Fabric CanopyApproved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
Date
Type Insp' • ea 000
Permit No.
Name �—
Address
Company
Phone #
For Inspe
PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date (P ' . . Job Address l a.o., N.E , lot T. Tax Folio ) I 3205 D ZI — 003o .
Legal Description M 1A M 1 S 140114d Set Sl b qv - I - Historically Designated: Yes No
ac 6 M. 1014 4 .
Owner/Lessee / Tenant F (30 LT 0 d) • Master Permit #)' ' X00 c=k
Owner's Address CAD Z A) l 0 I S 7 ' Phone
Contracting Co. 1M 14 .441 Ati1 N 1 ` C • Address Z105 V ua • 3 / 4t4
CS 1. 6
Qualifier M t / /2 tE-1 U-'./ SS# Phone 3O J
State # Municipal # Competency # Ins. Co.
Architect/Engineer 104 yvli e .Sv771 E 2 i44'I.> . Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one) iL ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Prt'Ttd P rTA-LA-te 0 FA s5•2_ (t Gt - ' o PCB , • /../ X -2 S
Square Ft. J stimated Cost (value) 1 1 4 0 0
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 IAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construc oning. Furth - ' . re, I authorize the above -named contractor to do the work stated.
as to
My Commission
FEES: PERMIT
Zoning Building
APPROVED:
RADON
C.C.F.
Signature of Contractor or Own
Notary as to
My Commissi
EXPIRES
JUNE 29,2004
S Jm
p S.unctiqe,e a/a 81D,Z
NOTARY I .. d 0 BOND
TOTAL DUE ' c P ()
Mechanical Plumbing Structural Engineer ��, .3/3/0
Date
Date
3 —Z(---°rt-Electrical
JOB ADDRESS / '�� N ' 6 . /0/ Ste'
CRITIQUE SHEET
APPLICAKj01+ 60Z-rat°
PHONE #
APPUCATIO• / /0/116
SHEET OF
MISCELLANEOUS
•
PERMIT NO.
ADDRESS:
ZONING
ELECTRICAL
DATE MUNING COMMENTS
3/t/001— "X" c AGa/v/ku65
1-5 30e 50. PT
MIAMI SHORES VILLAGE
BUILDING ! ZONING DEPARTMENT
SECTION BY DATE
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to comptiance rctth an Federal, State.
Coc- .ty,Wlsle rules tad regutatlons. Wage tsstmtes
na responslbIlIty tor eccucec1 alto( results tram
L~.ese Bans.
2. This copy of plans moat ba %vatiabte as
buRding site or no Inspection vdtl be conducted.
INITIALS
Signature
BUILDING AND ZONING DEPARTMENT
1 0050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138.2382
.TELEPHONE (305) 795.2204
FAX (305) 756•.8972.
RECEIPT
I,
& P 1 � /owner, picked up 2 sets of plans for
(address) 6) 9 O 4 lip from the Building and Zoning Department on (date)
to have corrections done to plans and/or get County stamps. I
understand that the plans need to be brought back to Miami Shores Building and Zoning to
continue the permitting process.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/21/2002
Applicant: JENNIFER
Owner: BOLTON
Contractor MIAMI AWNING CO
Local Phone:
N.)
Parcel # 1132050210030 Legal Description: MIAMI SHORES SEC 8 AMD PB 42 LOT 6
Job Address: 1202 NE 101 ST
Fees:
FEE2002 -1653
FEE2002 -1654
Permit Status:
Approved Permit Expiration:
Work: PATIO FABRIC CANOPY
Description Amount
CCF $1.00
Building Permit Application Fe$60.00
Total Fees:
If there is no permit package accessible on the job -site for it
fee is $50.00, which must be paid in advance before calling for
This Permit is granted to the contractor or builder named above to construct the 1
ordinances pertaining thereto and with the understanding that the work will be perfo
and approved by the proper municipal authorities. This Permit may be revoked at s
authorization. A further condition upon which this permit is granted is the understar
ordinances and regulations pertaining to the work covered hereby whether shown o
by his agents, servants or. employees.
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work
with the plans, drawings, statements or specifications submitted to the proper autht
myself, my agent, servants or employes.
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2002 -571
BOLTON
JENNIFER
Address: 3905 NW 31 AVE
Cellular:
$61.00
9/15/2002 Construction Value:
Page 1 of 1
BLK 184 A LOT SIZE
Total Fees: $61.00
Total Receipts: $0.00
EDMUNDO JORGE PEIXOTO
6920 HARDING AVE., APT. 201 305-866-9337
MIAMI BEACH, FL 33141 -3226
PAY TO THE
ORDER OF
Pl ifrt)
c
Wl19 Washington Mutual
Washington Mutual Bank, FA
Miami BeacNNormandy tale Financial Center 1725
1025 71st Street 1- 800 -7e8- ?000
Miami Beach, FL 33141 24 hour Customer Service
NOTES
T:
63- 8413/2670
3603415450
DATE 3 /J 24
`I: 26 7084 L3 LI:380 019 L
191
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