5 NE 102 St (12)Issue Date: 10/11/2006
Owner's Name: ROBERT SAKZ
Permit Type: Paint
Work Classification: Addition /Alteration
Job Address: 5 102 Street NE
Additional Information
Miami Shores Village, FL
Fees Due Amount
CCF $1.20
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $1.50
Total: $68.10
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 04/09/2007
Contractor(s)
HOME OWNER
Phone Primary Contractor
Yes
Type of Work: Exterior
Additional Info:
Color:
Classification: Residential
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.
Invoice Number
PT - 10 - 06 - 26334
Total:
Permit Status: APPROVED
Permit Number: PT -10 -06 -2502
Phone:
Parcel #: 1132060131640
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 1,500.00
Required Inspections
Amt Due
$68.10
Amt Paid
OCT 12P
Final
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Miami Shores Village
BUILDING IVICOIVM Permit No. 1:7 1 - a,
PERMIT APPLICATION a oCT 0 5 100 aster Permit No.
FBC 2004
BY: -- - -- - - - - --
Permit Type (circle): �! i uildin Electrical umbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Q e � � hZ Phone # C 7$ 8 — 1 to ci g
Owner's A j ddress S /� ( ) 402. s.E
Cit 1 sA t 1 (4 ° k ei ' State
Tenant/Lessee Name
Job Address (where the work is being done) ! Y
City Miami Shores Village County Miami -Dade Zip /.3
FOLIO / PARCEL # J, - 3 2 — 0 6 - 0 1
Is Building Historically Designated YES NO i$
Contractor's Company Name
Contractor's Address
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ // 52 O
Type of Work: ❑Addition
Describe Work:
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
ration
e
Zip 33 / 3 g
Phone #
Phone #
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Phone #
/ Linear Footage Of Work: ilep ie o? /0 S) Ff
❑ Repair/Replace ❑ Demolition
********* * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** F * * * * * * * ** * ** * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 6 V ''%-. ''%-. CCF $ 1%2-0 CO /CC
Notary $' Training/Education Fee $ 0 -40 Technology Fee $ 150
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 6a. lo
See Reverse 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. 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 a d a reinspection fee will be charged.
Signature
Sign:
Print:
My Com
O erorA•- t
The foregoing instrument was acknowledged before me e S
day of C..', 20Oq by eOb,/, JCS 2Z ,
who is personally known to me or who has produced
As identification and take an oath.
T C o0(26
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:
NOTARY P
* * * * * * * * **
(Revised 02/08/06)
ission Expires:
APPLICATION APPROVED BY:
* * * * * * * * * * * * * * * * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
111 / /)4 & .
0 �I
0
/h,.
Sign:
Print:
My Commission Expires:
`0
t c1��o�Ub
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Date: (2C (v b { - � p /'(2 2.(00 p o
Owner's Name: �f C <ZPhone #: 3 oS 7 2 - Lj 0 L
Job Address (where the work is being done): S /V C /0 2 Sf
City: Miami Shores Village County: Miami -Dade Zip: 3 , 1 3S
Is Building Historically Designated ?: YES NO 1"
Contractor's Company Name (if applicable):
Roof:
Flower Bins:
Shutters:
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors: c
Railings:
Fences:
Decorative Metal:
Signature:
All elements on the site must be listed and indicate the color to be printed
Walls: Sitrwtn/ ` Wi ll (c,r,4( *SI.J X 1,65
Fascia: .� -1 e #) - w ((((t p S -U 9 12 I.
Drip Cap /Drip Edge:
Soffit: She in) `W, 64 $- Ski
a' z
All brick (simulated or regular): /1 J2 T 1 FA C T
Stucco Banding: ,4/9
Any other Stucco Features: /✓ )/`1
Accessory Buildings: N /f},
Other:
OWNER'S AFFIDAVIT:
N /4
N/i
N/A
//D le
w(n, Lt) t Jll
N JA
Shy vw •�
SW 2. 2.
MsS it) Z �j
done in compliance w
• wne
APPLICATION AP' ' OVED BY:
P & Z OFF[CIAL
D W C l/ Phone #:
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GATF
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Date:
Date: ip
SW 2926
Iron Gate
that all the foregoing information is accurate and that all work will be
able laws regulating construction and zoning.
Q f 2 O
co csk0
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
�'W 8163
Grassland
EXTERIOR PAINTING
WALLS: GRASS LAND
GARAGE DOOR: IRON GATE
JAN 09 2007
Passed '6)'- 1
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 01/08/2007
Inspector: Grande, Claudio
Owner: SAKZ, ROBERT
Job Address: 5 102 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: HOME OWNER
Building Department Comments
Friday, January 5, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060131640
Lot:
Page 1 of 1
Date y-/7-9‘ Job Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description
5 /V• :• /A2 33J3$ Tax Folio // - c3- ° C - 0 / 3 -/6 145
Owner/Lessee / Tenant I/ f L ES Master Permit #
Owner's Address S /0,? S �
Contracting Co. .roKzfL1_.Be Addre 2333 iiielZKV..4 Rv f#.ZT7 270.3
Qualifier x-a Vc-R SS# - / - ' Phone
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
, 5 RZ W /5,// t T
'i// - 41s Gam',EF/ ' e r re- irt7" ) o o4- GA-4/1-6-
Square Ft. /5V Estimated Cost (value) jyaa G
WORK DESCRIPTION
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 ork stated.
Si u ature of owner
APPROVED:
Zoning
Mechanical
d/or Condo President Date
FEES: PERMIT ` C. RADON
(01 0
Notary as to Owner and/or Condo President Date
My Commission Expires: -
p (2V P4/ G�a'dL
0 6 af. vn A C7 `x;511 ?L •
ri , oc r 3SIO ill i n
7, �' CqV a°,Ow"ry d •E:"
OF 0.0 � i Ve ' i ' l ' ,T
Building
wM fvo
Historically Designated: Yes No
•
re .f Contr
Phone
Electrical
3 %5- L/
857- Rss8
'qAdap q /7-`/°
o or •wner- Builde Date
No ary as to Contractor or Owner - Builder
My Comm4ssitiExpires..
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• A. • Oz :
) �r; -;, < L
--&26z_cJc
Date
). / -r 7
r
C.C.F. 1 NOTARY r - TOTAL DUE y
Plumbing Engineering