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PT-06-2557Ewa Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 10/13/2006 Expires: 04111/2007 Permit Number: PT -10 -06 -2557 Owner's Name: JUREEN AND LARA VAGHEFI one: (305)795 -1795 Permit Type: Paint Work Classification: New .lob Address: 1491 102 Street NE Miami Shores Village, FL Contractor(s) Phone Primary Contractor OWNER Yes Additional Information Type of Work: Exterior Color: 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. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Building Department File Copy Applicant Signature Parcel #: 1132050350010 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 800.00 Invoice Number Amt Due Amt Paid PT -10 -06 -26394 $67.30 Total: OCT 13 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. ' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Vii' ; ` Permit Nojp� PERMIT APPLICATIO C�' OCT l 2 2006 s " "1 Master Permit No. FBC 2004 . BY: --- _.a._. Permit Type (circle)- Building - Elec iclal Plumbing Mechanical Roofing O�a� (Fee Simp a older) :, )y 0,6c- Vlk4F0�; ' Phone # Owner's Address / yy / /V'C-- /yZ � ica li City I' l o I � ' J �i State — rtz eT,,t` Zip Tenant/LesseeName A) A- Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip YES NO Co, n L� `"' ' ° `-� Yom- Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Type of Work: ❑AddLition/ ❑Alteration �(ew - [] Repair/Replace ❑ Demolition ammum of G X! Q,-Itx - j0q.; K,1,q Submittal Fee $ Permit Fee $ © CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $' Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. Asa condition to the issuance of a building permit with an estimated value exceeding ,$2500, the applicant must promise in good faith that a anny of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sub Fe to attac ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspecti which oc rs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not e approved a a reinspection fee will be charged. er r Agenr-- Contractor The fore ins ent w ackpowledged before me this __2,__ The foregoing instrum t was acknowledged before me this day of , 2 by day of , 20 by - -- - few' ho is personally known to me or who has produced who is personally known to me or o has produced As identification and who did take an oath. as identification an who did take an oath. NOTARY PUBLIC: ONICA LISSETH DIAZ MISSION tt DD 483995 Sign: :oe EX .gES: October 20,2009 „, a Print: Aow My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: b /? �/0-10 Plans Examiner r "1i11q1- Engineer Zoning Miami Nhores Village T ' ' Paint Color Approval and Agreement Date: 14 -/ t -4 II Owner's Name: 496-EJ Phone #: 3 -6 Its% 9-x96 Job Address (where the work is being done): I Y9 I gr-- /,=� 4-.-,1 -f5-. City: Miami Shores Village County: Miami -Dade Zip: Yjas Is Building Historically Designated ?: YES NO Contractor's Company Name (if applicable): Nil— Phone #: . ............................................... ............................... All elements on the site must be listed and indicate the color to be painted Walls:_ _ Iltfolc Fascia: K"�+'g" Drip Cap/Drip Edge: nf:' u •. �✓ jc., Soffit: Ai-N&A rn he- �' /ems Flower Bins: vVLL- a Shutters: 1(°;pq- OI'ale. Awnings: Chimney: /VA- Doors and Door Jams: A - ®/( V-t- Garage Doors: 1 11 aped �i r Railings: Fences: Decorative Metal: 1411,11— All brick (simulated or regular): IV ft- Stucco Banding: Any other Stucco Features: 1114 - Accessory Buildings: Other: Attach color Samples SW 6121 18 Whole Wheat SW 6119 Antique White . ............................................... ............................... OWNER'S Are VIT: I cert' that all the foregoing information is accurate and that all work will be done in compli ith all ap ble laws regulating construction and zoning. Signature: Date: UROVBIY: r A t APPLICATION AP Date: P &z 6HICIAL * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION" Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 1491 102 Street NE Miami Shores Village, FL Project: <NONE> Block: Contractor: OWNER Building Department Comments Phone Number (305)795 -1795 Parcel Number 1132050350010 Lot: exterior paint JAN 2 ?007 Passed ' Inspector Comments Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, January 23, 2007 Page 1 of 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r Date 8/23/99 Job Address 1491 NE 102 ST Tax Folio Legal Descr R � J (Owner)/ Lessee / Tenant MARGARD Master Permit # Owner's Address 1491 NE 102 ST Phone 305- 756 - 1694 Contracting Co. R.E.A. AIR CONDITIONING, INC. Address 7351 NW 7 ST. "R "MIAMI, 33126 Qualifier RICHARD ARNETTE SS# Phone 305- 266 -6627 State art CACO22414 Municipal # Competency # Ins. Co.Transcontinental Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING =MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION REPLACEMENT OF AIR HANDLER f Square Ft. Estimated Cost(value) 3,200 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE'.TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be don co liance with all applicable laws regulating con and zoning. Furthermore, I authdiQa a ab ve -named contractor to do the work stated. ����. ...� Signature of own r a /or Condo President Ilk S gn ure of for or Owner- Builder Date: Z Da ` $/23/99 RICHARD ARNETTE ))))))7)7))))))) Notary as to Owner and /or gWndo President Notary as to Con PtP r� B>fii� der j� Commission Expires'. re s : My Commission Ex ` ' otary Publio, State of Florida }4 MY p �o Commission No. CC 596246 }( PAS $ -IF FAD My Commission Exp. 12/7/2000 >s D.FNN 7Tuough Fla. Notary Service R Bonding Co. }t MycwdL on rrrrrrrr rrrrrrrr rrrrrrr rrrrrrr PERSONALLY XNV^ BY ME HODUCED I.D. FEES: PERMIT RADON C. C. NOTARY TOTAL`DUE APPROVED: Fire Other Zoning Building Electrical Mechanical ��o J� Plumbing Engineering NOTICE OF COMMENCEMENT - A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. _ 11—S4405—,0:? %Q 99Fi445924 1999 AUG 25 10.,23 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter?13, Florida Statutes, the following information is provided in this Notice of Commencement. description of property and street address: 1491 N.E. 102 ST. MIAMI SHORES, FL 33138 2. Description of improvement: REPLACEMENT OF AIR HANDLER 3.Owner(s) name and address: MARGARD, ERIK & EZIZABETH 1491 N.E. 102 ST MIAMI SHORES, FL 33138 Interest in property: N/A Name and address of fee simple titleholder: N/A 4. Contractor's name and address: R.E.A. AIR COND. , INC. 7351 NW 7 ST.,MIAMI,FL 33126 X ayment bond required by owner from contractor, if ddress: ond $ 6. Lend0rr's name and address: CA within the State of Florida designated by Owner upon whom notices or other documents may be served as provided 713.13(1)(a)7., Florida Statutes, address: In ad ' ion to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Sect 713.13(1)(b), Florida Statutes. Nam a d address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different d is spe ' ' NOV. 1, 1999 Signature of Owner Print Owners Name ���/� /'''G D�/pG�/e� Prepared by: PAT HANEY Sworn to and sub cribed before me this%22 day of , 19 REA AIR COND. , INC PATIRIM ,11AWT Address:7351 NW 7 ST. "R" Notary P I' smdF W MIAMI, FL. 33126 Print Notary My Commission Expires: ` I.D. — -... .= ;tJU, i v .+1:. .: 1(:, i Ci11Y11 { C.i i L i {�A 101 Tr: - -Cy .C? 3II- I.DZNG HEST ACC01207 '=?S ADD– :%MLT Lt. Z: A !USI-M Pv–;—MrT HAS ?_ VrD , S TM a =r. ;�= :i C: 3' ? :'.S..Zi_' ON S Sr L'�IT ?,?p ' Tr " L.Ca__CNS. ; PLUMBING ELECTR ►CAL MECHANICAL I-Mi IMIT rEE ITE1I BATH iw S711Toi am n, UNIT FEE ir" a UNIT Fc: SPACE IEAT'SS B IOF I LICIT MM-iS I I C2(TRAL HEATING I BIShV- ':'rER j ( RECEPTACLES I A✓C (WIND) 01Sclp AL I SEqV ICE Tt'3P[R'RY I A/C (CNTRAL) DRINKING FaWAIN I SERVICE SIZE IN AIFS f I DLCT M FLCCR DRAIN SFgVICE REPAIRAIEM CJA46E { RMIGERATION 6RE;Sc' TRAP ( APPL I ka IIIUM 7 MESS AND PRESS P IP IM IM RCEPTCR { Wa TCP I MUGUM TANKS f LAVATCRY OYE'! I ABOVE GROUND TANKS ULMY TRAY TA Mc. NEA-1 U.F. PRESSIRE VESSELS CLOTHES iIAS'rf f MOTCRS 0- 1 w STEAM BOILERS I SJOWER IOTCRS OVER 1- 3 W I HIT HATER BOILERS I SINK. POT/3 Caf. . ( 1CTCRS affil-3--51-if f llta -m iCA1. Yeff l AT ION SINK, RESiDEC - I i10TCR4 am 5- 8 w i f TRMWWING ASSEIMIES f SINK. SLOP i W3MRS OVER &- 10 W f &EVATI WES: UMRS I I T&FCRARY RATEI CCU mim OVEII 10- 25 w FIRE SPRINKOR SYSW UR I NAL M3TCRS 00 25-100 NP f COOL ING TMUS WATER CLOSET f 1l7TCRS OVEii 100 w VIOLATION f INOIRECT WASTES A/C TIINMW f REIItS T10N WATT SLPPLY TO: f AIR CONDITIMMS ' A/C UNIT STRIP HEATER FIRE SPR INKL-c; MaATCRS TRATSFC ;M f f 1 EATER -?a WT. MGATI RS MRSMOS I f HEATR- REl'L1L EE GATT RS WMMGS i LAWN InIma1:*1a SPECIAL RAW SWIWING PCCL - amETS commix WATER SERVICE S1C-1i TIJaES sEm CONNECTIONS ( SIGN 'TRANSFORISS I UTILITY SEWER SIGN Til€ CL= UNLITNUTER I FIBS SEPTIC TANK MTERU RELAY I TELEV IS ION Q FUM DRAINFIELD, 4' T1 L_./RES. Y 10UTION PU6P & ABANDON SEPTIC TAW REims ELT10i1 I SOAKAGE PIT CJ. F-i. j CATCH BASIN I I I D I SC-(ARGE WELL DOMESTIC WEL! AREA CRAIN I ROOF INLET SOUR HATER FU ER FIRE STANDPIPE POOL PIPING I LAWN S?R I NKLiR SYS i c�i GAS R"NZ I i { ATIER SET (G,'S) I I I I GAS P IP I?G I a �rlLj yII SHORES ViLL.G� REQLZRENMN 1 S FOR ��C��tiZC.� PERYQTS NEW SYSTEM ♦ Headna, and cooinz Load Icilations It fill a . 40110 912 ` t trtf all • .t1 .t/ / / 1 �1 Ylt • iNl1 t/ :K! • a • " . f/i / • w t •il Itlf �fltt • � - 1 .If • f - - �l •-/t - • 1 1 .11 1 tall " ar/�/yu• a •- •• •r n �ta • n J207= ea •u the f=� 1 • • r • f bor wft/ ther amae, the � .0 1 a. stal== md=m=(7 th= n f. no o bjecmicns to the uu •'u• =maed =ma-d !t n- 1" - •. ♦ If meted value of job is over 52,500.00, tine Notice of Cornmencemeai mnSr be recorded and submitted with petit appficat+om ♦ Job desciptian on perma =ficaucn needs to include number of tons and kVs. ♦ Aa eiectacal rermic by He =ed contractor must be obmined for aook --m- CIDUYGE -OUTS ♦ Sia aamm of home owner and der uota =:d. ♦ Condmsia? unir must be Iccated in rear of property' or Whe:- old unit is S'm2red. ♦ Tors descriudon: include number or tons and k- `s ♦ i`iodce of Co=, enc=eat recorded if job over 52,500.00 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - ' 76W Job Address ! �;T- Tax Folio Legal Description b T ko Historically Designated: Yes `: P� essee / Tenant -Pa. R 1 L M /�i 2 c_ iged Master Permit # No Le' Owner's Address l y 01 ( KE . 10 Q, S kke e—+, _ Phone Contracting Co. GOUTHERN MARINE CONSTRUCTION, N& r. 0. Box 4t4t94 Qualifier � I' Miami Beach, FL 33141 - _ _ Phone.30S r %2 7 0 7 State # 6 Municipal # Competency # l _- ` ( q b -7 Ins. Co. ©►'y � I(, r Architec nRineer 14C,i S U (, _� 4�s. eSyC. Address L4 6 � o S , Lo r Z g 4:� Am e, Bonding Company I Address e( ✓t(, 31-30-7-301, Mortgagor N/A, A, Address b �-q ) �/ j W - S0 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN l WORK DESCRIPTION bt 1> V444A -- U t C A-A t 11 D Square Ft. Estimated Cost (value) &'600, oa WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all laws r ating construction and zoning. Furthermore, I authorize the above -named co act J 02 -28 -00 Signature of o d/ Condo President Date Signature oPi ntrl / Not4uy as to U vn y41 8r c,'brtMEIaWsMURY SEALL My Commissil a e�� KATHRYN D JORDAN 2 n COMMISSION NUMBER CC663155 MY COMMISSION EXPIRES OFF AUG. 3,2001 FEES: PERMIT RADON be done in compliance with all applicable work stated. Notary as to Contractor or Owner - Builder My Commission Expires: C.C.F. .NOTARY f BOND 3 -, TOTAL DUE, APPROVED: Zoning Building ✓ Mechanical Plumbing Date Electrical 4 /iglu _ Engineerin �W� STATE OF FLORIDA, COUNT OF DADE COU,if�} ' 1 HERESY CERTIFY that this is a true Fogy of the �� cu.� 0 0 original filed in this office on / © day of r Syi p _ ,yA/L d� , AD 200 0 1 1 1 WITNESS my hand and Official Seal. , -�. HARVEY t t r i, C W arr • c Coyer PEF;7v= NO. TAX FOLIO NO. n NOTICE OF CQPM NCEMENT STATE OFJ KC1 L. ) COUNW THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of Ccmmencement. 1. Description of property: (legal description of the property, l `��_ 1 Y(J t E. and street address if available) -r ter 731 K I 17 5,56 /e & 0 2. General description of inurwen>Ent ?C6k vyl-CL ���+4rIiZS 3. Owner information It W#fLq 19 Zt� a. Name and address l `4 l i X./ , E- 16'L f A I V+ r-i i ClAerc ef" b. Interest in property b Gv ,,�,1-e2, c. Name and address of sample titleholder (if other than owner) 4. Contractor (name and address) SOUTHERN MARINE CONSTRUCTION, INC. 5. Surety 1 P. 0. Box 414194 J Miami Beach, FL 33141-0194 a. Nance and address b. Amount of Bond Is 6. Lender (name and address) 7. Persons within the State of Florida designated by Owner upon whm notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida States (name and address) 8. addition to himself, Owner designates 1111- � 6U4'�► +i=? � A1 s lit to receive a copy of the fLienor ' s Notice as provided Bi Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date -}s specified) (Signature off'Twr;drj -- Sworn to and subscribed before me this � day f ✓ �p iiY� r�,�,� FICIAL NOTARY SEAL y e rHRYN D JORDAN * i 1 0 COMMIS�iON NUM9ER C CC663;66 ' Q MY COMMISSION EXPIRES Notary lic MY Commission ices: f`�oF F`o�� AUG, 3,2oot Prepared By: SOUTHERN MARINE CONSTRUCTION, INC. P.O. Box 414194 Miami Beach,' ELI 3,31-41-0191 11111111111111111111111111 MIAMI SHORES I�II��IIIIIII�II�I�II�IIEbbe�lll�Qlllllllll i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement us the plans and specifications herewith submitted for the build• ing or other structure.. herein described. This application is made in compliance and conformity with the Building ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piogress of the work. Date* Owner's ._............ .19.. Owners Name and Address ' Registered Architect and /or 9% incer .... . ............. » ............. ».. »........... ... ....................... » »» ..*.. «••. rant• •••,n••- nrsm�rreww :•mnn�ami�e•• Name and address of licensed contractor..... ?. �rga .�.? .._ ».........». » .................. .... Location and legal description of lot to be built one Lot_.. .. lee ....... ......... .......... Block................. -- Subdivision._/!201 dAAy,,,,P—,4'='-'�° g!a- ........................ Street and Number where work is to be done_Z..Y_Y1 _A"� deb °� ..»... ... .. ». »...... State work to be done and purpose of building (by floors). M _...».»»... » ».- ... ».... »_..._ » ..... _ »_.._. »......... fa Ae!i� %. ........and for no other purpose. New Building ............... ........ Rentodcling ... » ............ ...... » Addition ......................... Repairs: :.. .................. No. of Stories... . _ ...... To be constructed of ......................... Kind of foundation:......».».». ............................... _ ........... r_� Roof Covering ... » .................. ........... ......� Estimated Total cost of improvements S..•» . �� a _ » »»»........ ».Amount of Permit $_13, 0,5 ... »..._........... Zanecubage r equired .............. ............................... _ »..»_. Plan Cubage ......... . ........ ...... ».... ......»....»...... ..... .............. Distance .to next nearest building .................... ....» ..... »....... »_. _.....Size of Building Lot....... ..... »»._.......» ........... _.._. »._ Maximum live load to be borne by each floor ..................... ..... .»