46 NE 101 St (13)Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Jnspection Request
Date ".
Type Insp' n F. h ' ��k_, -,lL; .
Permit No. 6 IO O S —' 00
Name
Address / 0 / 3s'''
Company
Phone # C 3(25) :757 — e -! t7
0 /
0
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle).
Owner's Name (Fee Simple Ti e colder) �
Owner's Address 0 • (� Cq fl 1 Ai JL-t
City I`QI (1) 1 3t y A Q. State F 1 _ Zip 33) K
Phone #
Tenant/Lessee Name
Job Address (where the work is being done) 6 /U /0/ sr
„-
Cit J Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
$ Value of Work For this Permit
Submittal Fee $
Scanning $
Notary $ 5 .)
Type of Work: ❑Addition ,...gAiteration
Describe Work: � \ Q)( rrCsl
Training/Education Fee $
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Fee $
Electrical Plumbing Mechanical Roofing
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
❑New
GO 00
•
Zoning
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ • l (
3�s l
(Continued on opposite side)
RECEOVIh»
adt,222OP4
Permit No. 6 OD
Master Permit No.
. Phone #
Contractor's Company Name 0 (J) ne r Phone #
Contractor's Address
City State Zip
Qualifier
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ I 2...0 CO /CC
Technology Fee $ ) .SO
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 pennit 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 not be appro d and a reins! • -ion fee will be charged.
Signature
The foregoing instrument was acknowledged before m this _a�" The foregoing instrument was acknowledged before me this
day of 20 I, by LQIAJ1 V , day of , 20 by
who ' .erson: ly known to me or who has produced T � who is personally nown to me or who has produced
Y p
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P NOTARY PUBLIC:
.
Sign: Mabel Vargas Y. = _ o • . i 31984 Sign:
Print: :.' Ex fires: Jul 13 2007 Print:
l ' F y d i,;4‘,.•‘-. Bonded Thru
My Commission Expires: Atlantic Bonding Co.. Inc My Commission Expires:
Chc 05/13/03
Owner or Agent
APPLICATION APPROVED BY:
Signature
Contractor
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
***************************************************** j4******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
\ �"D �5 Plans Examiner
Engineer
Zoning
/-1‘705,
Date 7— a
Owner's Name 4 ,
Owner's Address / 2 / / " , L , � `�
111 i.4.A State fZ--
City
Job Address (where the work is being done)
City Miami Shores Village County
Miami-Dade
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the cc
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
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. O
Miami Shores Village 03/0 y
Paint Color Approval and Agreement
APPLICATION APPROVED BY:
VA/ 41.12
ff///‘
d •
q,
P& Z Offi
Phone #
. Zip L/7) b
Zip
2 /f7
u
7 CD
cn
c
u c
c
co
ch 2
* * *
Date — z -� . 1
Date / j.(° /
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/26/2004
Applicant: KAREN
Owner: PUMA
JOB ADDRESS: 46
Contractor
Local Phone:
Parcel # 1132060131360
NE 101
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -1004
PUMA
KAREN
ST
Contractor's Address:
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 7 & E1/2 OF LOT 8 BLK
Fees: Description Amount
FEE2004 -7481 Building Painting Fee $60.00
FEE2004 -7482 CCF $1.20
FEE2004 -7483 Notary Fee $5.00
FEE2004 -7484 Training and Education Fee $0.40
FEE2004 -7485 Technology Fee $1.50
Total Fees: $68.10
Total Fees: $68.10
Total Receipts: $68.10
Permit Status: APPLIED Permit Expiration: 1/18/2005 Construction Value: $1,500.00
Work: PAINT
Page 1 of 1
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 MUNICIPALITIES OF DADE COUNTY
�� (OWNER TO RRETAIN COPY)
J+6b Address h � � /2',/ `L�i Tax Folio // ,20‘ /3 /3 AO
Legal Description 7.1- 40 ` 9 ee ii
owner,/ Lessee / Tenant /
(er's Address 7 . j0 j
Contracting Co.
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRI
ORK !ESCRIPTION
Square Ft.
Signature • Owner and /or Condo President
Date:
ti
Not as Ao Owner an / Condo President
My mmission Expires• ivuTARY PUBLIC. STATE OF FLORIDA
* * * li COMMISS N EXPIRE*APRtL 16,*992
BONDED THRD SJEMBLER -ADAMS & SWEET
:ERMIT FEE: APPROVED: Fire
04411-0/
Competency #
SS#
Mechanical Plumbing
Address
Address
Address
Address
Master Permit # 0 2 /PC.-- S
ph one 7S - S - g 9
phone
Ins. Co.
AL PLUMBING MECHANICAL PAVING FENCE SIGN
Estimated Cost c
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. 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.
Furth zmore, authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * *
Other
Zoning Building (Electrical
Engineering
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
j
ROOFING x ❑ Work to rformed under this Permit ci
ca.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA i a
PERMIT In 12295✓
T
This permit is granted to the contractor or builder named abov to construct
herefor in strict compliance with all ordinances pertaining thereto a d with the
drawings, statements or specifications that may have been submitted to and appro
time if the work is not done in compliance with such ordinances or if the Tans ar
granted is the understanding that the contractor or builder named above assumes
pertaining to the work covered hereby whether shown on the .pla ey awings
done by his agents, servants or employees. ..
Signed:
Subdi-
vision
Value of
Projec
DATE
Contractor's
License No
Amt. of
Permit $
0'J
195.
e building or to install the equipment or device described in the applic
derstanding that the work will be performed in compliance with any plans,
ed by the roper municipal authorities. This Permit may be revoked at any
changed w
the respo
r in t
out authorization. A further condition upon which this permit is
ility for a thorough knowledge of the ordinances and regulations
atements or specifications and that he assumes responsibility for work
INSPECTOR
In consideration of the issuance to me of this permit I agree to erform the work covered hereunder i mpliance with a ordinances and regulations
pertaining thereto and in strict conformitif.with the plans, drawings, sta ments or specifications submitted to the proper authoritie of Miami Shores Village.
In accepting this permit I assume responsibility for..4114kork done b ither myself, m agent, ervant or employee.
BY
AUTHORITY