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94 NE 100 St (15)Type Insp'n Permit No. Name MIAMI SHORES VILLAGE O O\ BUILDING DEPARTMENT � 305- 795 -2204 Building Inspection Request 9 L I (() Company Address Approved Correction Re- Insp'n Fee Phone # Inspection Date ( I _ FED L v BUILDING PERMIT APPLIC FBC 2001 -.J TION Permit Type (circl Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) �4 kJ �(. b T"►41, _ f2.4$hone # Owner's Address q " l /4J de ( c City AA ` ‘(■4"..0- ��� State PI Zip Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Architect/Engineer's Name (if applicable) 1 t „) 7 $ Value of Work For this P e r m i t 2. L $ ) Type of Work: ['Addition ❑Alterati n 4 U1� !A Describe Work: 0.6 Submittal Fee $5D. —. Permit Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ I - l (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 County Miami -Dade NO Training/Education Fee $ 0 Structural Plan Review. $ Permit No. Master Permit No. Phone # Radon $ s Zoning Mechanical Tenant/Lessee Name Phone # ,3 t( 1 1- Contractor's Company Name � t h $ ( � Phone # �p Contractor's Address -- a � , (it t r City ( k 4' State 'P( Zip 3.30, Qualifier Square Footage Of Work: /41/t("59‘. ❑ Repair/Replace se— * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ , ( a CO /CC Technology Fee $ l t (7 Bond $ Roofing Zip ❑ Demolition 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 . of b ' :.proved an a reins ee will be charged ,..11 Lam► Signa Chc 12/15/03 Owner or Agen The foregoing instrument was acknowledged before me this day of L b , 20 Q, by who is personally known to me or who has produced NOTARY IC: Sign : 1 Print: My Commission Expires: State Certificate or Registration No. APPLICATION APPROVED BY: As identification and who did take an oath. WE�: abel Var_ `�` `ojmission as 1 D231984 `xpires: Jul 13, 2007 ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a / /a - /r3y • Signature My Commission Expires: Certificate of Competency No. FEB 1 a 2004 Contractor The foregoing instrument was acknowledged before me this G day 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: ************** * * * * * * * * * * * * * * ***A * * B ogi g ttiCo* I n c. ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning MIAlVII SHORES VILLAGE Paint Color Approval and Agreement DATE. E VU .. ( 2:6.) 3- OWNE''S N • � : - 0 (-`b SQL -- 60 0_6 PHONE - 7�y - q?`1 ADDRES qy / * ** * ***4,* * * * * * * * * ** * ** k*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • ADDRESS OF SITE: > -4 (t% CONTRACTOR & LICENSE (if applicable) COMPANY NAME: L k u 00, (11-1-(h PHONE:30 90's (7) 2 -- *********************** * * * * * * * * * * * * * * *4 * * * * * * * * * * * * * ** * * * * * * * ** All ElemeiAs on the i site must 'sted and indicate the color to be painted. Walls Jc& b L M(12_ Fascia () t- o Drip Cap/Drip Edge w,, 0 ti w Soffit Roof V Flower Bins lip ( {4 Shutters C-J Awnings p .�� Chimney Doors and door jams \•N Garage Doors c Railings Fences (A Decorative Metal (,.J1' ‘ de-- All brick (simulated o regular) Stucco Banding LA V , -- Any other stucco featur - s , • Accessory Buildings 1j Other 1J` 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 doq Signature of 0 Date • Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION APPROVED: d/ ' 11/ Building O011 cial Date 18 SW 6119 Antique White SW 6120 Believable Buff 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2004 -182 Printed: 2/13/2004 Applicant: DONALD Owner: SALTZBURG JOB ADDRESS: 94 Contractor Local Phone: Parcel # 1132060131190 Signed: NE 100 (INSPECTOR) SALTZBURG DONALD ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 8/9/2004 Construction Value: $2,200.00 Work: EXTERIOR PAINTING Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 2 3 LESS W35FT BLK 9 LOT SIZE Fees: Description Amount FEE2004 -1553 Building Painting Fee $60.00 FEE2004 -1554 CCF $1.80 FEE2004 -1555 Notary Fee $5.00 FEE2004 -1556 Training and Education Fee $0.60 FEE2004 -1557 Technology Fee $1.50 Total Fees: $68.90 Total Fees: gteb90 0 Total Receipts: $0.60 I J,G4 1 FEB 13 PAID 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: 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 build- ing 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. Date � ° L'� , 19 Owner's Name and Address ' "� No Street Registered Registered Architect and /or Engineer 11 Name and address of licensed contractor \I • !!i,¢ • �� Location and legal description of lot to be built on: Lot Block Subdivis'Qn Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Ro f Covering U Estimated Total cost of improvements $ G i e ® - - Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot and for no other purpose. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 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. Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 reach the foregoing application, and that he did sign the same, and that all facts therein by him st ed are trrue. „ J Permit No 1 q b Date it- (3 - Read, Sworn to and Subscribed before me. Disapproved Date (Signed)° Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING vim" DATE / r ELECTRICAL PERMIT iN? 13906 PLUMBING Fl ROOFING fl Work to be performed under this Permit Owner of Building Vt., -) Architect Contractor or Builder Legal Description Address of Building Lot II I 41- I) !roc) CONTRACTORr..o* BUIL MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Signe ''r'�'�""` Value of Y .7r V Project $ 195 Contractor's License No ..... Amt. of Permit $ ...,. 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. 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 assuyne responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. Date Owner's Name and Address._ .I.2 ' Z Z m et/97 h No q T Street Registered Architect and /or Engineer _. P Name and address of licensed contractor Location and legal description of lot to be built on: Lot Lai / 4 E /.i•'cf 3 Biock p:L__.. Subdivision Street and Number where work is to be done q Estimated Total cost of improvements $__ ._.��� '- STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) _____ APPLICATION FOR BUILDING PERMIT ss. Date D Building n .ector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT % / / S4 t- Se' State wo k o be done and ur o of` buildin by floors)... �o tt &L !/l._ _. � Ve 112. r w Building /l Remodeling. Addition Repairs To be constructed of Kind of foundajigp Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot oCe c to Doar _ Di/1/27 w :/fn "Ind' for no other No. of Stories / vering purpose. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 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. Remarks (Signed) t' " Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 state� to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper 'notice for inspection or faulty materials and /or workmanship.