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315 NE 98 St (10)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 3454).E. sT Tax Folio • Legal Description Historically Designated: Yes No C/ Owner/Lessee / Tenant Tc:3\f\ c. (p Q Master Permit # 4 Owner's Address 3 / ' U . . /V i AIL wN S (Aili2 S Phone 3 O5' 7 - 5 / g - 7 Contracting Co. Address Qualifier 7-70_)\/■■1\ C L -2 O yl -e__ SS# / 9-5 State # Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor PALA:_E CIIAMBERS YELLOW Permit Type (cir•ele one): BUILDING ELECTRICAL PLUMBING MIECHANICAL ROOFING PAVING FENCE SIGN khat WORK DESCRIPTION Wl r k - -la_ �" �Z +lvt. -e ('c 0 .r S Square Ft. 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FO IROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIICE 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 constructio VIT: I certify that all the foregoing, information is accurate and that all oiling. Furth ore, I authorize the above -named contractor to do the Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: f9 Si �! ture of owner and/or Cando President to My Conunission E CC �� C.C.F. ° b NOTARY J Estimated Cost (value) / 3 3 : w• cad, AR? SEA ires: GLADYS I VILA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC71.410 Y COMMISSION EXP. M 1 r j' will be done in compliance with all applicable laws regulating stated. 9 ere . ► Contractor or Owner- Builder Date /,/ e---%6 Vb 3 6 7 V/6 Co 2' f' A. No as to Co . : BOND Date TOTAL DUE °t / Zoning Building "(y Electrical Mechanical Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/1/2005 Applicant: JOHN MILLER Owner: MILLER JOHN JOB ADDRESS: 315 NE 98 ST Contractor Local Phone: 305 - 751 -7164 Parcel # 1132060135620 VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Signed: (INSPECTOR) BulIding Permit Permit Number: BP2005 -408 Page 1 of 1 Legal Description: 1 53 41-6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 14 & ALL LOT 15 Fees: Description Amount FEE2005 -4140 Building Painting Fee $60.00 FEE2005 -4141 CCF $1.80 FEE2005 -4142 Notary Fee $5.00 FEE2005 -4143 Training and Education Fee $0.60 FEE2005 -4144 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $68.90 Permit Status: APPROVED Permit Expiration: 9/18/2005 Construction Value: $2,400.00 Work: PAINT HOUE EXTERIOR 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 DEPARTMENT 305- 795 -2204 Bu ding Inspection Request ,R Date 4- Type lnsp'n t-inoi) biY t Permit No. Q J ?v✓ - 4 v Name d Address 31,s »a c Company \J 14S QOz r — Phone # Inspection Date 4 Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -408 Printed: 4/1/2005 Applicant: JOHN MILLER Owner: MILLER JOHN JOB ADDRESS: 315 NE 98 ST Contractor Local Phone: 305 - 751 -7164 Parcel # 1132060135620 Building Permit VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Legal Description: 1 53 41 -6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 14 & ALL LOT 15 Fees: Description Amount FEE2005 -4140 Building Painting Fee $60.00 FEE2005 -4141 CCF $1.80 FEE2005 -4142 Notary Fee $5.00 FEE2005 -4143 Training and Education Fee $0.60 FEE2005 -4144 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $68.90 Permit Status: APPROVED Permit Expiration: 9/18/2005 Construction Value: $2,400.00 Work: PAINT HOUE EXTERIOR 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: Miami Shores Village BIUILDING Permit No. C) ' ( PE4 PIRMIT APP - ON 1�Ia. ter Permit No. FBC 2001 Permit Type (c Owner's Name (Fe Simple Titleholder) A4 �,U/ 5 ,t,( /L�' Phone # r '7✓ (O 07 &'( Owner's Address / •C: 98 r Cit 'i E5 State r( Zip 33i3e Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name 1 5Coo Contractor's Address 6 40 k ar(rovRSE Cil '. J .. 5 J..M S (4,-D2F% State �( Qualifier ‘,9,04 State Certificate or Registration No. $ Value of Work For this Permit Type of VVork: Describe Work: Code Enforcement $ Total Fee Now Due $ ['Addition ❑Alteration (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 3/5 q 1W County Miami -Dade ,VA NO ✓ New Structural Plan Review. $ g Mechanical Roofing Phone # Architect/Engineer's Name (if applicable) Phone # Zip 33(3 6 Phone # 305 7/6 Zip ' Certificate of Competency No. ? '3 so:724 ` Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * ** * * ** *� * * ** Submittal Fee $ Permit Fee $ 6 a t CCF $ 1 go CO /CC Notary $ J Training/Education Fee $ (91 60 Technology Fee $ /, S'O Scanning $ Radon $ Zoning Bond $ ❑ Repair/Replace ❑ Demolition 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 reinspection fee will be charged. ignature o is personally k Chc 05/13/03 ROSA OBANDO WARBURTON Va17.411Vl A OF A* COMMISSION NO. DDI72939 MY COMMISSION EXP. DEC l'Pr1=O j6 wner or Agent The foregoing instrument was acknowledged before me day of I A ` 20 ©S , by 16 I aiui A/14 this /0 The foregoing instrument was acknowledged before me this eePzt. , day of ,20,by wn to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: j7 I Ca p4. Print: Ran O&9 f WP 0(rn)W My Commission Expires: be/22/200,C 2 /&c o,C ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signatur Contractor r as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * ** .. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I4AR 2 5 EIS 72/4---1"-`A )7 5 i(o Plans Examiner Engineer Zoning • Miami Shores Village Paint Color Approval and Agreement Date �, //�� Owner's Name ""l12 4 Z /JIUF� Owner's Address City ,l 1.4. Sa State Job Address (where the work is being done) 5 • City Miami Shores Village County Miami -Dade Zip 3' is Building Historically Designated YES NO J • i ?� i� Phone # ce6"- -ii 14 Contractor's Company Name (if applicable) �� ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** All elements on the site must be listed and indicate the color to be painted Walls 99 Fascia 24`T 3 —k Q Cap/drip Edge qg 1 - -- Drip Cap p g A/6 °� Soffit ,21 9 3 - Roof (t Flower bins tt1l Shutters 4 ` Awnings! 3 " t / v® Chimney ,,( ,� _ . / / Doors and door jams oi N 6 g�V V�il's' Garage doors, / Al 1-1.? -- 60 Railings 1•1,/� Fences 1siA Decorative metal d1 — 60 All brick (simulated or regular) 4.1 /A. Stucco banding rf1Ac ' L Any other stucco featuresM'Abt/D joAdT 1\ 1-/c / � - 01/73 -60 APPLICATION APPROVED BY: Owner or Agent Phone # 30( 1_4 l e l 4( Zip .-33t35' m 1 e/ -98 Date 310 /d S HC -99 Date ) / / d S chc 6/18/03 Accessory Buildin s Win' 7 13 � � e a/C 64 EP ! � % ALE: i' , . . ******:******** *************************************************************** * * * * * * * * * * *o * * * * * * * * * * * * * * * * * ** 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. Signature