PAINTMiami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -870
Printed: 6/23/2004
Applicant: CESAR BASURTO
Owner: BASURTO CESAR
JOB ADDRESS: 146 NE 98 ST
Contractor
Local Phone:
Parcel # 1132060132390
Signed: (INSPECTOR)
Building Permit
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 12/18/2004 Construction Value: $2,500.00
Work: PAINT
Page 1 of 1
lo`
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 8 & LOT 9 LESS W1 OFT LOT SIZE
Fees: Description Amount
FEE2004 -6415 Building Painting Fee $60.00
FEE2004 -6416 CCF $1.80
FEE2004 -6417 Notary Fee $5.00
FEE2004 -6418 Training and Education Fee $0.60
FEE2004 -6419 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Submittal Fee $
Notary $ 5. d
Scanning $
Code Enforcement $
Total Fee Now Due $
Buildin
Permit Fee $
Training/Education Fee $
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
DO
Structural Plan Review. $
NO �C
Zip
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Cit. 6- cl 0 paid N Q—
(Continued on ( opposite side)
RECEH /EE®
UN 2 1 2O ^4
Permit No. 6exoti-g6.5
Master Permit No.
Electrical Plumbing Mechanical Roofing
Permit Type (circle): /j,�,,^ 1104 �
Owner's Name (Fee Simple ple Titleholder) i 2 - I'/ � lTt k Phone # l71' - `� O
Owner's Address f i 1
Cit Ill vvi ( Mpigg 5 State
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /44
City Miami Shores Village County Miami -Dade Zip 33 / 3V
Is Building Historically Designated YES
Contractor's Company Name / 4ut iiL p U tvt (/v • Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 1 "!" " Square Footage Of Work:
Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: � ?a/i✓1 Ci
CCF $ 1 ;KO • CO /CC
Technology Fee $ 1 ' 3
Bond $
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 ' .'ro ed plyd a reinspection fee will be charged.
Signature
Contractor
The
' 1 n /' , �J I The foregoing instrument was acknowledged before me this
day of ll , 20(, by . au (-i 1'C ( day of , 20 , by
who T sonally known to me or who has produced who is personally known to me or who has produced
The foregoing instrument was acknowledged be
1—
NOTARY P
Sign:
Print:
As identification h d take an
�� "' ab V
i C: °: U •�� _Comm #DD23
= u1 1 3, 2007
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
mg Co.. Inc
oath.
(tE ()..)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
as identification and who did take an oath.
********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/ 1*************.**************************.************ JUN 2 3 2004
Plans Examiner
Engineer
Zoning
Miami Shores Village
i' aint Color Approval and Agreement
Date 04
,, /' (� • j U/' r
Owner's Name g'itAQr "DePA-6Q(Aki.E Phone # '5 7 '
Owner's Address / A/6 .9 e. d. 61
City Ai (t vwl #101 State Zip 3 3 ',
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name (if applicable)
**** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **p
All elements on the site
Walls' 1 -o t - 2 ' I va -- DW`
Fascia /f/A- Al/A-
Drip Cap /drip Edge
Soffit N/ / A
Roof /v / - / k
Flower bins , / i' `
Shutters , /V1
�r y f
Awnings /"
Chimney N/ 1(
Doors and door jams /v I A(
N1 A--
Garage doors
Railings
Fences
APPLICATION APPROVED BY:
J4 /4 00 f-
Owner or Agent
790C -1 "
Irish Mist
Decorative metal vJ(44
All brick (simulated or regular) N
Stucco banding N(Ar • /
Any other stucco features / /v IA-
Accessory Buildings /11
n Fin
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 (l/• / •
790C
Date 3-.210 Y
chc 6/18/03
MIAMI SHORES VILLAGE,.
BUILDINf..' ilEPARTMENT
305- 795 -2204
Building Inspection Request
Date 5'3
TypeInsp'n F1r1G I. PGiI1
Permit No. 60 o4 - V - / 6
Name
Address 1 CO toe - ! 3
Company
Phone #
Inspection Date 5 13
Correction
Re- Insp'n Fee
• " MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:
OWNER'S NAME: ,NGro borne y PHONE: 3os 157 -740'10
ADDRESS: 9'd NC qt StreGf- " � � 0 3
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls eide
Fascia w / i a
Drip Cap/Drip Edge r.,,h; r
Soffit wn s
Roof ti /A
Flower Bins wl•g-
Shutters 6/44 4- A
Awnings
Chimney , -' - , /4
Doors and door jams 0'4
Garage Doors w hi r
Railings 4./4
Fences
Decorative Metal iz ir-e
All brick (simulated or regular) /.
Stucco Banding
Any other stucco features /2
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
APPROVED:
Building Official Date
'0*
Date Signature of Contractor
1 waits
H
-^ z
C
w
cn
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01