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135 NE 98 St (10)Owner's Name and Address 54C_1 1 t�YuMci Registered Architect anchor Engineer Name and address of licensed contractor To be constructed of MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: R Lot /9 Block / '7 Subdivision 7 CJ) tfy Street and Number where work is to be done State work to be done and purpose of buildin Iby floors). a ; � �Z�� rs). state exterior colors (su mit samples) )I \1.S /� 'f ���iie, oo-- _Are �t> v / tp 1' r 1 c Ucp U C✓t..s; New Building Remodeling Kind of foundation 2‘2RRoof Covering / / 1.( / / ✓'t: Estimated Total cost of improvements S 7 0 Amount of Permit $ Remarks (Signed) A 1Q Date No. 13 5 PE 0030 lU C 6 - / / - 197U Street ! L . 3 f/ J7i6 '(54P , and for no other purposr Addition Repairs e 1 ` 3 Z/ ,1 J No of Stories_ ^f Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to _ __ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to em loy on s ch subcontractors. 4n work to be performed under this permit, as are licensed by Miami Shores Village. f1 �I STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / E/ ; i9 / Permit No. i / Date �J /J /ft Read. Sworn to and Subscribed before me. C Disapproved � Date Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of ,. Building.. t ,- . MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 6987 Architect Contractor or Builder Legal Lot Description 1 Bl Address of Building DATE ' ` ' 195 Contractor's Z. z License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ 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.BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comp 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. i CONTRACTCR OR BUILDER BY AUTHORITY Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/18/2004 Applicant: GUILLERMINA SAEHLBRANDT Owner: SAEHLBRANDT GUILLERMINA JOB ADDRESS: 135 NE 98 ST Contractor Local Phone: Parcel # 1132060132310 Fees: Description Amount FEE2004 -1689 Building Painting Fee $60.00 FEE2004 -1690 CCF $0.60 FEE2004 -1691 Notary Fee $5.00 FEE2004 -1696 Training and Education Fee $0.20 FEE2004 -1698 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $65.80 Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $500.00 Work: PAINT ROOF WHITE Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -223 Contractor's Address: Page 1 of 1 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. ORiUj Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 BLK 17 LOT SIZE 50.000 X Signed: (Contractor or Builder) BY: WWI SHO S VILLAG t` BUILDING DEPARTMENT � 305- 795 -2204 Buildi ng Inspection Request Date 3//5/ , � ! Type Insp'n ?e,NoiG dean VOcy Permit No. / 'P&p 4-223 �Y Name UdierkVitma •4atitbr4id7^ Address 135 NE ciR ST Company OLfl'1QJ Phone# /674- M'? Inspection Date 'l I G 105 Approved ❑ Correction ❑ Re- Insp'n Fee ❑ �a Q Etc ,Dais �� . Clef , (' /oim_T oi (7 FJOYQ ,' leR s cti s Age rx ( YZougi 5 ?olitd a ivy' ?&,e1%i t // Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/18/2004 Applicant: GUILLERMINA Owner: SAEHLBRANDT JOB ADDRESS: 135 NE 98 Contractor Local Phone: Parcel # 1132060132310 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -223 SAEHLBRANDT GUILLERMINA ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 BLK 17 LOT SIZE 50.000 X Fees: Description Amount FEE2004 -1689 Building Painting Fee $60.00 FEE2004 -1690 CCF $0.60 FEE2004 -1691 Notary Fee $5.00 FEE2004 -1696 Training and Education Fee $0.20 FEE2004 -1698 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $65.80 Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $500.00 Work: PAINT ROOF WHITE 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 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/18/2004 Applicant: GUILLERMINA Owner: SAEHLBRANDT JOB ADDRESS: 135 NE 98 Contractor Local Phone: Parcel # 1132060132310 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -223 SAEHLBRANDT GUILLERMINA ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 BLK 17 LOT SIZE 50.000 X Fees: Description Amount FEE2004 -1689 Building Painting Fee $60.00 FEE2004 -1690 CCF $0.60 FEE2004 -1691 Notary Fee $5.00 FEE2004 -1696 Training and Education Fee $0.20 FEE2004 -1698 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $65.80 Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $500.00 Work: PAINT ROOF WHITE Page 1 of 1 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 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/18/2004 Applicant: GUILLERMINA Owner: SAEHLBRANDT JOB ADDRESS: 135 NE 98 Contractor Local Phone: Parcel # 1132060132310 Building Permit Permit Number: BP2004 -223 SAEHLBRANDT GUILLERMINA ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 19 BLK 17 LOT SIZE 50.000 X Fees: Description Amount FEE2004 -1689 Building Painting Fee $60.00 FEE2004 -1690 CCF $0.60 FEE2004 -1691 Notary Fee $5.00 FEE2004 -1696 Training and Education Fee $0.20 FEE2004 -1698 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $65.80 Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $500.00 Work: PAINT ROOF WHITE Signed: (INSPECTOR) Page 1 of 1 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name Phone # FEB Permit No.0200t- — 223 Master Permit No. Building J Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) f�c� `-'/J�D holderr) 60 ml na �c 7 it Phone # ;30 (S 5 6. _ "9(7/(7 Owner's Address q ---t 5 (a V �� - f�' . ry 1 2 ci 7 City y I a U � e State Ito t �„ � Zip 33 39 Job Address (where the work is being clone) 1 3s ME 9S -1.- City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO y Contractor's Company Name b\ `t V1 c° ©U t1 N Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit / — CO OO Type of Work: ❑Addition ['Alteration Describe Work: i Vd i /1`7 ❑New Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ l 2O : ( CCF $ , ( CO //C Notary $ F; - 0 0 Training/Education Fee $ i 2 Technology Fee $ I - 36 • Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ �,, 17 30 0 0 V Z R-- \ <... 0 -- n (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 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 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 and a reinsp y ion fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before m day of Te In , 2004 b who is personally known to me or who has produced NOTARY Sign: Print: P ist My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 /c/ ;)6 7 l6'1h11► this I ` C l VI (Mi As identification and who did take an o IWrlr `. _■•■ SSW 01 Nik ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Plans Examiner Engineer Zoning Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced —Q� as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: .01\./4\v Miami Shores Village Paint Color Approval and Agreement Date �.f Owner's Name ` / 3 S M E l KS I Phone # Owner's Address City State Zip Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Zip Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Drip Cap /drip Edge Soffit '' nn lll,� V Roof W1I ( LA Flower bins Shutters Awnings Chimney Doors and door jams N Garage doors 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 zo ' g. Signature % io /48 Owner or Agent APPLICATION APPROVED BY: P& t6fficial Attach Color Samples With Numbers Date d chc chc 6/18/03