PAINTDate
Type Insp
Permit No.
Name
—"' Address
^ Company
Phone #
For Inspector:
Approve
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Building Inspection Reques
Ti
• "by d 1 23_
Name & Date
PERMIT APPLICATIOTI4?It14IDAMI SHIRES VILLAGE
X10050 N.E. 2nd Avenue • Miami Shores, I.TIorid i 3013$• Pane: :05;795-2204 • Fax: 305- 756 -8972
Date 3/ .,17 Job Addr kriel L t Q4
••. *Tea: Folio • • •••
• • •• • • •
• • • • •
Legal Description l•Iistorica 1y Itesighalgd; ' es No
// /k • • • • • • • • • • •
)Owner/Lessee/Tenet A/t.X4P/f 0 o /' //y i 4 / ��6 ' Master
• / • • .aster Permit # . .
r ; 0 7 J 7 - ` ,
Owner's Address • • • • • • • • o • ( • Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,,/
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
W ORK DESCRIPTION: �����/7
Square Ft. stt im'ated Cost (value) 1 S 0 (. •
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 ANY 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 all disciplines.
OWNERS 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.
Qi dif��0 / e 3
y a of owner Condo President ate Signature of Contractor or Owner Builder Date
L NM 4 \-1 y 1 'sD.37 ?- D
A - 9.c it ,J Y?ilos
otary as t. owner an or Condo President Date Notary as to Contractor or Owner Builder Date
My Con irhS9ela M Becker
. My Commission DD150048
d► Expires November 15, 2008
FEES: PERMIT (? ., RADON C.C.F 1 a 7) NOTARY ,.5 0 ?) BOND
APPROVED:
Zoning �,
C 2. t/ 4�- � 3 '�uildin
g � g
Mechanical Plumbing
My Commission Expires
TOTAL DUE p�
Electrical
Structural Engineer
1 Y 1 J . L A.' _L. A. ►. l J.,. V _a. J 1 1 L• V •'
DATE: 0 j
OWNER'S NAME: �� a� ! �< , . . ' Q = - tea., - -7J �-
ADDRESS:
•• •
• • •
******** * * * * * * * * * * * * * * * * * * * * * * * * * * *30*c * ** # •* * * * * * * * * * * * * * * * **.
COMPANY NAME:
Walls 4-
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
APPROVED:
Building Offic
Paint Color ApRroval and Agreement
• •• • • •••••• • •
••• • ••••• •
• • • • • • •••
• •
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if al3plic bll) • •"
•• • • • • • .... PHONE: -
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be pai
Fascia
/oe../
-3 1v
Shutters
Awnings
Chimney
• ••••• • •
• • ••• • • •
All brick (simulated or regular)
Stucco Banding Gt/ / (
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
s mples.
3 3/ ��
ignature of Owner Da e Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
0
0
cn
ro
r
cn
CCI
H
z
c
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2003 -528
Printed: 4/3/2003
Applicant: ALEXANDER MARCILLO
Owner: MARCILLO ALEXANDER
OF JOB ADDRESS: 365 NE 99 ST
Contractor Contractor's Address:
I. Local Phone:
Parcel # 1132060135520 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & E1/2 LOT 20 BLK 40 LOT SIZE
•
Building Permit
Fees: Description Amount
FEE2003 -1958 Building Permit Application Fee $60.00
FEE2003 -1959 CCF $1.20
FEE2003 -1960 Notary Fee $5.00
Total Fees: $66.20
Permit Status:
Work: EXTERIOR PAINTING
APPROVED Permit Expiration: 9/30/2003
If there is no permit package accessible on the job -site for i
fee is $50.00, which must be paid in advance before calling fo
This Permit is granted to the contractor or builder named above to construct the
ordinances pertaining thereto and with the understanding that the work will be per
and approved by the proper municipal authorities. This Permit may be revoked at
authorization. A further condition upon which this permit is granted is the underst
ordinances and regulations pertaining to the work covered hereby whether shown
by his agents, servants or employees.
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the wo
with the plans, drawings, statements or specifications submitted to the proper au
myself, my agent, servants or employes.
Signe•�a,J // � �i /i . Orr
Oir
■.el„n•
$1,500.00
Page 1 of 1
Total Fees: $66.20
Total Receipts: $0.00
MARIA A. MARCILLO
365 NE 99 ST. Z
MIAMI, FL 33138 DATE L �./
63- 8413/2670
3513349478
PAY TO THE
ORDER OF :% ./. /. - / �i
(Contractor or Builder) BY:
768
V
W � DOLLARS
�'
Washington Mutual
Washington Mutual Bank, FA
Miami Shores Financial Center 1722
9840 NE. 2no Avenue 1. 800.788.7000
Miami Shores, FL 33138 24 how Customer Service
NOTES
I: 267084130 :3sL 111 33494711 , 811 0?
