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DRIVEWAYMIAMI SHORES VILLAGE BUILDING DEPARTMENT (c \ 305- 795 -2204 Budding Inspection Wiest ��J4�/ Date Pr 14 ri r�c Permit No. 6)2(A-1592_ Name Daq Address ( 32, E Company eqeC/L-a1Ct Type Insp'n Phone # Approved Ins.ection Dat Re- Insp'n Fee City Permit moo. , 1 :�' ''e� BUILDING PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �_ c ALI Phone* Owner's Address lie art v` Qfe State F )-' Zip Tenant/Lessee Name � ��L 1 S 1 C L being done) 1 116 844L Job Address (where the work is g ) 3 s County Miami -Dade Zip City Miami Shores Villa e Is Building Historically Designated YES 0 agoupur Phone Contractor's Company Name & ) 2QP.LtIQ 1 Contractor's Address ± 0 S C=. Zip t City ' � ii Qualifier `u 1 QV Architect/Engineer's Name (if applicable) Architect/Engineer's Address $ Value of Work For this Permit Describe Work: County Escrow Fee $ Education/Training Fee $ Code Enforcement $__�., Minus Plans Check Fee $ Miami Shores Village Budding Department State 3 . 613€ Phone 1 - Phone ft Square Feot • t oos Baths 'Number of B - Stones � � p -, y - - — F 'lies Be � �Y�,s; Type of Work: "' ]Addition ,. �ie�v U Repair/Replace a� air/ft�e 1 �D o� * F * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ 7 5 -"— Tech $ Sig $ talon Bond $ ,pry •''` Struct. $ 10050 N 2nd Avenue Miami Shores, Florida 33138 Tel (3'05) 795,2204 Fax: (305) 156.8972 age£ Work. (A6* (Continued on opposite side) Total Fee Now Due $ - - _ _ _ . ( 37) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Signature The 10/02/03 Owner Agent The foregoing instrument was acknowledged before me this day of _,� . 20 .e.:; by /'r who is personally known to me or who has produced is Print: / My Commission Expires: 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 not be approved and a reinspection fee will be charged As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: 7 -2 •Oj , ,,, Mary B. Beck g� ' Commission ADD 173070 . ��''= Expires: Dec 22. 2006 '''�cii► Bonded Thru " "' AdJntic Bonding CO.. Inc Signature GA v tractor The foregoing instrument was acknowledged before me this day of - ' , 20 if b ,. /• who is personally known to me or who has produced 6 �'t as identification and who did take an oath. Sign: , Mary B. Beck Print:. .� /A • � . : Commission (inn1 73070 My Commission Expires: •'s• �� �xPires: Dec 22. 2006 ****************** * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** sass**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** •' Bonded Thru � �t9V��m: tnt ���� (Certificate of Competency Holder) State Certificate or Registration No. CJ C 6 5 ( 4 ( 4 q-S Certificate of Competency No. ****************************************************** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: /0 DEB 211 4 Plans Examiner Engineer Zoning Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1592 Printed: 12/22/2004 Applicant: JOSEPH DAY Owner: DAY JOSEPH JOB ADDRESS: 1032 NE 98 ST Contractor CAPORELLA GROUP OF FLORIDA Contractor's Address: 160 S UNIVERSITY DR Local Phone: 954 -452 -9299 Parcel # 1132050180320 Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2004 -12922 Building Fee $175.00 FEE2004 -12923 CCF $4.20 FEE2004 -12924 Scanning Fee $9.00 FEE2004 -12925 Technology Fee $4.38 FEE2004 -12929 Training and Education Fee $1.40 FEE2004 -12930 Builders Bond $300.00 Total Fees: $493.98 Total Fees: $493.98 Total Receipts: $0.00 (00g- Permit Status: APPROVED Permit Expiration: 6/4/2005 Construction Value: $6,900.00 Work: INSTALLING BRICK PAVER ON DRIVEWAY AND BACK PATIO Page 1 of 1 PB 43-69 LOT 15 MAR 0 7 PAID Signed: (INSPECTOR) 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:: BLK 180 LOT Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE g % ob Address / (,j-�Z //eE 95 * Tax Folio Legal Description Historically Designated: Yes No ( Owner's Address , ///Z_ 9 Phone 75 Contracting Co. )) eee /%4 ' li //�5 �/�� ,r k A / 3 /1/2- Qualifier / 7Of 7X- /ie/Z7 - U SS# 2 ? � 1 �- S XZe F5 State # Municipal # 06 6 3 '7 Competency # 6 Co Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 7 2 -. "27 47 6' o Square Ft. �( 72 � Estimated Cost (value) Owner/Lessee / Tenant Master Permit # 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 laws regulating construction and zoning. Furthermore, I authorize the above -named contractor -to de . .e wor - = 41111110 _ . ..e..1 ...e.d....407 -5 Signature of ovr and/or Condo President Date Signature o Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing Engineering 4.- Zalao l / /J/� / /���/ Notary as to Contractor or Owner -Buil My Commission Expires: C.C.F. iY E— NOTARY Electrical mph y with all applicable P ,RY PO OFFIC4 L NOTARY S; 2 O� �! e �i (l BARBARA ANN FUGA ?.' . . 4 *COMMISSION NUMBE. CC360191 4,, F� `O MY COMMISSION E`! �OF F1. M AR, TOTAL DUE 19/9e Date 1 a 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 Address Registered Architect and /or Engineer Name and address of licensed contractor APPLICATION FOR BUILDING PERMIT I4u N Location and le al description of lot to be built on: Lot Block l O Street and Number where work is to be done /13 0 77 98 O S1" tate exterior colors (submit samples) 1 �Y C' V 0 C1 C vl N6S. and for no other purpose. pfik airs ` No. of Stories a L G State work to be done and purpose of building (by floors), New Building Remodeling Addition To be constructed of Kind of foundation MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT n n rx X n C, Subdivision n V 1/4 I Y \I Estimated Rita] cost of improvements $ Ds __OlD Amount of Permit 6 1 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons 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 be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date 16-11 No. / s Street e f) 57 Roof Covering 66d/1 /37 4 , 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 19 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 fo : oin • : pplication, and that he did sign the same, and that all facts therein by him stated are true. Permit No. „' Date I Read, Sworn to and Subscribed before me. Disapproved y�1 Date (Signed) Building Inspector My Commission Expires - PLANNING BOARD DATE Notary Public. State of Florida 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 and workmanship.