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370 NE 101 St (7)Inspection Date: 08/17/2006 Inspector: Grande, Claudio Owner: STEWARTSON, ELIZABETH Job Address: 370 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, August 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 8 tro Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135270 Lot: Page 1 of 2 Passed t V� l Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 08/17/2006 Inspector: Grande, Claudio Owner: STEWARTSON, ELIZABETH Job Address: 370 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, August 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 8 tro Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135270 Lot: Page 1 of 2 Issue Date: 7121/2006 Owner's Name: ELIZABETH STEWARTSON Permit Type: Paint Work Classification: New Job Address: 370 101 Street NE Comments: PAINT EXTERIOR WALLS SW655 BAIGE TRIM SW6132 WHEAT DOORS SW7047 DARK GREEN Additional Information Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: Exterior Color: Additional Info: 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. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 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: 01/1712007 Invoice Number PT - 7 - 06 - 25619 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT - - - 1919 Amt Due $67.30 Phone: 1132060135270 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Re.uired Ins.ections Final 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. 4 \ 1\f \IG Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address N lo( Sfi City A k m) V *e3 State Tenant/Lessee Name FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Address City State Qualifier Name Miami Shores Village V 1 ctn r 1-UC�1 Electrical Plumbing Mechanical Roofing NO Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Permit No. pro ' iq icj Master Permit No. Phone # •Us ' ("' , S Zip Phone # Job Address (where the work is being done) 3 - 1C) I\\ City Miami Shores Village County Miami -Dade Zip >� ?j Contractor's Company Name k PC r Phone # Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ( 2O0 Square / Linear Footage • ork• Type of Work: ['Addition DAlteration New " ~ lace ❑ Demolition Describe Work: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************** * * * *** * * * * * * * * * * * * * * * * * * * * * * ** I MIZECEV.M1 BY:. Submittal Fee $ Permit Fee $ ( . CCF $ I 0 0 CO/CC Notary $ ' C1 Training/Education Fee $ ;20 Technology Fee $ 1 't..7.. Scanning $ Radon $ DPBR $ Zoning $ Total Fee Now Due $ See Reverse side —4 G7 30 Bonding Company's Name (if applicable) Bonding Company's Address City 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 thi- jol' , it, 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 The foregg instrument was acknowledged be ore me this day of V C__ 20 who i personally own to me or who has produced As identification and who did take an oath. vili ..' My Commi Sion Expire�i� �� ,,,�� �• My Commission Expires: * * * * * * * * * * * * * * * * *,�. * * y ,t * * * * * * * * * * * * * ** ,1� «. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * *k ** APPLICATION APPROVED KY O� 3 4 / I 7 �Q1° Plans Examiner t, Engineer (Revised 02/08/06) State Zip Signature Contractor U The foregoing instrument was acknowledged before me this C.)--Say of , 20 , by who is personally known to me or who has produced as identification and who did take an oath NOTARY PUBLIC: Sign: Print: Zoning • D ate Owner's Name V (PV 7 r� ��� Phone # S P Owner's Address I d N \G c City (QOM( O1 State Zip k`- Job Address (where the work is being done). ,v- 1 01 City Miami Shores Village County Miami -Dade Zip 1' Is Building Historically Designated YES NO 1/ Contractor's Company Naive (if applicable) Phone # All elements on the site must be listed and indicate the color to be painted Walls GVV Fascia ' 944 I75 1� A " I� Drip Cap /drip Edge S�V Soffit ■01t Roof NklY1 4 Flower bins Shutters Miami Shores Village Paint Color Approval and Agreement Awnings Chimney J Doors and door jams S� Q � 1-7 Garage doors '— nn Railings ' J — 7 7 Fences — Decorative metal o `ri 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. Signature APPLICATION APPROVED BY: Date Date - clic 6/18/03 WARNING TO O\ RESULT IN YOUR CONSULT WITH Owner/Lessee / Tenant R-06 ev v Owner's Address 3'l ' N Application is here