PAINTDate
Type Insp'n
Permit No.
Name
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE 6
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
/0140 /U15 c4 R qz.1
Address
Company -7 1 /�
Phone # US ‘/� a - (// o1
Inspection Date / 0
)1(
t 1
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle . Building Electrical
Owner's Name (Fee Simple Titleholder) M AdVS 2.%O VA ce Phone #
Owner's Address k ZOO lie °r,$ $T
City �►/ t kWI 1 S 1i thS State
Plu ` bung
Miami Shores Village
Building Department
Zip 3 3 t 3 ► 11
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. ?J 1
r Permit No.
chanical Roofing
._ oC - / 4 4 . - 4 I 0
Tenant/Lessee Name Phone #
,7. Address (where the work is being done) 0•4o HO C °lg ST
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address dQ
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phoae #
$ Value of Work For this Permit
Submittal Fee $ Permit Fee $
* *. * ** * * * ** * * * * * * * * * * **
Code Enforcement $ Structural Plan Review. $
Total. Fee Now Due $ � 0
(Continued on oppos a side)
Square Footage Df Work:
❑ Repair/Replace
Notary $ , { Training/Education Fee $ i Tech
Scanning $ Radon $ Zoning Bond $
Type of Work: ❑Addition ❑Alteration :New
Describe Work:
❑ Dew lation
M '
CG/CC
- Sc)
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."
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 st bject 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 pproved nd a reinspection fee will be charged.
)Kignature � 4.\ — Signature
wner or Agent' Contractor
The foregoing instrument was acknowledged before mee this ) 0 The foregoing instrument was acknowledged before me this
day of `(- 1() , 20(5 by b 0 { iZ 0 E 10 (�L C of , 20 _ , by
As identification and who did take an oath.
who is who is-pdr known to me or who has produced
illy known to me or who has produced
as identification and who did take an oath.
* * * * * * * * * * **
F1! )nciod I•hru
NOTARY
Sign:
Print:
My Col ssion Expire
* * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Mabel Varga§OTARY PUBLIC:
D23W84 Si
• gn:
g
(1
Print:
My Commission Expires:
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/\
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Owner's Name IA c2/i L� _
VI C'G� Phone # � r 7(0 J ' ` (/
Owner's Address k _.•(p 0 & E Ok E §�
City ■IP•kA: S 1401e-) State c... Zip
Date \ \�
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls S to r_` -r d so Vr i 03 )
PricirtiekS G e2.4 , tu 3/oc N:
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
* * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I cc
applicable laws regulating cons
Signature
APPLICATION APPROVED BY:
0' u ir4
,Jr—
D rir
that al
Ftion and zo
r-(
Aft s
c f;
�7 /DG
it/l
VANii4S VI-Asir") 3/0
O 1 (% w E (r Vi
C1(ec/ /0 1\ 5
- 013?
Zip
Ole
so / / .r
310C -1 "
Kansas Grain
Decorative metal
All brick (simulated or regular)
Stucco banding � t, A s u w
Any other stucco features ) ( t - ✓� S
Accessory Buildings N
Other
foregoing information is accurate and that all work will be done in compliance with all
(q 0�
1
Date
Date
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/24/2005
Contractor
Local Phone:
Parcel # 1132050090320
Signed:
(INSPECTOR)
Building Permit
Permit Number: BP2005 -40
Applicant: MARGUARITE MASOCCO
Owner: MASOCCO MARGUARITE
JOB ADDRESS: 1260 NE 98 ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 7/9/2005 Construction Value: $500.00
Work: PAINT HOUSE EXTERIOR
•
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 LOT 5 & W25FT LOT 4 BLK 3 LOT SIZE
Fees: Description Amount
FEE2005 -274 Building Painting Fee $60.00
FEE2005 -276 Notary Fee $5.00
FEE2005 -278 Technology Fee $1.50
FEE2005 -279 CCF $0.60
FEE2005 -280 Training and Education Fee $0.20
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
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
Date2O� , Address Y 2P 0 N , G. c I , Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 0 ��� ^ L � X A A ni t. � . I..0 IJ Co Master c1' Master Permit # OZ O(
Owner's Address c7 1t. Phone is I 0 7S9 -4 ) ) 5
Contracting Co. 5f t• F Address 59w1 i
Qualifier SS# Phone
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 I N T u S L i e (c F1 / - 1 0-co
Square Ft. Estimated Cost (value) 45
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 work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
ature of Contractor or Owner'$uilder
l "R' ci MY COMMISSION •EXP.
� OF F\- AUG. 17 1998
20 RD. ic9(
Date
Nbtary as to Contractor or Owner- Builder Date
M y C i .j I P. d RI ICIAL NOTARY SEAL O` d D "9.4,
0 { < SANDRA M MONTIEL
Z �); * COMMISSION NUMBER
` Q CC401261
V
J �
FEES: PERMIT L/ D . RADON C.C.F. SO NOTARY :� -- TOTAL DUE
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical