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PAINT PERMITBUILDING PERMIT APPLICATION ‘ FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Owner's Address 7 City Ai\ E Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated Contra Contractor's City Qualifier Type of Work: ❑Addition Describe Work: Notary $ 5 • co Scanning $ ' •oC) Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Building Electrical Plumbing Mechanical Roofing der) c:)241 i l<! ") '� / phone # JO NC /O7( S� Radon $ q i0 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305).1.2204 Fax: (305) 756.8972 YES ['Alteration 0 U S C' State L Zip - 3 l3 S 7 00 i./ /01 County Miami -Dade '' Structural Plan Review. $ Master Permit No. Phone # — S Zip Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit � Square Footage Of Work: ENew ❑ Repair/Replace / —/ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ C2 rCO CCF $ - DO • CO/CC Training/Education Fee $ .A6 Technology Fee $ 1 -SO ' T a r t er a . Permit NooPaoo ()" 1 Zoning Bond $ 30 5 7 / 9 (; 33 / 3 ? ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Na ne (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: 1 certify that all the foregoing inforn:nation 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 joh site Jar 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 a reinspection fee will be charged. Signature NOTARY Sign: Print: My Commission Expires: Chc 12/15/03 .2 Owne sr ent ) The foregoing instrument was ac owledged before me this (mil day of - 20 , by Oart OGZ who i onally known to me or who has produced M U.J.. I As identification and who did take an oath. APPLICATION APPROVED BY: State Certificate or Registration No. LIC: ejlCtf I -a-s - 0 1 • NOTARY PUBLIC: t I ? ° c - LChil ail: , ori M Sign: ires:.;u 3onded ru Print: l.tiantic ;'onding Co., Inc. My Conunission Expires: (Certificate of Competency Holder) ***************************** * * * * * * * * * * * * * * * * * * * * * * *: * * * * * ** Signature 0CW/ Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. Certificate of Competency No. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** JAN 2 6 2004 Plans Examiner Engineer Zoning Miami Shores Village • ' Paint Color Approval and Agreement Date0 .TA NL c� Owner's Name 0 2■ l Die-a K0 Phone # . 199 Owner's Address 7 00 N F 1 0 l' City AA. � , State � L Zip 3313 2 Job Address (where the work is being done) 7 0 0 I\/ E" /0 / County Miami -Dade Zip City Miami Shores Village Is Building Historically Designated YES 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 Flower bins ✓ A Shutters Awnings / A Chimney 4 Doors and door jams Garage doors - �' Railings N / A Fences N / L Decorative metal /■I‘ / P All brick (simulated or regular) i Stucco banding 01■/ / A Any other stucco features /1/ / Accessory Buildings t/ / A 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. n/() C!./,on/GC Signature f / � ��C Owner or Agent APPLICATION APPROVED BY: P Z cial / 8 Da ta() v -1 0 I� Date //�/ / /e-'( � chc y 8/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -71 Printed: 1 /26/2004 Applicant: DEANNA Owner: RADELOFF JOB ADDRESS: 700 NE 101 Contractor Local Phone: Parcel # 1132060172220 Signed: (INSPECTOR) Building Permit RADELOFF DEANNA ST Contractor's Address: Legal Description: 6 53 42 Page 1 of 1 Permit Status: APPROVED Permit Expiration: 7/18/2004 Construction Value: $2,000.00 Work: PAINTING HOUSE AS AGREED PB 15 -14 AMD PL MIAMI SHORES SEC 4 LOTS 7 & 8 BLK 104 Fees: Description Amount FEE2004 -773 Building Painting Fee $60.00 FEE2004 -774 CCF $1.20 FEE2004 -775 Notary Fee $5.00 FEE2004 -776 Technology Fee $1.50 FEE2004 -777 Training and Education Fee $0.40 FEE2004 -778 Scanning Fee $3.00 Total Fees: $71.10 Total Fees: $71.10 Total Receipts: $0.00 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: Date Legal Description / Ownexj Lessee / Tenant Z5;c f l`7 /9 4'ES Master Permit #J,.5 Z7 Owner's Address 5l0r,rj/r / / .f S c}a© 'E Phone 6- T • 7 - Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor 4'44 APPROVED: 93 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION / /sl 7 / ►,Fl�ll , f ' � ' lti4 / ¢f Square Ft. Estimated Cost(value / €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 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 author the .above- i►amed contractor to do the work stated. Zoning Job Address � � o 7) /d/ as to Owner a My Commission Expire o owne and /or Condo President .•��''.►�, J SEHtNE amts n Ma CCI'154$ ** * * * * * * * * * FEES: PERMITJ7-5 RADON C.C.F. .16 Fire Mechanical Plumbing_ Address Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY Tax Folio/ m6 / 7 A?0 1 721-5 See, y * * * * * * ** i 0O TOTAL DUE /P Other Electrical Engineering MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT INSTRUCTIONS TO OWNER- BUILDER You have, this date, made application for a building permit as an owner - builder. You should be advised of the following provisions and requirements that apply to owner - builder. Proof of Ownership - Prior to a building permit being issued to you, you must submit proof of ownership of the land concerned in the application in the form of a recorded deed, showing you own the property, or a copy of mortgage or warranty deed of the land, or a Dade County tax receipt, statement to contain legal description of property and indicate property is in your name. Legal description and name on document of proof must correspond to the name and legal description on the application. Responsibility - You will be responsible for all work done by your day labor employees, and you must either employ licensed contractors or persons to be paid on an hourly or per diem basis. Any one contracting (including labor) with you, verbally or in writing, on a fixed fee basis for any work, who is not properly licensed, will be subject to a fine of $500.00 and /or imprisonment for six months. Insurance - You should be advised that if your day labor employees cause any damage to persons or property, or if any of your day labor employees are injured on the job, you are liable. Your regular home insurance policy ordinarily does not cover this type of liability. Withholding Taxes, etc. - You should be advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes and Federal Income Taxes from the wages of employees working for you on the proposed construction, and for making returns thereof to the proper agencies. Work Permitted Owner - Builder - An owner- builder subject to the foregoing provisions and requirements, is limited to constructing one single family residence each year for his own use and occupancy; or maintaining, altering or repairing his own single family residence. If you do not intend to do the work involved yourself, or with day labor, please list below, the name of the individual or firm with whom you have entered (or will enter) into a contract for the work. NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUNKING, ROOFING AND MECHANICAL WORK �GL /5/9 /5/94/61,5 7g() //4.4 Name of Individual or Firm Address I, the owner of property described as do hereby certified that I have read the foregoing instructions, and am aware of my responsibilities and liabilities under my application for a building permit for construction work on the above described property. Witness Pfr iwner // - P3 Date Per 489.103(7) F.S.S. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one (1) year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have license required by state law and by county or municipal licensing ordinances. elf // - S'3 Date Village Use Only Owner's name(print). (5 Permit No. DISCLOSURE STATEMENT Own si t ur 1 g e C ,T45/9 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT /p l p Date - ( 19 7 , 5 r ��/1 /! Y y + No 700 Street A/ E /0 / 5 Olivi L. Zw ar- -I- Location and legal description of lot to be built on: J�/� L / Lot 7 Block feif Subdivision' ' / t " 42 Street and Number where work is to be done 00 t C(7 / State work to be done and purpose of building Iby oors), state exterior colors (submit samples) A,t rsc (s New Building Remodeling Addition d go :,3 Date Date 7 1 4 3r,46 i a aa© J' 1 49 d ./ie and for no other purpose. Repairs I/ No. of Stories To be constructed of Kind of foundation Roof Covering Amount of Permit S O` o Estimated Total cost of improvements S 3r) 0 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 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 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 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) X1 4 a 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 Read. Sworn to and Subscribed before me. Permit No. Disapproved Notary Public, State of Florida (Signed) T - 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 and or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder • Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ DATR ` 195" ❑ PERMIT N? 6 718 Contractor's , License No. ❑ Work to be performed under this Permit Owner of / Building L r Bl. Address of Building Subdi- vision Value of � 1 Amount of Project $ 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 tttements or specifications and tiltrumes responsibility for work done by his agents, servants or employees. Signed. f BY: 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 regulation:; pertaining thereto and in strict conformity with the plans, 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 AUTHORITY 6 S'.1:=.L'"' c- t // / 111 Pfi r L,(1 MIAMI SHORES VILLAGE 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. Owner's Name and Address._ 11 /) t' J( ' 7 .Q Registered Architect and /or Engineer 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...___/' C _r__ C. State work to be done and purpose of building (by floors) 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 $_._ _ G ' 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 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). j 1" STATE OF FLORIDA, COUNTY OF DADE. 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 lie has carefully read the foregoing application, therein by him stated are true. Iv'? Date Permit No Disapproved (Signed) ss. BUILDING INSPECTION DEPARTMENT Date , 19 No Street Chairman Member Member Council Approved Read, Sworn to to me well known, and that he did sign the same, and that all facts and Subscribed before me. Date._ ■ i �/ . Notary Public, State of Florida Building Inspector My Commission Expires /PLANNING BOARD DATE Member Member Member 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.