1178 NE 98 St (12)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ? — 2 Time
Type Insp'n 42 11;J
Permit No. ii/t7 6 0 2 —) 4 ff
Name C4 4t€7;- >
Address 1/79 Ais ' 57'
Company 1) a 2 /' ded �Lel
Phone # 30.E < L (J / 4
For Inspector: g- ,zi oz Name & Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
\ BUILDING DEPARTMENT
F1 n01 tbin\-
69aUS _- I).( -1
Name Cha ion
Address 1 1 I 6 13 1 - 1 O
Company \ kTC ,f { t ?ir4-
Type
Insp'n
Permit No.
Phone #
For Inspector: to (C)' Name & Date
Approved
Correction
Re- Insp'n Fee
305- 795 -2204
Building Inspection Request
Time
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date • 1t • 0 L Job Address /118 W Tax Folio
Legal Description >- t oA Historically Designated: Yes No ✓
Owner/Lessee / Tenant 57"6 E( 1 /rcM ,-1 (llAT7 Td A Master Permit # J c3 ° /D-4129
Owner's Address ill g N• E q8
Contracting Co. V 1 5CA�N'� n�'n
Qualifier O' V \ 500JJl 71
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL r :.. iMBL.•
nwne :.' ` MTP. 57.
and/or Condo President
constructi • ' d zo ' ' ! Furth
Signature
Notary as to
My Comnll
ROXXY PINDELL
Notary'Public, State of Florida
My comm. expires April 20, 2004
Comm. No. CC929624
ID 910846
L'c :d Thr -ervlce Insurance Company, Inc.
FEES: PERMIT ii CJ ° RADON C.C.F.
APPROVED:
Zoning a
Mechanical
Municipal # b 1,Z 53
Building
(Pip-110a.
Date
SS#
Competency # gT B 5 a 0 v2l T Ins. Co. Z ug I a co,
Address
Address
Address
Phone
Address 6
ore, I authorize th above - named contractor to do the work stated.
IoZ
Date
(5s)7T 62/4c7
Gip CouRSE
Phone(3 ) 7 7 —1( (./
^ IIANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ?ifl a)treAfvR.
Square Ft. Estimated Cost (value) cv
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 rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
No : as to 0 on
M ommission
s� 24'7
— Electrical
/ Electrical
J , 8 v NOTARY-C. D�
- n • U • OTAFIY
X ides: � ANGELA M PECKEr
Z � ii n COMKSSON PfUMSEn f�
pp f�, 1 U'
* CC786697 tltlC
r Ja c
OFFLO NOV.
MY COmvisr•o :rrp;a -s
BOND
Plumbing Structural Engineer
Applicant: RICHARD
i 7 Owner: CHATTERTON
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7 /19/2002
JOB ADDRESS: 1178 NE 98
Contractor
Local Phone: 305 - 751 -7164
Parcel # 1132050180400
Building Permit
Permit Number: BP2002 -1269
CHATTERTON
RICHARD
ST
Page 1 of 1
VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE
Legal Description: REV PL MIAMI SHORES SEC 8
PB 43 -69 LOT 23
Fees: Description Amount
FEE2002 -3994 Building Permit Application Fee $60.00
FEE2002 -3995 CCF $1.80
FEE2002 -3996 Notary Fee $5.00
Total Fees: $66.80
Total Fees: $66.80
Total Receipts: $0.00
BLK 180 LOT
Permit Status: Approved Permit Expiration: 1/14/2003 Construction Value: $1,900.00
Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMT)
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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 he assumes responsibility for work done
by his agents, servants or employees.
Signed: G CTOR) BY:
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 specifi tions 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: (!l�"� (Contractor or Builder) BY:
MIA.MI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: d. /Z • ezx
OWNER'S NAME: 5 67) Rim /,€.2e/ 4a eNAT ?Ton/PHONE:(3 5) 7 (eZceit
ADDRESS: / rig A/.6 IV 7'4 5-r
ADDRESS OF SITE: /('l' is/. -6:-. 9
CONTRACTOR & LICENSE (if applicable) gi/$500a/iii
COMPANY NAME: VW6,v PA-d-id a PHONE:(3os) ?S -7f6
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * *** ***
All Elements on the site must be listed and indicate the color to be painted.
Walls it C - V
Fascia 0; - 3
Drip Cap/Drip Edge /r207
Soffit pG -3
Roof TS 1pfki6 co i - (040,4.14- . tl 5oR ar*L'{
Flower Bins 06.-S
Shutters ,,(f &
Awnings I
,..1 Chimney ,
Doors and door jams pC - 3
Garage Doors AC-
Railings tlk
Fences „jl
Decorative Metal ►,I k
All brick (simulated r re ular) 4/k
Stucco Banding 1,1 ,
Any other stucco fe tures SMM. SQxc
lkossEilaiEgt w)- 4 t.CDE.C -4C -se'
Other .
APPROVED:
Ze/' 7 I ,S 02
2/D
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will b as per the attached
mples� _) 6tif
/ DZ
Signature of Owner D.te Signature of Contrac or Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official .. Date 4/23/01
AC -8 AC -4
OC -3
E
1207
ROBERT S. VISCOUNT, JR.
640 GRAND CONCOURSE
MIAMI SHORES, FL 33138
Pay to the t D C). � I l(
order of /vl (�1�� JK•!�[
BankofAme ica. . .
ACH R/T 063100277
For --. 4 6 ?- • 0-c_0
Date
1:063 L00:2:771.: 0035080 L33 L60 25 20
2520
z. OZ. 63- 27/631 Fl
988
Dollars 8 "