost (value) . ��CC) 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 , 'lndo President Date Signat e of Con � a or or Owner - Builder Date Jotary as to Owner and/or Condo President Date c or or Owner - Builder Commission Expires: M mmis on t pires: ,.•0a" T . ppq • �. ! : = °t9Y COMMIES / CC S V . 1 -d EXPIRES: 28,1 f„1, Bonded ltuu Nomrin.RnbAc Undetwrimre C.C.F. - 66) NOTARY i I - 4 O BOND Date TOTAL DUE ( f -' APPROVED: Zoning Buildin g ` � "/ ey47(1 Electrical Mechanical Plumbing Engineering MIA�1i ORES VILLAG BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date 10 13 as TypeInsp'n (4-4 — 'RAI -47- Permit No. ISPCL - `bo Name Address ` 44::. 1 c°4& `ST Company L 3 v - Phone # ) I. — C:305 I Inspection Date 1 V Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Printed: 7/15/2005 Applicant: ERNESTO Owner: PEREZ JOB ADDRESS: 946 NE 96 Contractor Local Phone: Parcel # 1132060142970 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2005 -960 PEREZ ERNESTO ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 12/25/2005 Construction Value: $1,000.00 Work: PAINTING EXTERIOR HOUSE Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 3 & 4 BLK 76 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -9641 Building Fee $60.00 FEE2005 -9642 CCF $0.60 FEE2005 -9643 Training and Education Fee $0.20 FEE2005 -9644 Notary Fee $5.00 FEE2005 -9645 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $0.00 'JUL 1 PAID G -t"r- c , 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titlehol: er) Owner's Address [4 O ra City M ioj'ni S1 OYe_s State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villa •e County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name f - e7 (0W hone # Contractor's Address a q 1 A- Q(0 ST City /� ictw State F Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 1, COO' c Type of Work: Describe Work: Submittal Fee S Notary $ .S.0 Training /Education Fee $ Scanning $ Radon 5 Code Enforcement $ Total Fee Now Due 5 (Continued on opposite side' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Fee $ '7.30 Miami Shores Village Building Department .e.. Electr a - fj Plumbing Mechanical Roofing ` W c /- P,6€2_- Phone # 303 SIa 65( 1 Ft EAddition • Alteration ❑New ❑ Repair/Replace 16■ '‘ vi5 ?)C kr lo r is4 c, l--o use *** ** * * ** ******** * ********** FPPs * * * * * * * *le * * * * * * * * * * * * * * * * * * ** / 0.20 Zoning Structural Plan Review. $ Zip Master Permit No. s 36 Phone # Zip 33 ( ' S Phone # Square Footage Of Work: CCF S O . CO /CC Technology Fee $ 1 -5 Permit No. 'SOS 5 /065 ') Bond $ f 6PCZ5 `IGO 21005/4 ❑ Demolition 1 I I Bonding Company's Name (if applicable) 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: 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 otice of commencement and construction lien law brochure will be delivered to the person so, a certified copy of the recorded notice of commencement must be posted at the job site 7 d. s after the building permit is issued. In the absence of such posted notice, the promise in good faith that a co whose property is s for the first in inspectio Signature ti/p Owner or Agent The foregoing instrument was acknowledged before me this 28. day of \(X1 Q , 20 �,5by i Rtics o NOTARY Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * **.. A APPLICATION APPROVED BY: Chc 05/13/03 D: .pig A1P �‘ °*;,; IVA Signature Contrac The foregoing instrument was acknowledged before me this , day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced .n oon o As identification.aii" 7.9 (O did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: .. cP - _ Print: ro ; My Commission Expires: ************************************************ * * * * * * * * * * ** * * * * * * * * * * *Y( * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 .04 7 (3/d Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date Owner's Name &V)r. Pcre2 _ Phone # O5 1 C 6 S 6 Owner's Address Qctb 'RE_ q6 4'7. ' City A )Gtfll' 90` S State � 5i• ( Zip 