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PAINTDate `[3 �� Type Insp'n �� -/A. -1 / j, 09— N9 3 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Permit No. /"�' l Name /'if �I m oevi- Address /03 4,5 ?q 57 Company 6 u/l/v e.A_ Phone # 395 ' - 7S,8— 1/9- Inspection Date 7\/ t- F04-1 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date �G lY1� F AxA-( Permit No. 6P VL/ —g3 Name _5J 1 I r i r Address I n ` s Company 0LU 305 7 5' 1141 Phone # Inspection Date 4 Approved Correction Re- Insp'n Fee c 2 P BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Tenant/Lessee Name $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Building Owner's Name (Fee Simple Titleholder) 04.1^,C. AnCX V NA Phone # 305 7 S 8 -1 l 4 Owner's Address 10 NE City fl 10 t 1 V.Ncsresstate 'r Zip 33' 3 SQC �3. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 103 ■(9 / 9 City Miami Shores Village County Miami -Dade Zip 33) 3? Is Building Historically Designated YES NO Contractor's Company Name C n4A-y P4, n+ - J --- r) Phone # Contractor's Address / f �� /7 JP Cit 6 ,7 h O State 1L Zip Qualifier off- / / 5/ air / PZ- State Certificate or Registration No. Certificate of Competency No. 00— 937- eu- x Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ❑A ['New Describe Work: LA c;< U ) I n�f Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Electrical Plumbing Mechanical Roofing * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** -60 Zoning Code Enforcement $ Structural Plan Review. $ Permit No. Master Permit No. Phone # SetNe Square Footage Of Work: ❑ Repair/Replace ❑ Demolition CCFS ft r O CO /CC Technology Fee $ 1 S Bond $ 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." Signature Chc 05/13/03 ner or Agent APPLICATION APPROVED BY: 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 ..'be vpproved and a reinspection fee will be charged. `• Con Victor The foregoing instrument was acknowledged before me this r " The foregoing instrument was acknowledged before me this day of 20041 by G ? � `f .4 A i dH , day of , 20i by / 5,47R0 dr 1j e L, who is ersonally known to me or who h as produced; A- -' who is p onally known to me as identification and who did take an oath. As identification and who did take an oath. NOTARY PP ,,r► One �. Aten NOTARY PUBLIC Sign: � � ,di AM Con nr�e eIon 00267147 Sign. Print: (041A- �. ,4 TEA) '" Expires January 19. 2008 Print: My Commission Expires: / 9, aex t My Commission *************************** S(************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4 czoy ** l �� / ,2- E . ires: / . U * * * * */ 9 d4 * * * ** MY COMMISSION # OD 080256 EXPIRES: December 25.2005 *********************** * * * * * * * * * * * * *' * *. * * * * * * * * * * * *** * * * * * * * * * * * * * * * *4 ** Plans Examiner Engineer Zoning ** Date Address /0 3 N, C• ?T 57 Dear Property Owner / Occupant ❑ Property is in need of mowing / cleaning 0 Trash on site 0 Exterior of structure requires maintenance 0 Trees/bushes /hedges need trimming 0 Commercial vehicle in residential zone 0 Inoperable vehicle on property 0 Vehicle parked in landscaped area Please correct the above noted item(s) by Sincerely, 19--/ Code Enforcement Officer Miami Shores Village 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2207 FAX: (305) 756 -8972 COURTESY NOTICE In an effort to maintain the appearance and property value of your home, Miami Shores Village has various codes for the upkeep and maintenance of the homes and properties within the community. We are sure that you will agree that a well- maintained home enhances the appeal of the entire neighborhood. V j" Y \\�� Occasionally, a deficiency may be noted at (an` i dividual residence. We have found that in most cases, residents were not aware`tiat iproblem existed. In this case, it was noted that the following item(s) require yourkat tehtion: 0 Vehicle parking areas must be paved 0 Vessel / boat not properly stored ..... Interior / exterior work requires permits 0 Prohibited signs on property 0 Non - domestic animals on property 0 Other: 7///1/4 : 4-c 0 " (Date) () 0() / d rl o 1- a cca� -�d � 4' % a fors , C tnaetsiP (-lo r -� y per overt per t4 CO /0r5 If you feel that you may require additional time or assistance in this matter, please con- tact me at 305- 795 -2204 so that we can discuss your options for bringing the property into compliance. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/14/2004 Applicant: GEORGE FISHMAN Owner: FISHMAN GEORGE JOB ADDRESS: 103 NE 99 ST Contractor FANTASY PAINT Local Phone: 954 -441 -3534 Parcel # 1132060132180 Fees: Description Amount FEE2004 -6068 Building Painting Fee $60.00 FEE2004 -6069 CCF $1.80 FEE2004 -6070 Technology Fee $1.50 FEE2004 -6071 Training and Education Fee $0.60 Total Fees: $63.90 Total Fees: $63.90 Total Receipts: $63.90 Permit,Status: APPROVED Permit Expiration: 12/6/2004 Construction Value: $2,804.00 Work: EXTERIOR PAINTING Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -803 Contractor's Address: 16508 N. W. 17 ST. Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 16 LOT SIZE 105 X 115 OR 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: Miami Shores Village Date ( Q O e 3'] (9 S ( 7 `Owner's Name �QN C C =N G -e c j ` Q ((\ Phone # ?CDS 15? / 1 ( I( _ E- ��. Owner's Address 1 03 q _ 3 � l ¢ City M kQ P,l State FL.— Zip Paint Color Approval and Agreement Job Address (where the work is being done) Same City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO 7, 7, Phone # °y 7/ ' - � �.37 Contractor's Company Name (if applicable) 4 A y P¢j ) / ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls "� / Fascia Drip Cap /drip Edge Soffit Roof Signature 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 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 re a...: Ling construction and zoning. S ash APPLICATION APPROVED BY: Owner or Agent Date (0/0/0 Date z / ?/ r chc 6/18/03 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /03 /i) 51 Sf Tax Folio Legal Description /� ' ✓ Historically Designated: Yes No G`/ , :4 ft t G r Owner/Lessee / Tenant , / SS/ -45t) Master Permit # 4 9 Owner's Address /D 3 /116 9 9 S� Phone 75 / /y/ Contracting Co. CU ►11 c. Address Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION o r , G SF 6 s Square Ft. Estimated Cost (value) e o c) 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 ork will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the rk stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date Notary as to Con My Commission Expires: My Commissio FEES: PERMIT WO RADON C.C.F. - p NOTARY BOND APPROVED: Zoning Mechanical rot- 4 Diltoe Electrical Plumbing Structural Engineer Phone • •• a e of ntractor or or Owner- Builder Fey OFRCIAL NOTARY SEAL �6 5 MARGARITA MONTIEL 97277 r Y •`• N EXPIRES OF F1O DEC. 17,2002 er- Builder Date TOTAL DUE 47, - 6 Date . 5 9 . 7 tors M(A)ER W MYSEC Disapproved (Signed) ll Name and address of licensed contractor 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 building 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. Owner's Name and Qi'e3s' L 0/S AIM/&R Registered Architect andior Engineer N,//9. Building Inspector Date Location and legal description of lot to be built on: / � � (/6 ,,,t) et / 4;N Lot e' J q- /4 Block /6 Subdivision 5 , 11 O n 1 , °Mended PI o_T QOO k / o Street and Number where work is to be done /03 NC 7 io 9 2 19 f, StreeLN ?? sT State work to be done and purpose of building (by floors), state exterior colors (submit samples) e6-,),Air EXr'Iohe mv56r/-6-44ALGE ltouS61:0-GR,116-6 v/4I1S COL-0R: I /GI-Jr G-Aey Roof d- Coi-o/2: S . P4 , 1 (5 f RED New Building kin Remodeling _N Addition A' / . Repairs No of Stories Z' To be constructed of A)//f Kind of foundation / Roof Covering Estimated Total cost of improvements S 2600 • d 0 Amount of Permit S aer 4 'C� Zone cubage required M / i / Plan Cubage N /n Distance to next nearest building NI t-- /i Size of Building Lot /# Maximum live load to be borne by each floor / " / I hereby submit all plans and specifications for said building. All notices with reference to the building and its con STATE OF FLORIDA . COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida and for no other purpose. /to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an r of Labor under the Florida 1lbrkmen s Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the revisions 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 be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is thd.W.NERy of the above described construction, that he has carefully read the foregoin application. and that he did sign the same, and that all facts therein by him stated are true. g Permit No. 3 1/ A _ Date /i / 8 Read. Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.