BP-05-1576Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11 /15/2005
Applicant: DONALD
Owner: BUDENZ
JOB ADDRESS: 575
Contractor
Local Phone:
Parcel # 1132060171380
Signed:
(INSPECTOR)
Building Permit
Permit Number: BP2005 -1576
BUDENZ
DONALD
GRAND CONC
Contractor's Address:
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 31 & 32
Fees:
FEE2005 -14583
FEE2005 -14584
FEE2005 -14585
FEE2005 -14586
FEE2005 -14587
Description
Building Painting 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: $0.00
Permit Status: APPROVED Permit Expiration: 5/8/2006 Construction Value: $850.00
Work: EXTERIOR PAINTING
1
NOV
Page 1 of 1
BLK 96 LOT SIZE
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:
A
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)'„
Owner's Address �7
City ; rs d i' e . j State __7
L
Tenant/Lessee Name
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
Code Enforcement $
Miami Shores Village
Building Department
YES
fvo nef
Total Fee Now Due $ (= L 30
(Continued on opposite side)
RE VED
Nov
IM 15V 4G9
$ Value of Work For this Permit ,
9 '
rm
a
t
Radon $ Zoning
Structural Plan Review. $
NOV 1
Permit No. �' 1 5 -
Master Permit No.
ing Mechanical Roofing
`>
Phone # 3®5 - 7 7- 6®- 1 7
Zip - 3 3
Phone #
Job Address (where the work is being done) 5 7 5 G r c -. & 6 y1 C ®u
City Miami Shores Villa e County Miami -Dade Zip '3 3 1 3?
NO
Phone #
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: DAddition DAlteration ❑New ❑ Repair/Replace
❑Demolition
Describe Work:
* ** ** * * * * * * * * * * * *** * * * ** ** F ees * * ** * * *** * * * * ** * ** * * * *,* ** * * * **
Submittal Fee $ Permit Fee $ C 0 6%
Notary $ 5 - Training/Education Fee $ d .c30
Scanning $
CCF $ O. CEO CO /CC
Technology Fee $ 1 •
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address ` s
ti
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 A1+141DAVIT: 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 proptrty 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.
chc 05/13/03
Owner or Agent
The foregoing instrument was acknowledged before me this 9
day of 1 , 20y<S•.■I =AK/
NOT P : LI
Sign:
Print:
My Co sion Expires:
N
CS'aT6
war vs ,40;41.0 tiari51
Bo < eel Thni Atlantic Bondi
APPLICATION APPROVED BY:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced who is personally known to me or who has produced
I D .
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Ir( ts- A A _
Plans Examiner
Engineer
Zoning
Date
Roof
Flower bins
Shutters
Awnings
Chimney
Miami Shores Village
Paint Color Approval and Agreement
Owner's Name
Owner's Address 5' 7 �� ' 6"; et Cc -. ( uL S —
City PA ? Av►r\.■ s e {ec State i
Job Address (where the work is being done) JQM^R- 0..5 Cpl ale.
City Miami. Shores Village County Miam ,Dade Zip
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 71 0,--\.1 11 kit reN 10.1 Fascia C.1 ► '3' Crs h Az. g f el co
C. l a. S' i C. Ru r c� y r y ` n
Drip Cap/drip Edge J
Soffit 1 : .r ; c le. 6 r'
6 e 1'1 f E1 ' i c_1!
Q P
rve
N
Doors and door jams e) a .c
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
w t
Stucco banding 1s1 p
Any other stucco features TJ A.
Accessory Buildings 1■I -k
APPLICATION APPROVED BY:
Phone # 30 6' '76 7— 6047
Zip "3313
platinum gray
Attach Color Samples
cliffside gray
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 1 1 1 1 15 .5 ---
lbv I( 1 j VJ
Date
t
Officia: enc 6/18/07