379 NE 100 St (5)• PERMIT APPLICATIOI1TfiR MTAMi•S13ajES VILLAGE
• • ••• • • •
• 10050 N.E, 2nrj Avenue • Miami Shores, F;orida 331381 J hone: 405, 195 -2204 • Fax: 305 - 756 -8972
Date J Address • Tix Folio • • •
• •• • • • •
• • • • •• • • • •
Legal Description istoric:lly Q e' gnats d : • Yes No
Q IDOL , - �e4 /
• wner /Lessee/Tenet J �" , `�� �� `-w� Master Permit #
• • •
Owner's Address 9 N.E. 100
` ••, • ••• •• • � 7,57 n� — 7c5s 1
• • •
• • • •• ••
Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Per it Type (circle one): ( BUILDING \ ELECTRICAL PLUMBING MECHANICAL ROOFING
I
L '
DESCRIPTION: � /- f ,. re PLOP- 1
e
Square Ft. d Cost (valu - C:1°)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
ign ure of owner and/or Condo Pre '• •nt
e of Contractor or wner
/
ILA � 4 /I
Da a Signatu
1
-- "-Q_J - A -. / /7 0 -1, AA .. o' ,__■41:.&.
otary t
of as to o wner an I o r Cond resident l l / 1 2 / Not as to Co ractor or Owner t uil • er
My Commiasioj ESq9fliFs Becker My Commission Expires 0 , „ Angela M Becker
•, ,iv r :ommiSSI0n DD g c G
. My Commission D0150048
r _zp:� es November 15, 2006 1 F
,, .• %,,,, FxP res November 15, 2008
n
C.C.F 0 NOTARY 5 ` DO BOND
TOTAL DUE tf 5 ' `-''
Electrical
Structural Engineer
FEES: PERMIT ( f, 0 ' DO RADON
APPROVED:
Zoning /fe-- /74YBuilding
Mechanical Plumbing
1
Date
MIAMI SH�F(1j$.YILLAGE
' • -faint Color Appio'v04nd Agreement
DATE:
OWNER'S N
ADDRESS:
All Elements
Walls (7 /
Fascia
All brick (simulated or regular
Stucco Banding
Any other stucco features
Accessory Buildings
Other
.. . . . - ..
* * * * * * * * * * * * * * * * * * * * * * * * * ** * *; t * * : * * * * * * * * * * * * * * * * * * * **
• • •
•
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
n the site must be listed and indicate the color to be painted.
, Drip Cap/Drip Edge
Soffit
Roof `7 (2 fit.
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences �I
Decorative Metal
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
sa ples.
gV4 B G
uilding Official Date
•• .. • . . ... ..
• • • . .••
0.___4 .. • ..
... . •• ... •
•
.
•
� � '% 1
• PHONE: „3 3 , )_ �/ 1 )SS /
l
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/22/2003
Applicant: MARIELENA
Owner: GADOL
JOB ADDRESS: 379
Contractor
Local Phone:
Parcel # 1132060135390
This Permit is granted ti
ordinances pertaining ther
and approved by the prop'
authorization. A further cc
ordinances and regulation
by his agents, servants or
Signed::
In consideration of the
with the plans, drawings,
myself, my agent, servar
Signed:
NE 100
SAUL GADOL
MARIELENA GADOL
379 NE 100TH ST
MIAMI, FL 33138 -2420
PAY TO TFE n� I R f ^
ORDER OF 4 . , , "1� I
M MerrillLynch
64NKIONE.
COLUMBUS w1
Ohio 432/1
Building Permit
Permit Number: BP2003 -641
•
GADOL
MARIELENA
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 E1/2 LOT 21 & LOT 22 BLK 39 LOT SIZE
Fees:
FEE2003 -2356
FEE2003 -2357
FEE2003 -2358
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/19/2003 Construction Value:
Work: EXTERIOR PAINTING AS PER AGREEMENT
DATE
S VILLA
4n/1)
atl
1:0 4 400080 4 30L L 3 2 7 211
$50.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections.
fee is $50.00, which runs t hP oaid in advance before calling for another inspection.
�/� 5437
IIIA Cash Management Account'
�► $ 6S Lo
DOLLARS r ; •.• ations pertaining thereto and in strict conformity
ne responisibility for all work done by either
25- 80/440
Page 1 of 1
Re- inspection
�lication herefor in strict compliance with all
reifications that may have been submitted to
:es or if the plans are changed without
rsponsibility for a thorough knowledge of the
id that he assumes responsibility for work done
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 `� Job Address / I Iv. �� ST Tax Folio
Legal Description
/ Lessee / Tenant SR v a A tt Li Master Permit # kja5
Owner ' s Address 1 / k 106 e l - 7 Phone 757 - 25:57
Contracting Co. C; ) L tZi2- Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): T BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
(
WORK DESCRIPTION C PA L ,U G I'd 6 ' ■AV t ft-
Square Ft. Estimated Cost(value) COO
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 h 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, ROOPING 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._ 4,411.(L
Owner- Builder
Signature of owner and /or Condo President
Date:
APPROVED: Fire
Zoning Build's =T
Mechanical Plumbin
Signature of Contractor o
Date:
• 7//r4({
Notary as to Owner and /or Condo President Notary as to C sn tgrn isr{
My - E - '" Commission e� BARBARA ANN FUOATLI
* COMMISSION NUMBER
CC380101
** * * * * * * * * * * * '9 e MY COMMISSION EXP.
OF PL 29
FEES: PERMIT , : RADON C.C.F. NOT ' Y -SO6 TOTAL DUE /4/:
Other
Electrical
Engineering