310 NE 98 St (10)BUILDING
ELECTRICAL
PLUMBING
Legal
Description
Address of
Building
Lot
PERMIT N? 10470
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
Bl.
CONTRACTOR OR BUILDER BY
Subdi-
vision
Value of
Project $
DATE - 195'
Contractor's
License No
Amt. of
Permit $
AUTHORITY
�Fl
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 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.
BUILD
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) C c. �a (`i, �-` ° Cel_ Phone # � • y- 'l Q1 — 1
Owner's Address- \� E `i c c l
City H Y \ State R...-- Zip 33 1
Tenant/Lessee Name L \ (1 Phone #
Job Address (where the work is being done).3\ ('s Li -
City Miami Shores Village ✓ County Miami -Dade
Is Building Historically Designated YES NO - y
Permit No. 9li 1\
Master Permit No.
Zip
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) . Phone #
Architect/Engineer's Address
City State Zip
4 - $ Value of Work For this Permit & CC) Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ❑Addition ['Alteration ❑New ❑ Re air/Replace ❑ Demo:ion ti
Describe Work: \ n� t1 (A \C -e C� k L .:� c r '(,(', S'J -t'
.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ , l 6 Permit Fee $ Notary $ 5 -00
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
s. ti0
1%i0 VOW p *1. .,`21
Minus Plans Check Fee $ Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mort gage 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
conssuction 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 CA OA_ .(% Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this ,6 The foregoing instrument was acknowledged before me this
day of v ) OM , 20 C5 , by Ci��L�,1 - r ��S - , day of - , 20 _, by
who is personlly known to me or who has produced D6 L. who is personally known to me or who has produced
lQ2 5 1S As identification and who did take an oath. as identification and who did take an oath.
® l_ i3
f NOTARY PUBLIC:
NOT P : LIC:
Sign: ,r . 1/ !1 _ o ' t, : _ l� ' _ �:. Sign:
�J r f . Com DD150048
Print. L. C ,[�1det 41�. Print:
070.
My Commission Expires:
chc7/7 /03
Expires November 15, 2006
6-ezc 7/ 7(
My Commission Expires:
* *' kit************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY: 77 JUL 2 1 2003 Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
. , Paint Color Approval and Agreement
DATE: `1 I rg 1(3
OWNER'S NAME: Cl CiLt c\ c�� 01O c� PHONE:
ADDRESS: 3 I C C Rv S±
********************************** * * **** * * * * * ** ** * * * * * * * * * *** * ***
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls ✓ IA C, ∎ Ca
Fascia L
Drip Cap/Drip Edge
Soffit l
Roof
Flower Bins
Shutters
Awnings PJ
Chimney ';�
Doors and door jams Li
Garage Doors ( A
Railings DI A-
Fences (-A F�
Decorative Metal
APPROVED:
LA Pr
)1(4
All brick (simulated or regular) 1 (�
Stucco Banding t In--
Any other stucco features i2.
Accessory Buildings
Other
77/7/0,
Building OfficiJ Date
w
N
0
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
Too clor(
Ole sly
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate lot_ cvlt,3c.
and that all work will be done in compliance with all applicable laws regulating °v (geoe
construction and zoning. I authorize the above -named contractor, if applicable, to cdic
do the work stated. Furthermore , the paint colors will be as per the attached
u Apples. - r7 � 3
c 1.d, (_ HMS_
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **