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59 NE 101 St (6)• Miami Shores Village 1 1 2003 City U S Std Tenant/Lessee Name BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): ng� Electrical Plumbing 1 . Mechanical Roofing dol. c Owner's Name (Fee Simple Titleholder) I2J f pp ���l 0 ( (S(1( (� Phone #3)194 - 2 OS q �i 'bf Owner's Address 5 (0 S1 State Ay A. Job Address (where the work is being done) "l M 1 D rr City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (.) / A Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) A A - Phone # Architect/Engineer's Address City '' State Zip $ Value of Work For this Permit - Building Department Permit No. ? 2G D (50 1 Master Permit No. Zip ' � B Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Square Footage Of Work: Number of: Bays Stories I Families l Bedrooms Baths 2-. Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: tat. ;c,(Al C � L -k) A '1/41.31/L St- 5 : 1) - C- takti-ge * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** f1 County Escrow Fee $ • (7Q Permit Fee $ (d) Notary $ <5 '0V Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on op osite side) Bonding Company's Name (if applicable) Bonding Company's Address Signature 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 not be approved and a reinspection fee will be charged. pi di Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this t I The foregoing instrument was acknowledged before me this day of �1uC{U ST , 20 03, by F I ket..1 E winQA 5tie day of , 20 _ by who is per . nally known to me or who has produced Di \ U'Q f (..XC) who is personally known to me or who has produced Mba0 20 �� . • 3-% identification and who did take an oath. as identification and who did take an oath. NOTAR ' : LIC. e. 1 C 3 -0 3 . NOTARY PUBLIC: Sign: a �� Sign: Print: ' #DD23I984 Print: My Commission Expires: �. Expires: Jul 13, 2017 ±�...: Bonded Thru My Commission Expires: *********** * ** **** *r * ** * *,r * * * * * * * *, 4@i +' o Sri*t*********************** * * * * * * * * * * *,r * * * * * * * * * * * * *,r * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: C hc7/7 /0 Plans Examiner Engineer /J 0. Zoning • MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: SI 10 OWNER'S NAME: 2- etn M CYTACC& PHONE: 30 2 2 O3 (6 ADDRESS: *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 6 1 I 1 St- bak.ui queS101 CONTRACTOR & LICENSE (if applicable) , COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls CzY1C.cC tVON Fascia C:m.c. t & ( U Drip Cap/Drip Edge mac r le IV/ yr Soffit dew 0‘ 6 Roof Varek,l X10 Flower Bins h / A= Shutters Yv Awnings Q ,& 0031 ivy -- y (2coar Chimney a/z2,1Cp Doors and d LOMA fa/4 — Garage Doors to / Railings f A Fences Pf A Decorative Metal ns / A All brick (simulated or regular) A") A- Stucco Banding � v (\nM. - � Any other stucco features C 56 C M O Accessory Buildings C.R5 Other wmeI6■4 ct,-4 L \ S `�99e 5 i— t." i y 2 - 7 1- r o*" '\ El 0 P:1 0 o� wj ndm -mss 0 r rn 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 wor : -- I 4 i ore , the paint colors will be as per the attached samples k s olicb Signature o • er Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Ciff AYE 443 Building Official Date , 4/23/01 HC -12 Date / -- 425 -- ? Job Address 3 Avg' /O l Legal Description Owner / Lessee / Tenant Owner's Address -" NZ: /o ST Contracting Co. Qualif State # Munici- "' * Architect /Engineer Bonding Company Address Mortgagor Address a,6�a Notary as to Owner and /o My_C�o>��sion Exgires: ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE * * * �L�N � r/o✓1�}s�c� -c - <oK9�c g#Qi A. Master Permit 4 366 �� r SS# WORK DESCRIPTION * * Signatu of owner or Condo President Date: ri VERONA L. BUDWAH 76 Pr n ber 14,1997 Banded Tbr41 Notary Public Underwriters * *5 * � FEES: PERMIT < RADON C .C.F. NOTARY /1i4ti, VIO4'e S ■c& 3312.4 Phone ›S -ZtoS Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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 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. Zoning Buildin S?' Tax Folio l/ egaoe -/3 -/5y0 - Phone Competency 4i Ins.Co. [1:1 Address At Lam._ - . 7� / -I- /,. i/ Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * 41SO Fire Other Electrical Mechanical Plumbing Engineering O W N S P 0 U / 0 g C., TCa (9 , s/foot 33/2e R:0 ga /O Ow-ner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uindc for the approval of the detailed statement or we 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. Cliff Schoen,. No. 09 11.aS•Street_.101.0.t. Registered Architect and /or Engineer ,,::. ,,.-- •,,, :,,,,.,,<,,.,•, Fame and address of licensed contractor _... Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 59 ...1. ERA_ ....rkli16 __LS, ttractt_ State work to be done and purpose of budding (by floors) reflective coating. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S•- �.1�J(...Q-- ....... .K? Amount of Permit S. Zone cubage required _Plan Cubage Distance .to next nearest building. Size of Building Lot Maxirnum 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 i.tbur 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be fo • under th' permit, as are licensed by Miami Shores Village. Remarks (Signed) `' STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorizcd 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 stated are true. Permit No . .2. � , Date Disapproved (Signed) Chairman \fcrr,bcr Member ... _ ....._......_..._._ ...._ Council Approved Date Paint ... �oQ. 4... houti�l~e►nd..g�rage_�!ih- - - - --- Read, Sworn to and Subscribed before me. Notary Public, State of Florida nspcctor My Commission Expires to me well known, PLANNING BOARD DATE Mcmbcr Member Member ...._ Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hero obtained fronts the Y .innin Board. A rc- inspection fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING z Owner of Building Architect Contractor or Builder Legal Description ❑ PERMIT N° 7051 0 Lot 'Value o Amount f A t f 7 Address of Building Project $ Permit $ This permit is grcmted 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 e 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 ff 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 drawin Is or in the statementp or specifications and that he assumes responsibility for work done by his agents, servants or employees. .‘9 Signed. BY. MIAMI SHORES VILLAGE. FLORIDA CONTRACTOR OR BUILDER Work to be performed under this Permit J r t Bl. INSPECTOR 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 th drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY DATE , Contractor's License No. 14/ Subdi- vision AUTHORITY 195 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 ,� 19 _l Q Owner's Name and Address._. Registered Architect and /or Engineer � )"(/t -' 1 Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done J5' ,,2rt._ la/ '`�( Disapproved Date (Signed) _._ Bui ding Inspector State work to be done and pur se of building (by fl .. _. s) � Notary Public, State of Florida and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof (yvering Estimated Total cost of improvements $ Amount of Permit $ _ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only sue subcontractors, on work to be perfor ed und- this permit, as are licensed by Miami Shores Village. //�� Remarks (Signed)... _ STATE OF FLORIDA, COUNTY OF DADE. 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 read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. �[ Permit No „ F Date "l f 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 $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.