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910 NE 99 St (5)Project Address 910 NE 99 Street Miami Shores Village, FL Owner Information DOREEN LASCH Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Contractor(s) HOME OWNER Phone CeII Phone Type of Work: Exterior Color: king arthur's court Additional Info: Classification: Residential Color: king arthur's court_Approved Color: king arthur's court_Approved Code Comments: BEN MOORE - WALLS -KING Color: king arthur's court_Denied Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $0.60 $0.20 $60.00 $1.50 $62.30 Permit Issue Date: 4/12/2007 Permit NO. PT- 4- 07-687 Permit Type: Paint Work Classification: New Permit Status: APPROVED Expiration: 10/09/2007 Parcel Number 1132060143410 Block: Lot: 910 NE 99 ST MIAMI SHORES FL 33138 -2567 Phone (305)754 -1861 Payment Type: Applicant Valuation: Total Sq Feet: DOREEN LASCH $ 1,000.00 Available Inspections: CeII 0 Inspection Type: Final 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 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 12, 2007 Date Thursday, April 12, 2007 1 WALLS KING ARTHIR'S COURT 1081 BEIGE. TRIMS CHROME GREEN (LIKE A DARK FOREST GREEN) 'f MAY 222OQ7 / nsPector Passed � I Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -45363 Permit Number: PT-4- 07-687 Inspection Date: 05/22/2007 Inspector: Grande, Claudio Owner: LASCH, DOREEN Job Address: 910 99 Street NE Project: <NONE> Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Monday, May 21, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)754 -1861 Parcel Number 1132060143410 Lot: Page 1 of 2 Date Permit Number: PT -4 -07 -687 Invoice Number: PT -4 -07 -28091 Applicant: DOREEN LASCH Company Name: Owner Address: 910 NE 99 ST MIAMI SHORES, FL 33138- Job Address: 910 99 Street NE Miami Shores Village, FL Friday, April 13, 2007 04/13/2007 Cash Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number Amount $62.30 Change $0.00 Total Payment: $62.30 Panes 1 of 1 Permit Type (circle): Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2004 Contractor's Company Name G (b Contractor's Address City State Qualifier Name Type of Work: ['Addition ['Alteration 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED APR 0 5 200? Owner's Name (Fee Simple i e older) . ,&Xc-7E - A/ , / -?s Owner's Address Q/O / �SS/•CCC r City 2/1,�,�ii /t..�c, State `ice Electrical Plumbing Mechanical Roofing Tenant/Lessee Name ,()/4 Phone # .(.//ht G.1 Job Address (where the work is being done) fit N� 7,(5 City Miami Shores Village County Miami -Dade Zip <3313 `" OLI / PARCEL # CO /93 CP 0 Is Building Historically Designated YES NO State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: S Describe Work: L: �52L t L� Clv 41/1/' 4 —`6 c 0,),D,4)5 1 -(' ***************************************F ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ V CCF $ CO /CC ew Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ DPBR $ Double Fee $ Permit No. Master Permit No. Zip ..F.6 / 3d� Phone # Structural Review. $ Total Fee Now Due $ ri Phone # '95 - c/ — /Pf.. Zip Phone # LI Repair/Replace ❑ Demolition Technology Fee $ ) .00 Zoning $ See Reverse side 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 The foregoing instrument was acknowledged before me this 3'6 The foregoing instrument was acknowledged before me this day of .c,Ui_ lit , 20� Y/ , by n�'�'�w' 1. /,'s r' , day of , 20 , by who i er sonally lu me or who has produced who is personally known to me or who has produced Sign: Print: Owner or Agent •t ' /.� As identification and who did take an oath. NOTARY BLIC: NOTARY PUBLIC: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) ,e c. e .v f fC Y - etzA ' Signature Contractor as identification and who did take an oath. Sign: Print: My Commission Expires: ; My Commission DD216361 *"Iia►,►+* AXw►MMAQ4k20100** * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 6 ' Plans Examiner Engineer 1 "�" Zoning Date: 7(( /6 - 7 Owner's Name: /4.634 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): Walls: toe/ Fascia: f /tz-r Drip Cap /Drip Edge: rQ,-1-Z- y.J Soffit: /A6 Roof: Flower Bins: Shutters: Awnings: Chimney: Doors and Door Jams: ljt b�il Garage Doors: A ./L,) r L Railings: Fences: Decorative Metal: All brick (simulated or regular): Stucco Banding: Any other Stucco Features: �--- --"` Accessory Buildings: Other: Miami Shores Village Paint Color Approval and Agreement CYiacol .. T Signature: Date: Owner or Agent APPLICATION APPROVED BY: P & O