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37 NE 101 St (4)37 NE 101 ST FINAL PAINT I )/ Passed Inspector Comments Failed Correction Needed • Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: 1 Inspection Date: 1210812005 Inspector: Grande, Claudio Owner: RIVA, DAVID & SHANNON Job Address: 37 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: �P mitt Number.BP2005 -1043 Permit Type: Imported Permit Inspection Type: Final Work Classification: Paint Phone Number (305 151 - 7 t efi Parcel Number 1132060131521 Lot: Page 1 of 2 37 NE 101 ST FINAL PAINT Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number ; INSP- 12744 Permit Number: BP2005 -1043 Inspection Date: 12/08/2005 Inspector: Grande, Claudio Owner: RIVA, DAVID & SHANNON Job Address: 37 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Paint Phone Number (3::%5 151 -1 151 Parcel Number 1132060131521 Lot: Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/18/2005 Applicant: DAVID & SHANNON Owner: RIVA JOB ADDRESS: 37 Contractor Local Phone: Parcel # 1132060131521 NE 101 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1043 RIVA DAVID & SHANNON ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 1/10/2006 Construction Value: $500.00 Work: PAINTING HOUSE BY: Page 1 of 1 Legal Description: 1 53 41 - 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 16 & W1/2 OF LOT 17 BLK Fees: FEE2005 -9760 FEE2005 -9761 FEE2005 -9762 FEE2005 -9763 FEE2005 -9764 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $0.00 sklk_lbw° 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. BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Tenant/Lessee Name — Contractor's Company Name Contractor's Address State Certificate or Registration No. $ Value of Work For this Permit Submittal Fee $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Radon $ Miami Shores Village Building Department 10050 E.2nd Avenue, Miami Shores, Florida 33138 Owner's Name (Fee Simple Titleholder) Day t b S 'VAINK NI R SA Phone # 30S 1 . 1 $ I Owner's Address 3 E 1 t 1 S cD- City m\ °' SIB State (- Zip 32) 3g Phone # Electri al Plumbing Mechanical Roofing 31 r\E (o Ir 4. _5cin .00 Notary $ .. - 0 0 Training /Education Fee $ b • Zc::, Structural Plan Review. $ 5) 756.8972 ��jj Permit No.Lb�r 104-3 Master Permit No. Job Address (where the work is being done) City Miami Shores Villa e County Miami -Dade Zip 311 Is Building Historically Designated YES NO X M V - Phone # City State Zip Qualifier Certificate of Competency No. X Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 2 Type of Work: ❑Addition 4Alteration New ❑ Repair /Replace ❑ Demolition Describe Work: V 1 yJT / NICG THE EtCre t2 bF - 4 L * * * * * * * * * * * * * * * * * * * *** * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ 0. 6O CO /CC Technology Fee $ t • 5 .' 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 COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will • .e Aoved and a reinspection fee will be charged. 1 Signature NOTA Sign: Print: My Com ission Expires APPLICATION APPROVED BY: chc 05/13/03 a/4,, 7 Signature Owner or Agent Contrac#or The foregoing instrument was owledged b fo e this 1F) The foregoing instrument was acknowledged before me this day of �, 20c byl Uk. . , day of , 20 by who �s_rsonally , o n to me or who has produced 740 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. UB i� Mabel argas NOTARY PUBLIC: •.$_ Com �. 's n #DD231984 Sign: Print: My Commission Expires: * * * * * ** * * * * * * * * ** ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning t. Daf e' �7 Owner's Name Ok)10 S}kAaN/S4 `et Yom, Phone # V7 / — I � 1 2 Owner's Address J - 7 NIE `co 'Z City MTV . J�ti�.S State E L Zip J 117 � Job Address (where the work is being done) 31 r■ E to' 3-5)37 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO M � Phone # dDi � (`�+ Contractor's Company Name (if applicable) � ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Drip Cap /drip Edge Soffit Roof rqi Flower bins Shutters OA Awnings I■N/4 Chimney U Doors and door jams NVA Garage doors ki /A Railings Fences is 1A Decorative metal N i A All brick (simulated or regular) IvA Stucco banding Any other stucco features Accessory Buildings Other C.C>ncA.14. LA%ca( Ctlf <= 1 ac- cJ 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 • ' ction and zoning: Signature APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement Owner or Agent P& Z Official Date Date - 7 it tiloc the 6/18/03 Date 5 .&-H -e r5 (03 h ( Square Ft. FEES: PERMIT � 0 / RADON 1SsD Mu Signature of owner and/or Condo President Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 37 Me 1 Sr. Tax Folio Legal Description Historically Designated: Yes No O w n e r / L e s s e e / T e n a n t ) L 1 E 13 6s \,J e (t. - & ✓ I S Off^ Master Permit # Owner's Address Phones( - 5 - 2 0 3 Contractin Co. 0InM,ei) �— i sa GO51.�1 e I (-- �Ct I/v I^ <3 d-ess 1 Qualifier State # Architect/Engineer Bonding Company Mortgagor ��� � "f Permit Type (circle one): UILDIN � a M f. ?� / SIGN WORK DESCRIPTIOl e ?C'rI� l (� 0 \n0 LAS C Q 1 r– '7 r Pia 0 Estimated Cost (value),( 60 0 . 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. ignature of Contractor or Owner - Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: C.C.F. 1 0 NOTARY ,") BOND APPROVED: TOTAL DUE Zoning Building J t Electrical fiffl � Mechanical Plumbing Structural Engineer • .. 4 . • ' I v r• * • i■• .• %'• A c • \ , t' .N, • , ...= ,.' • - .. A .:-.- ---- ,...:•-• ;; -7 ....1„1,s , lis*,: • „- , -,. .!...-:. , ..• , .#.'sr. " .'.' -h*„' :,•,,; -: -.•-_-,!... .. ...., •*!:. .1 m ..t A• ). --. ' • •‘ ),,..:' ..%,..;-.\:,cyZ..i&- • - • : : ..., .....! r ::- - , . . Aiktf, .r-,),....."-a _..,.....-_ , - .11Kii.,.._• . `No •• ,.. •. . t', , .. , . .. . • ••'- f o ..... i • 7 . ".. n: i !,'' " •• • .......• • • ' . '-'•• , f • % ' • ... . ' • t. a, - . ., ...., 1.A .• • . Wak, .. ._„,,„ . •. ,... .. . :.. _ .. . •;,: , \,•:..:-.. •-..": ., . .. .. • , .:_.: .,!..,.... \ 1 %-.-:-.., .. A. !- :--z.v = -2 ` .- ..• ... ,. . , ..... .,: l\-•• - •-i. ;;--... , , • Y.:: I . ' . . • -.. • .. • s .. , ■ \ • .. - • • • ... .• • • ...:;) . i ': • . , • • ob. • • f • 't•- ,.), • . . 31 ' " •1.` • . • t 4 ; , • • it••••"4 • .• tt' ;4 • „ .•,. ..„ • - • • " 4 r /44; % 141N1' •—•?2••••• t. I / • • ,t 1., '!! • ; • ' • • ••!!• • • . ••-•-•• A ;. • • :,•• • . 01 • ' s • • ' . • • • , •• s .• . . ■-•••:•••••. ..• ••••• 1,1" • ry. -? . • • , 4 ( ", • r c� . , • ■• • • • z MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. vevner's Name and Address 760.\'e ` 0. \@ R W e I hereby submit all plans ar, Remarks (Signed) Date a 26 Permit No. Disapproved L� �� - , (4 - Date (Signed) Chairman Member Member Member Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Date 2 6 ` 1 199 No. 3`7 Street N E 101 S3 Registered Architect and /or Engineer h/ me and address of licensed contractor O V/! T /p i Location and legal des ription of lot to be built on: J �y� �^ ' ) /� q Lot ]/ aW4CIfBlock 1/ Subdivision //A/ ee- / / /1 Jc1 /i �l7 � -S / vStreet and Number where work is to be done 3 N E )0 ) 54 to work to be done and purpose of building (by floors), state exterior colors (submit C ubmit samplesleJ ) �C�\ Ss h CA, 9 - \ Color 3d eckk �jjlrlrn w(4), Way tL -'T),g, and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of � Kind of foundation Roof Covering j.Esfimated 1btal cost of improvements S ()) Q - - Amount of Permit S - 3 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne ices with reference to the building and its construction may be sent to The undersigned applicant for tF. Pale Shrimp X SW1597 he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section Gomprtea tienerar'Lawa orFtoriaa. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in 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 notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 foregoin • application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida Building Inspector My Commission Expires 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 S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.