BP-05-1244Miami Shores Village
10050 NE 2nd Avenue
Printed: 8/23/2005
Applicant: DARYL
Owner: GALLO
JOB ADDRESS: 933 NE 99
Parcel # 1132060340250
Signed: (INSPECTOR)
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2005 -1244
GALLO
DARYL
ST
Contractor J P HOGAN CONCRETE CUTTING INC Contractor's Address: 1331 BRISTOL AVE
Local Phone: 954/370 -6161
Page 1 of 1
Legal Description: 5-6 53 40 MIAMI SHORES SEC 8 PB 14 -33 E9FT LOT 16 ALL LOT 17 & W16FT LOT
Fees:
FEE2005 -11532
FEE2005 -11533
FEE2005 -11534
FEE2005 -11535
Description
Building Painting Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$1.20
$0.40
$1.50
$63.10
Total Fees: $63.10
Total Receipts: $63.10
Permit Status: APPROVED Permit Expiration: 2/18 /2006 Construction Value: $1,500.00
Work: PAINT
AUG 23 PAID
�43
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:
Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
AUG 2 2 205
Tel: (3 5' !'' [ Cy ':.
e RS -j
ster Permit No. 18 Pc 6/112-61 it r
Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholders) /7jIZ ti 6/ Phone # 30S 7JZ 6 / 7
Owner's Address 733 /V c7ci
cit ! L? < ef' state zip 3 3 / or"
Tenant/Lessee Name
Total Fee Now Due $ l r'
(Continued on opposite side)
')//4 Phone # ,(V . r
S 72 -0-e7
Zip
Job Address (where the work is being done) q33 iu P
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name jk i5 FL.) Phone # (7 s 76 l'
Contractor's Address /3 30 �I 3 7E) I
City OA t'/ State Pi Zip 30 re--
Qualifier /�6'zf° k / j. J
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Pfr/ Phone # AY/
$ Value of Work For this Permit 1 Square Footage Of Work: 404
Type of Work: ddition ['Alteration ❑New = ❑ -' Repair/Re lace - -= b° ] e fiolition
Describe Work: 1 py���?"7 r -
****************************F
Submittal Fee $ Permit Fee $ 'd v CCF $ 1 . 2-0 CO /CC
Notary $ pc Training/Education Fee $ , CIO Technology Fee $ t -
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 abse -e - such posted notice, the
inspection will n t be approved and a reinspection fee will be charged
Signature
0 „ or Agent
The foregoing instrument was acknowledged before me this L'
day of J , 20 , by bat .IA 1 P _ ` ( rte
who is personally known to me or who has produced DL.,
64 (j - 115 4,5-S5 `?As identification and who did take an oath.
NOT _;!; PUBLIC:
Sign:
Print:
Chc 05/13/03
My Commission
* * * * * * * * * * * **
(;:t Notary Public - Slate of Florida
VCammisslontYes Sep 28, 20013
Bonded by Nttonal Notary Assn.
`
Signature
Contract
who is personally known to me or who has produced
as identi .,� n and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
************** ******* * ** ** ** *** * **** ** ** ** * *** ** ** ** * * * * ** * * * * *** *** * ** ** * * * *** ** * * ** * ** * * ** * ** * * * * ** * **
APPLICATION APPROVED BY: �' G f Plans Examiner
Engineer
fic
strument was acknow : d h ed before me this
.7 20O
Zoning
Date
Walls
Miami Shores Village
Paint Color Approval and Agreement
Owner's Name D y L 6/4 /70 Phone # 305 —7-r6 - 6 2
Owner's Address 7 33 it) 8 ( 7?r 1 7 S'"` - e - e 7
Cit / / / 57)62.-er State f/. Zip 5/ ?c
Job Address (where the work is being done) 93 3 A) £ ? ` v-
City Miami Shores Village County Miami -Dade Zip g3/.3e
Is Building Historically Designated YES NO �S
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
SP 1 0. °666
Fascia kC ' 70 0(5—
Drip Cap /drip Edge g r t-A3 700
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams c LL7 700
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
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.
APPLICATION APPROVED BY:
Date l'i0P—.2-/ — 4f, (..1
chc 6/18/03