F CIAL Phone #: /f / Wo /116 7p s7 Phone #: All elements on the site must be listed and indicate the color to be punted 1B Ca4LL S king arthur's court 1081 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: / As? * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 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 Building Division of Miami Shores Village shall be complied with, whether herein sp- ified orjiot. A copy of approved plans and specifications must be kept at building during progress of the work. ,4,/1 :�/�1 Date No Street Owner's Name and Address d /�' � "�_1_._ '__ Registered Architect and /or Engineer ' ®7,r Name and address of licensed contractor__± Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors and for no other purpose. New Building Remodeling Addition Repairs �y____ No. of Stories To be constructed of Kind of foundatiop Rolf Covering p� Estimated Total cost of improvements $ f ' _Amount of Permit $_ __Z 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 permit 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.pch public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor be pe f rmed er this permit, as are licensed by Miami Shores Village. C , Remarks (Signed) C 4 STATE OF FLORIDA, COUNTY OF DADE. j s Disapproved Date (Signed) Date / /f'/ _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida 19 Before me, the undersigned authority, a notary public, duly authorized to minister 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 thoregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No � o) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. I BUILDING ELICTRICAL PLUMBING r Owner of /4. f uildinjr/,, Architect or c Builder Pkya L i 4 ✓44 4i; V , Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE �/L PERMIT. N? 5887 Work to be performed under this Permi ( Bl. Subdi- vision 194 1 icons actor's ....... r'! License o C , 41 Pt, ly " 1441‘ (7 Amt. of( 0 Q.. 0 . Permit ;A"( . Value of Project Signed. 1 INSPECTOR f\ % ") 3„e BY :9l � This pe • it s granted to the contractor or b ' der ame above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinanc s pertaining thereto and with the understanding that the work wil 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 responsibilit for a tho ugh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings o inhe_�p�ee 15''lf�msp�" ecif ations an that he assumes respon- sibility for work done by his agents, servants or employees. By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance widasall ordinances a&d.ildaaticis pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptinn thissermit I assume responsibility for all work done by either myself, my agent, servant or employee. AC O4LDE1 AUTHORITY P eask ;t ' 44. BUILDING ELECTRICAL PLU ,' ` G Owner of Building PERMIT N° 4169 Architect Contractor or Builder Legal Lot Description Bl. Address of r. r ! r .. "''' Value of Amt. of Building j;r � ~ 7 ! project Permit 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 appli- cation 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 respon- sibility for work done by his agents, servants or employees. ,I' • e* Signed. , --, By A, ^" /` INSPECTOR / this permit ''agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans awings, statements or specifications submitted to the proper authorities of Miami Shores Village. � for all w done' by either myself, my agent, servant or employee. . , , F s� r ,v w CTOR OR BUILDER,r BY AUTHORITY 1 MIAMI SHORES VILLAGE, FLORIDA Subdi- vision DATE - 4_1944 Contractor's / / 4 • License No Work to be performed under this Permit w. ...•■••••1 BUILDING ELECTRICAL PLUMBING Owner of , Building / i . Architect Contractor or Builder /1 ! (h Legal Lot Description t i A ON B MIAMI SHORES VILLAGE, FLORIDA DATE , �1 / % / 194_1 Contractor's • License No. Work to be performed under this Permit /"/"/ l ! L 41 I- PERMIT N? 5887 4 / Bl. Subdi- vision Aint. of • Permit Address of Value of - Building .. ( % Project ";. i " ........� This pe • it s granted to the contractor or biptder ame. . bove to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 thor h knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statenaant8'8f's ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. J f' ' • If ; (' . 1 By / r INSPECTOR �J In consideration of the issuance to one 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. Itt acceptinf thisyermip I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY