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145 NE 98 St (2)Total Fee Now Due $ ar Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building $ Value of Work For this Permit Type of Work: ❑ Additio Describe Work: (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ❑ Alteration NOV 1 2 2004 Tel: (31. ,;,w -�• � �. 8972 Electrical Plumbing Owner's Name (Fee Simple Titleholder) /T/`t / Phone # ?r::_ j.'j -- f9 Owner's Address � �2' / i�..7 J l ( ,i7/ /4 City l/ ;�� < State Vi c=_ Zip ,� 5 ) c � � ( Tenant/Lessee Name Phone # (�''_ \ g,j i � / / 0 , 3)(--- Job Address (where the work is being done) / ,-) i Z l X 5 7 City Miami Shores Village County Miami -Dade Zip J ,wf Is Building Historically Designated YES NO Contractor's Company Name 9W Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # ❑New 6 Code Enforcement $ Structural Plan Review. $ Permit No. a>i .9,00 (l -J y79 ster Permit No. Square Footage Of Work: Mechanical Roofing ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / Submittal Fee $ Permit Fee at-O " mi l CCF f CO /CC Notary $ Training/Education Fee $ � T u Technology Fee $ Scanning $ e Radon $ Zoning it,_. Bond $ Bondin Bondin€ City Mortga Mortg4 City Applic comme constni WELL OWN! applica "WAR PAYI CONS CO My Commission Explr s. Chc 05/13/03 > wr GF nnr lirahlel Signature Owner or Agent APPLICATION APPROVED BY: E i Notice promise in good faith that a copy of the notice of commencement and construction nen raw arucnure wrr: ur urrrvci cu a „o pc, 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 reinspec rn fee will be charged. c 1.) z Q u ❑ ❑ Signature Contractor The foregoing instrument was acknowledged before me this br.2” _ry The foregoing instrument was acknowledged before me this day of tit.6'731—' , 20 Cy-, by (�, , day of , 20 , by who is personally known to me or who has produced (- ) 1. who is personally known to me or who has produced RD � "'��4 'q6 " s identification and who d !� y H. Gonell dt1 i1/�1flfl 41JD323870 as identification and who did take an oath. NOTARY P C� '•. Expitt gI 411 �� 'OF lO 1#{j01�Cr1 Sign: _ ✓i ✓i �.i:..► c_` ,": Atlantic Bonding Co.l: •- Print: ] M 'kJ � G� Print: ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** g ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOV 1 5 2004 Plans Examiner Engineer Zoning lrain Miami Shores Village Color Approval and Agreement Date Owner's Name W° j eti.41 Phone # Owner's Address 4'f,54. _ State 7 Zip City ,� � Q Job Address (where the work is being done) / j"i , ./7' 5 / �� City Miami Shores Village County Miami -Dade Zip h ,4,./ 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 Fascia Drip Cap /drip Edge Railings Fences Decorative metal Signature Soffit - ° � � �� - - � ) Roof , - `/ %�^Z e5 /,�7J b f CiA r Flower bins f Shutters l�7T l Awnings Ce//0 7 k_ Chimney AL/A Doors and door jams ei,/id ` (,/l Garage doors 11/ //; / All brick (simulated or regular) Stucco banding e-t./ /�fi 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. Owner or Agent APPLICATION APPROVED BY: P& Z 1a1 Date /A /7- Date ch 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/18/2004 Applicant: KAREN Owner: PUMA JOB ADDRESS: 145 Contractor Local Phone: Parcel # 1132060132311 Signed: NE 98 Building Permit Permit Number: BP2004 -1479 PUMA KAREN ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $1,500.00 Work: PAINT HOUSE EXTERIOR (INSPECTOR) Page 1 of 1 BLK 17 LOT SIZE 50.000 X Fees: FEE2004 -11171 FEE2004 -11172 FEE2004 -11173 FEE2004 -11174 FEE2004 -11176 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $1.20 $5.00 $0.40 $1.50 $68.10 Total Fees: $68.10 Total Receipts: $68.10 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 Date 2 ��Job Address 1 A C 23' J T. Tax Folio Legal Description Historically Designated: Yes No Y� Master Permit # / Tenant P 4 ,21 124 "To / i&'6 A Owner's Address / 1 /5 .S I ;; Phone 2 Z 7 - l LI I Contracting Co. (Ac.)/ Address 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 pp f } Vic).;3 L✓Ht TV" TO Gvhf //Z Square Ft. Estimated Cost (value) 150d . 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 110 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. Sign 6/z? 7 I‘ Notary to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My c" mmission Expires: APPROVED: Zoning Mechanical er and/or Condo President Date `inpr , ?y'',. JON GRAVES 4 `= MY COMMISSION # CC 424248 EXPIRES: January 31, 1999 'gip °e` Bonded Thru Notary Public Underwriters Buil FEES: PERMIT 0 • RADON C.C.F. ' NOTARY Signature of Contractor or Owner- Builder Date My Commission Expires: Electrical TOTAL DUE Plumbing Engineering P ERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ..) — /1 t — / Job Address /(5 /L'C ) ( 744 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / � ,(if' , Master Permit # 3 (1 2J tei's Address A2,270 / L) /'f'(/ ,1 Contracting Co. Address Qualifier SS# State # Municipal # Competency # Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): ILD t ` G ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / 7 /4 /- j f/U / Q Square Ft. 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 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Mechanical Plumbing rl� C.C.F. }o Si IA a Tron cto'K Owner -Bui der „ Da e • .1 as to "•ntract 11.1441114 • • Dat My Conunis on Exp Y P,. • OFFICIAL NOTARY SEAL I NOTARY 0 ne P7 ,_‘)9 f3 Phone Ins. Co. N r eG ANGELA IN BECKER • � � � �l COMMISSION NUMBER i ' ' III• 'r CC786697 s MY M19SION EX PIRES � � GOM Nay. 1ts,xao? BOND TOTAL DUE 3 / /ilCY Building Electrical Structural Engineer 1- MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 3 -) l{ - C� OWNER'S NAME: - Pc-c ,a.J PHONE: as- 'is j_ 2.9 v ADDRESS: 19 s clA, C. 12 • * * * * * * * * * * * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: / VS' )1 F. qY CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Soffit Roof Flower Bins Shutters Awnings Chimney /4/19 Doors and door jams Garage Doors z-12 7- Railings Fences Decorative Metal APPROVED: _ ite/31,, cei Building Official All brick (simulated or regular) Stucco Banding Any other stucco features /f/rf Accessory Buildings 9, ?! ' fi4 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. 3 / / Signnatur; of`Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION