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810 NE 100 St (9)G ` j BUILDING PERMIT APPLICATION FBC 2001 Total Fee Now Due $ (Continued on opposite side) $ Value of Work For this Permit 24o o. 00 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle . Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder))*/V� AA Phone # 3cS l5 ( 32-1 Owner's Address Zfkt /t (00 Cit A44,G S40 5 State '�( Zip 3313' Tenant/Lessee Name Phone # Job Address (where the work is being done) gf0 N • E /00 City Miami Shores Village County Miami -Dade Zip 313g' Is Building Historically Designated YES NO ✓ Contractor's Company Name N(k Lovr1T Contractor's Address (04-o (u City a, 4,; t Sys State Qualifier (n(2> Permit No. P) P afro - 9 OS Master Permit No. Phone # 'o5 1 - ?? Zip 3313 t Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: ?ect * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 Submittal Fee $ Permit Fee $ D , CCF $ /1 d v CO /CC Notary $ .S, 0 Training/Education Fee $ • 6 6 Technology Fee $ /4...c Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address 4 it 4 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 y. be approved and a reinspecti y ee will be charged. who is Chc 12/15/03 Owner or Agent The foregoing instrument was acknowledged before me this 3O day of S1,,,t1e_ , 20 b 'k, by Q &r t L1 F.9 gem) APPLICATION APPROVED BY: r who has produced NOTAR PUBLIC: _ Sign: P. . e 3tlJ t Print: OS1,a.I1 �1Ota■ My Commission Expires: 6 -76- As identification and who did take an oath. r Signatur Contractor The foregoing instrument was acknowledged before me this day of , 2V f , by R pberT 1/i50 T • who is persona y known to me or who has produced ,.��g LatSho I'. I5 aC� UBLI : '4 Commission #11D31848#1: _.t;. ':. ** Expires• Jun 20, 2008 S'"ai0As Bo Thu Print: Atlantic Bonding Co., Inc. My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *j. *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** dy -IUL - e 2004 entification and who did e an oath. Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: j• vb . vL OWNER'S NAME: xitt4 Algs Qc6/rt PHONE:3 32-19 ADDRESS: o 100 s-c— ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: gto E. kook CONTRACTOR & LICENSE (if applicable) RiO2..4. COMPANY NAME: scot, �1 �c,�J -r.J� PHONE: r-6 ?r ********************************* * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** All Elements on thy site must be listed and indicate the color to be painted. Walls ELLOvJ Y Fascia 7yA- Drip Cap/DrEdge ° Soffit yvf Roof t�k b a, Flower Bins Shutters - Awnings , ar Chimney Doors and do r jams vJ}!-rrE ,.{o FRO a � 4wj1.stk- Garage Doors Railings \ ' E Fences Decorative Metal All brick (simulated or regular) 1 i Stucco Banding v,i fit; 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 sa Signature o Owner * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPROVED: Building Official Date z:. • c Date �• 22. 0 ? Si nature of Co tractor Date g WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION / ay 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -905 Printed: 7/7/2004 Applicant: DANIEL ROBBIN Owner: ROBBIN DANIEL JOB ADDRESS: 810 NE 100 ST Contractor Local Phone: 305 - 751 -7164 Parcel # 1132060340060 VISCOUNT PAINTING & DECORATING Contractor's Address: 640 GRAND CONCOURSE Fees: Description Amount FEE2004 -6772 Building Painting Fee $60.00 FEE2004 -6773 CCF $1.80 FEE2004 -6774 Notary Fee $5.00 FEE2004 -6775 Training and Education Fee $0.60 FEE2004 -6776 Technology Fee $1.50 Total Fees: $68.90 Total Fees: .98 Total Receipts. F ) 6 o Permit Status: APPROVED Permit Expiration: 12/28/2004 Construction Value: $2,400.00 Work: PAINT EXTERIOR HOUSE Signed: (INSPECTOR) Building Permit Page 1 of 1 Legal Description: 5 6 53 42 MIAMI SHORES SEC 8 PB 14 -33 LOT 9 & E1/2 OF LOT 10 BLK 169 LOT a 1 2pain 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 10050 N.E. 2nd Avenue • Miami Shores, Florida 3313 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 `f Date 171)/03 /03 ' Job Address lJ / f � N� I o s o O 8 ent ommission i e9Ay Commission DD150048 :. 'o = •. ,0* Expires November 15, 2006 FEES: PERMIT 6o RADON APPROVED: Zoning Building D. to C.C.F Legal Description /, ikO Historically Designated: Yes essee/Tenet PO\ b) ( h Master Permit # Owner's Address ‘ 8 /0!"E)Oo i , W ) � � N Contracting Co. ( eg t�i 115 Qualifier State # Municipal # Square Ft. Estimated Cost (value LDP q0 ax Folio 3a5 � / _ (104115+ ..b Add Phone ress V 5 i E (J� 1 4 U i ( - e`< SS# { Phone 3 O/ 1/ 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. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Pre56 U`re c ekr\ a 'Ad- /al A+ +1 I e- roo B oO 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). l 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. 