........ .... ..» ................. » .... _.._ ... »..»..».»»._.. ..... _ ....... _ ............. ..... ..................... .... 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.: The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer . of iabur under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Stipple ment, and has complied with the provisions thereof, and will require. similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of -the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors.. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks ....- ........ ......... (Signed) T STATE OF _ FLORIDA. ! . CQUNTY OF DADE: ( ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared .»_ .» _ , ....._......... .................... ..._- .......... _ ......_ ............... » ». »..»... ..... ._.. ......-_-._ .......... ... » _.....,___ ..._ »..._.......... _ »...._..... »._.. »._. ».. »_.. ._. »......, _..to me well known. and who, being by me first duly sworn, upon oath .deposes and says that he is the . .................. .......................... _ ... ....... ...._ ........... _ ... ....._ of the above described construction, that he has carefully read the foregoing application. and that he did sign the same. and that all facts therein by him stated �are �trruue.. Permit No. ®`.»!��`° .............. Date.... .�.� .... Read, Sworn to and Subscribed before me. Disapprovedt ..... r. ... .. -- Date.._.. _ _..... ...... . ............................................... ` Ntary Plc, tate of Florida (Signed) .». .............».... ...... »............»... »»....». .. Building Inspector My Commission Expires......._. ,........... PLANNING BOARD .... ....... .............. _ .. :._..__._DATE Chairman..» .... ........ .... ....... _.._..._.... ».........»».._......... Member ......._.........._........» ...».... ._._.. »..._...» . »».._ Member ....... »... ».... ».----------- .... ........ »_._......_. » ......,. Member..... .......... .............. »._............._ ........_._..........._ Council Approved .... ... ... ....... Member_.... .... _....»...»»....... »... » .....» . . Membeir......_.......... _.. ......._._.... » ._.. Disapproved------------ ...». .... ................ .......... ..:..................Date NUT E: A - charge of $1.00 will be made for making cearections or changes to this application after approval has been obtained from the Pl.innir,_• Board. A re- in.ix-c•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspetition at faulty materials anti /or workmanship. � +�- ...•..�,....�.. -. t .. ;tai.. a =.,�at _� r ti.w+ty{�}•�i;, • 'C ,i� .�S�V71a P DVP PF �' ` '/ `'t 3� `'V -t 1.a`' ..i Alc f' / t-' \\/.�j. 4 i► '.{I' �" ii=i'' r °� .� � t L . R � :C � � a f}�'�: .• r sMr• l! .'aPb. ..r ti, 7 "� it a 1 ,' 4 •��;4 9,� °•y :e: + .�, l.y .r r` i .1e•.; •'. �' 4 �� .i :" i'�' i ,. - ,'X{ ,• s a� .. • • `_•y. � „mot. ° . r t It V.� �:� �7 �,,y *�., a� �i ". tN" �..4 ti;� Q,�� tH,• t ,��}k�. 1� [ �, ,`'r-� A 1[ \J • �F+F 't'•'' } �' 444....4• rt"p 1�� + 1 1 f�'� • M'- , a` �.�• f: :!� 1_' •j` tyd • - sue. C`+{'r"�`j:= • +� rr II11 S a;w��Cs Rr�... '•J�t w - ,�i )C.��.j •:•• � •4 •'.�. '_ `L�"7� �� ��1 1. � m' ' '" ".:.RSV `. ``7'.,,,'`'^" ta.• / � -`' r, � '` ,�' ?;� '�pr` G;`.0 01.1 T �_,• • l ,� a � X a � l6lr4t�Gp•,•���•,wa � 1 T� �;+•,,,, � r7c;. �: „� a� IS 5 �Xla JrA • 1 +f�°lf (,,,J�lti A,EU��� m• "� �a�tvfoers ` ' �•' t a .." v4 r� r � (-�. V ' i • ���.., +.. �` w��..11,� •, .. i �fy . .3xy�•!�}�i � M1a'�.�t =�.4., fir' �p'� @'i s�.47 Cr'pe+�. ..'. f f r S TO of .: �_ 7, �A A uC etttaTlOff, jo • T,�• 'YN 1 jai!•• tt� �A_.PP%V"'" ���/ 'i �� ~...... ��' .[T CA•TR� .