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290 NE 100 St (15)(Irl'' Y/ Passed Inspector Comments 4) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Project: <NONE> 'Inspection Number: INSP -680 Inspection Date: 02/16/2006 Inspector: Grande, Claudio Contractor: HOME OWNER Building Department Comments Wednesday, February 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL Permit Number: PT -12 -05 -1095 Permit Type: Paint Inspection Type: Final Owner: BERNAL, SANTIAGO Work Classification: Miscellaneous Job Address: 290 100 Street NE Miami Shores Village, FL 33138- Block: Phone Number 305 -674 -7474 Parcel Number 1132060134440 Lot: Page 1 of 2 Issue Date: 12/5/2005 Owner's Name: SANTIAGO BERNAL Permit Type: Paint Work Classification: Miscellaneous Job Address: 290 100 Street NE Additional Information Miami Shores Village, FL 33138- Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 09/13/2006 Contractor(s) HOME OWNER Phone Primary Contractor Yes Type of Work: Exterior Additional Info: Color: BEACON HILL DAMASK In consideration of the ilsuance 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Permit Status: APPROVED Permit Number: PT -12 -05 -1095 Phone: 305 - 674 -7474 Parcel #: 1132060134440 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 3,000.00 Required Inspections Final Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee $60.00 Technology Fee $1.50 Total: $62.30 Invoice Number PT - 12 - 05 - 22881 Total: (c Amt Due $62.30 Amt Paid 62. aC) NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plu bing liFersr+fi.. Owner's Name (Fee Simple Titleholder) s ?Akki lAtip ISFatI4 44444 "44/ Phone # Owner's Address ISO° NkieSV A i'.i‘ 2 City P4IP11 !OC4 State LfA'11n/k Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO k Contractor's Company Name 2q -4KE cop-w C.?Zo' cab. Contractor's Address •City State Zip Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ['Addition p ❑Alteration ENew Describe W6. k: L`��1 L ( PT1 l` Submittal Fee $ Notary $ Scanning $ Permit Fee $ Training/Education Fee $ Total Fee Now Due $ (Continued on opposite side) Miami..Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 3 Tel: (305) 795.2204 Fax: (305) 756.8972 (Q_ Zip 331S1 Phone # 210 tits 100 sTatstcr Permit No. * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Radon $ Zoning "'Code Enforcement $ Structural Plan eview. $ S - 1 3 PArr c,4-6t Master Permit No. ?!20 P0- 1 Qc Mechanical Roofing q Zip 331 SK Phone #(30 6 >� r w 6 g6 Certificate of Competency No. Square Footage Of Work: ❑ Repair/Replace ❑ Demolition CCF $ CO /CC Technology Fee $ _ Bond $ Bonding Company's Nanie (if applicable) t 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. 1 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 rust 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 . fin- 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 a .proved and a reinspection fee will be charged. Owner or Agent ( ' Contractor The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this 4 day of Mt 200 by S P7& , ddy IM*t 4 , 20 (r, by ?AriG 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. Si NOTARY Sign: Print: My C Che 05 /13/03 (7\V,S7 �� "•�• , ARYSEAiN 1 I ULIAN ARIAS (� 14191160 `.i .mo F6AiA: OF FLORIDA \+' /z s t — * * ** MY COMMISSION EXP. SEPT 25 APPLICATION APPROVED BY: Signature NOTARY PUBLIC: • 1 V:ITIMINK Sign: IGn My ColW �y.1►v. ` NOTARY PUBUC • RiDA 11 IE7!V+I ,DD1b3te7Sx ** * * * * * * * * * * * * ** MY COMMISSION EXP. SEPT 25.2006 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *a ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 d VI Plans Examiner Engineer Zoning • 6 • ooh / /:a. ?O /3ed2 GY/ as Owner(s) of Lot(s) /4 2 Block 33 Section ,j 4W) 6 • Plat Boo 2 4D Ali 10a 24 Yarn/ ShN' e located at Planning and Zoning Board and 1/we understand and agree with the following: 1. The application for a variance will not be heard unless the applicant is present at the hearing. 2. Requirements of the zoning code, Miami -Dade County, the South Florida Building Code, and other government agencies may affect the scheduling and ability to obtain/issue a permit for the proposal. 3. The only exceptions to the zoning code are those that have been specified in the written application. and any other code or plan issues will be corrected by mocfrfying the parts to comply with the respective codes and ordiinanc_s of the Village. 4. Tne applicant will be responsible for complying with all of the conditions and restrictions imposed by the Planning and Zoning Board in connection with the request and will take the necessary steps b make the request effective if approved by the Board. 5. That it is the responsiblTrty of the appiicant to submit a complete application with all of the documents necessary for the Planning and Zoning Board to hear the appacani's request 6. Tne applicant is responsible for the timely submission and accuracy of all items requ t_ed on the application. NOTE: SURVEYS, SITE DEVELOPMENT PLANS, LANDSCAPE PLANS MUST BE SUBM1 ! t E=D AT STANDARD PLAN SIZE.. AN APPLICATION WILL NOT BE CONSIDERFIT COMPLETE UNLESS 10 COPIES OF THE APPROPRIATE PLAN DRAWINGS ARE SUBMI 1 I E=D WITH PROPERTY SURVEYS. I / We as the owners of the sub'ect property: (Please check one) ❑ Do hereby authorize ?a1/ e/4 y ❑ 'MII on my/our own behalf act as applicant(s). and make application in connection with this request for a public hearing before the Planning and Zoning Board. I / We understand that if my /our appeal is denied, I/we may appeal the decision of the Planning and Zoning Board within (10) days to the Village Council. STAT • F Fit NT Signatu of Owner(s) 50i71 /C' P f9 J ? r✓� c� Print om t e(s) day wom to ands '.smocd before me this da of Type of Identification Produced: Signs r p u bij - ate �f.Fao . Scar .,_ '.. '•.1 ?..iA<a CCU.. ..1iill :+ 1.‘, DD1S3678 MY COMM:S ION F V. SE , Perso�ia'�ly Imown OR f5� son PLANNING AND ZONING BOARD OWNER AFFIDAVIT desire to file an application for a public hearing before the to act on my /our behalf as the applicant STATE 0 LORIDA. COUNTY OF DADE S (Print Name e Z te0 . davor® '`N bsmoed 'oefore me this Si _ •. aor teofNo ta. . . .o da NOTAP,X p uBIJC STATE C SION NO. D �ARIDA MY COMMISSION DD153678 Personally known OR. Produced Identification Type of Idattificatior. ? :uccd: � Date "+ o q- 22 0 r' U ' Name �nr1�°'V e--P/41 Piton e 3f) � ^ �4�1' Owners � CS Owner's Address ZSO0 w ` /YE" IC 2 City M I itqfq 6Lii,r State Walls Fascia Drip Cap /drip Edge Soffit Roof Miami ,Shores Village W i())5 - Paint Color Approval and Agreement Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Signature APPLICATION APPROVED BY: Owner or Agent Zip 2-Co N c 17) Sr. 33(3i Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip ' NO Building Historically Designated YES •� � "` j Contractor's Company Name (if applicable) - Gf r4K Starr Cs- • Phone #� 04 ) '514. 'C 4 g ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted 'Ga+ \Alit- D ASK Attach ('min,- N beacon hill damask 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. Date t Date IIli Zq �U chc 6/18/07 Miami Shores Village 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com Paint Color Approval and Agreement DATE: OWNER'S NAME: PHONE: ADDRESS: ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: ,P '• NE: Walls: Fascia: Drip Cap /Drip Edge: Soffit: Roof: Flower Bins: Shutters: Awnings: Chimney: Doors and door jams: Garage Doors: Railings: Fences: Decorative Me All brick (s' lated or regular): Stucco ding: Any • er stucco features: Acc - sory/Buildings: Other: All Elements on the site must be listed and indicate the color to be pain 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. Furthermo , the paint colors will be as per the attached samples. Signature of Owner APPROVED: Building Official Date Date Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2 9 D / v 1 W C , Tax Folio / / — 3 a 0 (7 - 0/ 3 - /c/ 0 U Legal Description Historically Designated: Yes /� No Owner/Lessee / Tenant D/ S / 4 . (1 4�Z t°f 1 ) ch C Master Permit # v I V� Owner's Address q Q n) 1- i O d st . Contracting Co. © u-1 ti`F Address QuAlifier State # Municipal # _ Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): - Bifilaiqt ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T" �'"f�, re_ c_1400 n pa / l'1 l h er) o-) C Square Ft. APPROVED: Zoning Mechanical 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 constructio d zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT 60 - RADON Building .7 /10 9 7 Plumbing C.C.F. CO-" (value) j Estimated Cost ( Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: 6 0 NOTARY Phone 7 LS 7 _ yrp/ Electrical Phone BOND TOTAL DUE �� Engineering Date ;L' Job Address 2 lb 1) '. /Pe 5:7 / - Tax Folio Legal Description Owner / Lessee / Tenant .L 0 15 Owner's Address Contracting Co Qualifier Square Ft. 2 (--/OG, APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # Municipal #2 - Competenc # /L/ L/23 Ins.Co : - 5;4ek S'o/u 4 Gd20.,C ) Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one BUILDI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / ' 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 authori : the above - named ._. ntractor to do the work stated. /Jt( �� ���1/_�i._1A Si ature of owner .gn AP President Date: ),/2 cJ Notary as to Owner nd /or CPreside My Commission Expires: #74± PATRI IA COREY ' My Commission CC384473 * * Expires Jun. 19, 1998 ,, Bonded by ANB ** * * * * /E p 6" * 800 - 852#878 * Zoning RADON 0 Phone Address SS# Phone G 2e) , y v 2 / Estimated Cost(value) Signature of Date: 2/2/ Notary as to Co Master Permit # 37q/6 6 My Commission Expires il ntractor ot Owner- Builder yS a 1- .(--1-1((SN ractor or Owner -Build * 1 9 * PATRICIA COREY My Commission CC384473 Expires Jun. 19, 1998 * * * * a * Bonded by ANB ** 'EOM" 800- 852 -58 C.C.P. 1 NOTARY TOTAL DUE Fire _ Other Buildin • 410 1 Electrical Mechanical Plumbing Engineering