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BP-04-324Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2004 Applicant: MAIRI Owner: CALLAM JOB ADDRESS: 149 Contractor Local Phone: Parcel # 1131010230140 NW 101 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -324 CALLAM MAIRI ST Contractor's Address: Page 1 of 1 Legal Description: BONMAR PK ADD A RE -SUB PB 24 -71 LOT 13 & E1/2 OF LOT 14 Fees: FEE2004 -2700 FEE2004 -2701 FEE2004 -2702 FEE2004 -2703 FEE2004 -2704 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 9/6/2004 Construction Value: $100.00 Work: CLEANING AND PAINTING ROOF 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: BLK 2 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ['BAR 0 `! 2604 Permit No Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical � Roof Owner's Name (Fee i ple Titleholder) .- k h Czki-C6411 G7 ��J `�� d , { ? C )1 4 (r'� Owner's Address t `C 'vim �� � — City i\- O VLA-X State ' �_ Zip 3 1 5 Phone # Job Address (where the work is being done) ( NV.) l� 1 gr City Miami Shores Village County Miami -Dade Zip 3 Is Building Historically Designated YES NO (r Contractor's Company Name OUL f€X Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit X( 1 00 • 00 . Square Footage Of Work: Type of Work: ❑A dition ['Alteration ❑New ❑ Repair/Replace [I Demolition Describe Work: fPA �/` ` "� °t GtZ. \ V\ Submittal Fee $ Permit Fee $ 00 .CX) CCF $ (P 0 • CO /CC Notary $ b -� Training/Education Fee $ 2-0 Technology Fee $ f - 30 - Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ J o 3 0 . S o ? 0 (Continued on opposite side) 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 FLF.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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 YOITR 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. Owner or Agent The foregoing instrument was acknowledged before me this 1 0 day' f 20 f�'{, by who is personally known to me or who has produced p L ,� 0 4,1l" 463— (z . M-2s identification and who did take an oath A NOT Sign: Print: LIC: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ****************************_*****************,*********,**********,************** * * * ** ** * * * *,* ** * * * * ** * * * ** ** * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Cho 12/15/03 -s/(e/o y *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAR 1 11004 Plans Examiner Engineer Zoning Date Owner's Name �j 1I „ D m 7y4 A1/t -` Phone # 3 _ ,f-e- v (,/,‘ Owner's Address ? l ou C i t y NiA R c j State (T Zip 3 3 5 L,D Job Address (where the work is being done) / V Al (7J ( D ,' f City Miami Shores Village County Miami -Dade Zip 3 3 / S v Is Building Historically Designated YES NO 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 A � t ” _ /l-e_ 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 APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 / ✓ l 1 Date Owner or Agent CsC�I P& Z Official Phone # Attach Color Samples With Numbers / -0Y Date chc /18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2004 Applicant: MAIRI Owner: CALLAM JOB ADDRESS: 149 Contractor Local Phone: Parcel # 1131010230140 NW 101 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -324 CALLAM MAIRI ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 9/6/2004 Construction Value: $100.00 Work: CLEANING AND PAINTING ROOF Page 1 of 1 Legal Description: BONMAR PK ADD A RE -SUB PB 24 -71 LOT 13 & E112 OF LOT 14 Fees: FEE2004 -2700 FEE2004 -2701 FEE2004 -2702 FEE2004 -2703 FEE2004 -2704 Description Building Painting Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $5.00 $0.20 $1.50 $67.30 Total Fees: $67.30 Total Receipts: $67.30 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: BLK 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2004 Applicant: MAIRI Owner: CALLAM JOB ADDRESS: 149 Contractor Local Phone: Parcel # 1131010230140 NW 101 Building Permit Permit Number: BP2004 -324 CALLAM MAIRI ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 9/6/2004 Construction Value: $100.00 Work: CLEANING AND PAINTING ROOF Page 1 of 1 Legal Description: BONMAR PK ADD A RE - SUB PB 24 - 71 LOT 13 & E1/2 OF LOT 14 BLK 2 Fees: Description Amount FEE2004 - 2700 Building Painting Fee $60.00 FEE2004 -2701 CCF $0.60 FEE2004 -2702 Notary Fee $5.00 FEE2004 - 2703 Training and Education Fee $0.20 FEE2004 -2704 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Signed: (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 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: