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PAINTPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address S O A ) 5 1 Tax Folio / I- 3/ bid - c 3 - °Q;LI Lc) r %Z or: 4-07 Master Permit # 3 5 Phone 7 S ` _ G C Legal Description itifiltIn s /'f szc. C T-t> Owner / Lessee / Tenant viii/qrg K m✓" SGLL Owner's Address cr pfAi S Contracting Co. L?-?-1/41Axi Address Qualifier SS# - ( ( Phone S State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor 112/141cuic`,_f .o (/Llr�(Z lj"- 1?/r+(/F �� Address f -r t b /J 17 !C Permit Type(circle one). U ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Fla or H04,6 gC1_() (i7Lr)/7 .- (- f r/1117-AL/./e5 � } 0 CL 'w r - L/i t/ F c1 Square Ft j ( ©d S ( �l� fi� ��� n .1 L& Estimated Cost(value) � U 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 Signature of owner and /or Condo President Date: APPROVED: Fire Zoning Buildin Signature o Contractor or Owne ••'i�ez Date : / X15/5 0- nu49 J; . CIAL NOTARY sral Notary as to Owner and /or Condo President Notary as to ( � •t { co Mlss N ERd r My Commission Expires: My Commission 4 �_r, rr_255237 �� OF i JAN. 261,1997 ** * * * * * * * * * * * * * * * * * ** FEES: PERMIT : r 7� �' RADON C.C.F. ", NOTARY , `�" TOTAL DUE 1 /v' Other Electrical Mechanical Plumbing Engineering PROPERTY OWNER New Construction Name _3 kh-)>Q ! 40, 1 }e1 Address J U t I , - / 9?=4 ..,q' - C' N V�J _ `U1 ,\ c ` M(CU ( q -e Home Telephone C l (3 Alteration Exterior , f23 2- 02. - 3 0 Business Telephone St _/ { 15 J Fax ( � ‹) 1t59 — Z113 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 submitted along with this permit application. 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. Job Address: 4 " l Wu_t l Address Folio Number Description of Work Lot Block Subdivision PB • PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax State PERMIT APPLICATION Master Permit No Subsidiary Permit I o. P ,4 -0002 • LQ( Zip Zoning Linear Feet Square Feet 4 Units Floors Value of Work i (WO Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name SECTION BY DATE Zoning -- 34 a- / Electrical Mechanical Plumbing Fire Public Works Structural Building Official } 2.S- Z Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERT 1IT FEES Metropolitan Dade County (C.C.F.) $ `_ % (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) REVIEWED AND PREPARED BY: ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ C ISSUING OFFICIAL DATE: PERMIT APPLICATION 6n CONDITION OF APPROVAL Revised July 2(01 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: 3 1 02 OWNER'S NAME: S) sAOP - ,J Di ►moo PHONE: (":?:_i;:) 33 2 ADDRESS: kJ i q ktaam t � � L- 33 ) *********************************** * * * * * * * * * * * * * * * * *' * * * * * * * * * * * ** ADDRESS OF SITE: g- N lio q St" G +. Q tc eS, CONTRACTOR & LICENSE (if applicable) L / COMPANY NAME: (k f is PHONE: iV ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the le must be listed and indicat Walls U-kir- Fascia Drip Cap/Drip Edge Soffit c eo < Roof Vein t\ Flower Bins Shutters • LY) Awnings es-1 -u 41 bairn Chimney Doors and door jams rres-kv- Nu Ng-r) Garage Doors TeGLI i S+' (y, RailingsaN► ` " f3P tC�P Fences Decorative Metal TO, Arresi All brick (simulated or re:ular) Stucco Banding 44►11,= •'sr-e•%r% Any other stucco features Accessory Buildings Other APPROVED: 3 / /. 3 Acccnt 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 sta . Furthermore , the paint colors will be as per the attached les. Z1 O2 Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Com'.;......_.. li ' t9L�� - WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official' Date 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -615 Printed: 3/25/2002 Applicant: SUSANA ANDINO Owner: ANDINO SUSANA Contractor Address: Local Phone: Cellular: Parcel # 1131010330210 Legal Description: MIAMI SHORES SEC 6 PB 10 - 39 LOT 8 E1/2 OF LOT 9 BLK 129 LOT SIZE Job Address: 58 NW 98 ST Fees: Description Amount FEE2002 -1729 Building Permit Application Fe*60.00 FEE2002 -1730 CCF $0.60 FEE2002 -1731 Notary Fee $5.00 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 9/21/2002 Signed: Building Permit Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) $1,000.00 Page 1 of 1 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. 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: The Sunshine State -- UCENSE UMBER A535 -787- 68490-0 SUSANA G AMINO 9370 SW 87 AVE S4 MIAMI, FL 331780000 BIRTH DATE SEX NOT. REST ENDORSE. 104048 F 6-06 ISSUED 07 -14-00 EXPIRES DUPLICATE 104606 00-0000 400la Operation at a motor re ude colwtibrtes consent to any sobiety test required by taw