BP-04-1364Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /18/2004
Applicant: CHARLES
Owner: WOODS
JOB ADDRESS: 309
Contractor
Local Phone:
Parcel # 1121360010390
NW 111
Building Permit
Permit Number: BP2004 -1364
WOODS
CHARLES
TERR
Contractor's Address:
Legal Description: NEW MIAMI SHORES ESTS PB 51 -80 LOT 23
Permit Status: APPROVED Permit Expiration: 4/13/2005 Construction Value: $300.00
Work: EXTERIOR PAINT
Page 1 of 1
BLK 2 LOT SIZE 75.000 X
Fees:
FEE2004 -10143
FEE2004 -10144
FEE2004 -10145
FEE2004 -10146
FEE2004 -10147
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $67.30
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: 10 /18/2004
Applicant: CHARLES
Owner: WOODS
JOB ADDRESS: 309
Contractor
Local Phone:
Parcel # 1121360010390
NW 111
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -1364
WOODS
CHARLES
TERR
Contractor's Address:
Legal Description: NEW MIAMI SHORES ESTS PB 51 -80 LOT 23
Permit Status: APPROVED Permit Expiration: 4/13/2005 Construction Value: $300.00
Work: EXTERIOR PAINT
Page 1 of 1
BLK 2 LOT SIZE 75.000 X
Fees:
FEE2004 -10143
FEE2004 -10144
FEE2004 -10145
FEE2004 -10146
FEE2004 -10147
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$0.20
$1.50
$67.30
Total Fees: $67.30
Total Receipts: $67.30
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
Owner's Address 304 1V u) Q 1 1 T-e r fe. c
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
Co `7.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores„Florida 33138
Tel: (, �W 76.8972
s `
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
nn
Owner's Name (Fee Simple Titleholder) `,� . . S block Phone # 7U—?95 1' 71 7
City Ar a n4 „Ai ov,j State FL— Zip 3 3/ 6
Job Address (where the work is being done)��
City Miami Shores Village County Miami -Dade Zip 33/ 6 V
Is Building Historically Designated YES
Tenant/Lessee Name Phone #
NO X
Permit No. 5/? e °/.3(05L-
ster Permit No.
Contractor's Company ame Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition ❑Alteration :New
Square Footage Of Work:
Repair/Replace ❑ Demolition
Describe Work:
******F *, * ** **** ***** * ** ** ****
Submittal Fee $ Permit Fee $ (e g. CCF 8 0- 6 0 CO /CC
i Training/Education ducation Fee $ Y , Technology Fee $ / • \
Notary $ � g/E gy
Scanning $ Radon $ Zoning and $
Code Enforcement $ Structural Plan Review. $ `�
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 attach . a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which oc c •ays after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspectio e will be charged.
Signature
Own "or Agent Contractor
The forgoing instrument was acknowledged before me this l� The foregoing instrument was acknowledged before me this
day o
who is
NOTARY IC ss ,a P,,,„ Ginn Y UBLIC:
><�./r►��. Y . �B _ C ommis H• on #DD323870 Sign: si
G PUBLIC:
' I - _ �'`. ° =
� � ,�• y ;Q: xpires: ' ay �, 2008
Print: Bonded Thu Print:
i. .r... g •.,Inc.
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * ** * ***** ** **at******* ir***** *. t*etit*at& ***************9 c****. t******9tuc**.ir**ot******
******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
, ' Y , day of , 20 by
who is personally known to me or who has produced
me or who has produc
As identification and who did take an oath. as identification and who did take an oath.
a ,a /i Ion'
My Commission Expires:
* * * * * * * * * * *� * * * * * * * * * * * * * * * * * * * * **
OCT
Plans Examiner
Engineer
Zoning
Paint Color Approval and Agreement
Date 10
Owner's Name
Owner's Address
City Al `') LN au State
Job Address (where the work is being done) 30 ct A /// - `e ✓Y4_
City Miami Shores Village County Miami -Dade Zip 3 31 , S
Is Building Historically Designated YES NO —
Contractor's Company Name (if applicable)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be yainted
Walls Ca. rte. ovel E CC 610 - 1
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
OLf
. ( A y t , 5
Soy Al cc)
re_ (ADO; ia5D
Fascia
Drip Cap /drip Edge Po re X r' 4v S _ D 6 I
Soffit P v fe 505
Roof I1J A ko
.I ?i A ps ! ' D 2 (7 — 1--
NPr c_)
Ii Pt-
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
OWNER'S AFFIDAVIT: I certify that all the fore
applicable laws regulating construction and zoning.
APPLICATION APPROVED BY:
Miami Shores Village
IA1 nrlC j
A I
� / I
Po' ✓� IA /V1. 11C
/ R J / 1
r� A
Owner or Agent
&/
P& Z Official
tY\ L e'
D c ) Sr4.-J-an C-t.c'ti"
:ormation is accurate and that all work will be done in compliance with all
Phone #
Zip 3 3 16 5S
? X95 7 .i
Phone #
Date 1d f S 4 7
Date
/‘) 57;
chc 6/18/03
1i if 1
nil ii
11 II poi u n u Ei
uu ,. u u
•
1 Body: Canewood 2 Trim: Southwestern Sand 3 Accent: Seasoned Acorn
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