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1290 NE 101 St (4)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing , Mechanical Roofing Owner's Name (Fee Simple eholder) - eD/v airRhAV Owner's Address /29 A/t 0 /ff 42T City Ji /11/ ri �u8IY State ft Zip .J?7 /..rr Tenant/Lessee Name Phone # fa - ,7r 9 fyoo Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name DlN/r/l�Z Contractor's Address City State Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 4,2n 61 Type of Work: ❑Addition Describe Work: Total Fee Now Due $ opo (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 u EC L ' ermit No. Peoc-/od. /G ivy' /oi rh «- County Miami -Dade Structural Plan Review. $ JAA 2 4 lust : ,Permit No. Phone # faX 77)'l-Jrc Phone # Zip Phone # 7 cw,ot at—ca.( 52-* 1 . 6'7 7 - 1o66 Zip Square Footage Of Work: / 1 ?- 4, - 111-74 Alteration ❑New ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ (O 0 0 CCF $ l• 60 CO /CC Notary $ 5 • W Training/Education Fee $ r 0 0 Technology Fee $ i • JD Scanning $ Radon $ Zoning Bond $ Code Enforcement $ 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. ged before me this Signature Owner or Agent The ' going instrument was acknowl day of , 20 CS, by who is personnally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. xpires: Jul 13, 2007 NOTARY P Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Cie 05/13/03 Signature I:.... 1, nk Co . Inc. Contractor The foregoing instrument was acknowledged before me this f , 20 _, by who is personally known to me or who has produced NOTARY PUBLIC: el 'Vargas Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Date Miami Shores Village Paint Color Approval and Agreement Owner's Name F,STEB DI'A'L W Phone # Owner's Address City Job Address (where the work is being done) 4:0/ .fir AJOV/E. City Miami Shores Village County ami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) ******************* ************************************************ ********** *aTyyt * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must b = fisted a d indicate the color to be painted Walls Fascia Drip Cap /drip Edge .S will w�rrt Roof Flower bins Shutters Awnings Chimney Doors and d Garage doors Railings Fences Decorative metal Q All brick (simulated o Stucco banding Any other stucco featur Accesso Other Signature OWNER'S AFFIDAVIT: I certify that all applicable laws regulating / s nstruction and zoning. APPLICATION APPROVED BY: Owner or Agent Phone # b ttfation is accurate and that all work will be done in ompliance with all Date Date C411u( P c.l \a N26\)5 chc 6/18/03 Date Owner's Name Owner's Address City Job Address (where the work is being done) City Miami Shores Villa= County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls C � J Fascia Drip Cap /drip Edge (eP ) Soffit (i ) Roof N ( P Flower bins N I P C IA N l 0- Shutters Awnings Chimney Doors and door jams Ci Garage doors C'� f GPI nQ n-rr ned Railings ■ I PI Fences N ' p_ Decorative metal All brick (simulated or regular) Stucco banding Miami Shores Village AECEOV D Paint Color Approval and Agreemen FE3 0 2 200§ Cad Signature APPLICATION APPROVED BY: State Zip CA-) Owner or Agent Phone # '40F -4 upeditioo Khaki With Numbers W -B -700 1812" Swiss Coffee 340E -2 " Cottons.ed 343E' • Date /o,� Any other stucco features Accessory Buildings r D Y i U.Q Other 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 construc,'on and zo i' i g. Sea Sponge 45YY 69/157 NC 11 Date .=;1/ D S chc 6/1$/03 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -102 Printed: 2/8/2005 Applicant: JULIO & GLORIA SERRANO Owner: SERRANO JULIO & GLORIA JOB ADDRESS: 1290 NE 101 ST Contractor Local Phone: Parcel # 1132050140010 Signed: (INSPECTOR) Contractor's Address: Legal Description: 5 53 42 GORDON TRACTS PB 55 - 20 TRACT A LOT SIZE SITE VALUE OR Fees: Description Amount FEE2005 -1673 Building Painting Fee $60.00 FEE2005 -1674 CCF $1.80 FEE2005 -1675 Notary Fee $5.00 FEE2005 -1676 Training and Education Fee $0.60 FEE2005 -1677 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/23/2005 Construction Value: $2,200.00 Work: PAINT HOUSE EXTERIOR Page 1 of 1 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: Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -102 Printed: 2/8/2005 Applicant: JULIO & GLORIA Owner: SERRANO JOB ADDRESS: 1290 NE 101 ST Contractor Local Phone: Parcel # 1132050140010 Legal Description: 5 53 42 GORDON TRACTS PB 55 - 20 TRACT A LOT SIZE SITE VALUE OR Fees: Description Amount FEE2005 -1673 Building Painting Fee $60.00 FEE2005 -1674 CCF $1.80 FEE2005 -1675 Notary Fee $5.00 FEE2005 -1676 Training and Education Fee $0.60 FEE2005 -1677 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/23/2005 Construction Value: $2,200.00 Work: PAINT HOUSE EXTERIOR Signed: (INSPECTOR) 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: SERRANO JULIO & GLORIA Contractor's Address: Page 1 of 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date %. /y /� Job Address ,2 fD /11.e /0/ a -. Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Oa Owner's Address /6 ,/g /D / Phone J's= 7S 0/ '3 Contracting Co. \ .734 , Amk,'e ic�Ti u� Qualifier L . 7 5 . 4 J Phone .34S- O 3 7 fL State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. XIVZ 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. _i._. _ Signature of own =r and/or Cons 'resi.ent Date LPL. 'J3SS- 13- -96a -0 Notary s to 0 er and/or Condo President My Commission Expires: APPROVED: Zoning Mechanical & , PU <9<, ANGELA M Cr_C., t OFFICIAL ; 00d0asa9k /iUwlar N , CIIr. Q CC766697 7 1' e PAY comhAISSION EXFh' E: I OF FAO NOV. 11t_2t1; FEES: PERMIT ID U ✓ RADON A .0., /R)//e) Building ) n D to C.C.F. hip Master Permit # Address , Y Afk /l/ d. A/J& a 33/60 Estimated Cost (value) a D7/Z) • dr71 /C�/��' 4,a Si a. . ture of Contractor or Owner- Builder Date •t D,, DS ©D- (7 -3s C S' d otary as o Contr . for or owner- Builder My Commission Exnjres: p v OFFICIAL NOTARY SEAL B <„ ANGELA M BECKER 2 } n OO I SnON NUMMI " a CC786697 9 i. (L � MY COMMISSION EXPIRES 1PR 7 to 2p a e � NOTARY 5- 0 0 BOND / li TOTAL DUE / / (O Electrical Plumbing Engineering i _.. MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: /e2/a//P OWNER'S NAME: ( e cet y G � � c 4 w . f / , c ) PHONE: 3 -7f o /Sl3 ADDRESS: A20, /o/ ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: i6 �D /. CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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 stated. Furthermore , the paint colors will be as per the attached 4/..V.,.4,3„,24/2-/07) A ho j. samples. Signature of Owner Date : ignature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date Date // 6 1.97 Job Address /c› 45 /D/ b4. Legal Description Master Permit # /& 3 Owner's Address /ay0 /// /6 Ov Phone 33 /KJ Owner / Lessee / Tenant >M2 L lip/ , Contracting Co. Qualifier Phone WS Co 3 4 714 State # Municipal 4i Architect /Engineer Address Bonding Company Address *Blanched Coral 886 Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL SIGN WORK DESCRIPTION 6114. /¢64.0..e.W...) �� if � I *East Lake Rose 044 U Square Ft. Estimated Cost(value) 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 uhorize the above -named contractor to do the work state i Signature q, owner and /or Condo President Date: //! 7 APPROVED: daineWisident Comm Exp. 9/30/99 Bonded By Sav;ce fns No CC491544 ** * * "" )6 Bads n uiN i o * * ,_ FEES: PERMIT 140 RADON C.C.F. Fire ry as to Commissio Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �.aci,9 ve Mechanical Competency # Ini Buildin Plumbing Address 3 CP.6 /t& /V Tax Folio NOTARY S • TOTAL DUE Si` ature of Contractor or Owner- Builder Notary as to Contractor orOwner- Builder My Comaussipn i�� i C_ - •' % ..!._.. ,,ew 2 -97 * Other Electrical Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) / .; 61 /4/Job Address Date Legal Description}' Owner / Lessee / Tenant Owner's Address /d-f 2 A/,' /0/ Phone 7s Contracting Co. CSI AJ � j/, a /14 We Address 5,61/ ,r1 /)r , 4) Qualifier Phone - �� --�-.. �� State# Competency# 51 9- Ins . Co. Address Address Address Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Square Ft. Estimated Cost &7'Z). ettn 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: Notary as-td Owner and/or President My Cohmiss;ion -Expire * ''* ' * * PERMIT FEE: APPROV Zoning Mechanical /0 a e6 6;9- , c,w7,(J NOTARY PUBLIC STATE OF FLORIDA MY CO'ISSION EXP *AUG 31,199* BONDED THRU GENERAL INS. UND. Fire ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN / Building Plumbing Tax Folio // ewe Master Permit # ,1,("47 Si ature of Contractor or Owner - Builder e: Notary as to Contractor or Owner - Builder My Commission Expires. * * * * Other Electrical Engineering NOTARY PUBLIC STATE OF FLORIDA MY C*1IS ON EX* AUG 31,19* BQtlEt.; 9G)NERAL INS. UND.