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/3/2003
Applicant: ALEXANDER
Owner: MARCILLO
JOB ADDRESS: 365 NE 99
Contractor
Local Phone:
Fees: Description Amount
FEE2003 - 1958 Building Permit Application Fee $60.00
FEE2003 -1959 CCF $1.20
FEE2003 -1960 Notary Fee $5.00
Total Fees: $66.20
Permit Status:
Work: EXTERIOR PAINTING
Signed:
APPROVED Permit Expiration: 9/30/2003
If there is no permit package accessible on the job -site for
fee is $50.00, which must be paid in advance before calling f1
This Permit is granted to the contractor or builder named above to construct th
ordinances pertaining thereto and with the understanding that the work will be per
and approved by the proper municipal authorities. This Permit may be revoked a
authorization. A further condition upon which this permit is granted is the underst
ordinances and regulations pertaining to the work covered hereby whether shown
by his agents, servants or employees.
(INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the wort
with the plans, drawings, statements or specifications submitted to the proper autl
myself, my agent, servants or employes.
Building Permit
Permit Number: BP2003 -528
(Contractor nr Iluilrlar)
MARCILLO
ALEXANDER
ST
Contractor's Address:
Construction Value:
MARIA A. MARCILLO
365 NE 99 ST.
MIAMI, FL 33138
PAY TO THE
ORDER OF
NOTI"S
$1,500.00
ashington Mutual
Washington Mutual Binh, FA
Miami Shores Financial Canter 1122
9840 NE. 2nd Avenue 1.500.711k•1000
Miami Shores, FL 33138 24 how Cwtwnen knee
x:
26708413 L1: 3 S 10 3 34. 14 7M'
Page 1 of 1
Parcel # 1132060135520 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & E1/2 LOT 20 BLK 40 LOT SIZE
Total Fees: $66.20
Total Receipts: $0.00
63- 8413/2670
3513349478
DATE /O�
76 8
DomLAR; 8 .r..
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant )(4 x ,qy g'/,l- / / % /- /) CJ-r../// Master Pennit #
Owner's Address ,3'6 S i°. E 7y Phone (Ws) 75 7
Contracting ' CO. b. ' IJCI ; .,3 a (24 VT\' „al-4y Address '/ 3 / . W /U 5 Phone( 305)
Qualifier SS#
State # 6 L) 74 31l 3P Municipal # Competency #
Architect/Engineer Address
Bonding Company Address _
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION IrDO W'`/ b¢ O i'N 7e aiAl 14701 %4 1/,04
1° ' I / 0 "'It'll) el IN 6c e 7/
Square Ft. Estimated Cost (value)
�i : 1. °115 . 11.
° : owner : . •Yo Condo President Date
OFFICIAL NOTARY SEAL
GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
1 MY COMMISSION EXP. MAR. 12002
_3 6,i /ULf Tax Folio
No as to bwn on . o President Date
My Commission Exp es:
APPROVED:
Zoning Building
Mechanical Plumbing
Electrical
0 n
FEES: PERMIT /D- � RADON C.C.F. /Ad NOTARY S
ov 72a
No
/ ZOO
BOND
-/6
rn; om X1 37) sa
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 - ontractor to do work stat
7,2
Signa of Contractor or Owner- Builder 7 Date
/'4 'o-/7C - 62. - 33 7 -0
'Notary as t• o ' actor or Owner - Builder Date
My Commissio ExpirefF IAL O
GL N J vn.LAR TARYSEAL
Y PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
34tY COMMISSION EXP. MAR. 12002
TOTAL DUE i t S '
Engineering
Registered Architect and /or Engineer
Name and address of licensed contractor
New Building Remodeling
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.
Owner's Name and Address `60 13 4-N f] 4m P Bee �� rL
kl /A
N/4
Location and legal description of lot to be built on: 11// Q
Lot s2/ 4- E a , '! / 2 b Block 0 Subdivision .t)Gei,A4/2
75x_ 9/ 7L
Date /l 19 (65
No. 3bs Street /4& Q Q Sr
Street and Number where work is to be done `3t' Ale. IQ 6T
S to work to be done and purpose of building (by floors), state exterior colors (submit samples) l A ( v� - 7:44......,
and for no other purpose.
Addition Repairs
To be constructed of Kind of foundation Roof Covering
oo
37 so
No of Stories
Estimated Total cost of improvements S 1 DO () Amount of Permit S
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 employ only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE. Ps
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 constru t q, t hat he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
cr
Date \
Read, Sworn to and Subscribed before me.
Permit No.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD 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.
Date
Notary Public, State of Florida
Owner's Name and Address
Name and address of licensed contractor
New Building
Remodeling
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.
,5et)4 , cuul Poki BreWfr
Registered Architect and /or Engineer
'", ,
Location and legal description of lot to be built on: yy�
Lot .2/ ' L - g-.20 Block /Q Subdivision
2
Street and Number where work is to be done d 6 S
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
Date
No. 3
'151P - 1115
street?) r! /%st
Zoe./ 4 // /3 s 5 )-I
eybAcAii, $a r4 rt 1
and for no other purpose.
Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 1000 Amount of Permit $ I N] (5t/ fC
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 employ only such subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed) auttAt: t n,
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
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. .7/7 0 ^' Date ') IT/ Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public. State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD 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 andror workmanship.
-
-
'I