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118 NE 102 St (11)2.16 3 MIAMI S HORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ° /O5` Q5 Type Insp'n 1 r ' r rmf Permit No. 62 `x`0 5- q Name P ro LCD r- I 0 Address 1 lei ■E 1 dZ Company ��. r Phone # (a5) "q51- G4 Inspection Date 04- / Approved Correction Re- Insp'n Fee Z1 MIAMI SHORES VILLAGE 25 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date O" i° Type Insp'n - ; rya l pc-Li ►'�f Permit No. &PC "1 Name ✓ Y7` Address 1 1 S Company Phone # (8o5) -333 Inspection Date 04 Approved Correction Re- Insp'n Fee 1 Oa ST . BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) P€ RD T 4AW( 44/, 0 Phone # 313 7933 a 7,5 7. 033 Owner's Address //? /f/c /0 2 5/ City __ j' =� State A Zip Tenant/Lessee Name ,9 Jc Phone # Job Address (where the work is being done) //s 4/ C /e7 2- 57 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address Cily Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applir:ble) Phone # Value of Work For this Perm' Square Footage Of Work: Type of Work: ❑A on Describe Work: CIO Submittal Fee $ Permit Fee $ Notary $ 5 .OU Training/Education Fee $ Scanning $ Radon $ o Cuo-P V State Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ C67- 3 0 * 1 5 <D 1 (Continued on opposite side) Phone # Permit No. 6 3,3/3.' JAN 4 ; vi M Zip ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * ** * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** O , 00 CCF $ . Co 0 1 CO /CC ( ' - i Technology Fee $ ) 3C) Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 rein ' i n fee will be charged. Owner or Agent Contractor The foregoing instrument was a wledged before me this "4 The foregoing instru it was acknowledged before me this day of , 20 +_ , by -;c1 r 0 Cc ( 0 , day of , 2 , by who Signature personally NOTARY , rgttlb Sign: IIMIWAIMIPSE °A�n�� �n #DD231 Print: Expires: Jul 13, 2007 My Commission Expires: BondedThru Sign: Print: My Com fission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05 /13/03 State Zip State o me or who has produced identification and who did take an oath. Zip Signature NOTARY PUBLIC: who is personally known to nee : who has produced as identification . d who did take an oath. * * * *rir*s,* 11 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Date • Miami Shores Village Paint Color Approval and Agreement Owner's Name 26 9M .� ,444 � e V/ v Phone # ��27 ?���3 o ?L5742 Owner's Address • City / ' , 5 7 t3 State Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Drip Cap /drip Edge 470 Soffit a /72 Roof '2/0 Flower bins /1/. Shutters Awnings 4/ Chimney I/ ) Doors and door jams 1 Garage doors 4 Railings /2/Q Fences - 1/72 Signature APPLICATION APPROVED BY: 70()/ ,qN7 1 Owner or Agent Zip 3 3/ //g b7—_ County Miami -Dade — Zip Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls � 5 Fascia //7& Decorative metal ./,/,0 All brick (simulated or regular) 4 ,/ Stucco banding /!/ Any other stucco features 724 Accessory Buildings 4 /D Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I c ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re tion and zoning. 3g/3>3 Date / (9/ Date 3w 5 chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/13/2005 Applicant: PEDRO LANIO Owner: LANIO PEDRO JOB ADDRESS: 118 NE 102 ST Contractor Local Phone: Parcel # 1132060131890 Work: PAINT Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -9 Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & E1/2 LOT 13 BLK Fees: Description Amount FEE2005 -483 Building Painting Fee $60.00 FEE2005 -484 CCF $0.60 FEE2005 -485 Notary Fee $5.00 FEE2005 -486 Training and Education Fee $0.20 FEE2005 -487 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 7/3/2005 Constructi_ o n Value: $300.00 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE *` Date Job Address A / / O NC / Z S7 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant)( J am' 425 C. l J ,S "e X� SO (� Master Permit # 0'3 �O Owner's Address / 4j _Q 4J Phone Address /1 //I / 02 Contracting CQ.,r 0 Qualifier State # Municipal Architect/Engineer Bonding Company FEES: PERMIT 77Q RADON C.C.F. 60 23 ss Mortgagor Addres Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ME( WORK DESCRIPTION Y !v/ O V' etec�� � /.� Ns z /COQ Square Ft. Estimated Cost (value) NOTARY BOND ''hone Ins. Co. .G PAVING FENCE SIGN 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 w mrk stated. / ✓ ,..f,-- 3 --1 /- 97 Signature of owner and/or Condo President Date m tune of Crac er- B S'ont3�tor s� or —y� � 4/4 6 Date . a Notary as to Owner and/or Condo President Date No as to Contractor or Owner - Builder A SEAL to My Commission Expires: My Commission Expires: `' pFFIC1AL N� cy�.DYS I YILLAR NOTARY PUBLIC STATE OF l: IDA COMMISSION NO. L14103 MY COMMISSION PCP. MAR. 1 002 APPROVED: Zoning Building WY1 Electrical Mechanical Plumbing Structural Engineer / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / - J 7 n 6' Job Address �/ ` c l'G4 di Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant (iErti 70'( Signature of owner and/or Condo President Date Master Permit # Owner's Address /1 9 12 e, / 41 a Phone 75 7 3 Contracting Co. O \lL /A /F E Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,0 4 Air /hi; Square Ft. Estimated Cost (value) .S OO 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. Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My CommissionExpi &es: Pi.tY Pi u L 15 .. a �1�:1 F"Fs �1 © 'I (c Q A dry ;'17.L:02::;;`.! FEES: PERMIT L /0 RADON C.C.F. - 5 -0 NOTARY J TOTAL DUE 1 J APPROVED: Zoning Building 1/) 9 Electrical Mechanical Plumbing Engineering re BUILDING MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL 0 PLUMBING 11TH 2853 ❑ ROOFING ❑ Owner of Building ( , f Architect Contractor or Builder Legal Description Address of Building 1") . Lot A_J L Work to be performed under this Permit B1 Signed. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amount of Permit $ l f . This permit is granted to the contractor or builder named above to construc 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 statements or specifications and that he assumes responsibility for work lone by his agents, servants or employees. BY INSPECTOR ri d 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 .ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a. 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.... 2/249-4 Registered Architect and /or Engineer f Name and address of licensed contractor � '- /i Location and legal description of lot to be built on: Lot Block // Subdivision Street and Number where work is to be done State wycjo be done and rpose of buil g ( floors). 2_ e , MIAMI SHORES VILLAGE New Building Remodeling - BUILDING INSPECTION DEPARTMENT Date j.2 / 1 No 1 P to Street Addition Repairs No. of Stories ,19 `�� and for no other purpose. To be constructed of Kind of foundation Roof Covering 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 pennit 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) STATE OF FLORIDA, COUNTY OF DADE. j 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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.