BP-03-1557Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10/1/2003
Applicant: FRANCINE
Owner: STEELMAN
JOB ADDRESS: 25
Contractor
Local Phone:
Parcel # 1121360040290
NE 110
Building Permit
Permit Number: BP2003 -1557
STEELMAN
FRANCINE
ST
Contractor's Address:
Fees: Description Amount
FEE2003 -5783 Building Fee $60.00
FEE2003 -5784 CCF $0.60
Total Fees: $60.60
Total Fees: $60.60
Total Receipts: $60.60
Permit Status: APPROVED Permit Expiration: 3/24/2004 Construction Value:
Work: PAINT EXTERIOR OF HOUSE
Page 1 of 1
Legal Description: 36 52 41 COLLEGE HEIGHTS PB 42 -8 LOT 30 BLK 1 LOT SIZE 75.000 X 121 OR
$700.00
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:
HE CAVED
SEP 2 6 2003
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 6a.11Ciiile. Jac 6441114 Phone # j 9L 3t q I "
Owner's Address 6 ? /jO j/j d f
City Nom L 81 4 State
Tenant/Lessee Name
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City State
Permit No. 6 1 9 Q00 - 3 — 0 557
Master Permit No.
Phone #
Zip
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit
Number of: Bays
Type of Work: DAddition
Describe Work:
['Alteration ['New
-Phone -d
srfr Square Footage Of Work:'
Stories ,.,i Families dl Bedrooms jA/A Baths ot/c....
Repair/Replace ❑ Demolition
* ****** *** * * ** **** * ** * ** F ees *** ** *** * * ** **** * * * *** * * *4*
County Escrow Fee $ . (O Permit Fee $ C00 a CDO Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $ SEP 2 6 PAID
Minus Plans Check Fee $ Total Fee Now Due $ CO 0 (Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's 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 tbat separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS,TLIF.NACES, BOILERS, HEATERS, TANKS and-AIR CONDMONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that ,all work'wilfe done ire compliance wits all
applicable laws regulating construction and zoning 3 s
"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 prop Ls s + 'ect to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for th rst inspecNn which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspe ' ' n will not approved and a reinspection fee will be charged.
Signa
The fore
day of
who is
NOTARY PUBLIC:
Sign:
Print
My Commission,Eixpires
Print
My Conn nission Expires:
(Certificate ef,Competency Holder)
APPLICATION APPROVED BY:
Chc7/7/03
Owner or Agent
instrument was acknowledged before
20 O3by V aAkc't D Q) u f i ,
to me or who has produced
As identification and who did take an oath.
•ow s - :r
Bond mth & Mary PubOc Un
a erwriters
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ' • , 20 , by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
State Certificate or Registration No. Certificate of Competency No.
************************************* * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * ***
SEP 3 0 2003 Plans Eger
Engineer
Zoning
• �
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: (93 03
OWNER'S NAME: Pork." no 7 PHONE: 30 - 2 3 - iq (mac)
ADDRESS: ccc A/ l/8� ='5 JJl4pytl Votes pa., . 33 /6l
****** 4t******************* 4e****** * * * * * * * * * * * * * * * * * * * * * * * * **# * “!*
ADDRESS OF SITE: '-ev'ele •
CONTRACTOR & LICENSE (if applicable) Ai
COMPANY NAME: /?I� PHONE:
* * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia e Q
Drip Cap/Drip Edge /...a4, ((5H+
Soffit ,44vn I*LP
Roof
Flower Bins 44.
Shutters Ldid
Awnings d�'�dho� any
Chimney kafm Via
Doors and door jams L1b, ho
Garage Doors �-
Railings O
Fences Ai”
Decorative Metal
All brick (simulated or regular) o6'
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
const, ction and zoning. I authorize the above -named contractor, if applicable, to
work stated. Furthermore , the paint colors will be as per the attached
ature of Owner Dat Signature of ontractor Date
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
APPROVED:
�1zn
r
of
?"
Building Official Date
- 1 11 V S
P n anOtne a? P,„1' � - 2 v
3/4Noc w 11 bi rck
®n�� '� see
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