429 NE 99 St (14)36
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date \P a
Type Insp'n 1 , 0 \
Permit No. J P '4 ( CY
Name /� G
Address 4 2-q 1
Company V 1U ce--(
Phone #
i i2f0
Inspection Date
Approved
Correction
Re- Insp'n Fee
•
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electric 1 Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) agait s (-Ll !(t CZA Phone # 30 la ('762
Owner's Address `a" 1 N.C. QQ t i ST
City di � 1 ca 4RES State 1 -( Zip 3 3 t 3k
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 42q /f • E 66 5r
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO ✓
Contractor's Company Name nn
e V 1 SCptJN'r ?AR t -r r,
Contractor's Address 6; k /cylp (,G?JCo » E
City it4.X.t.t Sl.E5 State
Qualifier B£ <5 Vl t-i 11
Total Fee Now Due $
(Continued on opposite side)
(08=`V ss
Permit No. 3 04 10 3 5
Master Permit No.
Zip 33l 3
Phone # ,3 '7S1 - 'N.
zip 331 3
RECENED
u
Type of Work: ❑Addittion ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: ?i - / 64'c SD P
$ Value of Work For this Permit ?loin. at, Square Footage Of Work:
Architect/Engineer's Name (if applicable) Phone #
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ (3 . 00 CCF $ t . 3 CO /CC
Notary $ 5 CC) Training/Education Fee $ e (0 0 Technology Fee $ 1 '56
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip 6
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 aN =s :r Signature ®
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this f 3 The foregoing instrument was acknowledged before me this2
day of fC... , 206 9, by day of
who is personally known to me or who has produced who i rsonally known t' e or who has produced
As identification and who did take an oath. as de 'fication and who did take an oath.
Chc 12/15/03
RAFAEL MORALES NOTARY PUBLIC:
.11:
NOTARY P IC:
IN COMMISS u DD 333
Sign:
Print: Amez, 1,i
`�
r
' Bonded 'Mu Budget Notary Services
�6 %��
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******************************** * * * * * * * * * * * * * * * * * * * * * * ** * * ** -i ****#********* ** * * * * * * * ** * * * * * * * * * * * * * * * * * * **
JUL 2 M
APPLICATION APPROVED BY:
Sign:
Print:
My Commission Expires:
7 .2 7/ 4,
, 20 dL( by (50e{ U
‘01Y Mabel Vargas
P ��
D t 1984
Plans Examiner
Engineer
Zoning
1VIIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: (04
OWNER'S NAME:
ADDRESS: s-r
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: 42q . n/ -E get ? sue
CONTRACTOR & LIC NSE (if a plicable) gieso02
COMPANY NAME: I . c,4-r 1'A.+ PHONE: c 74i/
All Elements on the site must be listed and ,n the color to be painted..
Walls 5,4 fogy 11 -
Fascia En.4 20 6
Drip Cap/Drip Edge 2/15 -
Soffit 2a 5
Roof A-
Flower Bins j1'G-36 oa. 2
Shutters ---ro " ,uo %D - nro Go veR
Awnings itt. Chimney 1 35
Doors and door jamst 205
Garage Doors
Railings ` Ac-
Fences i d
Decorative M tal 13,x.( 2175 -4 - P -,3RA)4 G,ha 5
All brick (simulated or regular) i
Stucco Banding G- 35
Any other stucco features P2iuE R t,tait ik -35
Accessory'Buildings N
Other — CoiJ ry th CA/ 7 - iG -35
APPROVED:
Building Offial
PHONE: X7'17(2
N
irr
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 c lors will a as per the attached
Plig C6-Cd / 02-
Signature of Owner Date Signature of Cont : ctor Date
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
WHEN PAINTING IS FIlYISHED,
CALL FOR FINAL INSPECTION
7/2 gloy
Date 4/23/01
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -1035
Printed: 8/5/2004
Applicant: CURTIS WHITTICAR
Owner: WHITTICAR CURTIS
JOB ADDRESS: 429 NE 99 ST
Contractor VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE
Local Phone: 305 - 751 -7164
Parcel # 1132060170400
Building Permit
Legal Description: MIAMI SHORES SEC 4 PB 15 -14 E25FT OF LOT 14 -ALL LOTS 15 & 16 & W5FT OF
Fees: Description Amount
FEE2004 -7562 Building Painting Fee $60.00
FEE2004 -7563 CCF $1.80
FEE2004 -7564 Notary Fee $5.00
FEE2004 -7565 Training and Education Fee $0.60
FEE2004 -7566 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPLIED Permit Expiration: 1/24/2005 Construction Value: $2,400.00
Work: PAINT
Signed: (INSPECTOR)
Page 1 of 1
Me O 5 PAID
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:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
q- Uv 9.cis--6
Datejp e Job Address
Legal Description -/ / /j /?1/ /‘- %t/S //7 %'j Master Permit # . "?l�K
Owner / Lessee / Tenant (> f r p,l,.,
Owner's Address S L Vn. Phone 7...c 46 13 y
Contracting Co. -- Bey., -6 iliie Address n/E 9c -
Qualifier SS# - - Phone
State° Crn— petenc Ins. Co.
1, rut MS
Architect /Engineer Address
Bonding Company /. Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
0ht1v aitt In18In J 4 MP
Square Ft. Estimated Cost.Eoz)
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 contractor to do the work stated.
Signature of Owner and /or Condo President Si
Date:
Notary as to Owner and /or Condo P id
My Commission Expires:
* . * * sk
PERMIT FEE:
t4aY 5 , CO
APPROVED:
Zoning
Mechanical
�1^Al1C a h P. p. l- i t h- J
Plumbing
Tax - Folio
n ure of Contractor or Own r- Builder
n o resi Notary as to Contractor or Owner- Builder
My Commission Expires: NOTARY PUBLIC STATE OF FLORIIQ4� 4
* * sic sk * sk��Y COM S10N E)<P ES 5/OS/9
Fire Other Bonded thru Stembler - Adams & Sweet
Building )4 Electrical
Engineering
Disapproved _
(Signed)
4
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 build-
ing 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 iuilding 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.
Date... 2.:__ ... `/ ... __..._.__...._....
A � G�
Owner's Name and Address .. Q.t` L g �1_ �._..... ... No...._..T. J__. Street_1 Y -E
Registered Architect and /or Engineer z,.... . »>....,,, .,,,>,.,,>
Name and address of licensed contractor.... ^..) ./�l _ A/ < .. 6 _. A/ !I/ _
Location and legal description of lot to be built on: ! '�i A�C P� FisrT GE ', c. E W 77
l.o I N E 96 s'T M 1Rim 1 51AdRE S,
Lot Block Subdivision
Street and Number where work is to be done 7/ , �
State work to be done and purpose of building (by floors) 7 LiSr l C l N _z /JO ./k/0)
Date
_ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 3 m e 49 r o P Amount of Permit 5..... 4 0 O
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 the 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 pennit does hereby certify that he understands and accepts his obligations 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 !le performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 state are true.
Permit No *C D* Date..i.��_.. -1 ...
.. ... Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD ..... .DATE
Chairman Member
Mlcrrbcr Member
Member sass.. _ _.__._..._._.____ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.