1200 NE 102 St (5)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 -795 -2204 I\.�
$�
Date g 11
Type Inv'n rtrcti
Permit No. k
Name er rl-e 54
Address L2
Company N '�' -R
Phone
Inspection Date
Approved
Correction
Re- Insp'n Fee
Q
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT ,
305- 795 -2204
B 'ling Inspection Request
ld
Date l 1 V
Type Insp'n ' PIM I
Permit No. MCCA
Name e 112
Address l n() I E 1 C
Company P .1 ? -5 cer r�-
Phone #
Inspection Date L k
Approved ❑
Correction ❑
Re- Insp'n Fee ❑
Tenant/Lessee Name
$ Value of Work For this Permit
Type of Work:
Describe Work:
, Miami Shores Village
o . \ Building Department
�Ep a oo g p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BUILDING 3uq3
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) Ef fleSt /AV_ tnk-ex
Owner's Address 12X0 Ne t d2 ree -
City \Q'M.\ .91r O( State , P . L-
Job Address (where the work is being done) 12p0 N E 102 51 l
City Miami Shores Village
Is Building Historically Designated YES NO
_
7
' � -�C�C - CL 305 -a3S ' 7 c3
Contractor's Company Name /� �j ' � I � ( one #
Contractor's Address (l ( C � , Z ��-t D I (1 e
City f- C1,6 / ' i r State T--0 Zip
Qualifier S't elf -"-& /C'( W
• l/ S A
Architect/Engineer's Name (if applicable) Phone #
❑Addition ❑Alteration ❑New
cJL 4
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee Permit Fee $ CCF $ CO /CC
Total Fee Now Due $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
(Continued on opposite side)
t c
11►
3f)5
Tel: (305) 795.2204 Fax: (305) 756.8972
County Miami -Dade Zip "b5138
CO
Permit No. rn( 0 /7 I
Master Permit No.
Roofing
hone # .�-+
Zip 31 3e)
Phone #
Square Footage Of Work:
DANA-0,
Zilepair/Replace ❑ Demolition
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 approve and a reinspection fee will be charged.
Signatur
Owner /or Agent
The foregoin instrument was ac
day o ii4l 20 0
who i
NOT
Sign
Print:
Chc 12/15/03
My Commission Expires:
9
Signature
112.41 - j4 ! ...S n ractor
The foregoin instrument was a know
day
or who has pr.duced who i +ersonally known to me +r who has prod ced
As identification d who did take an oath. as identification and who did take an oath.
NOTARY PUBLI
Sign:
Print:
Ph,
My Commi .r Ai,, .,,.
Am Ilailir �.i rd' •' ' I11 criY4i'
r „�r i r
IIzF.. . 1r. %' I
nderwrfers
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: /� ° 4 CZC
Plans Examiner
Engineer
Zoning
Contractor
Local Phone: 305 - 235 -7213
Parcel # 1132050250010
MechancaI Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2004 -174
Printed: 9/15/2004
Applicant: ERNEST HINTERKOPF
Owner: HINTERKOPF ERNEST
JOB ADDRESS: 1200 NE 102 ST
BRADLEY DE MOSS AIR CONDITIONING Contractor's Address: 18720 SW 108 AVENUE
Legal Description:
Permit Status: APPROVED Permit Expiration: 3/9/2005 Construction Value: $3,915.00
Work: NC CHANGE OUT
Signed: (INSPECTOR)
Page 1 of 1
PB 42 -25 BAY BREEZE SEC MIAMI SHORES LOT 1 BLK 185
Fees: Description Amount
FEE2004 -9322 Building Fee $120.00
FEE2004 -9323 CCF $2.40
FEE2004 -9324 Training and Education Fee $0.20
FEE2004 -9325 Technology Fee $3.00
Total Fees: $125.60
Total Fees: $125.60
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:
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 prggress of the work.
Owner's Name and Address _.......7 ✓ / "
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 1 Block /. ' Subdivision
Street and Number where work is to be done... / 00 fr.6
State work to be done and purpose of building (by floors)
New Building Remodeling Addition
To be constructed of Kind of foundation Roof overing
Estimated Total cost of improvements $...1) Amount of Permit $. . 5
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 suc
or notices as are required by the Act. The undersigned agrees to employ only such subcontra.. a to be o • .• • • under this
pennit, as are licensed by Miami Shores Village. i��
Remarks (Signed � - '
�' - ��-
_. No...4;212Q........ Street._ ..E /0;- Sfi
I Itt . .. .. .'f;.„
yE :' e7'
75r i '33
t,tttt. -tt - -,
1-44U 4id.9 _221 .„T JA
d.. .T
1IN rte' •V•tiAts•s'si d 4eodne% , 1!,e/! 6
and for no other purpose.
Repairs No. of Stories
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 sartie,. Sand that all facts
therein by him stated are ,
Permit No.. !1 0
:::::L 7 .,
Notary Public, State ' g _ _:
(Signed) � .�? 4. 1 ie, . F�S�'ra
�
Building Inspector My Commission Expires last. mi . ,__.. '
&•nuod rn,a Ta,s Jr - :n ,, -... .
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 hoard.
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.
State work to be
rrfri
e-
New Building
To be constructed of
Estimated Total cost of improvements
STATE OF FLORIDA,
COUNTY OF DADE. ss
MIAMI SHORE VILLAGE
BUILDING INSPECT 07 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.
• p
Owner's Name and Address ...1Q.(lt o 1 v99f/.a.. _.!0�, ... No..� i'� Street .L✓r! �..L . .
Registered Architect and /or Engineer t .,..,<..., ,..,..,- ....,...
Name and address of licensed contractor. ! f�.� ..
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done , ,C.. i" t12 ...
7° A! ..._ 5'P - IT A A
eel
done and purpose of building (by floors) .e<&L . -% H. 4..
r
Remodeling Addition
Kind fougdat �
/
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 subcontra y o1Vw i t`to be performed under this
pertnit, as are licensed by Miami Shores Village.
Remarks..._ (Signed)
Before me, the undersigned authority, a notary public, duly authorized to a•im aster 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 s to are true. � - ^�
Permit No.___.__ Cr (V
7 Date d 2 ` Read, Sworn to and Subscribed before me.
Disapproved r Date.
(Signed) . ..(-
Bui • ing Inspect°
2 Y Date..._..._...__...._._.._' _" _.._w..._.__..._.... ,19.. _
CO. 7.5 a c3
Repairs No. of Stories _
R9of Covering ,/
Notary Public, State of Florida
My Commission Expires
=it 6
/v
and for no other purpose.
to me well known,
P1(M. N1NC BOARD DATE
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 fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Chairman
Member