PT-06-91Issue Date: 1/12/2006 Expires: 01/11/2007
Owners Name: WILFREDO AND ANA RIVERA
Permit Type: Paint
Work Classification: Repair
Job Address: 9800 MIAMI Avenue N
Miami Shores Village, FL 33150-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Comments:
ROOF CLEAN AND PAINT WHITE
Additional Information
Type of Work: Exterior Color. WHITE
Additional Info:
Classification: Residential
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Sign =ture
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT- 1 -06 -91
Phone: (646)220 -0413
1131010330030
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 300.00
Required Inspections
Final
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$1.50
$67.30
Invoice Number
PT -1 -06 -23408
Total:
FF3 10 PAID
Amt Due
$67.30
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
12/28/2007
To: Current Owner
9800 N MIAMI Avenue
Miami Shores Village, FL 33150-
Permit: PT -1 -06-91
Address:9800 N MIAMI Avenue
Miami Shores Village FL33150-
Date Expired: January 11, 2007
Type: Paint
Dear Sir or Madam
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
CIa io Grande C.B.O
Building Official/ Director
•
BUILDING
PERMIT APPLICATIO
FBC 2001
Contractor's Company Name
Contractor's Address
$ Value of Work For this Permit
Type of Work: DAddition
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Training/Education Fee $
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
e
79p2041 :� {3 0 5) 756.8972
V )00-
Tenant Lessee Name Phone #
Zoning
Code Enforcement $ Structural Plan Review. $
FEB 10 PAID
Permit No.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) 11.1k<<41 te 1910 Phone #
Owner's Address �I"" C60 . ,
City Yliki (" t a State VI Zip
Phone #
Square Footage Of Work:
R,
Job Address (where the work is being done) Gf 1 fl• Y+d-L e
City Miami Shores Village County Miami -Dade Zip 31150
Is Building Historically Designated YES NO
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/F.ngineer's Name (if applicable) Phone #
['Alteration DNewRepair/Replace D Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ** * * * * * * * * * * * **** * * * * * * *** * ***
Submittal Fee $ Permit Fee $ 0 r% CCF $ CO /CC
Notary $
Scanning $
Technology Fee $
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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 A14FIIAVIT: 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
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this r I The foregoing instrument was acknowledged before me this
day of iGtUi , 20 ®C , by All CIS (le dAoS1)1 day of , 20 by
who is personally known to me or who has produced 1'1 T/r✓O,T who is personally known to me or who has produced
A» Aln-000ltiatio As identification and who did take an oath.
NOTARY P J: LIC:
Sign:
Print:
My Conunission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * **
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
State
Zip
(1,
Signature
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
� 2 D
i (1. cs1/4,
Plans Examiner
Engineer
Zoning
Miami Shores Village
Daf
Owner's Name E\\ L'�" 4sPila-1 Phone # r 0
Owner's Address 0 'v`^'
City cU01 M 9nEe%o State 1-_-e p Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami -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
Fascia
Drip Cap /drip Edge
Soffit —
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or egular)
Stucco banding
Any other stu features
Accessory - uildings
Other r
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Signature
0
APPLICATION APPROVED BY:
Paint Color Approval and Agreement
Cam" • � U/FI�T
der or Agent
p& Official
Attach Color Samples
With Numbers
Date H l V I!_
Date
chc 6/18/03
OWNER BUILDER DISCLOSURE .STATEMENT
WAtkIlit`(
(liL being the legal property owner, for the property
Located at:
1 1
Legally described as .
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7)And I have read and understand the following disclosure
Statement, which entitles me td airork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this 11._ day of ivI , 20 OC
B , 041 who is personally known to me or who has
Produced FbAij t) ie, A �.J°.3 0 °if "(TR as identification and who did take an oath.
t �
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
o CNe
DISCLOSURE STATEMENT
MONICA USSETH DIAZ
t. MY COMMISSION # DD 483995
EXPIRES: October 20. 2009
ilw N otBJY Pu�fc U (uM wTI!ers