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1135 NE 100 StBUILDING d ceU w PERMIT APPLICATION A::.2 7 3 pm FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechaniccal oof Owner's Name (Fee Simple Titleholder) C c1S /6 t) co # 2 — (e '& l Z o u Owner's Address City /1,1 1 Tenant/Lessee Name Phone # '78 y--e a' Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit (�70c- c- Type of Work: ❑Addition Describe Work: Submittal Fee $ Permit Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 1 0 yv (, State ['Alteration • * * * * * * * * * * * * * * * * * * * * * * * * * ** F * *,�' * *� * * * * * * ** * * * * * * * * * * * * * ** 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 > r - J (3 C /C) L = / oe New Z/ Master Permit No. Pp -03 " Zip - 3 (e Phone # Permit No. Phone # Square Footage Of Work: Zip 37/ 3& ❑ Repair /Replace CCF $ Technology Fee $ Zoning Bond $ Structural > )an Review. S 5o' C O /CC ❑ Demolition 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 ttril t * *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 - 4 3 / 2 9/0.5 ' 5` /uaPlans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/20/2004 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 10015 Contractor Local Phone: Parcel # PARC2003 -17 WENSJOE THOMAS BISCAYNE BLVD. Legal Description: Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2003 -954 Contractor's Address: Fees: FEE2003 -8398 FEE2003 -8399 FEE2003 -8400 FEE2003 -8401 FEE2003 -8402 FEE2003 -8403 FEE2003 -8404 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Radon CO /CC Total Fees: Amount $5,609.63 $135.00 $44.80 $140.25 $93.00 $10.38 $150.00 $6,183.06 Total Fee46,183.06 o o -e Total Receipts ?0.00 ( ) p & 5 t c 3. D-6 JAN 2 6 PAID Permit Status: APPROVED Permit Expiration: 7/10/2004 Construction Value$224,385.00 Work: NEW SINGLE FAMILY HOUSE 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. BY: Page 1 of 1 -a- 1835 (1) s Date 3' C(/'0 3 Job Addres§ T Tax Folio /1- 3Z - 0 .5 —aU 4 0 CDejJL2. 11 , 5GA 6/Jo( . I`7 / L M , 5A DM Legal Description SS5Ln W; i <s 5th eta r) /- 91 Lo / E H istorically Designated: Yes Owner /Lessee/Tenet 41)014 65 On 'CA Master Permit # P kOO 3 11--S 1901 1'1 E- 1(5 St H ;brl g-• 32 )81 Phone 3o5- 3 5(/ & O Owner's Address Contracting Co. © (i JU L k Qualifier SS# State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE LLING FOR ANOTHER INSPECTION. Permit Type (circle one): c WORK DESCRIPTION: •j e'" Square Ft. ., 2 . S- 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 ANY 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 all disciplines. 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. Furthermore, I authorize the above named contractor to do the work stated. Si nature of owner and/or Co $lo President Date \J Sa'D Xs-7D1- D otary as to My Commissi n Expires .\ Angela M Becker • • My Commission 00150048 d Expires November 15, 2008 RADON FEES: PERMIT 200 (41d 3� ` lo o ' / � oning Mechanical 1133' /1/4- d s D ' 1 PERMIT APPLICATION FOR MIAMI SHORES VILLA 10050 N.E. 2 d A e iami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax I +I 756189 -- rr II ^^ ELECTRICAL PLUMBING MECHANICAL ROOFING N J4 O J CQ „ , „ A r 0 of 6- l 0 - 03 l d J' C.. 10- 03/ [13a/ (53 Building h / /0%3C Signature C.C.F Competency # Ins. Co. Estimated Cost (value) � S Contr 1 � � •wner :uild- . / ry as to I.ntractor o My Commission Expires Address Phone for .. wner Builder 0 L \A)S 6- tl bS ti NOTARY lectrical 7�LYo3 Structural Engineer . 3lc M BOND My Commission D0150048 L 15igKs November 15, 2006 G -/9 -03 ate 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. e p 03-959. PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City Tenant/Lessee Name Phone # Submittal Fee $ Notary $ Scanning $ y. State 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 Phone # Contractor's Address City State Qualifier Architect/Engineer's Name (if applicable) Phone # QPy $ Value of Work For this Permit 1 aa4) 3 65 Type of Work: ❑Addition ❑ Alteration Describe Work: Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department Electrical Plumbing Mechanical Zip • New Zip Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ !141"9" 7 * , 3 Training/Education Fee $ , .v Radon $ /0 39 Structural Plan Review. $ ❑ Repair/Replace ❑ Demolition C / CG ts 1 -- T' � Technology Fee $ / Q a Bond $ CCF $ Roofing • w G" • 11 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 10/14/03