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375 NE 99 St (5)BUILDING PERMIT APPLICATION FBC 2001 City itlia4g4 SAo State L Tenant/Lessee Name $ Value of Work For this Permit Miami Shores Village Building Department Permit Type (circle): ) uildin ec tr l P_ ._ =ilk IYIeckanicai Roofing Owner's Name (Fee Simple Titleholder) f�. s '� 4 Phone # ✓ , / 7.5 35 7 Owner's Address 029 M 7 Stye 33/3'O Phone # Job Address (where the work is being done) 0 AJ ! 7 l-A 5e/feet City Miami Shores Village CoulltY Miami -L?ade Z,i T 're) Is Building Historically Designated YES NO 1 Contractor's Company Name P hone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State lip Square Footage Of Wes: Number of: Bays Stories Families Bedroom - Baths Type of Work: DAddition OAlter ONew 0 Repair/Repla Describe Work: * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee kulatii�on- se Permits* County Escrow Fee $ Permit Fee $ t Not y $ Education/Training Fee $ Tech $ Scanthn Radon. $ Code Enforcement $ ©•'GO , Bond $ SaiieC3. TT ' ril h Minus Plans Check Fee $ Fee Totals $ (Continued on oppe 7a,ra (a(c3 rA.z51) to5. Phone # ** * * * * * * * * * * * ** Permit No. 6i Master Pest No. 10050 N.B.2nd Avenue mi Shores, Florida 33138 Tel: (3O5) 7952204 Fax: (305) 756.8972 O Dem 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. Signature Contractor The foregoing instrument was acknowledged before me this ,Z The foregoing instrument was acknowledged before me this day of , 20a, by ° VG ( 1, U S I� i @O)kQ . , day of -- , 20 , by who is = - rson • Ily known to me or who has produced D t \ who is personally known to me or who has produced as identification and who did take an oath. Signature Owner or Agent . iC919 0 'FA As identification and who did take an oath. NOTAR'4`PUBLI _ : N °� -3 Cr; it 0 a —C . NOTARY PUBLIC: 999 -. I� r1 � ,s , An M Becker Sign: � ,,� My Commission DD150048 Sign: Print: A V �. `o�-r� My Commission Expires: APPLICATION APPROVED BY: chc6/1 8/03 Expires November 15, 2006 NO0 ( fS a.UOcc. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ****************** * * * * * * * * * * * * * * * * * * * * * * * * *- * * * ** JUL - 9 2003 Plans Examiner Print: Zoning Miami Shores Village Paint Color Approval and Agreement Date s , / 44 d • / 7 O6 J-�y � l .osPhone # 3L 5 J� - 7 •35 Owner Name .� �pf'Je/1 l � � �[ ` Owner's Address c J'1 S ( re-er City 114/171,1 51 -es State / Zip 019 ,VW v-tm sf-rem - t Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Signature 6 Garage doors Railings Fences G /6? Decorative metal Wh Any other stucco features Accessory Buildings Other A /`t All brick (simulated orr re llar) eaaSt�/5!�t Stucco banding ,/ V��`�- / f County Miami -Dade Zip /6 NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Coast , All elements on the site must be listed and indicate the color to be painted Walls Cc a$/ I13`,T' /� Fascia ( ' eii v/ (3/ne._ Drip Cap /drip Edge v wed' v hO»1 e_„ Soffit 6 49& t/ is kT Roof 1 [' - a / . f Flower bins _ax Qr/ C Shutters 1 ... �+ Awning, .6- en LTAohi -e' Chimney Coa /` s . Al Doors and door jams Id /I—LA Coastlight • 50YY 83/171 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Date 7-'2-0 3 Owner or Agent /cam APPLICATION APPROVED BY: Date — 7/"' 2 P& Z Official chc6 /1803 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 30 CE VE Date, ; Job Address 3 76 A/F 9 9 Tax Folio " Q , l! MAY 2 3 20 Legal Description 3 ' 1 " /I E Historically Designated: Yes N ,$ \ToKn/ C19/ f - -- - 1 p r Owner /Lessee/Ten Master Permit # • k r i.1r Owner's Address 3 73 / / - t Contracting Co. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT V RADON Mechanical Plumbing C.C.F i ((J D dos) 759- a �3S' Phoney q Address 376 5 / St 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION Pettwat-i: `» � Square Ft. Estimated Cost (value). 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. Date 'Signature o ontractor or Owner Builder / �_�.:_ � /J ' / OFFICIAL NOTARY SEAL GLADYS J VILLAR buIUN NUMbtM Date Notary as . Con ttl�st., 1094 My Commission Ex e .4.- MY COMMISSION EXPIRES OF f■P MAR 1 2006 NOTARY J BOND APPROVED: TOTAL DUE Zoning . ?. 7 J / /; S' Building $ \a:1\492 Electrical S truetora�l"Ehglfieela t4L S- 023'1)-3 Date Date MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: X OWNER'S NAME: ? � J " ( ) N d/ Cr9 PR I PHONE (o S d 7 CI - Z 35— ADDRESS: 3 /1/.' 9 9 P ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 375 A/f '79 Sr. CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the sie must be listed and indicate the color to be painted. Walls Fascia Drip Cap ' rip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding 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 sampl - s. 11023_63 ( Sign ure of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION _ 3/ 7/1? Building Offic Date 4/23/01 • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2003 Page 1 of 1 Applicant: JOHN CAPRI Owner: CAPRI JOHN JOB ADDRESS: 375 NE 99 ST Contractor Local Phone: Parcel # 1132060135530 Sign Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 22 & W1/2 LOT 23 BLK 40 LOT SIZE E / Fees: Description Amount FEE2003 -3083 Building Fee $60.00 FEE2003 -3084 Notary Fee $5.00 FEE2003 -3086 CCF $0.60 Permit Status: APPROVED Permit Expiration: 11/19/2003 Construction Value: $300.00 Work: EXTERIOR PAINTING Signed: eze-- Total Fees: $65.60 (INSPECTOR) Building Permit Permit Number: BP2003 -831 Total Fees: $65.60 Total Receipts: $0.00 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. (Contractor or Builder) BY: WORK DESCRIPTION Date: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4/6V. 4 Address 37sI' ?9 k • Tax Folio Legal Description Lessee / Tenant JTO N /V C14 f'/e 1 Master Permit # 3 Owner's Address 375 IIF ? 9 S te - • Phone < 5 9J0 33" Contracting Co. 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 Signature of owner and /or Condo'f rsid pt-12 4 Notary as to Owner and /or Condo President Square Ft. Estimated Cost(value) /f' 306, o d 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 contra,tplx tc :. ION 4% MY COMMISSN CC319827 EXPIRE yµ I11 September 29, 1997 1HRU TROY MN SNSURANCE, INC. No y as to Contractor or e - - Builder My Commission Expires: y Commission Expires: ** * * * * * * * * * FEES: PERMIT 3 RADON C.C.F. IS - b APPROVED: Fire Zoning Buildin Mechanical Plumbing, * ** Engineering