BP-04-218Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/19/2004
Applicant: CHRISTOPHER
Owner: CHEVALIER
JOB ADDRESS: 89
Parcel # 1121360060160
NE 105
Building Permit
Permit Number: BP2004 -218
CHEVALIER
CHRISTOPHER
ST
Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET
Local Phone: 305 - 895 -1368
Legal Description: DUNNINGS MIAMI SHORES EXT NO 2
Fees: Description Amount
FEE2004 -1780 Building Painting Fee $60.00
FEE2004 -1781 CCF $1.80
FEE2004 -1782 Notary Fee $5.00
FEE2004 -1783 Training and Education Fee $0.60
FEE2004 -1784 Technology Fee $1.50
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $2,500.00
Work: PAINT EXTERIOR AS AGREED
Page 1 of 1
PB 41 -78 LOT 16 BLK
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):
x Owner's Name (Fee Simple Titleholder) ( eilE #
Owner's Address 7 NE la .s
City �lsl /Nd r �f� -�S'
State • ‘1.—
1J ob Address (where the work is being done) ?? Air ( ®S e" ��
Ci Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Architect/Engineer's Name Of applicable)
Architect/Engineer's Address
State
City
$ Value of Work For this Permit $ A r 5-�
Miami Shores Village
Building Department
Electrical Plumbing Mechanical R
Type of Work: ❑Addition ❑Alteration ❑New
Describe Work:
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
-- �! ✓Zf
Minus Plans Check Fee $ ( d ° 0 Total Fee Now Due $
�.
4-00S.
Permit No. M O Ls
Master Permit No.
Zip
Phone #
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
3 3(3e
//
yr— �e
loV-7 -? 6(4-1420
Zip 5(31S
Tenant/Lessee Name Phone #
eltdind
Contractor's Company Name e ®wt � /34.NriAlc, br Phone # (56) err - /36 6
Contractor's Address (V /J (30 s /�.
City "Im-M ( State ,i__ Zip 53/6 /
Qualifier
Zip
Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
/Replace ❑ Demolition
***** ***********************F ees ******************************
0 Permit Fees ( � [� 0 0 Notary $ -t
(n 0 Tech $ 1 ° 5 0 Scanning $
Bond $ Struct. $
('0X,90
Radon $
(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
r . •+
State C 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 it 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 foregoin instrument was acknowledged before me this /
day of Z0
who is perso y kno
NOTARY PUBLIC:
Sign: / 2 , c •�
Print: ric c%
My Commission Expires:
chc7nro3
cam
an oath.
State Certificate or Registration No.
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Signature
Certificate of Competency No.
Contractor
The fo oing instrument was ackno v1ed me this
day of o `C✓ • , 20 t by 1`C( (ci - cUo h
who is personally known to me or who has produced
as identification and who did take an oath.
1
NOTARY PUBLI
Sign:
Print
My Commission Expires:
(Certificate of Competency Holder)
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
FEB 18 2004
Plans Examiner
Engineer
Zoning
luti ± I SHORES VILLA
- k_;.1c-icvED
am Color Approval and Agreemen ` E, 2004
DATE: 2 - (: - O 'Li
OWNER'S NAME: ( 4 64t/ PHONE: =737 -7173
. ADDRESS: er Afie /o S / av i / f 33e
ADDRESS OF SITE: E. .S • IN / Eie.2S X 5 ,..5
CONTRACTOR & LICENSE (if applicable) ,c ( ONE ke tevyee
COMPANY NAME ,4 ,4 , ft goyF & nee , IPH
** * * * * * * * * * * * * * * ** * * * * * ** * * * * * * ** * * * * * ** * * * * * * * * * * * * * * * * * * **
All Elements on the site must be 14ted nd indicate the color to be painted.
Walls it f - Vrt
Fascia 2/ 7/ — ` - to rails 7i/:
Drip Cap/Drip Edge z /I /' 1
Soffit 2/7/ �U
Roof ,v / " -
Flower Bins Ii /k
Shutters /'' /If
Awnings N/41
Chimney
Doors and door jams /P va�a+ii
Garage Doors w /Al
Railings
Other
er ifeetw24
Fences , /
Decorative Metal
All brick (simulated or regular) ,,
Stucco Banding /1 /?-
Any other stucco features 22/1--See.) )oar
Accessory Buildings dt/�
APPROVED:
n tel
aos Taupe 2111 -40
1.141 4- 21 ri0
bselCk
Building
a
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
to
construction and zoning. I authorize the above -named contractor, if applicable,
the work stated. Furthe ore , the paint colors will be as per the attached
�'(1°O /2 � 2-4/1/01//
igna of Owner Date ������� ������ � ����********D*********
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION