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75 NE 98 St (15)Signature of owner and Date: APPROVED: - - �" * PERMIT APPLICATION FOR MIAMI SHORE Date (�/2-7/ a l L i Job Address 75 A ( rS 5k- Legal Description Owner / Lessee / Tenant / - V .0'c..r Ul Owner's Address 767 ,A) Contracting Co. A lcAr.N; A.whWly C Qualifier IA i V- (U4 1 (y SS# 263 - - `f q J Phone 57610 ' State # O ? i Municipal # 0751 Competency # 117151 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): JILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ('7Y� ]'1'4 f1 ov, 9 , Aco vi tco- (Jo Square Ft . Af / 1.50 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. Notary as to Owner nd /or Condo President My Commission Expi es: 0 Fire Zoning Buildin Mechanical Plumbing Tax Folio Address 3 G Sk Estimated Cost(value)tg-33 Signature of Co ry�r Date: l 5 Master Permit t� 7 Phone 7 0(20 p. or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * * * * * * ** FEES: PERMIT °' RADON C.C.F. )'S NOTARY TOTAL DUE 10 Other Electrical Engineering PE'RMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date(,/ JOY Job Address 7 Ve_. 9S be ' Tax Folio Legal Descri Master Permit # Owner / Lessee / Tenant Owner's Address 75 NE 9 Phone 7s 10 Contracting Co. itimoNN. Awhwhy Lam. Address Lt 3C S 1� ss# )Q - 5f). -c0491 Phone 5 76 Qualifier s{� R e<<ly StateO (27qt Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Signat'jre of Owner Date: 0 AC * Notary as / Owner /_n Condo President My Commission Expires: *` * * * PERMIT FEE: APPROVED: Zoning Building Mechanical Competency 11 0.7 ( el Ins. Co. and /or c o es L * COMMISSION NU MBER a CC09124 7 ' �O M Y COMMISSION CMD ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN Square Ft. 4,p,1 tip Estimated Cost,g a, �, ,(O 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. OF F� APR. 16,19.35 * * Fire AL Address Address Address OF ,FILIAL NOTARY SEAL - 2�I1�j�NUMBER i. a CC091244 � MY COMMISSION EXP. � � / `O FA O APR. 16 1995 Notary as to Co 'ractor a •0 - Builder My Commission Expires: * * * * * Signature of Contracto Date: Other Electrical Plumbing Engineering * * ' • . •••• , • _ • .. - • . ' . • ' • . METROPOLITAN CADE OC, EUILDING EUILLING CZ:17:E. CAP-!ANC 7- OEFARMIE.NT 1E1:2 AEMC-CAOS EUILLING 140 '01E7 z rt...=: F_CFICA 21:20-;5..E2 •Yer remb er 2, 1995 • EnStnegrad 4 Frames, has filed With thiS. a ffi c2 C- 784.1/12.f7: :0 r2Z1i.."N of Acceprcznc2 ..---;fred an May 14, 1995. Due to an CIVaL^JIChE OfTCVP-St.7 for both 71E111 aprIrOWILS wtd rene-,vais.,. the a721C2 officird YOric2. of otance ha: been considErabiy back 1.02 Th the.. interim .verioa, pleas e. acc...gpt• this (rin ing th tzCOCE insizaed. und er chg va ArOtiC2 of .4cczptancz. with 'i 2V LWfl ilairthe th-a-rvings sizbnut`ed far permit need: not bem. the seat of 17ariria Ragirtzrsd:F.hzirxer: • SIncereiy /..) 7; /, ••• (// Dimond, y Producr Canc-oi Division Suvernsor . .... . . . . - -....... . . • • • CF.J • • TG -‘71F1Y-t'OM CON=2%T. r• rs ,z.,.7.7.(7,C; " • -.1s E . 7 .74 • - • • E=c-C14.r't c::21::j1r-La.M.....---7::•••••::;.• • * _ - • w,mr.„ , . 7 .7 tri-r rzi - ;,•-t c yr: pe.. 7,1c. !-.12 c 71' rza2, crac.t s t.47,=-L■4 . . 1 t 7:71-1C- 4 7 • • Cue 3 a 7Z2I .. rar-1.111.1 r .="21;v2=2" t.'".=.1251. 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Canc,..= r-rtv.p 1 -wriricz" under Sed 202 and 204 cf tne Ccda. • gayer:g the use of_ Ha = and rce af Cznsz.z ( 7..t1.-ca arid. d 1. sT7 hrt rC 77 r.o ic ? . . I ce oes 117• — — a.