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390 NE 98 St (11)APPROVED: Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: kPPLICATION FOR MIAMI SHORES VILLAGE Date s 3 qC) / L L Tax Folio Legal Description ��/ n er •// Lessee / Tenant L i %S rc- /4, 1) E— i Master Permit # / 70`f", Owner's Address —[. U f 9 cF Phone i5'Q — 3 901 7 Contracting Co. ©(.c)A2t 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 Mia.014 Q& ;et/24v kdC -GB-? 2 Q.,i d 14.1i14 %'1.,t Square Ft. Estimated Cost(value) / bV' 0 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 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 auth. -ize the above -named contractor to do the work stated. Fire Zoning Buildin An7 Signature of Contractor r Owner-Build Date: • V Notary as to Contractor or Owner- Builder My e o -CARY SEAL SANDRA M MONTIEL Tr * COMMISSION NUMBER ** * * * * * * * * * ,, ' :q;, . Q *CC40,261 * i * ** l� � cr � MY COMMISSION EXP. S C7 of F - AUG 0171998 FEES: PERMIT �7 R ADON C . C . F . - -n . ' UE - D- Other Electrical Mechanical Plumbing Engineering Type Insp'n Permit No. Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui g Request Date �l ' S� Approved Correction Re- Insp'n Fee Company Phone # .5 OS) ' S C - 5- Inspection Date �� Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE _BUILDING DEPARTMENT 305 -795 -2204 Buildi Date c:2 Inspection Date Approved Correction Re- Insp'n Fee g Inspection Request 2 /(, 07 /oc- R6, Issue Date: 12/15/2006 Owner's Name: RAYMOND STOVALL Permit Type: Paint Work Classification: New Job Address: 390 98 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 06/13/2007 Contractor(s) HOME OWNER Phone Primary Contractor Yes Type of Work: Exterior Additional Info: Color: Classification: Residential 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: 1132060135670 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 800.00 Required Inspections Final Permit Status: APPROVED Permit Number: PT - - - 2951 Phone: Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Invoice Number Amt Due PT - 12 - 06 - 26945 $67.30 Total: c)L-4 131 DEC 1 9 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 02/06/2007 Inspector: Rodriguez, Jorge Owner: STOVALL, RAYMOND Job Address: 390 98 Street NE Project: <NONE> Contractor: Building Department Comments Passed Failed Correction Needed Re-Inspection Fee ($75) Miami Shores Village, FL HOME OWNER Monday, February 5, 2007 No Additional Inspections can be scheduled until re- inspection fee is pald . ll 3rt'd Z3FIDIdiaoa 3.9aor Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -5972 Inspector Comments Block: j 0 2-/e FEB 0 7 2601 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135670 Lot: Page 1 of 1 ElZiEEE85E1E EZ:8T 900EIZE1/ZT Miami Shores Village Building Department 64‘57 BUILDING � PERMIT APPLICATION Uth FBC 2004 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) � 3 p �Cln TO f A )A - Phone # .ADS '7S9 355 l/5,5 7Z/-87‘3 Owner's Address 390 OE 91. . City hi\ 1 AM I b+ Ot `b State 0 2.' DA ,4»J 12- ame Job Address (where the work is being done) City Miami Shores Village County FOLIO / PARCEL # I k - ' - 013- 5 , 7 0 Is Building Historically Designated YES 9og -Ala The - =b .eA. — gatn9 Contractor's Company Name CPli.)14 r -,JA. romeisays. Phone # 305 IS 3S'Si Contractor's Address City State Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) 00 Value of Work For this Permit $ 00 Submittal Fee $ Permit Fee $ Notary $ 5 Training/Education Fee $ Scanning $ Radon $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 3 c,0 NE 4S o. J Miami -Dade NO Master Permit No. Plumbing Mechanical Zip 33 t `J Phone # S 7SS 555 ( /3DS 7 Z� -67e Phone # Zip 13Q Zip f Phone # N/A tificate of Competency No. Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace Describe Work: &I nn PC, e DPBR $ Permit Ng 51 NV ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 67 See Reverse side —> at M gII'VIE D DEC 0 6 2066 Roofing IWO $ QPT ['Demolition Bonding Company's Name (if applicable) A- 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 o curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved nd a reinspection fee will be charged. Signature Owner or Agent The fore oing instrument was ac owle ged ore me t day of , Nap, by who is personally known to me or who has produced 61n 'r As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/8/06) Signature Contractor The foregoing instrument was acknowledged before me this _ day of ,20_,by ho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer - Zoning Paint Color Approval and Agreement Date: '. 7- l' \ D{O NDO-- P— q Owner's Name: - T© \Li Phone #: 3J --`a7a Job Address (where the work is being done): NO % M l Arnl c be J 1 City: Miami Shores Village County: Miami -Dade Zip: Is Building Historically Designated ?: YES Contractor's Company Name (if applicable): 000 E . Phone #: 3 0S All elements on the site must be listed and indicate the color to be printed Walls: CL 2 SV( eeA"/ Fascia: . eit r gJ 3f) PUT Drip Cap /Drip Edge: a mt nOLb/1 LT"( Soffit: Ne3.■ r1C) JA9N) Roof: -{ l'r E Flower Bins: N1 ( ,4 Shutters: IQ l4 Awnings: PJ f A Chimney: CLL\ 4 V l LLE 6 Doors and Door Jams: Garage Doors: jn Railings: r4 /A. Fences: IJ / Decorative Metal: N.) /A, All brick (simulated or regular): C0 L-Og Stucco Banding: tJ/A.- Any other Stucco Features: N/A- Accessory Buildings: Other: APPLICATION APPROVED BY: Ownfr or Agent Miami Shores Village a 1 j m ECI 33j? HC -102 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: ' Date: �'y?.� l2 l3 06 Date: iZl � � Y t> * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 0 c 0 rn 0 HC -99