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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