61 NE 102 St (9)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204 � Sc-7— Building Inspection Request
Date dJ 2
Type Insp'n Poin
Permit No. I3P0 A7)
Name CQ.c VACJo
Address NE, 10
Compan
Phone #
r a
Inspection Date 2 I-
Approve.
Correction ❑
Re- Insp'n Fee ❑
BUILDING
PERMIT APPLICATION
1 B(' 2001
Permit 'Type (cir le): Building Electrical Plumbing Mechanical
� Mechanical Rooting
owner's N mnc (Fee Sin Tit leholde
r () ) I D rQ�� //( v� Phone # 5.— 5 o • .) 8 5
J
Zip J 5188, .
cit Pi )Arr11 S)10 5 State f 6 e-4t?4
Tenant /Lessee Nance /J1
Job Address (where the work is being done)
('ilv
Miami Shores Village
is Building 1Iislorically Designated YES
bile ('cclilicale or I.egislralion No._
Architect /f?ngineer's Nance (if applicable)
3 Value of Work For this Permit
•
Describe Work:
Submittal Fee $
Notary $ - •C U
Scanning $
('nde Fn►forccn►ent $
'iota! Fee Now Uue $
(Continued on opposite side)
Permit Fee $
Training /Education Fee $
Radon $
1 1 1 1 ...v1 1J.1 N .1 V-1 I 1..L L 41±,
B uild Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 7.6.8972
/ 3k- T:
County Miami -Dr Ele
NO
Structural Plan Review. $
P!Lasl.er Permit nut. No.
Phone #
409— — CWMS
y C
Phone ##
('oniraclor's Company Name
('onliacloi's Address
('ilv Stale Zip
Onaliliei
Cerfilicale of Competency No.
Phone #
Square Footage Of Work:
Permit No. 47 i I `e -; r�
Zip
Type of work: audition ► Iteration ❑New ❑ Repair /Replace ['Demolition
�X 1 �1z1D � A701 —
*Air* * * ** * ** * * * * * * * * * * *** * * ** F * * * * ** * * *** * *** * * **
0 � CC.F $ 1 .i CO /CC
010
*. * * * * **
33)38
Technology Fee $ ;
Zoning Bond $
4 cery.6-
Bonding Company's Name (if applicable) _
Bonding Company's Address _ -
(:11y - Slate
Mortgage Iender's Name (if applicable) -
Mtnigage Lender's Address --
(:ity State
Owner or Ag
11 reguit ., instrument was a ciiciwledged bef
day of , 216 by
who is personally known
RF9 - 1 4- & -3 7S '3}d
NO'1'A1
Vii{(►+ -- --
NIy
Commission Expires:
PUBLIC :: is
APPI.ICA'1 R)N APPROVED t3Y:
cl�
05 /I3'113
As identification and who did take an oath.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation ha
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,
WEI.I.S, POOLS, FURNACES, BOILERS, IIEATERS, 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 taws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE 'I'O RE('ORl) A NOTICE OF COMMENCEMENT MAY RESULT IN YOIIR
PAYING 'TWICE FOR IMPROVEMENTS 'i'O YOUR PROPERTY. 11? YOU INTENT) TO OBTAIN FINANCING,
CONSULT W1'1'tl YOUR LENDER OR AN AT'T'ORNEY BEFORE RECORDING YOUR NOTICE OI?
COMMENCEMENT'."
Notice to Applicant• . -1s a condition to the issuance of a building permit with an estimated value exc:ceding $2500, the applicant maw
prottuse at good frith that a copy of the notice of commencement and construction lieu low brochure will be delivered to the pw•swr
whose p ropc1.11 is stib /cet to attachment. i1lso, a cerli/icd cups the recorded notice of commencement nntJi he posted at the jot, .sir
li the lir. t itnpec•tion which occurs seven (7) den's (liter 11 aiding permit is issued. In the uhsence o /'.such posted none, the
w.sp,:cai It wi7X wt be (Inc r reinspectiou fee will be ged.
Contractor
'file 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 lake an oath
NOTARY PUBLIC: 4
H. Go
-PU , Gcommssion #DD3 to
- - May 26, 1' -- - - -- - -- - - -- - -- -
�� .;4 • Bonded" ' Mk Commission Expires:
FP t lunticBond in,.
AAAAA *A*A *A * * ** **** * * * * * *AA ** * * * *A ******aS11_A ** * * * ** * * **** ****. *i;***********Ai:i.�tk k�lA ***** * *44kkkA4AA:.
4- 1 "1 -1-1, I• * *4 %14.1.4.***4a 4.***4 F**** 4-1. 4 4 44 •4-1- 14 41•1 d• ••k•ll� * * *%R k%R •d•4• %I. ••F+4 ••••••-4 -•4• • .I • **** k **4•4*:144.:14. I .. I .. ..�..�.
8
' 40
Zip
Zip
c
Plans LExauuoei
Engineer
Zoning
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Signatur
APPLICATION APPROVED BY:
Miami Shores Village
• Paint Color Approval
Date41 l 76 5
Owner's Name ) b 2 co, 41 ' ' " )
Owner's Address COI I 0 2''2 ' S P7-
Cit ill Poi SskAte i"'
State coX'0)19"
Owner or Age
P& Z Official
and Agreement
3c) - t O 7 -) '4 (9 ORA,
Phone # D1 ' 1 E . 2 ca
Zip "U
371 6 fr3 tiLeUee
County Miami -D de Zip
NO . V
3l 3?
