973 NE 96 St (6)MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE - L 419
ELECTRICAL ❑ PERMIT N9 5121 Contractor's f
License No.
ROOFING - ❑
`1D Work to be performed under this Permi
Owner of
Building
Architect
Contractor
or Builder
CONTRACTOR OR BUILDER
Legal Lot II S
Description Bl. vision
Address of r « Value of `. I Amount of
Building t / -.. ." Project $ , - I Permit $ -- " j
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed. / Ay......r INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complfgrice with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper,,fiuthorities of Miami Shores Village. In ac
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r.
BY AUTHORITY ABBOT ''
Owner's Name and Address
Disapproved
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.
Name and address of licensed contractor
State work to be done and purpose of building (by floors)
Date___
No ?_7:3 ___ Street
Date
Registered Architect and /or Engineer
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done�,�, 7 4'
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 $ c' B'° s 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 permit 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ( car-0
STATE OF FLORIDA,
COUNTY OF DADE. 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 t7 L Date L_i - (‘i Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
(Signed) t � `
Building Inspect.' My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved i 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
PERMIT APPLICAi rON
FBC 2001
Permit Type (circle).
Miami Shores V
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple Titleholder) S I Au N. Phone # — U (015
Owner's Address d l 3 N; - 4 b
City 1/WlLW1A.l. kie--CS State lr-e Zip 3 3 13 eY
Tenant/Lessee Name IAVlt-u� . Fix Il -C Phone # - 4 ") Co 1
Job Address (where the work is being done) 6 (t_.1/yLL (',c° Q-' co �3 U' -
City Miami Shores Village County Miami -Dade Zip 3
Ls Building Historically Designated YES NO
Contractor's Company Name
(Continued on opposite side)
C(SLR ' ( -
Total Fee Now Due$ r 1-3 0 • 2ad C 3 33D , FEB 1 3 PAID
t u c cL,t CA.t. 1/444-' .
Permit No. 6pd r - Lq"t
Master Permit No.
Electrical Plumbing Mechanical Roofing
Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
— ' $ Value of Work For this Permit a Li CD Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑ ` New 13 Repair/Replace ❑ Demolition
Describe Work: (-r Q Ck r\ \- tA Ter cn' OA l-\ (4JL
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ ►1 )Q _ Permit Fee $ ( 4 3 6 - OCR CCF $ , (,O
Notary $ , -CC) Training/Education Fee $ 30 Technology Fee $ 1 4 •
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip _. _'V •
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
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 no Approved and a reinspection fee will be charged.
Signature
APPLICATION APPROVED BY:
Chc 10/14/03
Owner or Agent
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signature
Contractor
The foregoing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this
day of {-e o , 20 04, by 5r0'3f t-C) t \e Y , day of 20 _, by ,
who is personally known to me or who has produced ti LLL who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY e IC: "
ivaeA v argas
� #DD23 I ARY PUBLIC:
Sign: L % � t :riluntiBeiscss:°.1B:ollnudlinig3C'02.0.1Sign:
. nc
Print: 1' �� , � •Ff` ° , Print:
My Commission Expires: My Commission Expires:
FEB 1 2004
Plans Examiner
Engineer
Zoning
Dated . � 4
Owner's Name
Owner's Address
City Y N I A-Y , S 12-ES State
Fascia
Awnings
Chimney
Signature
Miami Shores Village
Paint Color Approval and Agreement
1
s A-Lc N A . Fut Lc-
17-3 Mib-. vor
a ( t, LOU
Owner or Agent
APPLICATION APPROVED BY: a
Phone # 3
Zip
Job Address (where the work is being done) as 6(_106A)`e_ 3 1.),E
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
2ont 3 e, n VL4fY ) L vO
Drip Cap /drip Edge 2 S eoe 66 1 _ ,
Soffit ? 2 _ va E . 1 C 4 0 . 4 4 4 _ , 40.444_ C o C o aJ
Roof 1\16\
t5 'ma r�
Flower bins
Shutters IJOYY`Q
10OY P— r cYl
0 I � al Wight) VA1� u/ 2006. CoC
Zip 3 3 13$
Contractor's Company Name (if applicable) Phone #
****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
All elements on the site must be listed and indicate the color to be painted
J () j' I I04 �1 r4lr� Il i i n
Walls ' ) ° - E- - 3 m .2 vol 3 C wa rpor (-
Doors and door jams ,��
Garage doors 1 t3 �t'671- u1/vi W, Via r d OOG- 3 C Lo
Railings 1J(aVlLe
Fences 1.905vv 1 0‘ , 2 V) q 1' a I'Vl rej
Decorative metal (\/M 0 ;
All brick (simulated or regular) NC/A9-•
Stucco banding_
Any other stucco features
Accessory Buildings �����'��
Other �� cc,t -2 ► .� � 4.-t „ — o� �U - 3
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 a,f i 3 /cT)(
Date ° / 3/ J /
chc 6/18/03
6 75 - 4 - - c)(r5
P2L
230E -3
Cinnamon Cocoa
2 •10E-3 u
Almond Willow
, 1
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2004 -199
Printed: 2/18/2004
Applicant: SHAUN FULLER
Owner: FULLER SHAUN
JOB ADDRESS: 973 NE 96 ST -
Contractor
Local Phone:
Parcel # 1132060143230
Signed: (INSPECTOR)
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 8/11/2004 Construction Value: $300.00
Work: PAINT EXTERIOR OF HOUSE AS AGREED
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & LOT 12 BLK 77 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -1678 Building Painting Fee $60.00
FEE2004 -1679 CCF $0.60
FEE2004 -1680 Notary Fee $5.00
FEE2004 -1681 Training and Education Fee $0.20
FEE2004 -1682 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
FEB 1 9 PAID
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: