BP-04-772Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/9/2004
Applicant: MICHAEL O'HARA
Owner: O'HARA MICHAEL
JOB ADDRESS: 9233 N MIAMI AVE
Building Permit
Permit Number: BP2004 -772
Contractor COMPLETE HOME PAINTING BY MICHAEL Contractor's Address: 1476 NE 130 ST
Local Phone: 305 - 895 -1368
Parcel # 1132060130210
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 10 & 11 BLK 2 LOT
Fees: Description Amount
FEE2004 -5649 Building Painting Fee $60.00
FEE2004 -5650 Notary Fee $5.00
FEE2004 -5651 Technology Fee $1.50
FEE2004 -5652 Training and Education Fee $0.60
FEE2004 -5653 CCF $1.80
Total Fees: $68.90
Total Fees: $68.90
Total Receipts: $68.90
Permit Status: APPROVED Permit Expiration: 12/1/2004 Construction Value: $2,300.00
Work: PAINT
Page 1 of 1
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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 APPLICATION
FBC 2001
Permit Type (circle): Building
• Owner's Name (Fee Simple Titleholder)
Owner's Address 92 N.
33
City /i 7i Sle &es State
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
Qualifier 3/4. �r�o�2�
$ Value of Work For this Permit ,,Z3 O
Type of Work: ['Addition ['Alteration
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
e.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. P 70 n - ,
Master Permit No.
Plumbing Mechanical Roofing
/c4e/ oil/ati4 Phone # 30 5 - 7S —802 Y3
{�/a v Ave•
Electrical
ft-
/✓ /A Phone #
90233 /V. /,G..„• v.e.
J ob Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 33/50
Is Building Historically Designated YES NO
/IP
Contractor's Company Name aleLt ! t Qb/ y Phone # 3 b7jo7,5' /36,(f
Contractor's Address / 76 /t'
City (4/ / State • Zip 3 3 "(/
❑New
Zip 33/ .�'t'
• Phone #
Square Footage Of Work:
❑ Repair/Replace
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
( °t - qC )- ek �1'IgZ
Demolition
Bonding Company's Name (if applicable)
Bonding Company's Address ,O
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
Owne _
The foregoing instalment was acknowledged before me 3
/ this
day of y c ,200 9, by itNo •� (� /N ett .
who is personally kn
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
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PIffiliffliattienialtake an oath.
Expires AP12 10. 2006
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L _ ea. c
Signature -21,
WM.) f'
My Commission Expires:
Contract
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.
NOTARY PUBLIC:
Sign:
Print:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
4
•
.Vbate
Owner's Name ,�y�
x Owner's Address 92-33 /U• 1 Ave .
City 40,/ 3i4 es state F2_ Zip 33/50
Job Address (where the work is being done) 9 ,233 / 1/ • 4 vt°
City Miami Shores Village County Miami -Dade Zip 3 3/5
Is Building Historically Designated YES NO )C
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls a)9 c / (0 76) t3 Ni-
Fascia ...- ' SJ 6) eel
Drip Cap /drip // fZ
Soffit /.-- S.re!c 6 ;Pe a
Roof f4i/ il
Flower bins ov/
Shutters F,sf4. 6 ee PI
Awnings
Chimney
Miami Shores Village
Paint Color Approval and Agreement
)7‘41 lit:�lc
.4L ill- A
, %/4c / �Ia/e
APPLICATION APPROVED BY:
eC
AMOY! af
or Agent
APP' O
P& Official 7
Phone # for 2a f3
76
Essex
Green 43
Date 76
Doors and door jams
Garage doors N/A
Railings /U //1
Fences iv/
Decorative metal /'' / � ��� /''��
All brick (simulated or regular) ,14•04 `
Stucco banding /b /k,
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
vO(p a-J" 4
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, ' ' zoning.
chc 6/18/03
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