1177 NE 100 St (14)Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT ti0
305- 795 -2204 `\
Building Inspection Request
Dat- 0
Permit ' V 3 1 1 b ) N
Name kJ\ ,
Address 1 ( V 0'
Company
Phone # 3 � , Y� — /1 65
Inspection Date / 1 S l 0 tl
.4
Approved
Correction
Re- Insp'n Fee
Building Department
BUILDING
PERMIT A ® P
FBC 2001
RLEC DVED
C l0 6 2003
Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. OP P003
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) —1G raocQr .4 Phone # 30 $ 7 S 5 – /
Owner's Address // 7 '7 N C: / O o S -�--
City ..i-, ,.o.,-,. State Zip 3 3/ 3 8'
Tenant/Lessee Name Phone #
Job Address (where the work is being done) // 7 7 N C. / 6 D -4
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES ( NO_)
Contractor's Company Name N 1 P Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit')C 8'00 •O�)
Number of: Bays Stories Families
Type of Work: ['Addition ❑Alteration
Describe Work: P Q.. N C K - tom. ' o.....
[New
Square Footage Of Work:
Bedrooms Baths
❑ Repair/Replace
❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * *** * ** * * * * * * * * * * * * * * **
County Escrow Fee $ `P 0 Permit Fee $ COO . CO W Notary $ 5 . 0
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Strut. $
Minus Plans Check Fee $ . (PO Total Fee Now Due $
��. .9 .
Continued on opposite side)
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 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 occur "seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will be approve a reinspection fee will be charged.
Signature ? ignature
Owner or Agent
The foreg • II • g instrument was acknowledge
day of , 20(5,by
who is personally known to me or who has produced
As identification and who did take an oath.
NOT
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * *:- ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc7niO3
• • efo e me this d o
� � Ir
Bonded Thru
Atlantic Bonding Co., Inc.
Contractor
The foregoing instrument was acknowledged before me this
day of ,20_,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
/ 7/0 - 3
Al■O,
Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: t o I lo / 0 — 2
OWNER'S NAME: I ••n. PHONE.3 VI 4 6
ADDRESS: 1 N . E B 0 s47
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: too s-I'
CONTRACTOR & LICENSE (if applicable) NJA
COMPANY NAME: d.) ) A PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and . indicate the color to be painted.
Walls Seer c - to.. --- got. 6 Q.
Fascia
Drip Cap/Drip Edge u,i,44-0,
Soffit I2a.)or
Roof W L .+Q
Flower Bins Q-
Shutters c )14 'Q. pea) N a (� • ; �� • a
Awnings N P
Chimney v' ►.: - r e,
Doors and door jams (Jo t-: .-ha .ex, , �'4 --
Garage Doors Lo‘.,-;.-1--Q._
Railings
Fences I01 44 `
Decorative Metal
All brick (simulated or regular) [i3I, .-
Stucco Banding 1•3 A
Any other stucco features
Accessory Buildings 1' 1
Other
/0/74
Building 0 ciai Date
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
e work stated. Furthermore . , the paint colors will be as per the attached
i gN
Sign - � re of Owner Date • Signature of Contractor Date
* *. ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
I`1 `7 N E, I oz) S
�3
4-a V
Date 23 r19 -Job Address J1 '77 NJ: Zcz
Legal Description L 13 f D 1
Owner / Lessee / Tenant 70;
•,PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Si d ature of owner and /or Condo Pr. -ident
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Tax Folio
Owner's Address /07 /U, F 1 co a Phone 75, - 3Od/
Contracting Co. ,ALE C /ti ( &f di Cam. Address 7d gO 5.4)• PP C-4 44€224
Qualifier ER(c. - 3 ' 6
��,�.� Phone �GS= 98/ - 99,x/
State # Municipal #@Oc0 /9Uy/„ Competency # Ins.Co.
Architect /Engineer _ Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING �� PENCE SIGN
WORK DESCRIPTION P Q l JL(7 E kT (f 2 J .4 pses.Scc ei
les ,q .,,(: 0J,r� /o ) G )o l s Asc.& &Arek
Square Ft. Estimated Cost(value) (q L •d?)
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
aut •size th abo e-named contractor to do the work stated.
4.<7 ‘
Signature of Contractor or Owner- Builder
Date: i / y'
Notary as to
My Commissio
** * * * * * * * * * * *
FEES: PERMIT 7 r jd RADON C.C.F.
APPROVED: Fire Other
Zoning Buildin�� 'i/'/ V Electrical
Mechanical Plumbing Engineering
NOTARY 1 ( /60
/ / / / 0 3So /
Master Permit #3.5%
r p gEo9149136041 d
S* COMMISSION NUMBER
CC255237
ci MY COMMISSION EXP.
J.D N 1 S19 7
*
TOTAL DUE 0
Al's Coating Service
7030 Southwest 26th Court • Miramar, Florida 33023
Dade: 952 -0742 • Broward: 981 -9931
Proposal
Number /
Proposal
page
Date 2 /.1"AS y
/ of i
Proposal Submitted To
Work
To Be Performed At
Name rE4_5L E ;.
Street
Street ii>,,v +✓ /00 g6
City
/i
g
City /fl,,,m/ S,F' I r State .L011injg
-�
Contact y /
Telephone: (H).75.5.70/ (W)
Telephone: (H) (W)
We hetthr prcpme to furnish the nater and perform
the labor necessercy far the carpletion cf:
Room
Dimensions
Description of work
Unit Cost
Total Cost
o,P6A9w4fioiv'
a fAE seiiec (444 4" 1.1 A ..c.,
7 * l i e l Q 5 i 5 i?/G ,.0
'3 54 r X, /4
35y7
w6 3ei!� S />
DomQ 'AT. 0 2 /(
0 /-1T('.N A'ii'
/1/2aL /r ,4/axe Avg
/r/ /c
A.//-
l 'imiiv�
0 r 64e /if .SoApla
3 3sfi, , yo
/ 3.4, 2,9
1P,171 - w , G v , , t a 7 Sc / /
R f ? ' : . S o 4 ' 5 " X ' r :
' O • (>O
41414 y' W /trio G 2/GrED En
"ft/i lift'
e A9 /A1lf i'4 c- 5 /9W/7 5-c ) l/
337 Y X . 3o
/ 0/ g'. 2 c'
F'- 4 -4 7-0 " , e
, , ,lu7' Fq sr /r* Ai, QQ2 sEa.
3 311 . ,w
/ � «, 2 0
f /A /T 6.79,6-E Gbdc
2g/,X50.m
moo• o4tV
0 MIA/ r A;1044 / w1' ) Sio)
/8A y - ,.
� 6". o0
M'2 4f,,
6) Pee 07/ % FEE
/4/ -t7,s, Y O,t?)
'/®.,eve
All rraterial is guaranteed to be
specification for that wad( and
O41 - ,1i 7 Aiii
with payments to be mach as fella
Respectfully submitted
Note - This proposal may be
Pny alteraticn or ctviatien frcn
writte i arms, and will beccne an
t{xn strip, oxidants, cr delays
Larne tpm ab xe w zk. mss'
as specified, and the abae
carpleted in a srbstaritial,
&LW/ (L) 1 - 4
s: Sol .97 5 27 , 947 -
EICv / 0
wxk to
be perfcured
a limier
.% o2
per
in acrezdance
for de sun of
with the
o,o )
/"C0
Service
tpcn
necessary
be tali
aranii
E,
o
($ 9/3,
/
- a/3w Co711
Al's Coating
3 days.
withdrawn by us if
abow speci.ficatie s involving
not accepted
extra
abci a the estimate.
O+ner to carry
Li ahi 1 i ty
within
costs will
fire, tan,
llisurarre
be eaeatted cnly
All agrearaits antirrge
and other
on aba a uork to
extra dirge mar and
twirl cur cuitrul.
Ctrrpensaticn and Rblic
cut by Al's Crating Service.
ACCEPTANCE OF
Date Signature
PROPOSAL
Signature
• ,
PROPOSAL