� , � .. }� 4• �� S��.H t� :..: C ate," /' •t `�' 4 e. s,f,� } 4u•0— aT_:ntc�� `� ee�`Tti ° pr►ai�. ti 41 'ilk 7 �• R P = t i�'• < 1A �, f- , EN Z" • a: o.rD�t. - �'t vl'Pa3 n ' h f'TJ 44 f+18r itl . k WAkJIIL,S �4 +'i.l1�( 4iF f" .' �C�i+M►YfA 727GJk.' 4 «. i►' f •Ire ?' l8 / � _��.._ r . 1 t 1 8 2.4P/ 4avcRCy� 8�at �j cps .. -r-o P r� 1 r r • •1 1 E C • •= tom-- -- it r 1 �2I�o THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT [3 WITH ND VARIANCES Q WITH VARIANCE(S) LISTED IN "REMARKS" [ AO OTHER DEVIATIO+!S FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Aut�or►�ed Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT t BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY; FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS A F ^ "1RGED WITH T4 KNOWLEDGE OF ALL BUILD. I14G REGULATIONS WHETHER 09 NOT SPECIFICALLY INDICATED HEREIN. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Job 4�y Address A72- %e Tax Folio Legal Descri Lion � �� Master Permit Owner / Lessee / Tenant_ Owner's Address_ Phone ;'.S y- e-,;';F S-% Contracting Co. �c% , r � � � Address �,5�� �1 - �:; >9 2 Qualifier hAtv, zdsfszv S S Phone ;3-L- Zry// Stated Competency # Ins. Co. Architect/Engineer Address Bonding Company_I� Address Mortgagor Address Permit Type (circle one)AC UILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost• t AT f WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLM RING, SIGNS, POOLS$ ROOFING, and MECHANICAL work. 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. Furthermore, I authorize the above -named contractor Ae w,grk state 7 V 7-1 Signature of Owner and /or Condo President Date: (Notary as to Owner and /or Condd President My Commission Expires: PERMIT FEE: 31 1 b actor or Owner- Builder `,557/ A Notary as to ContractorNffiR?Y'UBL ah '11F 0RIDA kq Commission * pires MY COMQJSSION EX RES 5109(4 Bonded thru Stemt - dams & S*bd APPROVED: Fire o� _ Zoning Building / Other Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 01 /30 /011obAddf X1491 N.E. 102 Street Tax Folio 32cs' 63s- cello Legal Description Historically Designated: Yes No Ow=/Lessee /Tenant ERIK MARGARD Master Permit # T 3 Owner's Address/.2,rtiri -¢_ �) Phoned 3 05 — 7 5 6 —16 94 Contracting CO Address Qualifier SS# - - Phone State # Municipal # Competency # _ ArchitectlEngincer Address Mortgagor Address Ins. Co. Permit Type (circle one) UILD ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION X Outside painting Square Ft Estimated Cost (value) _' $1 5 0 0.0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IiNPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to med the standards of all laws dating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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.: Furthermore, I authorize the above -named contractor to do tt uv 01/30/01 Signature of owner and/or Condo President Date Minature of Con r or Owner - Builder Date AD L Mba6�aboP��._ao� -o Q1010 LA Notary as to Owner andlor'C©ndo President Date otary as Contrac r o e CIAL NOY SEAL My Commission Expires: My Commission Expires: 2.4, ,Ay PUG ANGELA rA sECKER * wli ,COMUMSSM NUMBER yi ' CC796697 My CC\VMSS*N EXPIRES of f�C�\O NOV. 15,2002 FEES: PERMIT 6 0 , RADON C.C.F. 0 NOTARY O Q BOND APPROVED: , TOTAL DUE-4 t,o Zoning Building Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement Janl AffyE: th, 2001 OWNER'S NAME: ADDRESS:Jj1491s RIK MARGARD PHONE: /305- 756 -1694 ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the Palor to be painted. Walls - Fascia Soffit Al. Roofi kyti Flower Bins Shutters Awnings t Chimney Doors and door jams H Garage Doors x Railings Fences �o 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samples. r 01/30/01 Signature of Owner Date Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION t F t I ORDER FOR PRINTS 1 4, REPRODUCTION SPECIALISTS 1301 N. W. 27th AVENUE MIAMI, FLORIDA 33125 TEL. 635 -6432 WHITE PRINTS • SUPPLIES & EQUIPMENT • PHOTO MURALS OFFSET PRINTING • PHOTOSTATS From MIAMI SHORES VILLAGE GE 10050 N. E. 2nd AVE'NII;r �r. t. Delver Tracings to 2nd AV ENUE Ft 331ja MU II SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date e-' `2k' -Time- — - / Type Insp'n r2�A h ' 41 "id Permit No Name Address Company Phone # 9,57 7 For Inspector: / _ ` Name & D Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUELDING DEPARTMENT 305 -795 -2204 Bi4ilding, Inspection Requ < .type Imp' WV Company A Phone # For In,O/Z -7 l ®5-13 Approved Correction ❑ Re- Insp'n Fee ❑ Name & Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERM= Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. T,s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Flv6da, all ordinances of iami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shell be complied with. whether herein specified or not.. A copy of�approved plans and specifications must be kept at building during progress of the work. F3 Owner's Name and Registered Architect abdior Engineer Name and address of ' / ,® 10aand 42 �pti of��be Lot 1 (J Block Street and Number where work is to be di 5fl R N6 Tf= S C/1 Subdivision /�! GGi Date ® .l9 No. ® State work to be done and purpose ,.ojf_buM (by floors(. state'jeexteriorr colors (submit samples) V4 r toC lcoA /rte and for no other purpose. New Building n Remodeling Addition Repairs No. of Stories- 7b be constructed of y ��°l Kind of foundation Roof Covering Estimated Total cost of improvements 5 ® ®® Amount of Permit 5 r Zone cubage required Cubage Distance to next nearest building Size of Building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligators as an employer of Labor under the Florida %orkmen's Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit. and will post or can to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigney such en work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA PC 9 COUNTY OF DADE. }as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me areU known. and who, being by we first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the 'foregoing application. and that he did sign the same, and that all facts therein by him stated are true. Permit No. Date / Read. Sworn to and Subscribed before me. o Disapproved A A Date — Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Council Approved lute Disapproved Date NOTE: A charge of $25.00 will be made for making carrections or changes to this application after approval has been obtained from the Planning Board. A m- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and,or workmanship. i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ^ ' ^' - Date /O Z90 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein desmffied. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during the progress of work. Owner's Name and Address L I °► 1 ' � � h( G� 1 �f�- /L No Street Registered Architect and/or Engineer H O L) 40A V40 Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed — Na TA State work to be performed and purpose of building (By Floors) ®d� 9Z- N, (a %9� _ Block ` Su OgST G�i New Building Remodeling Addition Repairs Na of Stories Size Septic Tank Type of Capacity Gala Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well Size of Soakage Pit Amount of Permit $ ;&51 ) (Signed) A—' The undersigned applicant for this buildingpermit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed UVAer this permit-, and will post or cause to be posted for inspection on the site of the work such public notice or notices are required by the agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by 1 Shores Village. _ C e Q aster Plumber. STATE OF FLO IDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stag are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmansl i . - Y