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29 NE 102 St (7)MIAMI SHORES VILLAGE BUILDING- DEPARTMENT 305- 795 -2204 Buil ling Inspection Request k Dat Type Insp'n R3(0) Permit No. P I 100 Name art) Address Approved Correction Re- Insp'n Fee taL.,7 Company Phone # Inspection Date J BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Elect cal Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder),' U d i +h A.A./ ln <s t 1 G 11 Phone # 603 15- g 6 0 1 ) Owner's Address ()Pi City (Y\ ;AM( S hO(CS State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) S(1 Y1'te GS c bo (}c. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name V Wutiut V Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 331 8 � ���© Tel: (305) 795.2204 Fax: (305) 756.8972 j 113 I 3 no Permit No: -0i2Q 11 ,4 Master Permit No. Phone # Zip Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1 0 d 4 Square Footage Of Work: Type of Work: EAddition ID Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: f f)C - e,j{ /6n * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees s * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 00 /\ Permit Fee $ � (� . 0 - CCF $ $ (00 CO /CC Notary $ 5, 00 Training/Education Fee $ r Technology Fee $ 1 • 50 . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ N/4 Total Fee Now Due $ ('7 _ 3O a a-4 (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 State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 properly 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 NOTAR Y Sign: Print: The fore day of who is personally • J 4& MN VIA . My Commiss i on Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 N iatei 1 Iff%NAJ9,rr, Owner or Agent �l ' _ oing instrument was acknowledged before e us 1 The foregoing instrument was acknowledged before me this , 20 _, b U , 1 t i>� day of , 20 _, by n to me or who has produced As identification and who did take an oath. abel Vargas NOTARY PUBLIC: . ` V: Commission #DD23198 :o Expires: Ju OPF `" Atlantic Bonding Co.. Inc affe. .a/ Signature Contractor who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: My Commission Expires: AUG 16 2004 Plans Examiner Engineer Zoning Date 3 Owner's Name N. \ (Ad L + 6 /- Owner's Address a Oa' City f f\ o,, ; 61i\ State Job Address (where the work is being done) CA S G 100 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO X Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls C--tstr_ Fascia n1 r Drip Cap /drip Edge V J`l°i O l Soffit Roof - Paint Color Approval and Agreement Miami Shores Village 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 in compliance with all applicable laws regulating construction and zoning. APPLICATION APPROVED BY: Z i Phone # — 7 5009 Zip v I3 Q j Date 0 / 3 a chc 6/18/03 Date 1 Body: Canyon View ECC -20- Miami Shores Village 10050 NE 2nd Avenue Printed: 8/18/2004 Applicant: JUDITH Owner: ARMSTRONG JOB ADDRESS: 29 Contractor Local Phone: Parcel # 1132060131650 NE 102 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2004 -1100 ARMSTRONG JUDITH ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & LOT 16 BLK 12 LOT SIZE Fees: Description Amount FEE2004 -8411 Building Painting Fee $60.00 FEE2004 -8412 CCF $0.60 FEE2004 -8413 Notary Fee $5.00 FEE2004 -8414 Training and Education Fee $0.20 FEE2004 -8415 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPLIED Permit Expiration: 2/9/2005 Construction Value: $100.00 Work: PAINT 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: Date a J U . . Address p Y v E /oa t - Tax Folio 11 &- 0 (0 0 / 3 /650 Legal Description Historically Designated: Yes No Owner's Address Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / Tenant Susa L a lAk..co ,) aq iJE (Oa L 3 f Square Ft. Estimated Cost (value) .3 D 0 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. ondo Pr OWNERS • J 'DAVIT: I certify construction • d zoning. Furth i / f` rn ` a of owner an ' •r otary as t r Owner an or ondo • - sident My Commission Expires: C.C.F, b 0 NOTARY .. (1)BOND APPROVED: TOTAL DUE S v 6 FEES: PERMIT 1P 4 A p NO S pY R a;4EL pFICIAL ai T 'F E�KER 2 � 'C, �prArr ^xo� :4U aittr. Iti' rc i9CS a , ,... 2iU2 Q FLT _ .'rii. ∎. -- Zoning Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address Master Permit # b Q , , zo0 o p ' 5 . Phone aQS 739- 9coo all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating , I authorize the abov nam:. contractor to do the work stated. ate My Commission Expires: )/ Wa d-- Building Electrical Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date Structural Engineer ti MIAMI SHORES.VWLAGE Paint Color Approval ai►d14i4#i1e4 5 DATE: OWNER'S NAME L a w ADDRESS: 609 N tool. S ********************************** * * * * ** * *•* * * * * * * * * * * * * * * * * * ** • • • • • • •.• ADDRESS OF SITE: plc NE. (Oc : • ;•::• • CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site Walls Fascia l.Jk t e— Drip Cap/Drip Edge ; Soffit Roof LA) Flower Bins Shutters Awnings Chimney nil pr l Doors and door jams W c 7 �/ Garage Doors 412. Railings N Fences N ( f' Decorative Metal All brick (simulated or regular Stucco Banding tki Any other stucco features Accessory Buildings Other g No APPROVED: z MA Building Of Date e listed and indicate the color to be painted. 7 3 • • • • • • .. • •••_• • • c PO : :�� > —/700 • • • ••• ••• 2/B • ••• WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 472 4/23/01 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 constr ction and z ng. I authorize the above -named contractor, if applicable, to do t ° work tate : urthermore , the piint colors will be as per the attached sa ' s les. 6-4A) Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** SUSAN LAWSON 12 -00 305- 218 -2820 74 N.E. 97T1-1 ST. MIAMI SHORES, FL 33138 -2331 Pay to the Vi order of Bank of America. ACH R/T 063000047 1:06 30000 , ?I: 00 3 7 38410 ?S 20 2 19 2 For G /S ' )Doll„ 2192 -4/630 FL 1348 8 Date Owner .essee PERMIT APPLICATION FOR MIAMI SHORES VILLA Job Address RS k) (b Tax Folio ' Legal Description Historically Designated: Yes No - ` C , 1 9T /Tenant ��n,��C.�. `�‘e.� @kt_ ,<- Master Permit# 3 9d- Owner's Address r'•Q C k N C _ ` 0 """\- Phone S - 6 1 s ctiq Contracting Co. w Y\G 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 Square Ft. Estimated Cost (value) -A ' ()Q • c=.0 / 14. 14--8%oc ,&r� --k,- w, \\ c-k 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. FEES: PERMIT APPROVED: Zoning Mechanical of owner and/or Condo Notary as to Owner and/or Condo President Date My Commission Expires: RADON Building No ary as to Contractor or Owner- Builder My CorpmigionExpire • �p�7Y PO, OFFICIAL A1OTARY SEAL f l O <i SANDRA LI HOfIEL I ,l \ �� q ri COl;1NISSIOb Ff c7 U g CIDEW II Ni 4 1�: C C ©1 2 0 tl IV 7" g." 0V Car MISSION .ENP. r,0 i\ 17,03 C.C.F. t NOTARY Electrical TOTAL DUE 1 Qte5‘ Plumbing Engineering