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456 NE 102 St (10)Project Address 456 NE 102 Street Miami Shores Village, FL Owner Information KATHERINE CASTELLON Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Parcel Number 1132060170570 Block: Lot: 456 NE 102 ST MIAMI SHORES FL 33138 -2453 Contractor(s) HOME OWNER Phone CeII Phone Type of Work: Exterior Color: BARBADOS SAND Additional Info: Classification: Residential Color: BARBADOS SAND_Approved Color: BARBADOS SAND_Approved Code Comments: BEN MOORE- WALLS - Color: BARBADOS SAND Denied 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Friday, April 6, 2007 Permit Issue Date: 4/6 /2007 Permit NO. PT-4- 07-677 Permit Type: Paint Work Classification: New Permit Status: APPROVED Expiration: 10/03/2007 Phone Total Payment Type: Amt Paid $ 0.00 $ 0.00 Amt Due $ 0.00 Applicant KATHERINE CASTELLON Valuation: Total Sq Feet: $ 1,000.00 0 Available Inspections : Inspection Type: Final 1 April 06, 2007 Date CeII 1 M nspection' Number INSP -4521 Permit Number PT -4 -07 -677 Inspection Date: 05/21/2007 Inspector: Grande, Claudio Owner: CASTELLON, KATHERINE Job Address: 456 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, May 18, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170570 Lot: Page 1 of 2 vig 22 2001 S/ Passed ,?/1 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until M nspection' Number INSP -4521 Permit Number PT -4 -07 -677 Inspection Date: 05/21/2007 Inspector: Grande, Claudio Owner: CASTELLON, KATHERINE Job Address: 456 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, May 18, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170570 Lot: Page 1 of 2 u \\%) Lgtik vok witm uvo ftromu ocitike - BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) E Owner's Address y J W cit,OGP11 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name 01..V1 tL • Contractor's Address City Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: Addition Miami Shores Village p@TEE'VM1 Building Department A O �1 BY:!�cS 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Electrical Plumbin .1� I_ s to2. State l oc o CYO ['Alteration County Miami -Dade Zip NO State Zip Phone # Square / Linear Footage Of Work: Submittal Fee $ Permit Fee $ ear CCF $ OW CO /CC Notary $ '()3 Training/Education Fee $ 00) Technology Fee $ 1 . l0 Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ V11'30 See Reverse side —> Permit No. 1 (o11 Master Permit No. Mechanical Phone # (W3) 5 Zip _221ff Phone # Phone # Certificate of Competency No. Phone # Roofing q ❑ Repair/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 approved an a reinspection fee will be charged. )) Signature Signature -4 ( .5 - Owner or Agent Contractor The foregoing instrument was acknowledged before me this �� The foregoing instrument was acknowledged before me this day of Q pK- i', 283; by �r W C�C 1 � — The. day of , 20 , by who is personally known to me or who has produced W3 who is personally known to me or who has produced ,� ti ( %" 'Ci As identification and who did take an oath. as identification and who did take an oath. NOTARY PU Sign: Print: My Co * * * * ** Sign: �� 'T��= � Print: ` 1 1 4 1 , 39 • : mission Expires: Bonded T hn �� My Commission Expires: * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ,4,�9E4 1 'E * * ** * * * * * ** * * * * *, ***, t * * * * * * * * * * * * * * * *,r * * * * * *,t * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: 49/9 '.- Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date Owner's Name: Kt kr; r t' �5 �(1 L/\ Phone #: 305 1-a q �.J Job Address (where the work is being done): 5 KJEJ City: Miami Shores Village County: Miami -Dade Zip: Is Building Historically Designated ?: YES NO Contractor's Company Name (if applicable): Phone #: Flower Bins: Shutters: Awnings: Chimney: All elements on the site must be listed and indicate the color to be pointed Walls: I �� L (n4) Fascia: NO,U0k3D (IN Drip Cap /Drip Edge: c}‘)Ps Soffit: Roof: 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 complianc = wi 11 asp lica i le 1. ws regulating construction and zonjng. Signature: • caner or Agent APPLICATION APPROVED BY: Z O r ICIAL t Date: Date: IB barbados sand * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 1094 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE fl" o PERMIT N9 5901 Contractor's ❑ License No ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER r Lot Bl 19 .f - 0 L Subdi- vision Value of I Amount of .; 1 ; Project $ - --- • Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. � ,, Signed. w L 7 - 1 1NSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ail_ ordinances regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY AMBOT 'Lt' MIAMI SHORES VILLAGE BUILDING INSPECTION 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, 311 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. Date / 1 — Q , 19.6.5 No / J �__ Street__/_t4 Owner's Name and Address /C', Q_ 5'__._.__ fiCc'' k _�'�1 1, _ Registered Architect and /or Engineer Name and address of licensed contractor___A.S"C Q e O /Y5'77_ Q, 0 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done G .3� / O State work to be done and purpose of building (by floors) _____ __ _/-E_/ /A 3 ) 7t Z / O -� and for no other purpose. /,.5 A/ W (/ r 7 New Building Remodeling Addition Repairs__ No. of Stories To be constructed of Kind of foundatio / 4 Estimated Total cost of improvements $_J > 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed ) _ Roof Covering STATE OF FLORIDA, COUNTY OF DADE. 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 ' c Date 1 (` a.121 _Co U Read, Sworn to and Subscribed before me. Disapproved rr Date ( Signed) Building Inspector ' (a_ y Commission Expires Notary Public, State of Florida 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.