n certify that all wort rd permits are required for ELECTRICAL, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ( L r S L Job Address 390 4 G 1 O 1 sr Tax Folio Legal Description Historically Designated: Yes No I 0 Contracting Co. $ &Z/C •y i ll ^�► • 'ti'��1!p Address Qualifier SS# Phone VP ?S - 7 7 7 5 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor C 4)0 n-V101/11 - c'GLt t_S 1 !2t rd9#1 / 331 33 Permit Type (circle one): BUILDING ELECTR ICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION WO u S s P © N (lN C Square Ft. Estimated Cost (value) I 0 b 0, M CI R 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 i Q; lating construction and oning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President FEES: P Notary as to Owner and/or Condo President My Commission Expires: \ p.RY Pu b, OFFICIAL NOTAA'r SEAL 2 1 .7.1% SCOTT W DAVIS * ii * COMMISSION NUMBER .;k. CC255237 I 4)' Pi' MY CC&:;0;SSION EXP. OF R. 2. -O c.o ti L , 3 v... S VLF -r Master Permit # Phone % .S T °3 Address 7 ` ? # 7 4/LL c, --Lc fq-v1 NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY AUNTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, \EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) and installation as indicated above, and on the attached addendum (if applicable). I rds of all laws regulating construction in this jurisdiction. I understand that separate _ __ . , . _.,.1S, POOLS, ROOFING and MECHANICAL WORK. (2 - Sc- Signature of Contractor or Owner- Builder Date tz/t,lti6 Date Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. ‘I0 NOTARY J BOND TOTAL DUI:-.00 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Date Job Address .,., " PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description 0 1`i 9f 27; £'€ Owner / Lessee / Tenant d) / f : � Master Permit # t % r3 / Owner's Address Phone �, Contracting Co eriO eir:tfdr A Address 4 04 /791°' / Qualifier /�Q4/ (/r .10# SS# Phone 7r7° ®I r � State QC 7073 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 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 accurate and that all work will be done in compliance with all applicable laws regulating const tion and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signat Date: Notary as to Owner and /or Condo Preside My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMITS/ i' 5O RADON C.C.F. .7 D APPROVED: Zoning Condo President NOTARY 1 .1 1 1.1311M, g " OL' y LOTIMM. r ll c®^.1.c:CSF.CH 217,? E s: 2J, ¶li ✓a7. B^,f n1 ;7d9 iL'C T A cV FCSIEC UNDE:17771:17 P.O. 'BP C� (ti �i ' / , ..�►., iai, gnature o Date: Fire Buildin Tax Folio .3.70 // v Yee'0 lder Notary as to Contractor or Owner -Build My Commission Expires: A u � , ^ „"._r” ; r ' = ._ Tr NOTARY TOTAL DUE 3V Mechanical Plumbing Engineering, Other 15 Electrical • (Owner's Name and Address 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. Mai at-4 s 3 7(9 AE col 5Y- Date 5 /01 // No. Street Registered Architect and(or Engineer //^ q�� ( /Q �ame and address of licensed contractor A GE T A e- /le e �t / `/ ) ? � �� r Location and leggfal, description cription of lot to be built on: y/ ry Lot f`'1`-' /" ► f Block Subdivisio � v�� /� 1.51/7,R° �/gDU/ /� ��� ✓ v Stre.et and Number where work is to be done o � IV work to be done and pur ose of building by floors), state exterior colors (submit samples) rat( Q!><1 - Te Distance to next nearest build Maximum live load to be borm I hereby submit all plans a and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering timated Total cost of improvements S / r �f D O Amount of Permit 5 _ ' Zone cubage required Plan Cubage Size of Building Lot notices with reference to the building and its construction may be sent to 19 �® 1/A0 603 The undersigned applicant for t _., hat he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's - --".---Compensation Act, being Section 5966. Compiled General Laws of Florida, 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 t.' , ermit: and 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 a: , • 9 uch subcon rs. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Sign. 25 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. (9l \ ti DatO✓�'7 )90 Read, Sworn to and Subscribed before me. p Disapproved Notary Public. State of Florida (Signed) Building Inspector 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.