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301 NE 101 St (9)Inspection N mber INSP -78.0 Inspection Date: 03/14/2006 Inspector: Levrack, James Owner: PEREZ, MAYDA Job Address: 301 101 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, March 13, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PT -1-06 -205 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)754 -0700 Parcel Number 1132060135180 Lot: Page 1 of 2 Passed 9-C Inspector Comments ----- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection N mber INSP -78.0 Inspection Date: 03/14/2006 Inspector: Levrack, James Owner: PEREZ, MAYDA Job Address: 301 101 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, March 13, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PT -1-06 -205 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)754 -0700 Parcel Number 1132060135180 Lot: Page 1 of 2 + ''' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing F 4NJd - re Z Owner's Name (Fee Simple Titleholder) 3 rnat).&_ / ' 1lrGl� Phone # ,S - )g Owner's Address 30 1 & ) 2) Sd City KA, S. Tenant/Lessee Name $ Value of Work For this Permit ( 00 Total Fee Now Due $ Code Enforcement $ Structural Plan Review. $ (Continued on opposite side) Miami Shores Village Building Department Permit No. PY — ZO aster Permit No. State Zip Phone # Job Address (where the work is being done) j City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name I l OM C 0 r . Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace [I Demolition Describe Work: ,�— ,Qr�G7� y�l �-( � - 4.0 _ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip Submittal Fee $ Permit Fee $ (aD ln� CCF $ ©. ( 0 CO /CC Notary $ e S -CO Training/Education Fee $ d. 2C) Technology Fee $ ( • Scanning $ Radon $ Zoning Bond $ 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 COM MENCEMENT." 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. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 25 . The foregoing instrument was acknowledged before me this day of,TQn , 2(�O, by Y clay of , 20 by who is personal 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. NOTARY NOTARY PUBLIC: Sign: Sign: Print: Print: I 2319d-! My Com ' sion Expires: * * * * * * * * * * * * * * * * * * * * * * * * ** chc 05/13/03 APPLICATION APPROVED BY: lorded ��andinrz (o i,•. ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature My Commission Expires: ( (let Plans Examiner Engineer Zoning Daft j > r Miami Shores Village Paint Color Approval and Agreement / Phone # ,' S —) P� COO to Owner's Name � ./(A- sY 7..._ I Owner's Address ,Jo / N E /4) City Ms State Zip Job Address (where the work is being done) ��' City Miami Shores Village 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 Fascia Q 1 Drip Cap /drip Edge Af M Soffit C 1 Roof IU )'A Flower bins N> Shutters * Iv Awnings Chimney {p I Doors and door jams 01 ! Garage doors 0I.A Railings RO Fences 1A Decorative metal N lA All brick (simulated or regular) IV JA Stucco banding N IA Any other stucco features Ov /R Accessory Buildings 0./ ) A Other /-P ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Signature APPLICATION APPROVED BY: P& Z Official Date' 1 , - ld Date chc 6/18/03 DATE: Q-■ c)2 OWNER'S NAME: 1.-{.A41 c-A P£c,zZ PHONE: 75�lo� ADDRESS: •c r w G 1 c t S i 1V11ti1V11 1%11i3 V 1LLIl_TL Paint Color Approval and Agreement ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 3c U E is k ,-r CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls �6 Fascia c Drip Cap/Drip Edge �9( A Soffit Roof N� Flower Bins ti Shutters o Awnings N l s Chimney b Doors and door jams Garage Doors w; A Railings 9 c Fences +� Decorative Metal N I P All brick (simulated or regular) N (ra Stucco Banding (A- Any other stucco features 1..)11 Accessory Buildings N 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 samples. r 2•3 1 9 , 2 — u 6., = White C ignature of 0 . • - Date Signature of Contractor Date ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION x/1 Vo/ ffi al Date Building O 4/23/01 Issue Date: Not Issued Owner's Name: MAYDA PEREZ Permit Type: Paint Work Classification: Miscellaneous Job Address: 301 101 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: PAINT EXTERIOR OF HOUSE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/25/2007 Type of Work: Additional Info: Color: Classification: Residential 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 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPLIED Permit Number: PT -1 -06 -205 Phone: (305)754 -0700 1132060135180 Lot: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT - 1 - 06 - 23620 Total: !JAN 3 o PAID C---" . Amt Due $67.30 Amt Paid $67.30 $67.30 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. Dated a Time Type Insp'n AL .L Permit No. 4 _ � / ae7 C7'a, - oZ Name �v j ,� Address 0/ C. /0/ f Company ArV2-t Phone # S DS '7g y - ( D 6 For InspectorA Name & Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request S P [- • : 2. .` TI •rr s(:"13.301234')',7-.. • DH1F : 02 Nrimi : r 2206 4 j u, PFRorn:: 62/364 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/26/2002 Applicant: MAYDA Owner: PEREZ JOB ADDRESS: 301 Contractor Local Phone: Parcel # 1132060135180 Signed: NE 101 Fees: FEE2002 -2390 FEE2002 -2391 FEE2002 -2392 Description CCF Building Permit Application Fee Notary Fee Total Fees: Amount $0.60 $60.00 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/23/2002 Construction Value: $1,000.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Building Permit Permit Number: BP2002 -823 PEREZ MAYDA ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 13 & W1/2 OF LOT 14 BLK 38 LOT SIZE ECTOR) BY: Signed: (Contractor or Builder) BY: 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 responisibllity for all work done by either myself, my agent, servants or employes. DATE: �3 20o 1 OWNER'S NAME: f.A. iewiC FE PHONE: 30515`10 °° ADDRESS: 36 ( N i of ST *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 30 ` 1.) E to CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ***********************:********* * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls 1 6 Fascia 0 t Drip Cap/Drip Edge (k ) ( A- Soffit Roof N ( Flower Bins K, 10- Shutters o Awnings N I °- Chimney 1 b Doors and door jams Garage Doors Railings Fences Decorative Metal tv All brick (simulated or regular) ry ra- Stucco Banding a I A- Any other stucco features t' 1 v- 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 samples. r 25, 200 2- ignature of 0 . • - Date Signature of Contractor Date ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: 3/0/ Building Offi al Date MIAMI SHORES VILLAGE Paint Color Approval and Agreement Montgomery White 76 0 08 vela WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Whit Page 2 IN IPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE O Signature of Owner N P rint frt. t Print Name Sworn to and subscribed before me this 23 day of I �7' i' i I Sworn to and subscribed before me this day of ..,,,„,,,,,t, ,, ,..a.,._. A Si. i Y ".t 1 P . [e of F i is r l � � o.. v5-c!. , 2 l� Pr-l� ANGELA ^Jl B SEAL: ,'} O ��Po PoJu c. u SEAL: Personally known OR, Produced Identification 1I Personally known OR, Produced Identification Type of Identification Produced: 4aa )- 3ba 1 -.531 .gyp b fJ IA ( e COUNTY OF MIAMI -DADE ^' Q CC T E6697 \ O MY CO.. !,2.5 191 'aPIRiS PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Signature of Notary Public - State of Florida Type of Identification Produced: PROPERTY OWNER New Construction Name AA 6.44 iv, pEztsz. fkv Stea Oyu ` ta cm Address - 3 O l tv (= l 6 l S 7' Repair Home Telephone l o s 1 D 74 d 0 Demolish Business Telephone 505 t e) 6 ©l 63 Relocation of Structure Fax 305;72—/g2.1 Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. APPLICATION I rr� -rd► t Sln 2C5 FL 33 j 3g Apt. City State /, Zip j‘ c Folio Number Description of Work p�-t n,'� S e 1�4 Li o Job Address: Complete the attached permit application which u be i ned b the srosert owner and ivalifier. B.th i nature must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PPAAA. --4 1 301 I.. 101 'T Address Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Ili Zoning Linear Feet Square Feet Units Floors Value of Work /ood - 0 - 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL 'I'YI'E Minimum Fee QTY. T1'1l: Condensate Drain QTY. 'I'1'1'E Generator QTY. i'YP1? Refrigeration, Tons QT y. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PL U 1\'I RING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYI'E Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY,, DATE / V 3 /n° Zoning LL_.PG Electrical Mechanical Plumbing Fire Public Works Structural _ / - 715 Building Official 1�� Page 4 OFFICE USE ONLY CHECKLIST O OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) CI OTHER (Specify & Attach) to PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES . $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review $ �o A $ d 6 U ( sq.ft. = x/1000 x0.60) $ $a O 0 (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY:. PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) TOTAL $ 1 ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 © http:/ /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 3 ( 4 E (7 ( • Tax Folio 1 Legal Description Historically Designated: Yes Owners ■ . Co G Master Permit # ('( Owner's Address 30 / irJE /(1 l S %. /yl�A Si}fs 76 Phone �30� , ? i 9-6 Contracting Co. PA1A l T 1"1 ( J) \.I b (e_ h Address Qualifier SS# Phone 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 Pic t v7 EX-7 X / a/ /76 as C- WORK DESCRIPTION Sign FEES: PERMIT Mechanical Montgomery White 76 1 of owner an. on o o President 1 Not as t' Owne • or Con. Pre: My Commission Expires: • tE 7 NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC424628 MY COMMISSION EY.P. FIB. 4,1999 a — y Estimated Cost (value) ORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY PROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, ITTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) D do work and installation as indicated above, and on the attached addendum (if applicable). I he standards of all laws regulating construction in this jurisdiction. I understand that separate NG, SIGNS, POOLS, ROOFING and MECHANICAL WORK. regoing information is accurate and that all work will be done in compliance with all applicable pore, I authorize the above -named contractor : . • , e work stated. Notary as to Contractor or Owner - Builder q yi:nown to toe C(' My Commission Expires: �I J 1 a 1 L used idenliieation , dent ype of idznI:fica don r DID tee4∎a oath, ez RADON C.C.F. S APPROVED: Zoning Building VY of Contractor or Owner - Builder Date NOTARY Electrical BOND TOTAL DUE • Date Plumbing Engineering PERMIT APPLICATION FOR � MIAMI SHORES VILLAGE Date (Q '"'"/ / Y Job Ad / y /0/ S 7 Tax Folio Legal Description Architect/Enginee - y Bonding Compar, Mortgagor - r r— . , - Permit Type (c WORK DESCRIPTION FEES: PERMIT RADON APPROVED: Zoning i Owner/Lessee / Tenant i /// �� Owner's Address 3-0 Contracting Co. Qualifier State # Municipal # ature vof owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Mechanical Plumbing Master Permit # Phone ((/// Address Address Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN J 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 acc .te and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fur3hermore, I authorize the above -nam- contractor to do the work stated. /0.s Historically Designated: Yes No s SS# Phone Competency # Ins. Co. Address Signature of Contractor or Owner- Builder Date n fpi0a=.f.ICIAL NOTARY SEAL O ei SANDRA 11 MONTIEL * COMMISSION NUMBER I C CC401261 -ra cp MY COMMISSION , EXP. OF F \- O AUG. 17,199 8 x C.C.F. ' 5 -43 NOTARY r TOTAL DUE 7 /, Electrical 3 775- -q ( O O Engineering