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69 NE 102 St (5)Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildi Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) M 4 gio SUARE Z Phone # 3a 756 - 5465 Owner's Address (A NE 10Z eTtlET Building Department 4 -1 L U City GPI 97041 $MotEs State FL Zip 3313 y Permit No. 8P 4)63 /S 7 0 Master Permit No. Tenant/Lessee Name N (q- . Phone # Job Address (where the work is being done) 6a J 11 Z STRW City Miami Shores Village County Miami -Dade Zip 33138 Is Building Historically Designated YES NO - A- Contractor's Company Name 6w mg(- Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) (N 1 4 . - Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit 5 s- Square Footage Of Work: Number of: Bays Stories Families Bedrooms Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace Describe Work?x 7C4 a x110u Wct(ts voo * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** itte C . Notary $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Baths ❑ Demolition o .oO Pr° - County Escrow Fee $ Permit Fee $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) Po& Ivoliiiii‘i CCvv.b. 3-13 d 3 5 co 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 occ rs s " ' ' s after the building permit is issued. In the absence of such posted notice, the inspection . , , ove ' d a ection fee 1 be charged. Signature The foregoing chc7/7/03 C day of :)e.�YT ,2003, by U�V∎ 0 J UCv Q . , who is personally known to me or who has produced As identifica 't = � . i °: -a d , , -�,, 4• ktilAAALL . Own r or Agent ent was acknowledged before me this %' NOT Sign: Print: e 1 \) l Y C jCC My Commission Expires: APPLICATION APPROVED BY: Signature oQ Expires: Jul 13, 2007 NOTARY PUBLIC: Bonded Thru Atlantic Bonding Co., Inc. Sign: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. /6 03 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. Or************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: Oct 1 91 03 3aS - S S X65 OWNER'S NAME: M 1240 Su A x Z PHONE: —3 ADDRESS: 6a oe 102. 12.e r . lit ( S ofi4 34 ****************:***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: (04 Iue 10_ STvi CONTRACTOR & LICENSE (if applicable) ii (A" PHONE: COMPANY NAME: u I d- . * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the Walls Fascia IN 4 Drip Cap/Drip Edge Soffit Roof WIAITc ( A t 15) Flower Bins Shutters e Awnings Chimney )E 3tWiCN g163k1– Doors and door jams liatc (r i s ) Garage Doors g t tiff LO Railings - Fences Woa 0 ( n 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 information regulating uto and that all work will be done in compliance with all applicable l f ap to constructio and zo �' I authorize the above named do a ore , the paint colors will be as per the attached amp j Apip 4 AL . 6a zq a3 Signatu - of er Date • Signature * * * ** *actor * **D * * * * * * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 APPROVED: Building Off site must be listed and indicate the color to be painted. u,c yn�.� �6L1V6 BQ�1IUCN" k I C3W VM%Mit (AS is) d3 ial Date bu -tb fed-wre — f scYv-e., THE HOME DEPOT BEHR PREMIUM PLUS EXT SEMI -GLGS CF -Pv!IL -OLIVE BRANCH (8163W) PASTEL BASE (5660) QUART COLORANT OZ 48 96 C YELLOW OXID 0 14 1. D THALO GREE:. 0 3 0 L RAW UMBER 0 18 1 Phone #:(305)981-2959 N MIAMI/BISCAYNE 9/28/03 15:34 - SF - 6322 WORK DESCRIPTION Co LOR � � ggnature of owner and/or Condo President Date Y 224-1--L a- -, 4 i'V– 9 F— pc. e a� Notary as to Own and/or Condo President Date My Commissi °, OFFIC NOTARY SEAL. C1 _ C IAL 910N�NU a Z DEC. 17,2002 • • OF E� FEES: PERMIT 'VO • RADON Building n PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 / 7/ 7 �1 Job Address (o ° l / V(7? St Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant IM R 5 e 4„v v / / / C /C e S Master Permit # 4 Owner's Address 6 / e / 0 2- - Contractin Co. (p 4 g 1? 9 0 1 a? e 7 ' Address /lo /4 /1 i Qualifier (e/e4/9. e � 4 j4v ->°i2/ l/ ss# Phone 7S Y 6 C Phone 3� o 4,73 State # Municipal # Competency # / /�5 J Y Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN F Gzi vt-cc- s S/no e ,*ss' is . -- Gv Gl ; � — Square Ft. Estimated Cost (value) 7 o 0 •0 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 OF 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 laws regulating construction and zoning. Furthermore, I authorize the above-named contractor e or or stated. C.C.F. /60 NOTARY ,5 APPROVED: Zoning Mechanical Plumbing ontractor or Owner- Builder Notary as to Contra or Owner- Builder My Commission r OTA Y SEAL I •�( COM°S&ON NUMBER i , * L `C 97 di .�,Iu o -7 yR . MY SSION Ex l, I` F%. DEC. 17,2002 • Electrical / 9 4 (. 7 F4 1 applicable Date Date 1 71_'97y D°�" - erif Pl5 BOND TOTAL DUE Engineering Qualifi�— 4Ze( _Q, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / / 4 Job Address 9 , 1E., l S r Tax Folio Legal Description ' A Historically Designated: Yes Owner/Lessee / Tenant /"/ / (' 1? N S (°1-0 e -' S Master Permit # Owner's Address �o c / E /0 7- 7 Phone Contracting Co. e 10R 7 , 06 (° F 7, : Address /4/6 ,r0 ,L / 7 9S7 No SS# / - Phone 9 5(7 — 866 2 — State # Municipal # 02- 3 / c 3 Competency # ,/ 3 Ins. Co. et S, 6- Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL D ROOFING PAVING FENCE SIGN WORK DESCRIPTION p/u, 2 t a V � c-.1.c.e -� tee �/�4 0;(.21 Square Ft. Estimated Cost (value) 3 /6 c a v 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 work stated. APPROVED: Zoning Mechanical Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date My Co issioaEx /- 3/ -9.6 n. ., ,,. ,),_._ :�' .. \1 K C'� ''' `F r O FEES: PERMIT 4 0. RADON ate Signature of Contractor or Owner - Builder otary as to Contractor or Owner- Builder m My Co p 4 5'T' �.. • � � � Q � ; ��� Z3::" . :::343:©;5 • : . • Date C.C.F. 3 v NOTARY TOTAL DUE . 0 Building q" )1" Electrical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address ' 9 N, C . /0 y s Legal Description ol0 . s /L9/ Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier State# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one WORK DESCRIPTION C C,6s /mil' -r BUILDING SS# Address /av/ P/4/ rY 7/1Y (PL L/S Fi c6.61- Tax Folio // 3ad / 3 /6f9 O Master Permit # ,7,60 . '7 /4 r7 9 J phone Competency# Ins. Co. Address Address Address ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN I/ phone 7 ✓ y Square Ft. Estimated Cost VC/U- 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. 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 work stated. Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder Date: My Commission PERMIT FEE: I to Zoning Mechanical Owner and/or as /or Condo President Expires: NOTARY PUBLIC. STATE OF FLORIDA * * MY COMMOSION EXP *ES APRIL* 6, 1992 BONDED THRU STEMBLER•ADAMS & SWEET APPROVED: Fire Date: Notary as to Contractor My Commission Expires: * * * * Plumbing Other 2. Electrical or Engineering Owner - Builder * * *