PAINTDate
Type Insp'n
Permit No.
Name �
Address
Company
Phone #
Inspection Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
6et
off3AA'
Ng 9
fu
es
City k1c Mt 1koc .5
Type of Work:
Describe Work:
❑Addition ❑Alteration
Grf+
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING • Permit No I P 65 -AA 7--
P ERMIT APPLICATIIOI ® 2 :6141 / Master Permit No.
FBC 2001 A .:
Permit Type (circle): Building Electrical
State F-
Owner's Name (Fee Simple 'tlehold- MA R_ IO Roo iUc o&
Owner's Address 1 o Z o 1J ` S}
['New
Plumbing Mechanical Roofing
Zip
Phone #
33I3B'
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 10 tJ C i
City Miami Shores Village County Miami -Dade Zip 33 138'
Is Building Historically Designated YES NO
Contractor's Company Name Cii" � / Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 6 Square Footage Of Work:
•
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * *1 * * * * * * * * * * * * * * * * * * * * * **
305 - 333 - 1
❑ Repair/Replace ❑ Demolition
Submittal Fee $ Permit Fee $ 60 i00 CCF $ (90 CO /CC
Notary $ Training/Education Fee $ • W Technology Fee $ l • c_) 0
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ (10 3° ' 0 , e
(Continued on opposite side)
Bonding Company's Name (if applicable) 1
Bonding Company's Address
City' State Zip
Mortgage Lender's Name (if applicable) WAS u113C-IM ►s 1
Mortgage Lender's Address PO 6oX 313
City IA, ` k' ems- State W lscowS Zip 5:5 L°
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 •commencement and construction lien law brochure will be delivered to the person
so a
whose properly is subject to attachment.
for the first inspection which occur (7)
inspection will not be approved . d . sp: cJ
mom
Signature
Sign:
Owner or Agent
The foregoing instrument was acknowledged before me this 3O
day of Kr , 20 fl, by H(I J f:01.* I (-cm
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
hcUJ @cws�
rtified copy of the recorded notice of commencement must be posted at the job site
vs after the building permit is issued. In the absence of such posted notice, the
z fee will be charged.
Signature
Contractor
The foregoing instrument was acknowledged before me this
, day of
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Print: ( H i i ('i ° 131 C'
My Commission Expires:
NOTARY PUBL'GTE OF 5
*� IGS is M. aca *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Commission #DD389859
Wires: JAN. 25
*********** * * * * * * * * * * *!1ru.]kat�ti *#on o ., talc. * * * * * * * * * ** * * * ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
My Commission Expires:
MAR •
, 20 , by
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
4
Date
Owner's Name
, goO2,t(. ∎O- Phone# 3o5 -333 - 114i
Owner's Address 1.0 Zo OE cvi 5k
City 14LOM1 5 N6 rc.5 State FL Zip 32138
Job Address (where the work is being done) 161-6 03 ( 5 ci 5-
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO K.
Contractor's Company Name (if applicable)
Phone #
****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *•
All elements on the site must be listed and indicate the color to be painted
Walls PA`1F►C k ;s{- Ec.c — 31 •-
Rc51lcle -r• Ccee.K ccc- 3�{ -
Fascia ;
Drip Cap /drip Edge - 1--re - F4 Cd+tca Su. , EGC - —3A
v
Soffit PA c. Fkk tits /= cc - 3q - 2 1 ,
Roof (curtcv\l-1 Vas terra T, ks
) FJOCNAnG-)G
Flower bins (c-orr.e -m i Vo-oro( 54orte) pnCit
Shutters 15o.l dl e.( C.re•e.K - cc. -3`i" Z-
Awnings !Jon
Chimney 000E
Doors and door jams (i)t" 1
Garage doors W 1 ^ 1 -
Railings IJ0110�
Fences L)c�c Gro ► k.) c-1 Po`. m- Fence_ tbr-Aoli In5t011�=4)
1JOW� 1 Body: Pacific Mist ECC -34 -1°
Decorative metal 2 Trim: Boulder Creek ECC -34 -2"
All brick (simulated or regular) currn N Prot Sid Cloo c.N onc,) 3 Accent: Terra Cotta Sun ECC -34 -3"
Stucco banding
Any other stucco features K-)<311 L
Accessory Buildings IJo r
Other
***************************************************************************** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing i tion 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
Date 3 I Z I OS
Date 4 3/7/0-:- 5
2
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/21/2005
Applicant: MARIO
Owner: RODRIGUEZ
JOB ADDRESS: 1020 NE 99
Contractor
Local Phone:
Parcel # 1132050320020
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -297
RODRIGUEZ
MARIO
ST
Contractor's Address:
Page 1 of 1
Legal Description: 5 53 42 KINNEY PARK PB 67 -78 LOT B LOT SIZE 103.720 X 125 OR
Fees: Description Amount
FEE2005 -3528 Building Painting Fee $60.00
FEE2005 -3529 CCF $0.60
FEE2005 -3530 Training and Education Fee $0.20
FEE2005 -3531 Technology Fee $1.50
Total Fees: $62.30
Total Fees: $62.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 8/29/2005 Construction Value: $600.00
Work: PAINT
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:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Da 2 / oD Job Address logo Ale 97 ° C-Ty; Tax Folio 1 3 rCtS 03 a � 00 a 0
Legal Description ki n i ∎ Pq r k_f_0 Historically Designated: Yes No
er/Lessee / Tenant � Y`, - ?( - 7 Gf/� lasSrs
Owner's Address
/O20 NJ
Contracting Co. O n P r Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION js t A (OY 0•141-4/ ►4
Square Ft. Estimated Cost (value) � %V, '
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 tke1Work tated.