— =' ,m •■•• cs-r• c rn been aczarrce *c-tr 13-sed in. the. Cfrz.-LIcrJr.E..ara-ced. h. • cf Dares unde t sz fc=_.t... cm cage. '2: the Cond.f.i=:om.37 cm 3age '2 5 .5". ccro 7- "TCNF (7•= 777.7- 7 • `11 _TCT Dada_ au.i.2.::::j_na • a zcm_i_r.c- r az= rr • 7rp Dac - z-- —• - ser. c 1 _ .• • Count - - NO" 2 is - • - "anc:t...: - • - • , „„; IPE. s' ii. s PrCoJ. F1 *o Pga47 sAR RISER P BAR vERT CoL.'S. s'-e,' lo" 3/4.'I I ' ► /z'' '- u i/z 3/. ," I O'_ p" - 1' '2'' 1 I � I V4" i /2" .big 1/24 I,, 1 ri'- Du 2' -0 d TR.Q6SED 1 v y2 '' 1,. i/2.‘ I , . , TLi5I1- G SIZE S POOJ. h PXTARS: Pga47 sAR RISG.Q I°R.cJ. 3AFt V EZT. CO L s. 5 1_ 0 N 1 o il 3//1 " ` It 1 / 1 / 2'' , 3/4' lo'- o'' I' -3" � I'/2,,'1 : 1 l /4 "' I /a' : 3/4" ' I /z" _ 1" I c oil 2' -o'f nusSe ?' 1 ' /Z" : I/2" ' I" : ► / a" 1 1/4"" 3 �Cv AT' rib. Ci 4 T Su it- O. 1 r-r 4. HEAOE2 I is" 9) fZ 13J: PRoJ. Zma p c,c,\r‘e- A-0 & G ‘\ SQUARE TUBING- ALLIED 50/55 W /GATORSHIELD Substitute Sizes: 1.For 3/8 "O none (3 /4 "sq. optional) 2.For 1 /2 "0.use 3 /4 "sq. 3.For 3/4 "O use 1 "sq. 4.For 1 "0 use 1- 1 /4 "sq. 5.For 1 -1 /4 "0 use 1- 1 /2 "sq. 6.For 1 -1 /2 "0 use 1- 3 /4 "sq. 7.For 2 "0 use 2 "sq. FABRIC AWNING FRAMES DESIGNS BY ENGINEERED. AWNING FRAMES INC © COPYRIGHT 1985 MAIN OFFICE: 520 NOTTINGHAM BLVD. WEST PALM BEACH, FL 33405 PROFESSIONAL ENGINEER: ANGELO J.G. TIBERY AMERICAN AWNING CO. INC. AWNINGS BY JAY JC{Ck.A.J.T Date reb 15,85 NOTES: wee sheet no.1 for gen. notes, fdtns, etc. 2. See sheet no.2 for nom - encl,Ature of parts. 3. Sch. 40 pipe shall comply with AST?! A -53 4. Allied tube 50/55 w/c ATolesHLa shall comply w /ASTM A -569 HOOVER CANVAS PROD. INC. SHEET NO. MIAMI AWNING CO. THOMAS AWNINGS. t 111111111 34 6 c ' ; y4 1,- 7'fiI t. j` s • i5 1 50' / U /7 -4. A- /ef r /. 20 .4 .,2/ _4 T-- 22 2 '2_5' 55. 23 5So5/ .h k /3 0 .5 T,QEE 7_ /5 h S 50 B N E 98/ 5T,0EE7 5co % .• / „ = /l'” 5c, /6-: / " = 30' State of Florida 7 ,a 3 50' 2 SKETCH OF SURVEY _pYpe_Lo t 21 and West one -half of Lot 22, Block 8, T!IAMI SHORES Section 1 Amended, according to the Plat there of, recorded 1-1 Flat rook 10, at rage 70 of the Public Records of Dade County, Florid... Order # 7675 Oct. 29, 195 F .B .#164-3 Scales shown. I HEREBY CERTIFY: That the attached "SKETCH OF SURVEY" of the above des= cribed property is true and correct to the best of my knowledge and be- lief, as recently surveyed and plat- ted under my direction. • Pim- • `— Order No. 4375 I HEREBY CERTYFY. That the attached SKETCH OF SURVEY _is revised this 2 day of November, "1.959._ HARRY C- ..SCHI;BII &' ASSOCIATE:; INO: • .r �., ':f'/ . . PI'S Robert C. Schwebke :. Registered Land Surveyor. #1067 .ua C, Schwebke Registered Lend Surveyor #6 02 State of Florida F J.. THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT D WITH NO VARLAr!Cr`' 0 WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIAT!0' S FIr.'!1 T=IE M!',11 PORES BUILDING AND ZONING ORDINANCES WILL BE PE' I ALESS SPECIFICALLY LISTED BELOW. ALL OTHER APP' ICA3` E :ST' E A::0 C;OUNlY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Authori-ed Stnature Date FIRE DEPARTi ;4E, PU3LI ; !O t S PO!_I:E DEPARTMENT BUILDING DIRECTOR ` A► 0 � o / PLANNING & ZONING ;O.