301) Address (where the work is being done) N` 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 Tr \le`to Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences n SW 6680 Friendly Yellow 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 APPLICATION APPROVED BY: Owner or Agent P& Z Official i� Date Date chc 6/18/03 Miami Shores Village Paint Color Approval and Agreement Date Owner's Name 5.?' v Phone # 305 S LU 6 E ns' (; te` � Owner's Address Q_ Q� C RE ao ST C W f City Ak li �'/C,f€S State P Zip S31 Job Address (where the work is being done) 90 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 c 1 CcS,5'1 CtZ■ M ello ) Fascia Drip Cap /drip Edge Soffit Roof Flower bins _ Shutters CO\ ovl c(\ y� lov \Ua` E 5 No Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal �p All brick (simulated or regular) C \j A� t SS i cat 'l \•C_ Stucco banding Any other stucco features Accessory Buildings Other i mp �� 4 ,� � Date Signa ture Owner or OWNER'S AF applicable la APP:ICATION APPROVED BY: P6:. 2, Officio. �ld cq A .P It fir + ! �r 1 :t 1(C:"..) oing information is accurate and that all work will be done in compliance with all Date 11 ciic 6118/07 Miami Shores Village • • Paint Color Approval and Agreement • Da 6)? I© Owner's Name -\IYSTCJ Phone # Owner's Address aQb NF go s� - _A( tom', cjo(es State PC City 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 C V)\ • Y / Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences applicable laws r Signature Decorative metal All brick (simulated or re lar S,VY,cac_ Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFF certify the foregoing information is accurate and that all work will be done in compliance with all structio . inns. APPIACATION APPROVEP BY: P&. Officio. Zip - 5"13 � Bird Song 00YY 73/018 ' Body cN Sonora 70YR 35/216 Trim Date G1-2 0) Date cnc 6/1g/07 Owner's Name and Address Registered Architect and /or Engineer • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Street and Number where work is to be done State work to be done and purpose of building (by floors) a_ ._. T_.,:" Date , 19 No Street Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision and for no other purpose. New Building �/ Remodeling Addition Repairs No. of Stories- '- .. , To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required__.__ plan Cubage Distance to next nearest building Size of Building Lot . -- Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to ber performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same,' and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING P D PERMIT N° f_656 Cont or's ROOFING ,,; ,. No. O Work tobe Owner of Building Architect -+ T Contractor or Builder _ Legal Lot Description • ` s '`' Bl ;"6" Address of .; Building Subdi- vision e Value of Project $ 1 7 DATE : 7 195_4:k._ II Amount of Z II Permit $ 3 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 ho assumes responsibility for work one by his agents, servants or employees. INSj?ECTOR In consideration of the issuance to me of this permit I agree to perform the work cove {ed 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 ac- *pting this peit assume responsibility for all work done by either, myself, my agent, servant or employee. Signed. CONTRACTOR OR BUILDER 41 BY BY AUTHORITY , APPLICATION FOR • CERT1F;CATE Of RE- OCCUPANCY i. C Jo GtriF a1,14/) I , hereby apply fcr a csrt 'ic to re-ccc py the single-- family residenC known as I`-1 N CI S7 , Miami Shores, Florida, a/k'a Lc6 T Bieck j Plat /!U - 3 . as a single- farriiy residence. I hereby ertiry at l understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one frniiy to reside therein. • 1 aisc understand that any Cerdficate of Re- Cccpancy that may be issued by Miami Shores �laCe, Florida, mortifies only that the referencd property is being used for single - family purposes and that such Certincte dces not constitute any representation, warranty or csrtficzncn as to the corditicn of the dwelling cr other structures on such property. • Data: Ile /9 Print Name: pGcart e�. S pk.V For purposes cf =nducirg the inspection required by Secticn aO2 of the Miami Shores Lard C velopment and Zoning Code, please contact the following person(s): Name: 6 715e 0-iie /S7 J Relationship: Q 'JPJ c 2 S� 7 - . 