6 /z)0 atu Signre of owner and/ ondo President Dat Sig at of Contractor or O r uilder a is 0 - L1 3 - 91 . 2 Z'T D er My Commission DD150048 ?ogncf Expires November 15, 2006 13 NOTARY NOTARY S - 0 b R E C r lW JUN -22!03 4u) 4IA/Q_:? o Owner Builder Date BOND TOTAL DUE Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 7 , a LOWNER' N PHONE: LA'6DRESS: l o . F'. )be' OT * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 1 0 - (. 100 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Eleme s on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit —Roof Flower Bins Shutters Awnings Chimney Doors and door jam Garage Doors Railings f)\ 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. Furthermo e , the paint colors will be as per the attached s • Pl // ignature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 2&% 6 730 - 9 \Building Official Date 4/23/01 r' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2003 Applicant: DANIEL Owner: ROBBIN JOB ADDRESS: 810 Parcel # 1132060340060 Fees: FEE2003 -3453 FEE2003 -3454 FEE2003 -3455 PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305- 754 -0191 MIAMI SHORES, FL 33138 -2566 NE 100 Date order of Mcuv . la qe Pay Pay to the b rku' dreL ine t B eo k,ovi t i ve940,54, AcL,60,13,0A D I `i g1ooC t,J. 1:063 L00 2 ? ?I: 0036606 10 33 2? Building Permit Permit Number: BP2003 -928 1 os ROBBIN DANIEL ST Contractor Contractor's Address: 485 N. E. 90 Local Phone: 786- 277 -9540 Legal Description: 5 6 53 42 MIAMI SHORES SEC 8 PB 14 - 33 LOT 9 & E1/2 OF LOT 10 BLK 169 LOT Description Amount Building Permit Application Fee $60.00 CCF $1.20 Notary Fee $5.00 Total Fees: $66.20 Permit Status: APPROVED Permit Expiration: 12/3/2003 Construction Value: $1,800.00 Work: PAINT ROOF WHITE 3327 63- 27/631 FL 4 810 Page 1 of 1 Total Fees: $66.20 Total Receipts: $0.00 1 compliance with all ordinances and regulations pertaining thereto and in strict Aiami Shores Village. In accepting this permit I assume responisibility for all work "° .i BY: Date 2 i f - Job Address FEES: PERMIT l ° 1 4 . 5 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and/or Condo President Date 910 Mt- /00 sr, Tax Folio Legal Description rr Historically Designated: Yes N / / - Owner/Lessee / Tenant 1) a rt. A o E Y) (' 1(� Master Permit # 3 / / (PAS Owner's Address el() IQ loo S Phone Contracting Co. Air% 1 1 kt C! 3q (, -4 t h J q L ( Address 2 et 0 6 Z.o S t Qualifier L V t$ At ( t d SS# Phone S 7/ 9‘ State # + /et Municipal # f 1 — 46 9 i cr .:?Competency # Pt L) ,, Ins. Co. A r t e S 5, Architect/Engineer Address Bonding Company Address Mortgagor Address C.C.F. 1 J NOTARY ctor or Owner- Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: Date Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T r S so r G` e Q s' J pc c () 4 P L pc? '1 1t G 2cJ //2 54 < h t o /A /' 1 Q40 r wN zr 7`o W/12 Square Ft. 3 Q t7 ?t. Gta 'se) Estimated Cost (value) 2. J 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. • Date TOTAL DUE t d/ APPROVED: w G� Zoning Building I� Electrical Plumbing Engineering STATE OF FLORIDA COUNTY OF DADE. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Registered Architect andior Engineer Name and address of licensed contractor 0 O. n Q +' Location and legal description of lot to be built on: LotgS' 2 1 Block /b 9 (/Street and Number where work is to be done g D //gtate work to be done and purpose of building (by floors). state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof overing (/Estimated Total cost of improvements S V Amount of Permit $ -3 7-S7 2 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne I hereby submit all plans a The undersigned applicant for . that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Secti( 2/C ida. Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractor. 072 a 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 n(7 t ci or notice- -_ _ y the Act. The undersigned agrees to employ only such subcpntractors. on work to be performed under this permit, as are licensed by Miami Shores Village. ,f Remarks (Signed)'` "`^--, }SS. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared Disapproved Date (Signed) / -2'9 / APPLICATION FOR BUILDING PERMIT Subdivision 7n 4 /Pill O MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT &O OoJ N - r Notary Public, State of Florida ,AN a 19 No $/ 0 Street N e / 0 O Sr- ,4.f X-rts ,c O C. }-Ev tit sc.. notices with reference to the building and its construction may be sent to to me well known. 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 stated are true. Permit No. 9 d/ Date / W Read. Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.