• :u VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL' REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. TYPE OF MANAGEMENT (J ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: ' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date '_� Time Type Insp'n Permit TIa Name Address Compan� / Phone # Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. For Inspector: I t 161 N Approved Correction Re- Insp'n Fee 1` c \-` S~4- Mv.6"k■ 33132 "�• City State Zip tion of Work ' r ¼( OQ C ame & e Master Permit No. Subsidiary Permit No., PERMIT APPLICATION ;40 0 SE G P%Qf ap Linear Feet Feet Units Floors f Work ` CC) Bldg Value iessed/Appraised Value Eone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. SigeaLUS4 er FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE >4-Print Name I S to and subscribed before me this 1 day of ignature o / otary Public State of Fl. 'eta SEAL: Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida PERMIT APPLICATION o v ANGELA SEAL: 7. .P� ANGELA `.`"I .� co-:c. Personally known OR; ; I - Identfiication Personally known OR Produced Identification Type of Identification Produced: /-, Y ) - R 0 Ti D-51 I pe of Identification Produced: EL TV.PI. Minimum Fee QTY. TYPE Dryer QTY. i Outlet, Appliance Q . LV . TvI Service Repair QTV A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 11IECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TVI'E Refrigeration, Tons QTV. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE: A/C Condensate Q'I'V. TYPE Drains, Roof QTV. TVI'1; Miscellaneous Fixture QTY. Tv1'I; Soakage Pit QTV'. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY ; DA , Zonin: di / . L 'I (q% ?‘p, Electrical J Mechanical Plumbing Fire Public Works Structural Building Official ''‘ 2- 1 -1-- 7 — Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (0a $ $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ( s .ftt x/1000 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ i r D ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: C k /2iOa OWNER'S NAME: 1� jQN-E PHONE:.. 65 331 3371 ADDRESS: 7 ( 5 NE Q$' i 33l` ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 7C cis1 , . CONTRACTOR & LICENSE (if applicable) 0/ COMPANY NAME: �r'� PHONE: fuha , ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted Walls e Ce \ (2cz e Fascia C • c_ ik 2 Drip Cap/Drip Edge tJ) A Soffit \J ; Fixly Roof a�� �" Flower Bins 2e_ - l D Shutters wit Awnings U.)\/\ Chimney Doors and door ams tpe -cam c c-c.< c \ A-rS l Garage Doors 7e O . k A- '*041.4 Railings H b V1/4" Fences W / 119, o' ovr Decorative Metal E -\- � ,�- N -'CK •Y - All brick (simulated or regular) Q$ Stucco : anding Z .._r - � . — � .„.., - = -a l 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 (2 Building Offici Date 02_ Sign of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: k)• WHEN PAINTING IS FINISHED, '° CALL FOR FINAL INSPECTION z 4/23/01 N CU 0) N cn CIJ V (0 0! CL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1591 Printed: 9/19/2002 Applicant: ROBERT Owner: MUSTARD JOB ADDRESS: 75 Contractor Local Phone: Parcel # 1132060131160 Permit Status: Approved Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) x ' Signed: NE 98 Building Permit BORNE ELIZABETH ST Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & W1/2 OF LOT 22 Fees: Description Amount FEE2002 -5153 Building Permit Application Fee $60.00 FEE2002 -5154 CCF $0.60 FEE2002 -5247 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. Permit Expiration: 3/15/2003 Construction Value: $600.00 This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. (INSPECTOR) BY: 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: 4 ' (Contractor or Builder) BY: REG coi Q921112 I,'1lll 111:A111 11111?)? ' r I! 1,x,11 1,', 1,