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PAINTOCT 2 8 2005 MIAMI S -IORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1O1 ZO JoS Type Insp'n ! t.J A L P4-1 Permit No. 12)P`- 1 3 2 Name CD 4-4 t.1 Address 304- 4' 9 S't' Company /�'`'� Z Phone# ` 306 ) 7G7 77 Inspection Date 10 Z4-)0 Approved Correction Re- Insp'n Fee 1 r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/16/2005 Applicant: JOHN Owner: FORBES JOB ADDRESS: 304 Contractor Local Phone: Parcel # 1132060135600 NE 99 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1332 FORBES JOHN ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 11 & 12 Fees: FEE2005 -12499 FEE2005 -12500 FEE2005 -12501 FEE2005 -12502 FEE2005 -12503 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 3/13/2006 Construction Value: $2,100.00 Work: PAINT EXTERIOR OF HOUSE 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. BY: BLK 41 LOT SIZE 100.000 BUILDING PERMIT APPLICATIO FBC 2001 Contractor's Company Name Contractor's Address $ Value of Work For this Permit ' Q2(00 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te SEP 1 4 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) L ( I (q y- FOv" ,es Owner's Address NE 9 9 Sfi Cit 01 I cc S -gs State F Tenant/Lessee Name Job Address (where the work is being done) ZQ►n1Q QS ( tkQ City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO X City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ['Alteration [New Er Repair/Replace 11 Demolition Describe Work: `' C v"r\- o f w -- c r e ' . cj e__-e_ 2"74°1 .......................... Submittal Fee $ L. ' 30 • Permit Fee $ CJ • 00 CCF $ 0 .6D CO /CC Notary $ 5 • Training/Education Fee $ 0. 2.0 Technology Fee $ 1 SO • Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (=P?. • 30 • SEP 1 4 PAID (Continued on opposite side) 756.8972 Permit No.S — / 33 - Master Permit No. Phone # Zip �i I Phone # Phone # � , a 7. 0 )5 W Square Footage Of Work: � 4S • 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. 1 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 reinspection fee will be charged. . Signature who is personally NOTA Sign: Print: My Commission Expires: * * * * * * * * * *. * * * * * * * * ** Owner or Agent The foregoing instrument was acknowledged before me this 14 day of , 20 by l--t Ltt Ad.1 LC:e.GES * * * * * * * * * * * * ** to me or who has produced 11Z> As identification and who did take an oath. ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 9 is al- Plans Examiner Engineer Zoning • Miami Shores Village 10050 Northeast Second Avenue Miami Shores, Florida 33138-2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www. m i ami sh ores vi l l ag e. com DATE: V13/06 /06 1,,, OWNER'S NAME: 1 j 1 la n For l)QS PHONE: , `- • 757 77Sh ADDRESS: .2I /\[P gq I7Uar»,� , Ch01 - .PC / F L ADDRESS OF SITE: v 't ' QS Q 600_0 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: rj -Po 0 All Elements on the _site must be listed and indicate the color to be painted. Walls: r�S"I a I YV2d (� L— (0L02 Fascia: Drip Cap/Drip Edge: I AD -- 'jOO(o Soffit: Robf: Flower Bins: (n 1 a Shutters: Awnings: SW 6129 Chimney: Restrained Gold Doors and door jams: 1'Y) d' , bor - - 100b Garage Doors: -] W (o Railings: SW 7006 Fences: Extra White Decorative Metal: All brick (simulated or regular): Stucco Banding: C Any other stucco features: Accessory/Buildings: IC?e c�e (o 1 - 9 7 hand. d. es* oh gds -- 4/:q0 Signature of Owne� APPROVED: /3---e- Building Official Paint Color Approval and Agreement Date PHONE: 9s(1¢ r5 `) . 075 SW 6130 Mannered Gold OWNER'S AFFIDAVIT:1 certify that all the ?oregoing Wormatron is accurate and that alt work wilt 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. 94/ ate Signature bf Contractoi Date WHEN PAINTING IS FiNISHED, CALL FOR FINAL INSPECTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date a Job Address `? O y N c ST Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee /Tenant JOH K.) L /LL / /tf Fc *6L Owner's Address PP (4 k)(= / 9 ST Contracting Co: )( Q ■/A(P (Q Address Qualifier SS# _ 47;9t/eS State # Municipal # Con 'o. _ Architect/Engineer Add Bonding Company Ad' a Mortgagor Ad r' /C) ( (fEl Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Kr) us(- R I Io T I oc , t RD ; Square Ft. Estimated Cost (value) t C70 0 00 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: Notary as to Contractor or Owner - Builder Date c -c y S gna of Contractor or Owner - Builder Date My Master Permit # Phone 7S ' '7 257D 172 ,\PCZY PU6 . FILIAL NOTARY SEAL 0 �i SANDRA M MONTIEL ` * COMMISSION NUMBER 4•IN Q CC401261 I fr CP PAY COMMISSION EXP. ° S AP fVg U e4 : ._ FEES: PERMIT 1— (D RADON C.C.F. NOTARY O BOND TOTAL DUE �- APPROVED: Zoning Zoning � Buildin g " 1 ( Electrical Mechanical Plumbing Engineering Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Er PERMIT IT? 13912 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building [l Work to be performed under this Permit CTOR OR BUILDER Bl. Subdi- vision Value of Project $ 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 pennit 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. L•••r Signed ':- •., BY 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 responsibility for all work done by either, myself, my agent, servant or employee. DATF. Contractor's License No Amt. of Permit $ BY AUTHORITY J 195 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 build- ing 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. Owner's Name and Address V Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision 0# )1' 2... cj q b4, Street and Number where work is to be done State work to be done and purpose of building (by floors) o Date / (' , 19 No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fou d tion Roof Covering - Estimated Total cost of improvements $ Amount of Permit $ 1 6" 1 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 the 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 obligations 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub ontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , i i Remarks (Signed) -- � , (,- -, ,_,-< ,- STATE OF FLORIDA, V �f COUNTY OF DADE. ss' I, 'r', !__IA (7/ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and ke acknowledgments, pers ally ap- r peared Notary Public, State of Florida 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. Permit No 1 Date 11-i sr- S Read, Sworn to and Subscribed before me. Disapproved Date (Signed) :- B 1 ng Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 build -. ing 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. • Owner's Name and Address 2 U - -X� Registered Architect and /or Engineer Name and address of licensed contractor 2 ?v.& Location and legal description of lot to be built on: Lot___ Block Subdivision Street and Number where work is to be done_ _ t State work to be done and purpose of building (by floors)__ IA 77s I and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering I Estimated Total cost of improvements $____ " Y ____ Amount of Permit $ Zone cubage required Flan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the 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 obligations 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 employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks____ (Signed) , L STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. / //� T'Y 1 ( f 1�"_ Permit No __d � � Date__ __ � Read, Sworn to and Subscribed before me. Disapproved _ Date Notary Public, State of Florida (Signed) Y As:r_. r� Building Inspector 7 �; My Commission Expires Date 1--- 1.1- - - -._d L, 24, , 19Y q No Street PLANNIN $OARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMtiiNG Owner of Building Architect f f Contractor or Builder Legal Lot Description t CONTR CTORBUILDER MIAMI SHORES VILLAGE, FLORIDA DATE t Contractor's License No. PERMIT N? 7835 Work to be performed under this Permit Subdi- vision Value of Project BY Address of Building r� ,►� ,� 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. g . .... Signed. -- � . � r _..._ •-K_ y<. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform t1e work covered hereunder in compliance with all oAn ces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. nrp 1.0 0 Amt. of Permi AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder 1 Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4090 lJ Architect Bl. Signed• Subdi- vision DATE r 194_ Work to be performed under this Permit k'' -L% ✓ Contractor's License No. Address of Value of Amt. of / , Building -, ! i ++ i! 1 1 ,--4 Project 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 appli- cation 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 respon- sibility for work done by his agents, servants or employees. , By 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 responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY