BP-05-1077Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -1077
Printed: 8/2/2005
Applicant: THOMAS TROTTA
Owner: TROTTA THOMAS
JOB ADDRESS: 1665 NE 104 ST
Contractor MASTER DESIGN ENTERP, INC Contractor's Address: 80 SOUTH SHORE DR # 404
Local Phone: 305 - 303 -3168
Parcel # 1122320320200
Legal Description: RIVER BAY PARK ADDN PB 40 -72 LOT 21 BLK 3 LOT SIZE IRREGULAR
Fees: Description Amount
FEE2005 -10067 Building Painting Fee $60.00
FEE2005 -10068 CCF $1.80
FEE2005 -10069 Notary Fee $5.00
FEE2005 -10070 Training and Education Fee $0.60
FEE2005 -10071 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/17/2006 Construction Value: $2,700.00
Work: EXTERIOR PAINTING
Page 1 of 1
AUG 0 2 PAID
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
(Continued on opposite side)
$ Value of Work For this Permit e� (� (5)
Total Fee Now Due $ G8 •
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305
3
E
L Ia 1T 2805 Permit No. LPFC 0 77
Ma ter Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder)�/j�® Phone # 78 6 299 7;25 0
Owner's Address /665 �t /0 � 5 esi'
City/ 49/4 3 /® j 2- State Pe-lo /27-0(4 Zip p�
Tenant/Lessee Name �'/. +, - Phone # 7PG - 0 2 9c,-,9_5 3
Job Address (where the work is being done) /6 65
/"6 /® 7 sYi-fZee
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
an Name / lam^ 14
Contractor's Company f' y l b�_
P Y �� �'� .�J�/ ` ��2 Phone #
Contractor's Ad ess ! // 05 C 't�'17 (7/ ,,.,� V
Cit S € 9; 0 e State /ze �/ `c�./} Zip 33 54/
4
Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replice ❑ Demolition
Describe Work: PC:b t b Th "F
* *** * ** ** * * * * * * * * *** * * * * * * ** F ees * * **** * ** * * * * * * * ** * * *** **** * **
Submittal Fee $ Permit Fee $ c , O ✓ CCF $ 1 • eo CO /CC
Notary $ 5- Training/Education Fee $ d • 6o Technology Fee $ l • 5
Scanning .$ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 not be approved and a reinspection fee will be charged.
Signature Signature �� '��— e :
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by day of , 20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Sign:
Print:
Print:
My Commission Expires: My Commission Expires:
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** x****** p**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
q/1 / 747/05'
Plans Examiner
Engineer
Zoning
(
(-7
0 0, (‘,
DATE: 7- ( `'0s
OWNER'S NAME:
ADDRESS:
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
All Elements on the site must be listed and in
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::' J 2-6
(,0 - /I ED a 7R -V/ ! st AF#1 fl
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance C ra - m
with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the
work stated. Furthermore, t - paint colors will be as per the attached samples.
Signature of Owner
APPROVED:
Miami Shores Village
Paint Color Approval and Agreement
6
Building Official ( Date
10050 Northeast Second Avenue
Miami Shores, Florida 33138 -2382
Telephone: (305) 795 -2207
Fax: (305) 756 -8972
www.miamishoresvillage.com
N6 D 7 FF /
/t 1(
Date
TTY
cate the color to be painted.
_tt/cV/ -Lewd 0 A)
PHONE: 9,1-0
U '° 0 /
18
london fog
Signature of Contractor Date
WHEN PAINTING IS FINISHED, CALL FOR FINAL
INSPECTION
1541 1
4-
Signature of Owner
APPROVED:
2A(76,
Building Official Date
Miami Shores Village
10050 Northeast Second Avenue
Miami Shores, Florida 33138 -2382
Telephone: (305) 795 -2207
Fax (305) 756 -8972
www miamishoresvillage.com
Paint Color Approval and Agreement
DATE: 0 7 - 0- 2
OWNER'S NAME: 7fa // i / Mt ' /,� , 7?9TTA PHONE: ?O f ,p/ - "qW d -C
ADDRESS: i `/ .. i !lr / 3 3)3
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable) /(0c/4
COMPANY NAME: 4 IZ 1) e S I r .17 6
All Elements on the site must be listed and indicate the color to be painted.
Walls: 2 /0 7- 6
Fascia: 0 2 / /f
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 incompliance
with all applicable laws regulating construction and zoning. 1 authorize the above -named contractor, if applicable, to do the
ted. Furthermore the paint colors will be as per the attached samples.
ignature of Contractor
PHONE: 3 05- 796 -6(96_5"
Stone Harbor 2111 -50
07- 6 O
gPOS-I
WHEN PAINTING IS FINISHED, CALL FOR FINAL
INSPECTION
NOTICE OF COMMENCEMENT c:F"N 200FiRO 802372
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR Bk 23E31 8/ 2536; (1 }
RRECORDED ►JE, � �..t �►_ i5 10 :05:51
PERMIT NO. CD P ( ` 4 0)1 TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1 . Legal description o f property and s t r e e t / address: , , 4/6:- , ' d S T ,
2. Description of improvement:
3. Owner(s) name and address: p
tyiaA Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and address:
S
?Xi z XN Zits_ /'?1-.7NT- 11
5. Surety: (Payment bond required by owner from contractor, W any)
Name and Address:
Amount of bond $
6. Lender's name and address:
Notary Public:
Print Notary's
My commission 'expires:
o`OP, 00014 a er cO P 0
I HEREBY E C G RTIEf Oat this is �
in t his attics
INC
o rigin al t I f� and &OctalS
Ot
HARVEY RUVIFir CLERK OF COURT
MIAP1I -DADE COUI'ITYr FLORIDA
LAST PAGE
Sniff :x11! is «..afx ...a iff:r .Sr iS01
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
9. Expiration date cf this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
erent date is specifi
Signature of • er
Print Owner's Name -- 7 - 40,4„, 4 _s 4 Q e-A ' f,4.4j 1 Prepared by ti cri t h e �1 17'A & sr :
Sworn to and subscribed before me this / y day of 1-41 1 / , 20 'X .
Address: 9O5 (C•0 z /u d ,r4A.0