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PAINTPermit Type: Imported Permit Inspection Type: Steel ork Clas ification: Pool - Private Inspection Date: 03/21/2006 Inspector: Grande, Claudio Owner: HUFF, WILEY Job Address: 890 98 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Friday, March 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Parcel Number 1132060142540 Lot: Page 1 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Permit Type: Imported Permit Inspection Type: Steel ork Clas ification: Pool - Private Inspection Date: 03/21/2006 Inspector: Grande, Claudio Owner: HUFF, WILEY Job Address: 890 98 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Friday, March 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Parcel Number 1132060142540 Lot: Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -1562 Printed: 11/14/2005 Applicant: KAREN Owner: HUFF JOB ADDRESS: 890 NE 98 Contractor Local Phone: Parcel # 1132060142540 Signed: (INSPECTOR) Building Permit HUFF KAREN ST Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOTS 1 - 2 - 3 & E1/2 LOT 4 BLK 73 LOT SIZE 182.09 X Fees: Description Amount FEE2005 -14454 Building Painting Fee $60.00 FEE2005 -14455 CCF $0.60 FEE2005 -14456 Training and Education Fee $0.20 FEE2005 -14457 Technology Fee $1.50 FEE2005 -14458 Notary Fee $5.00 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/6/2006 Construction Value: $200.00 Work: EXTERIOR PAINTING NOV 17 PAID Page 1 of 1 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: a • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Tenant/Lessee Name City State Qualifier S Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores Florida 33138 zco . Owner's Name (Fee Simple Titleholder) WI L itait 144.7A Vk(}cf Phone # 25- 756 - 74/R, Owner's Y' 3 ti (= gq8• 5 14 - City WIrFj ,S/wW State Ft__ Zip 3313S' Phone # Job Address (where the work is being done) SAME ,s City Miami Shores Villa a County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name . Phone # Contractor's Address State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ['Alteration ['New Describe Work: RE &t.. rrf- 51-ra quItt_ . Structural Plan Review. $ ster Permit No. Zip Square Footage Of Work: ❑ Repa Mechanical Roofmg ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees , * ** * * * ** * * * * * * ** *** * * * ** * * * ** Submittal Fee $ Permit Fee $ t O '' CCF S 0. GO CO /CC Notary $5.00 Training/Education Fee $ 0 . 7 -.0 Technology Fee S 1 • . Scanning $ Radon $ Zoning Bond S Code Enforcement $ 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: 1 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_ % �� " �� Signature wner or Agen Contractor The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this day of V , 20 by kW I t-_. -}k.xpp 1 „, . day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced l PiBLIC•STATE OF FLTITT)A d Yorlen . , • • ,, . iviregarla PU M Co mission NOT Sign: Print: chc 05/13/03 LIC: NOT As identification and who did take an oath. as identification and who did take an oath. xpiressa `4 1 a;t4ontie APPLICATION APPROVED BY: NOTARY PUBLIC: Sign: Print: My Commission Expires: / 1 //o1k Plans Examiner Engineer Zoning Miami Shores Villacre ... � Q 11t Faint Color Approval and Agreen e Date Owner's Name � Owner's Address 0 d �D V e% U Mitt-n4 511,e-w7 State Zip City --Walls C�h ( �A.t tS 1/i � ;11 � Ltate 4 i1 Fascia 0U" nz 'T"aSCi Lc r�� b 2— Drip Cap /drip Edge '# Z Soffit 'k Z Roof Flower bins Shutters Awnings - Chimney v.;1 4` ‘9E ' - � Doors and door jams LL - doors & liljkt 1L; Will 4;0 1 4 A 4 Railing wetAs Q( UMA - w56,\,\0_, Fence N aks s r'. bVi `t 11E, W1 _ ,..Decorative metal iS iY QK k 1A; L( Dtf ' 17 JG I x; All brick (simulated