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1226 NE 100 St (2)Inspection Date Correction 0-3 I& MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date IU "f Point Type Insp'n I nc I Permit No. 6 56( Name Tho Q Address /22(0 ioL )0 54" Company D(,UI ►e k Phone # Re- Insp'n Fee ❑ Owner's Name (Fee Simple Titleholder) Owner's Address 1 101 A * % City Y &wi 3 f State Tenant/Lessee Name /Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit t 6 D � Type of Work: ['Addition EAlteration l e ' Describe Work: A Total Fee Now Due $ 1 1 3 � (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing ff s , County Miami -Dade NO p. Contractor's Company Name Contractor's Address City State Zip A44- 6(4/t4. Qualifier Architect/Engineer's Name (if applicable) Phone # ['New Master Permit No ts 1 Phone # -:957 Zip 33 l� Phone # Phone # Square Footage Of Work: Zip ❑ Repair/Replace ❑ Demolition -_64 � 1 a�;r t'° 1)'1) - e d -� 0 Ci C \ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** d Submittal Fee $5 — Permit Fee $ ‘^(Tev CCF $ . 6 7) CO /CC Notary $ SOO Training/Education Fee $ , b Technology Fee $ C , S d 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. In the absence of such posted notice, the inspecti. ' .t be approved and a reinspection fee will be charged. Signature regoing Owner or Age strument was ac wledged before me plus , 200 by .t is personally known to me or who has produced A3 identification and who did take an oath. as identification and who did take an oath. NOT • Y P► BLIC: NOTARY PUBLIC: Sign: �/ r k.r / Sign: Print: i • �; Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced My Commission Expires: ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APR 2 7 2004 /- Plans Examiner Engineer Zoning Date Owner's Name A v ./ Phone # — 5 j - 0- Owner's Address 1 n Jt / ` � City M/'k+Ms � ht -t# • State Zip ) d> Job Address (where the work is being done) 1921(p City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO . 2 – Phone # //A*" Contractor's Company Name (if applicable) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls 4t yr Fascia J–�1�� 64,1...' Drip Cap /drip Edge r r, jpci,r-'X - edit/ / Soffit Roof Flower bins Shutters Awnings Chimney 1 er.A A vim Doors and door jams /A Garage doors Railings /� A Fences /VA Decorative metal /U/`f" All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Miami Shores Village Paint Color Approval and Agreement :3 ?.s N4 � ? Sp4- ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWN t i AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws • : ting constriction and zo Signature Date 4 1/94/" J Owner or Agent Wv9 eco ( 9 Other Sa& 977 ,7Y Date APPLICATION APPROVED BY: CX= �o'c �i P& Z Offia(al chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -561 Printed: 4/28/2004 Applicant: DEAN MADIGAN Owner: MADIGAN DEAN JOB ADDRESS: 1226 NE 100 ST Contractor Local Phone: Parcel # 1132050090060 Fees: Description Amount FEE2004 -4210 Building Painting Fee $60.00 FEE2004 -4211 Building Painting Fee $60.00 FEE2004 -4212 CCF $0.60 FEE2004 -4213 Notary Fee $5.00 FEE2004 -4214 Training and Education Fee $0.20 FEE2004 -4215 Technology Fee $1.50 Total Fees: $127.30 Total Fees: :$1 7.30 r v Total Receipts: 1.00 Q, Permit Status: APPROVED Permit Expiration: 10/23/2004 Construction Value: $600.00 Work: EXTERIOR PAINTING Signed: (INSPECTOR) Building Permit Contractor's Address: Page 1 of 1 Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 6 BLK 1 LOT SIZE 75.000 ApR 3 0 PAID 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date— 27- 9/1 .yob Address /Z - /2Z /0 0 ' r Tax Folio //'.z o 19 © / gn O 6 in Legal Description e,,q-,e..0 4. re, n ("4 o - - s /era Owner/Lessee / Tenant /4,97-.4 A C- f enoi 1 z / Master Permit # 4 6 2 i Owner's Address /2- 2 (- "2 f / ,n 10 ,57 Phone 7-57 — 5 2- Contracting Co. t<') \C\// -(C Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address 7731W Light Topaz Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL SIGN WORK DESCRIPTION 4 ( ?c 7 / 7/ ..e ?/— Square Ft. Estimated Cost (value) / O . 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. O 'R'SAFF la s e ID I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable and zo g. F'thermore, I authorize the above -named contractor to do the work stated. , 1, owne and/or Condo resid , Sign.tur OFFICIAL NOTARY SEAL CHARLES MCLEOD NOTARY PUBIC ATE OF FLORIDA COMMISSIC °, NO. CC500102 MY COMMISSION EXP. OCT. 9,1999 FEES: PERMIT /. RADON t Date -�� - 'sr - Signature of Contractor or Owner- Builder Date Historically Designated: Yes Notary as Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: APPROVED: a , Zoning Building r Electrical Mechanical Plumbing Engineering LD C.C.F. - NOTARY BOND TOTAL DUE 17// BUILDING ELECTRICAL PLUMBING ROOFING P` • Owner of Building /' i MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4199 ,iry ,4, s , . Architect or Builder Legal Lot Description Bl Address of - f Building DATE___S - 2 --' // 195_6e_ Contractor's License No Id f r. ' ,;_ Work to be performed under this Permit Subdi- vision Value of Amount of Project $ I Permit $ This permit is granted to the contractor or builder named above to construc 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 cr in the statements or specffications and that he assumes responsibility for work done by his agents, servants or employees. Signed ( ..+ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered rounder 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ` 1 CONTRACTOR OR BUILDER BY AUTHORITY 6y APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address "' """ a STATE OF FLORIDA, COUNTY OF DADE. j ss Registered Architect and /or Engineer Q Name and address of licensed contractor `� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 1 c State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 4 C= s CC Date , No /9""' Street 1 k L / 6 C? t' Ciaa::ER.A.0 and for no other purpose. New Building Remodeling X, Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Z ® itp Amount of Permit $ 1. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Gi Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state are true. Permit No / 5 �, Date ® ®..c _ Read, Sworn to and Subscribed before me. , ) Disapproved /� / Date /' Notary Public, State of Florida ( Signed) W t �G Building n spector . '`' My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.