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BP-05-807Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/8/2005 Applicant: COLLEEN WING Owner: WING COLLEEN JOB ADDRESS: 1200 NE 103 ST Contractor Local Phone: Parcel # 1132060340290 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -807 Contractor's Address: Permit Status: APPROVED Permit Expiration: 11/28/2005 Construction Value: $2,500.00 Work: PAINT Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 7 BL 186 & TR 186 -A OF PB 31-41 LOT SIZE Fees: Description Amount FEE2005 -7541 Building Fee $60.00 FEE2005 -7585 CCF $1.80 FEE2005 -7586 Notary Fee $5.00 FEE2005 -7587 Training and Education Fee $0.60 FEE2005 -7588 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $68.90 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: 6/8/2005 Applicant: COLLEEN Owner: WING JOB ADDRESS: 1200 Contractor Local Phone: Parcel # 1132060340290 NE 103 Building Permit Permit Number: BP2005 -807 WING COLLEEN ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 7 BL 186 & TR 186 -A OF PB 31-41 LOT SIZE Fees: FEE2005 -7541 FEE2005 -7585 FEE2005 -7586 FEE2005 -7587 FEE2005 -7588 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $60.00 $1.80 $5.00 $0.60 $1.50 $68.90 Total Fees: $68.90 Total Receipts: $68.90 Permit Status: APPROVED Permit Expiration: 11/28/2005 Construction Value: $2,500.00 Work: 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 APPLICATIO FBC 2001 Permit Type (circle). Tenant/Lessee Name Contractor's Company Name Contractor's Address City State Qualifier State Certificate or Registration No. $ Value of Work For this Permi Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 . 2 05) 756.8972 trxi 1- (J ' fto `✓ DV 0 1 2e Electrical Owner's Name (Fee Simple Titleholder)— VA« Q, ®1.4A.E. Co � a1t� Phone # "1�1 k- C.OA`t C� 9 jr��' W91 -C3 ), Owner's Address mob \Ay City ors 5 State V Zip ) 30 8 Phone # Job Address (where the work is being done) t.>.00 \o) S City Miami Shores Villa a County Miami -Dade Zip '')' 133 Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ❑AIteration New ❑ Repair/Replace ❑ Demolition Describe Work: —i i : ;;) K cs C 6)cic aiow,sr, ` SN��►GA..t 1I E. r .s t &war (Ilk °?d.ow7 ) wau. tk. e r Ssugt.t Q_€ .F4-4. 0 Kt 1..1 ****************************F Submittal Fee $ Permit Fee $ 0 , CO CCF $ 6 6 CO /CC Notary $ c Training/Education Fee $ Technology Fee $ 1 Permit No. 6 OZ Master Permit No. Plumbing Mechanical Roofing Phone # Zip Certificate of Competency No. Square Footage Of Work: Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $STPC (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address ' D 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 and a reinspection fee will be charged. Signature My Commission Expir -s: APPLICATION APPROVED BY: chc 05/13/03 C °AD Signature Contractor The f.roing instrument was ackn wledged before me this / The foregoing instrument was acknowledged before me this s dam' !L U day of , 20 by rsonally known to me or ho has produced who is personally known to me or who has produced ( --------.____ As • cation and who did take an oath. as identification and who did take an oath. NOTARY PUB Owner or Agent Sign: Pri NOTARY PUBLIC: Ginty H. Gonell % � 870 Si Expires: May 26, 2008 pmt *** * * ** * * *** * * ** * ** ** * ** * ***** * ** * * ** ►' c Bonding Cc) ** Inc- My Commission Expires: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village F Paint Color Approval and Agreement Date s t3 to s Owner's Name A b M eo1.4.£E.1.4 C. ObH 0" Owner's Address 1.00 N E. W a t City SNoR£,s State r. L Job Address (where the work is being done) 0,00 N City Miami Shores Village County Miami Dade Zip 3 13 Is Building Historically Designated YES NO . ✓ Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls t.+aAe OW c-E- V\ C. Skke 4tsE. 1544 r ✓Fascia 1 TtcArA- (GoePcx. IDowouw) — "t>6k4 prsvm Plots 44, BAs Drip Cap /drip Edge ✓Soffit Si Bvyt /Roof L) e' G p"f S5t, e C0 le' f \r5� Flower bins /Shutters --1 Ar4'+r moots, (AN E;k Wt r∎C Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features c . c .�-- Th Signature APPLICATION APPROVED BY: Owner or Agent P& Z Official Phone # • (,01 t11") 30.3- Zip 3 n O r 0 m z D z 0 0 0 m n W linen white (1 OD shelburne buff 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. Date Date 6 chc 6/18/03