Contractor's Company Name (if applicable) 44-
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls C 4 CIO A/ J NZ
Fascia
Phone #
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings S A-1 I ANJ E ( 5,Q.
Chimney /
Doors and door jams
Garage doors -5071D STD
Railings .Se -net 5n-D- &a1 le—
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 informal'on is accurate and that all work will be done in compliance with all
applicable egulating construct and zoning.
Date
chc 6/18/03
• Miami Shores Village
Paint Color Approval and Agreement
Dated O$S , 0
Owner's Name t/`'! i 0 Lie- 7 A ) ' ' , `) Phone # 30S T S
Owner's Address / �O / A-) e- / �
City / "/ / G!'LO' -4--S State f= L— Zip P •
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Drip Cap /drip Edge
Soffit
Roof
Flower bins
e,
Shutters
Awnings
is PPe_6_04_0 u 'J z o
Contractor's Company Name (if applicable)
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * */ ************************** * * ** ** * * * ** ** ** * ** * * * >k * * * * * * **
/ indicate the color to be painted
All elements on the site must be listed and
Waliss o67 4P IeAOC -e_
Fascia
Chimney
Doors and door jt 4 COQ 01" eV A 032, c''K-' f(ciF6
Garage doors(?) '
'Roped 0- 141/5 — ZQO P.
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Signatur
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance with all
applicable laws regulating consuction and zoning.
APPLICATION APPROVED BY:
Owner or Agent
P& Z Officia;
Azg
Phone #
Date
Date / 9/)) —
/
chc 6/18/02
202085941
BEHR
7 -L-3 ,- E_ _ ^E
3-__2'.
COLORANT' 02 48 96
- AX PERM YELLOW 0 22 0
L RAW UMBER 0 12 0
T MEDIUM YELL - 1 20 0,
rc - 'Ih.L = '+i�
'5:^C - - 0202
202085943
SEHR
Z 48 96 - - - - --
3 I - AMP BLACH — O 0 —38 - - — --
RE OXIDE 0 6 0
E >: T E R 1 O R R i' 1 17, 0
COLORANT
r
L
202085942
BEHR
OZ 48 96
YELLOW OX ID 0 0 1
RAW UMBER 0 3 0
`9
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -277
Printed: 3/15/2005
Applicant: JULIO
Owner: REGALADO
JOB ADDRESS: 61
Contractor
Local Phone:
Parcel # 1132060131670
NE 102
Signed: (INSPECTOR)
Building Permit
REGALADO
JULIO
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $300.00
Work: PAINT HOUSE EXTERIOR
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E1/2 OF LOT 18 BLK 12 LOT SIZE
Fees: Description Amount
FEE2005 -3314 Building Painting Fee $60.00
FEE2005 -3315 CCF $0.60
FEE2005 -3316 Notary Fee $5.00
FEE2005 -3317 Training and Education Fee $0.20
FEE2005 -3318 Technology Fee $1.50
Total Fees: $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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -277
Printed: 3/15/2005
Applicant: JULIO
Owner: REGALADO
JOB ADDRESS: 61 NE 102
Contractor
Local Phone:
Parcel # 1132060131670
Building Permit
REGALADO
JULIO
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E1/2 OF LOT 18 BLK 12 LOT SIZE
Fees: Description Amount
FEE2005 -3314 Building Painting Fee $60.00
FEE2005 -3315 CCF $0.60
FEE2005 -3316 Notary Fee $5.00
FEE2005 -3317 Training and Education Fee $0.20
FEE2005 -3318 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
MAR1
Q1
Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $300.00
Work: PAINT HOUSE EXTERIOR
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.
Page 1 of 1
Signed: (Contractor or Builder) BY:
Date a
Owner's Address
Contracting Co.
Qualifier
Architect/Engineer
State #
Bonding Company
Mortgagor
WARNING TO
RESULT IN YOU
CONSULT WITH
Legal Description Historically Designated: Yes No x'
Application is her
certify that all wort
permits are required
PERMI APPLICATION FOR MIAMI SHORES VILLAGE
6 1 Id /p2 AL) '->! ' Tax Folio
Job Address
/ Tenant �(,C�1 ICa 4 ' -O? /
61 &,g; 1c22 D —
Municipal # I /`t Competency #
Address
Address / 4
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIP'T'ION t 0' , - e'o F `�' i b ic o 4
Square Ft. Estimated Cost (value)
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT " t RADON
APPROVED:
Zoning Building
Mechanical
UST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
T. FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
OR AN ATT(9 rz A1j4 ORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Sto nin9ton
Beiyc
Master Permit #
Phoney – q-s - QP7
Address
SS# A1/4 Phone Al{-
I
ROOFING
Electrical
Ins. Co.
. lation as indicated above, and on the attached addendum (if applicable). I
s of all laws regulating construction in this jurisdiction. I understand that separate
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- nal�ied contractor to do the work stated.
J
Notary as to Contractor or Owner- Builder
My Commission Expires:
PAVING FENCE
SIGN
a te
1 LitC /4-J
Date
` PO4, OFFICIAL NOTARY SEAL
SCOTT W DAVIS
2 � 77(1:1 COMMISSION NUMBER
g a CC255237
7 e cis MY COMMISSION EXP.
OF FV JAN. 25 1997
C.C.F. f . 54 NOTARY TOTAL DUE 5
Plumbing Engineering