Signature of owner and/or Condo President Date F
Notary as to Owner and/or Condo President Date
My Conunission Expires:
FEES: PERMIT
RADON
APPROVED:
Zoning Buil i
Mechanical
Plumbing
A % /
i '
e of Contractor or Owner- Builder
D
atit
'b -O. •_ k '71
CA
7j.
• ' III'
as to Contracto •r 0 : ' •
My Commission Expires:
C.C.F. ' 6® NOTARY .S_ a Q BOND
Electrical
M aster Permit #
`Phone (30.4
col s OFPICiAL SO RV SEAL
7,3
1PRV
0 PUeei ANGELA R,^. BECKER
COWLSIISION NUMBER
" ` Q CC786697
OFf�Op\ PAY COMMISSION E)CP
TOTAL DUE 43
ate
Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: ///g o-0
OWNER'S NAME: `„ u ', PHONE: SY16 /9
ADDRESS: /0.20 &3
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: /O2 tic 954
CONTRACTOR & LICENSE (if applicable) of
COMPANY NAME: /V 4 / PHONE: AJ/4
********************************** * * * * * * * * * * * * * * * * * * * *�k * * * * * * * **
APPROVED:
Building Official
All Elements on the site must be listed and indicate the color ti LJ
Walls 2, 1
Fascia 2190 - U
Soffit 2.J
Roof N/4
Flower Bins �V
Shutters 2 / - 4 10
Awnings /
Chimney
Doors and door jams 2/3,f',-,3 /2./ /3-
Garage Doors 21 Z/ 3D
Railings 1V A
Fences /
Decorative Metal / /(J /4
All brick (simulated or regular) /v/
Stucco Banding
Any other stucco features rll A
Accessory Buildings /V 4
Other
W
0
. r A �
r
C
OWNER'S AFFIDAVIT: I certify that all the foregoing informatio is accura e
and that all work will be done in compliance with all applicable laws regulating
construction and zoning. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
sa
Si: ature of Owner D Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
camouflage
Date / / Job Address ,a 4F 9 /7'6 c7L- Tax Folio// a 3Z ®O ,2g
Owner / Lessee / Tenant c- rr2!Y .8,9x6- Master Permit orf
Owner's Address /D.vAl�
9, 57
Contracting Co. S /
Qualifier SS# - -
State # Municipal tk
Legal Description
Signature
Date:
Notary as
APPROVED:
or owner a
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
d/
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one):
WORK DESCRIPTION
Competency # Ins.Co.
ELECTRICAL PLUMBING MECHANICAL ROOFING D PAVING FENCE SIGN
at/24
Square Ft. Estimated Cost(value)
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.
ut-____ Signature
rant type or stamp name of Notar
Personally known FOR Produced I D blic d ate
Stirs pgv aTyx and number of I.D. produced:
to Owner and /or CfidbrPntAftg
My Commission Expires: N ails' di V (gatellet StoPddi
My Commission Expires 9/18/92
Bonded Thru Stembler -Adams & Sweet
** * * * * * * * *
Fire
FEES: PERMIT '370 RADON C.C.F. '51D
4
My Commission Expires:
NOTARY ! Q
Mechanical Plumbing
Phone
Address
Phone
Address
of Contractor. or Owner- Builder
Notary as to Contractor. or Owner- Builder
* * * * * * * **
Other
TOTAL DUE 43 i tOd
Zoning Building / /l), lll Electrical
Engineering