BP-04-1451Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/17/2004
Applicant: FRANCISCO
Owner: PAULA
JOB ADDRESS: 62
NE 110
Building Permit
Permit Number: BP2004 -1451
PAULA
FRANCISCO
ST
Contractor COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Local Phone: 305 - 895 -1368
Parcel # 1121360040370
Page 1 of 1
Legal Description: COLLEGE HEIGHTS PB 42 - 8 LOT 6 BLK 2 LOT SIZE 75.000 X 124
Fees: Description Amount
FEE2004 - 10863 Building Painting Fee $60.00
FEE2004 - 10864 Training and Education Fee $0.60
FEE2004 -10865 CCF $1.80
FEE2004 -10866 Technology Fee $1.50
FEE2004 -10867 Notary Fee $5.00
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,400.00
Work: PRESURE CLEAN AND PAINT
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
,Owner's Name (Fee Simple Titleholder) r,( LA A 1 4 Phone # ,S 7, — 2 79
Owner's Address / /o St "
4
City 1.k ttlei t _Sif s State FL' Zip 33 id,/
Tenant/Lessee Name
Job Address (where the work is being done) 69. /lf iI 110 sr
City Miami Shores Village
Is Building Historically Designated YES NO
v ; Contractor's Company Name C 004 ft' 1.64. fly Ic �� e 3C$ ? 5 -136
1, Contractor's Address /9 76 IJC /30 !4 U
City �[e044,i State FL Zip 3 314 1
Qualifier
$ Value of Work For this Permit 2- ere
(Continued on opposite side)
Total Fee Now Due $
Miami Shores Village
Building Depar rn �►�=. WED
10050 N.E.2nd Avenue, Miami Shores Flo 8
Tel: (305) 795.2204 Fax: (305) 56.8
County Miami -Dade
Permit No.
Master Permit No.
Phone #
Zip
aS � 5- 0 ot4
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone#
Square Footage Of Work:
Type of Work: ❑Addition DAlteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 0140.14... Anise
Submittal Fee $ Permit Fee $ 6o • 00 CCF $ I t (k CO /CC
Notary $ 5 `Uv Training/Education Fee $ + 0 () Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
onning Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address /t/ e
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 WITR 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
•
V . /Pal - um
Owner 6r Agent
The foregoing instrument was acknowledged before me this
day of Vim' ,20Cr ,by' z d
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: kW
Chc 05/13/03
APPLICATION APPROVED BY:
Contractor
The foregoing instrument was acknowledged before me this
day of ,20by
who is personally known to me or who has produced
identificati . s and who did take an oath.
NOTARY PUBLI
Sign:
Print:
My Commisfv$IF, res.
A tia "ond
************* �k�k*+ �**** �k�k�k�k�k�k*** *�k�k�k�k�k�k�k� *** *� *** *�k�x� *** *�k�k�k�k�k�k*** *** *�k �k *�k�k�k�k�k�k�k�k******* k * **** ****
OV 0 9 2001
Plans Examiner
Engineer
Zoning
Date
Miami Shores Village
• Paint Color Approval and Agreement
Owner's Name ,vtc' l Phone # 5 45 756)-7 S7C
Owner's Address h 2 FUF l 1'3 t
Cit AA s c Yell State Zip 3 3/6/
Job Address (where the work is being done)
City Nflami Shores Village County Miami Dade Zip
Is Building Historically Designated YES NO
,� .
Contractor's Company Name (if applicable)Cc urlr�e } ra I r' / Phone # 3(33 fYI S_ OW
******************** * * * * * * * * * * * * ** * * * *:x**** * * ****** * * *** * * * *** ************** * * *** *** **** * * *** * * * * * ***** * ***
All elements on the site must be listed and indicate the color to be painted
Walls
Fascia Ai/ it
Drip Cap /drip Edge S0140.1 1 (7c.vu. 41)
Soffit 41/41'
Roof # if '`
Flower bins 1 " / 0
Shutters /V ` it
Awnings m �
Chimney Cs-r 4 W r 6 ' lig
Doors and door jams Ls Hi.'t. w
Garage doors !Urn
Railings /V/
Fences w/ f
O T !l".e1
Decorative metal
kfr
Stucco banding 10414A_ W
nif
All brick (simulated or regular)
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.
Signature p ,ie.!✓ole g.Q�,/
Owner or Agent
Date
APPLICATION APPROVED BY: P& cial
Date /0 -s f -a
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/17/2004
Applicant: FRANCISCO
Owner: PAULA
JOB ADDRESS: 62
NE 110
Building Permit
Permit Number: BP2004 -1451
PAULA
FRANCISCO
ST
Contractor COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Local Phone: 305 - 895 -1368
Parcel # 1121360040370
Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,400.00
Work: PRESURE CLEAN AND PAINT
Page 1 of 1
Legal Description: COLLEGE HEIGHTS PB 42 -8 LOT 6 BLK 2 LOT SIZE 75.000 X 124
Fees: Description Amount
FEE2004 -10863 Building Painting Fee $60.00
FEE2004 -10864 Training and Education Fee $0.60
FEE2004 -10865 CCF $1.80
FEE2004 -10866 Technology Fee $1.50
FEE2004 -10867 Notary Fee $5.00
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/17/2004
Applicant: FRANCISCO
Owner: PAULA
JOB ADDRESS: 62
Parcel # 1121360040370
NE 110
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -1451
PAULA
FRANCISCO
ST
Contractor COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Local Phone: 305 - 895 -1368
Page 1 of 1
Legal Description: COLLEGE HEIGHTS PB 42 -8 LOT 6 BLK 2 LOT SIZE 75.000 X 124
Fees: Description Amount
FEE2004 -10863 Building Painting Fee $60.00
FEE2004 -10864 Training and Education Fee $0.60
FEE2004 -10865 CCF $1.80
FEE2004 -10866 Technology Fee $1.50
FEE2004 -10867 Notary Fee $5.00
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,400.00
Work: PRESURE CLEAN AND 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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11 /17/2004
Applicant: FRANCISCO
Owner: PAULA
JOB ADDRESS: 62
Contractor
Local Phone: 305 - 895 -1368
Parcel # 1121360040370
Signed:
NE 110
(INSPECTOR)
Building Permit
Permit Number: BP2004 -1451
PAULA
FRANCISCO
ST
COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Page 1 of 1
Legal Description: COLLEGE HEIGHTS PB 42 -8 LOT 6 BLK 2 LOT SIZE 75.000 X 124
Fees: Description Amount
FEE2004 -10863 Building Painting Fee $60.00
FEE2004 -10864 Training and Education Fee $0.60
FEE2004 -10865 CCF $1.80
FEE2004 -10866 Technology Fee $1.50
FEE2004 -10867 Notary Fee $5.00
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,400.00
Work: PRESURE CLEAN AND 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 Budder) BY: