PAINTDate
Type Insp'
Permit No.
Name
Address
MIAMI SHORES VILLAG
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Time
CL/e
p
Company � ��� _
Phone #
For Inspectoor:
Approve
Correctio
Re- Insp'n Fee
7
Name & Date
0
MIAMI SHORES VILLAGE WJ
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date c, h /05'
Type Insp'n 1 rc 1 r
Permit No. IC)cl I
Name \ c �� Y)n - C y
Address 11 S3 NYE 99
Company X X X X x x
Phone # l lV 7 ) 751 - 37-41
Inspection Date S Z O 5
Approved
Correction ❑
Re- Insp'n Fee ❑
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE IR EC El V E 1;
100501"i.E. 2 d Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305.75 - 897 P R
ep -- A 1 2003
Legal Description Historically Designated: Yes No _
A?!
caner /Lessee/Tenet
AM— L C /4M TE/UIC,�EE y Maser Permit #
wner's Address Se} "/ Ph
Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Ake
nature of owner and/or Condo President
TSvo \I-
FEES: PERMIT
APPROVED:
/J
Zoning l/�X
Mechanical
1 a�
N. as to O r er and/or . ondo 1 '1e id•
My Commission Expires x r Angela M Becker
My Commission DD150048
' Expires November 15, 2006
("0. RADO
CD
4/ 3 Building
Plumbing
D
ate
6 3
; v; -7S 32g7
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
�/�
WORK DESCRIPTION: / / V` T C� - Cil/SE J' SE /T� ` //(15 /L E
of Tt 6-A, fr
Square Ft. Estinh[Cetl Cost (value)
p DYE
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 ANY 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 all disciplines.
OWNERS 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, 1 authorize the above named contractor to do the work stated.
'Signature of Contractor or Owner Builder Date
Notary as to Contractor or Owner Builder Date
My Commission Expires
C.C.F s �D NOTARY 9,49 0 BOND
21) / '
TOTAL DUE LO
Electrical
Structural Engineer
MIAMI SHORES VILLAGE
• • Paint Color Approval and Agreement
DATE: D y/2// b
OWNER'S NAME: Vt/ 1 c A,t4 TcfUAfEyPHONE: 30
ADDRESS: / S'5 /V
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: Spry
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls SEA . 9Ar-f P
Fascia Will rE
Drip Cap/Drip Edge
Soffit \-)/f/7":
Roof Ne,,,A5 el tam
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors S E- ,S`,4,MP/_,
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 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
samples.
f ) ignature of Owner
* * * * * * * * * * * * * * * * **
APPROVED:
e Y/1 9
ate Signature of Contractor Date
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
vh
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Offic Date 4/23/01
L
ACCOUNT
' -01
PAYMENT
lentiMP
BAL. DUE
Maar Mal
0.
w
U
OA No. 197678
CHECK
MONEY „,,„,
ORDER w'
/4 AT 4'
0(1213 .L2 L:Lii
FROM
$406..t
1182
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2003 -686
Printed: 4/29/2003
Applicant:
Owner: TENNEY NORA
JOB ADDRESS: 1183 NE 99 ST
Contractor
Local Phone:
Permit Status: Approved Permit Expiration: 10/25/2003 Construction Value:
Work: EXTERIOR PAINTING AS PER AGREEMENT
r
tSIT Signed:
Parcel # 1132050180090
Fees: Description Amount
FEE2003 -2528 CCF $1.20
FEE2003 -2529 Building Permit Application Fee $60.00
FEE2003 -2530 Notary Fee $5.00
Total Fees: $66.20
Total Fees: $66.20
Total Receipts: $66.20
Signed:
4
Building Permit
Contractor's Address:
Legal Description: REV PL MIAMI SHORES SEC 8
(INSPECTOR)
tractor or Builder) BY:
$2,000.00
Page 1 of 1
PB 43 -69 LOT 20
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
ne by either myself, my agent, servants or employes.
BLK 178 LOT
I
Date 71-7
Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date I>Qot as to Con
My Commission Expires: My onzinkt
=O\t
FEES: PERMIT /O. D o RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICA9N FOR MIAMI SHORES VILLAGE
PI Job Address /f i 3 /UE 9 ST Tax Folio // —0 Z.00 0 /6 — o 0 ? O
'ption c5.raG. 6 .6 0 .e._O oke / 78 Historically Designated: Yes No
?Tenant 14-' ILL/ 6} /` 1 (� . Master Permit #
//8 3 A( E 91 J d Phone
O WAJE frz, Address
Building
Plumbing
gr%
SS# Phone
,f41/1/4)T fc J61- / WN /Te TJ /M
Square Ft. Estimated Cost (value) 500.
Signature of Contractor or Owner- Builder
atAL NOTARY SEAL
SANDRA M MONTIEL
CO2 MISSION NUMBER
`C4O1261
4 tsf:93N EXP.
Electrical
7 54 - 5' 7
Ins. Co.
1676-&r
*
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
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.
Date
— 7/30/7-
C.C.F. • ,TO NOTARY L in() 0 TOTAL DUE
Engineering
•
/
Date / i-q f Job Address / 7 Tax Folio /1 3 I t 9
Legal Description og sLeer .B4C19
e / Lessee / Tenant /0 Master Permit it
Owner's Address // eg e ffgi
Contracting Co. Address
Qualifier ' " � � // SS4f - - / Phone 7.-
State #055-V3 Municipal # Competency #
Architect /Engineer Addr
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING LECTRICAL PLUMBI G MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
4 ?/�� ek tot D (,-
Square Pt. 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 a urate a.• that all work will
be done in compliance with all applicable laws regulating construction and g. Furthermore, I
authorize the above -named contractor to do the work stated
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** *
FEES: PERMIT 3 7 ' S )
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
: ign u e o Contractor
D - e: q/ q
My Commission
RADON C.C.F. I. NOTARY TOTAL DUE i - S
Fire Other
Phone
**
Zoning Buildin 8L Electrical
I
Mechanical Plumbing_ Engineering