6i E c'. Phone Nc.: Cx 75 � 6 Address: 4 ,.v� 96 Application Received: ( .7 .1e A ti =ticn Fee (Z5C) Faid: Ch9dc No. 1/4 Inspection Made: ) / ? J ► N 6y Inspection: Passed (�'�on e f I l Failed ( ) mouse: Page 1 of 2 CERTIFICATE OF RE -OCCUPANCY On behalf at Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspec d for purposes of re- ccrupancy pursuant to Sermons 901 and 902 of the Miami Shores Land Development and Zoning Cede and that such property may he re -uteri by the wove applicant fcr sinole- famiiy residential purposes. Page 2 of 2 MIAMI SHORES VILLAGE, 'FLORIDA Date: cfCertficztion: THIS CERTiFICA T cc VERIFIES THAT THE RFFE E •LACED PROP T Y HAS SEN INSPECTS SY MIAMI SHORES VILLAGE AND HAS EEEVE i E MINED TO PRESENTLY COMPLY wmi THE SCHEDULE ULE OF REGULATIONS IONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE RECURS/1ENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO SE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; ROWEVER , THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDRTON OF THE DWELLING OR OTHER S RUCTURES CN THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTr PERSONS ARE ADVISE} AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDE TO DETERMINE THE CONDITION THEREOF. i MIL P .2.:3 • • BUILDING PERMIT NO .OWNER•S NAME JOB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR ZONE PEQUIREMENTS ' CU. FT. PLAN CUBE JRE SENT.ADDRESS ADDRESS • PERMIT FEE S DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION NEW CONSTRUCTION REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL APPROVED REJECTED BLOCK REFERRED TO COUNCIL DESCRIPTION DESCRIPTION CU. FT. REMARKS LICENSE NO. • EST COST S SUBDIVISION PHONE NO. NO. _ 5 7.7 DATE INTERIOR CONSTRUCTION REASONS 9-14 S. ease * C CERTIFICATE OF OCCUPANCY NO. Z 4 ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDER'S BOND PHONE NO. LICENSE NO. DATE INSPECTIONS DATE BY RE- INSPECT BY REINSPECT BY FOUNDATION S - /iJ_ 1g. G.1 2f�'��/2 7 TEMPORARY SERVICE $ ,t. BEAMS.& LINTELS ...S "•- f.?. k"---,';1, L• -1 -� _ - .4/; 2 c, FRAMING 6- Z_ (.2 - S 1.8-V?/5 � ,, i ./ Ja - GAS 5C.c,.,3 (o- 2 / -a .J(1 />' *I / ' ( y am - ,_. ? -3 -id, w2'Jx' INSPECTIONS FINAL /--9 „1 � 1 .; RE-INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP 1..) /5 ' `/Z D Z - C. - Z Z - -S(,. �� 7.6' il, GAS CONTRACTOR .W,, A ti y y ,, OdJ b F/'- , PHONE S'7 PERMIT NO. a& - J DATE 4 -/7 - 4,Z. FEE 5 I�• 7 A --- NEW BLDG. ' ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ r SEPTIC TANK ,46- '1`-/E 42 7 ,46- '1`- ,46- '1`-/E 42 7 F<, •' G � .3 r.r „/ $ SEWER tl ! 5 SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY ROUGHING .S - ,7-SL 1..) /5 ' `/Z D Z - C. - Z Z - -S(,. �� 7.6' il, GAS (.- Z, -Si- 4-...)/l/ S%Jc /(.. SEWER f r - C - - . e ca / 4 SEPTIC TANK 7 L04 -. z.// SOLAR HEATER FIXTURES �7 q - 1 c-.- ' -, “ / CONTRACTOR W4.. - t_c9J .$ PHONE ` / �,� PERMIT NO. .�. /i.�',7 DATE tlti - / 7- �� FEE $ /.. b NEW BLDG. X I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS S FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 4 ' , - / - ca R, - 6 4- / �T 7- ee, ROUGHING (.- Z, -Si- 4-...)/l/ S%Jc /(.. H. W. HEATER CONN f r - C - - . e ca / 4 RANGE CONN. , - 17∎V.-LJJ /. FIXTURES & FINAL Z' ,14-,... ../ 8 .- - -- 4 6, -- , 7_ / ) X. y / 4/d // BUILDING INSPECTIONS • PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 9- ! ?• .� BY , L'!J (( • )i11�ge DB \DDRESS INSPECTIO TIME READY REMARKS INSPEC iamb Sores N° 4512 DATE 7-3 Viage of Miami Shores N° 4455 JOB ,1V INSPECTION / a 4/ TIME READY / / REMARKS ADDRESS INSPECTOR DATE / 0 Village of Miami Shores • JOB 0 L INSPECTOR N? 4445 ADDRESS ° , ``0 INSPECTION f 'e , TIME READY REMARKS DATE 6- 2 / .'