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BP-03-1847Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /4/2003 Applicant: ISAIAS CRUZ Owner: CRUZ ISAIAS JOB ADDRESS: 9817 N MIAMI AVE Contractor Local Phone: Parcel # 1132060131100 Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -1847 Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 PB 10 -70 MIAMI SHORES SEC 1 AMD LOT 12 & S2OFT LOT 11 & Fees: Description Amount FEE2003 -7713 Building Fee $60.00 FEE2003 -7714 CCF $1.20 FEE2003 -7715 Training and Education Fee $0.40 FEE2003 -7716 Technology Fee $1.50 Total Fees: $63.10 Total Fees: Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/23/2004 Construction Value: $1,200.00 Work: EXTERIOR PAINTING 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: I E, EUVED NOV 2 9 2003 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit N i 0 3" 1? 1 7 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechani Roofing q► Owner's Name (Fee Simple Titleholder) ---Z - 3 ' C'� hone # `'�'�^� 742 — .5e - i Owner'�A 7/ 7 /r/ -^ 4 - • 9 -57,- ,1 v - . City O// . d4 State f'' Zip �-��® Tenant/Lessee Name /y Phone # of-1/9' Job Address (where the work is being done) 71)0)7 ,/V 47 s - 1 S'C-• County Miami Dade Zip ,3...i/� o . Is Building Historically Designated YES NO R� City Miami Shores Village Contractor's Company Name Phone # Contractor's Address /I City Zip S Y _� r" Architect/Engineer's Name (if applicable) "//4 Phone # $ Value of Work For this Permit / ., �oa , v® Square Footage Of Work: 4=T1 Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ****************************F Submittal Fee $ Permit Fee $ 60 • CCF $ 4 0 R 0 Notary $ Training/Education Fee $ � 0 Technology Fee $ 1 . -C 0 Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) ‘3, 100.(41-20/D Bonding Company's Name (if applicable) +� Bonding Company's Address dee `J / 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 CONDTTIONERS, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and areinspection fee will be charged. Signatur Owner or Agent The foregoing instrument was acknowledged before me o v. 2o•3 , bv — ,��`� 1, 4 fr o is personally known to me�ir who has produced As identification and who did take an oath. NOTARY ';! : LIC: Print: Z'74 '7• „i„ Print: t ot N Ruth M Williams My�o sion Expires: ; M commission DD058702 My Conmmission Expires: * * * * * * * * * ** **4 * * * * * * * * *,* *&xpimagoitio df4$ 4: *** * ** * * ** * *** * * *** try, * * * *** *** **** ** *** * * * *** * * * * * ****** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************** 1 « * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * *_ ** *** * * * * * * * * * * * * * * * * * * * * * * * * ** DEC APPLICATION APPROVED BY: chc 10/14/03 gnature 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. NOTARY PUBLIC: Plans Examiner Engineer Zoning ' Village � f I �zb- o� Miami Shores V g aint Color Approval and Agreement 4,3 Date • 9 - N 5 ��' of Z Ph one # (i42.),reot ~` .� Owner's Name p O wner's Address 9v �� / ?7 9 , • e' C ity , � orrr.c State Zip Job Address (where the work is being done) City Nfiami Shores Village Is Building Historically Designated YES Contractor's Company Name (if applicable) It.yc Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Iv Fascia Drip Cap /drip Edge CD Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences 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 is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature ply Z'Gi 1 Owner or Agent County Mlami -Dade NO APPLICATION APPROVED BY: P& Z Official Zip X01 /3 1 Sierra Madre ECC -46 -1' 2 -Eagle Ridge ECC -46 -2" 3 r _:, R d Hawkt ECC -46 -3 Date chc 6/18/03 Miami Shores Village Faint Color Approval and Agreement Date > `��,�°-� �� ^ � � � - Owner's Name `` y,...5 `� L l Phone Owner' Address ✓' 1 7 d ` U•e-. > City / �/, dC r� State , ��I 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 l®' / Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OCEAN CORAL B -10W E --- ": - ) les ILO I 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 andO ing. Date Signature Owner or Agent APPLICATION APPROVED BY:�' Date P & ZOf al chc 6/18/03