BP-05-146 Miami Shores Village
.. Building Department
10050 N.E.2nd Avenue, Miami Shores, Tgorida 33138
T 795.2204 Fax: (305) 756.8972
BUILDING " Permit No.
PERMIT APPLICATITA'® fl
_
Master Permit: No.
FBC 2001
Permit Type (circl Oeo Electrical Plumbing Mechanical Roo
Name (Fee S 741" 4F*k 6 a'A'+ V 4 C- Phone #
Owner's Address / Zr & r N G' f XS l
City /n State Zip ••�. iS�
Tenantd,essee Name Phone #
Job Address (where the work is being done)
City Nfiami Shores Village County --Mk ' -Dade Zip 3
Is Building Historically Designated YES
Contractor's Company Name �7 4a� �}A0 N 4 - 7 4 " Ptit #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
ArchitectlEngineer's Name (if applicable) Phone #
S Value of Work For this Permit a Square Footage Of Work: f
Type of Work: ❑Addition ❑Alteration ❑New , /" ❑ Repair/Replace ❑ Demolition
Describe Work: A�"� w'T` �u"i S t ! l S d
Submittal Fee S Permit Fee S 00 c CCF $ o CO /CC
Notary $ TraininglEducation Fee S Technology Fee $ s cS
Scanning $ Radon $ Zonin Bond S
Code Enforcement S Structural Plan Review. $
Total Fee Now Due S -7`
(Continued on opposite side)
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 for 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 WITII 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after, the building permit is issued. In the absence of such posted notice, the
inspection will not be approved an rei coon fee will be charged.
Signature Signature
Owner ovAgent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of . 0 20 y VAY -aoll day of 20 by
who is 4ersonally known to me who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath
NOTARY PUB C NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commissi n Expires: My Commission Expires:
fill/
9t kiC �C JY �t 3i 71C7tfk 31 i47Y i1t ik X92 D'i �S Y$ �9C SF X471' 7t117t91.7'C 3C 94 9'ti'ti@3h 7k$$$i 91t 9t D41Y n4 ik St 9ti 7Y i$iC 7R Stilt At i@lY'It YC 4t k aF �t $7ti 4t I@9@iti lY3: ik �C iklkD't$ &9Y $�S$9h 7TC 9C 7C i@ 9t i@3C ik a2Yt it 3: ik
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APPLICATION•APPROVED BY: $nh� o `�' ® 7 2 Plans Examiner
Engineer
Zoning
Ch. 05!13!03
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Miami Shores Village
• _ t P Paint Color Approval and Agreement
Date 3
Owner's Name Phone # .30
Owner's Address
City /�! �Jr? ► �►7 State zip
Job Address (where the work is being done) W. A
City Miami Shores Village County Dade Zip
Is Building Historically Designated YES
Contractor's Company Name (if applicable) Phone #
All ele ments on the site must be listed and indicate the col to b e sainted
Watts LI , 7 ,0 a v 41+ off! 4l
Fascia '
Drip Cap /drip Edge
Soffit Moonlight _
9 White 2143 -60
Roof
Flower bins
Shutters
n
Awnings
Chimney
Doors and door jams
Garage doors 0 ® PV
Railings GCs N l• t G %<% S� 34 0 p
0
Fences Aimm
i
Decorative metal i
All brick (simulated or regular) Camouflage 2143 -40
Stucco bandin
Any other stucco features
Accessory Buildings
Other
OWNER'S AFFID AVIT: 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.
Date r
Signature
e
Owner or Agent
APPLICATION APPROVED BY: Date.
P& Z al chc G/18/03
Miami Shores Village Buildin Permit
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -146'`
Printed: 2/1412005 Page 1 of 1
Applicant: ERICA RICHTER
Owner: RICHTER ERICA
JOB ADDRESS: 1269 NE 98 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1132050090260 Legal Description: EARLETON SHORES PB 43 -80 LOT 15 BLK 2 LOT SIZE 75.000 X 109
Fees: Description Amount
FEE2005 -1880 Building Painting Fee $60.00
FEE2005 -1881 CCF
$0.60 Total Fees: $67.30
FEE2005 -1882 Notary Fee $5,00 Total Receipts: $67.30
FEE2005 -1884 Training and Education Fee $0.20
FEE2005 -1887 Technology Fee $1.50
Total Fees: $67.30
Permit Status: APPROVED Permit Expiration: 7/31/2005 Construction Value: $300.00
Work: PAINT HOUSE EXTERIOR
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:
Miami Shores Village Building Permit
10050 NE 2nd Avenue g* '
Phone: 305 - 795 -2204 Permit Number: BP2005 -146
Printed: 2/14 /2005 Page 1 of 1
Applicant: ERICA RICHTER
Owner: RICHTER ERICA
JOB ADDRESS: 1269 NE 98 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1132050090260 Legal Description: EARLETON SHORES PB 43 -80 LOT 15 BLK 2 LOT SIZE 75.000 X 109
Fees: Description Amount
FEE2005 -1880 Building Painting Fee $60.00
FEE2005 -1881 CCF $0.60 Total Fees: $67.30
FEE2005 -1882 Notary Fee $5.00 Total Receipt: $67.30
FEE2005 -1884 Training and Education Fee $0.20
FEE2005 -1887 Technology Fee $1.50
Total Fees: $67.30
Permit Status: APPROVED Permit Expiration: 7/3112005 Construction Value: $300.00
Work: PAINT HOUSE EXTERIOR
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:
I