or regular) Stucco banding ^ Any other stucco features 1 IA) 1 11 6� , r) ` 3 Q•4 tr Accessory Buildings S i enature r APP :I 1f.TION APPROVEP BY: caner or Agent =•& ofIicia Phone 365— 7 - 7 q iZ 33138 Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted • 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. Date j / Date a;c 6/1g /07 Date Qualifier PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address o tO N C W 1 Legal Description ✓ 1, J L '7J / / I 9(IJJ Lessee / Tenant t, L L ( Master Permit # 55e Owner's Address C AJ 4 s � Contracting Co. Address Cli e 4/1 k SS# State # Municipal # Competency # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION F(,t.I CilCFXIC:j k, 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 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• ' e t e abov- --ame, •�� .. • - - - - stated. APPROVED: % c i fit. Yikett cc ^ -'NF CHURCH rlic. State of Floods 30, 1996 Tax Folio /I Phon t5) 7- 6^ ` '_ Phone Signature of Contractor or Owner- Builder Date: ignatu •f owner Date: g��// 9 -- -i. ,4/ /1j e e rint type or stamp name of Notary Public ' () tart as to Owner and /4 ` ��° Q ��Iuced I_D. Notary as to Contractor or Owner- Builder T };pc a nJ n ur n er ' r zed: My Commission Expires: My Commission Expires: _v r DID take an oath, or cc�� DID NOT take an oath ** * * * * * * * * * * * * * * ** FEES: PERMIT g7 -61) RADON C.C.F. . V V NOTARY , ..c — c00 TOTAL DUE 4_' 0 Fire Other Zoning Buildin_' 1 Electrical Mechanical Plumbing_ Engineering Application is hereby made for the approval of the detailed statemE described. This application is made in compliance and conformity with State of Florida, all ordinances of Miami Shores Village and all rules ai herein specified or not. A copy of approved plans and specifications IT Owner's Name and Address LA., Name and address of licensed contractor 5 Registered Architect and,or Engineer Location and legal description of lot to be built on: // S 2 6 ✓ t,C 6; 4 / G :✓ , Lot •17 /ut( I /) � � 1'" Block _�> Subdivision . i � fit 1 z9 1 Y,� (S SL C ', i' k. f ' t . Cr it Cft- (U/ 3 1-- Street and Number where work is to be done &I t-' As C tt `• 1 t .. 7 et F State work to be done and purpose of building by floors), state exterior colors (submit samples) 1 1 & J cL.L 1 t .t,IE ( t )(i E A:l < O `..:f r LL\ _ - (rZ t_t V /fie /tt. -: rf .P) f vv C07VCr2E7E s z--A it ,4(. and for no other purpose , p ` P New Building / �� *'7 / � Remodeling Addition ✓��t t Repairs �' No. of Stories To be constructed of `, ? Kind of foundation Roof Covering 61... 1 I I '1 . IT ( Estimated Total cost of improvements S 2 Amount of Permit S �I. ,''-e Zone cubage required /Cj A Plan Cubage Distance to next nearest building t. ){'9/ t- ice 1.4 tit b 1 ` fit- 1 IC. ze 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 STATE OF FLORIDA COUNTY OF DADE. }SS. • MIAMI SHORES VILLAGE c�- fA/ BUILDING INSPECTION DEPARTMENT �� APPLICATION Date / /ilk? Almond Lace Permit No. /'S c25 Disapproved (Signed) y�� / Date v Remarks (Signed) !ERMIT h submitted for the building or other structure herein Village. Florida, and all provisions of the Laws of the Miami Shores Village shall be complied with. whether of the work. 3p Date I F Nt Street_ Read, Sworn to and Subscribed before me. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida , 19 L g l 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 u er 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 undersigne grees to = pl.- only such subco. // rac . m �.• o be performed under this permit, as are licensed by Miami Shores Village. / 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 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. -Hzowc 11/44 EN -r-K4 1