1200 NE 102 St (7)Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date 3 i
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
MIAMI SHORES VILLAGE
g
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date a J .D-S
-
Type Insp'n 1 1 (\QI p n n-1--
Permit No. /r'2cO4- 3
Name ∎y € top __
Address i�c�OG L 10 3
Company e_1
Phone #
Inspection Date °`ig
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2004 -93
Printed: 1 /29/2004
Applicant: ERNEST
Owner: HINTERKOPF
JOB ADDRESS: 1200 NE 102
Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
Local Phone: 305 - 895 -1368
Parcel # 1132050250010
Legal Description:
Fees: Description Amount
FEE2004 -893 Building Painting Fee $60.00
FEE2004 -896 CCF $1.80
FEE2004 -897 Notary Fee $5.00
FEE2004 -898 Technology Fee $1.50
FEE2004 -899 Training and Education Fee $0.60
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 7/25/2004 Construction Value: $2,475.00
Work: PAINT AS AGREED HOUSE
Signed: (INSPECTOR)
Building Permit
HINTERKOPF
ERNEST
ST
Page 1 of 1
PB 42 -25 BAY BREEZE SEC MIAMI SHORES LOT 1 BLK 185
JAN 3 0 PAID
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:
Tenant/Lessee Name
•4
Number of: Bays
Type of Work: ❑Addition
Describe Work:
Miami Shores Village
Building Department
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit
RECEO V ED
JAN) 7 7004
lectrical Plum ' in Mechanical Roofing
Permit Type (circle): _ r /�
)(Owner's Name (Fee Simple Titleholder) Lrh e. �// / / Phone C3K) z 7' 91'
Owner's Address /2,01
City "D M/ L. N.stQa State r
Job Address (where the work is being done) /2,01 Ne-
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name f.�{44 ! ck �7v'� r'` Phone .
Contractor's Address /
City tt / State A - Zip ' f
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
State
Stories
['Alteration
Families
:New
County Escrow Fee $ - $V Permit Fee $ lf� , 00
Education/Training Fee $ r 6 U Tech $ 1 - 50
Code Enforcement $ Bond $
Master Permit No.
Zip 33/3Cr
Permit No. g u - Q
Phone #
Phone #
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Zip
Square Footage Of Work:
Bedrooms Baths
❑ Repair/Replace ❑ Demolition
Notary ((Yak
Scanning $ • Radon $
Struct. $ AN 2 1 ?Id
Minus Plans Check Fee $ (6,C of Total Fee Now Due $ (Continued on opposite side)
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
" '" 'Signature k
chc7r7 /03
TV
Bonding Company's Name (if applicable) ! ,/
Bonding Company's Address s
City State Zip
x/ ,44 Signature
Ga/' /, �� /dy
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.
Owner or Agent Contractor
The foregoin instrument was acknowledged before m thi V
The foregoing instrument was acknowledged before me this
day of
L[w 0 6y , b y '1 C
La.r r....• , , d ay o f . 20 . by Sign: Aiiiiidadif
u.tili.'. '.c... 10, 2008 My Commission Expires:
who is personally own to me or who has produced who is personally known to me or who has produced
.,_.,. As identificatio . and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: / / NOTARY PUBLIC:
* * * * * * * * * * * **
°'" o% Mange Bontlin g O V EI NCertificate of Competency Holder) _ _ _ ^ w
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
.� .. MI,AMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:
OWNER'S NAME:
ADDRESS: act
*********************************** * * * * * * * * * * * * * * * * * * * * *: * * * * * * * **
DRESS OF SITE:
CONTRACTOR & LICENSE if applicable) /''!/ a.
COMPANY NAME: eo n,/ /44 •- PHONFt .30049. '-'/.36f
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls 8,1)- ,'O y(
Fascia GV/.tAk
Drip Cap/Drip Edge A) h
Soffit ju6i.•i.
Roof fb Afr
Flower Bins •/�
Shutters AEI A 64.e
Awnings ! � � 6
Chimney O
Doors and door jams W �.•
Garage Doors W Ga'
Railings W
Fences
Decorative Metal 4/
All brick (simulated or regular
Stucco Banding W
Any other stucco features
Accessory Buildings
Other
APPROVED:
7/%
Building Officia Date
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
/4
Signature of Owner U Date Signature of Con • ctor ate
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
PO46
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ` ii Job Address 0-0 f? 1 ® y S i �Qo Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Z7/ j_ Master Permit #
/..2 Olt /j/: e, hie Phone . /
Contracting Co. Z I3 t . h • QM/A Address , 48(f Y NE J '7/
Qualifier SS# . Phone 913 40375Z
State # Municipal # Competency # Ins. Co.
Owner's Address
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF G PAVING FENCE SIGN
WORK DESCRIP'T'ION ii 4 : ,.
ignature of owner and/or Condo
/ft /98
sident Date
Notary as to Owner and/or Condo President Date
M ro mmissior xxppitrres
�,nV p(/ OFFICIAL NOTARY SEAL
� � 6o 8 APIDRA M MONTIEL
i C � COMMISSION NUMBER
5 -4 t � CC401261
A. -.u' oN MY COMMISSION .EXP.
FEES: PERMIT VD. � � RADON
Mechanical Plumbing
C.C.F. /• .f
91/9
"4
Square Ft. Estimated Cost (value) r-,2c,273 ,
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.
APPROVED: (+
Zoning Building S' � / C > 1r�✓U , �
ture of Contractor or Owner - Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
, RY P4/ OFFICIAL NOTARY SEAL
0 ti SANDRA M MONTIEL
r n COMMISSION NUMBER
' .`�1+.•r Q CC401261
'" 0 MY COMMISSION .EXP.
OF FCC A19CA. 11 1£6
BOND
Electrical
c3 //4
Date
Date
3-
TOTAL DUE y 7�
Engineering