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BP-05-1448Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (3 ,9S_2 ax• 05 8972 / BUILDING PERMIT APPLICATION 5 C I I xW59N&_*A§ii'' Permit No)?Z� Permit N Permit Type (circle):Building Electric �/ Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder)01 (W_ /_2 9 Phone # ) 7."7— 3 _2 Z - Owner's Address / :P-4 /0 //,o 5/—, City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) /,-34� A- 4) e O 2_4 �/elw� City Miami Shores Villaee County Miami -Dade Zip Is Building Historically Designated YES NO, Contractor's Company Name ire' 74) 0 Phone #_69 D Contractor's Address e* l; City #77t/ State a Zip :53 Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) _ Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: OAddition ❑Alteration ❑New ❑ lace Re air/Re p p ❑ Demolition Describe Work: Ge_ Submittal Fee $ Permit Fee $ Q , 7 g CCF $ 2 ` 0 COO///CSC. Notary $ Training(Education Fee $ 0 Technology Fee $ 3 . rW Scanning $ 3 • p© Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $_ 130 • 9(=7 -- (Continued on opposite side) 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: 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 a r inspection fee will be charged Signature Signature O er or Agent Contractor The fo oing instrument was acknowledged before me this;, GES day oL , 20CZbyylC=FCDZ L_A\eL--,C} who is personally known to me or who has produced As identification and who did take an oath. 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: NOTARY PUBLIC: Sign: Sign: Print: _ --Vo"A6% Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: U�A / Q J Plans Examiner Engineer Chc 05/13!03 Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 n�m Permit Number: BP2005-1448 Printed: 10/12!2005 Page 1 of 1 Applicant: MARILOU LAYUG Owner: LAYUG MARILOU JOB ADDRESS: 136 NE 110 ST Contractor Contractor's Address: Local Phone: Parcel # 1121360040430 Legal Description: COLLEGE HEIGHTS PB 42-8 LOT 12 BLK 2 LOT SIZE 75.000 X 124 Fees: Description Amount FEE2005-13458 Building Fee $116.79 Total Fees: $130.99 FEE2005-13459 FEE2005-13460 CCF Notary Fee $2.40 $5.00 Total Receipts: $0.00 FEE2005-13461 Training and Education Fee $0.80 FEE2005-13462 Technology Fee $3.00 FEE2005-13463 Scanning Fee $3.00 Total Fees: $130.99 Permit Status: APPROVED Permit Expiration: 4/3/2006 Construction Value: $3,893.00 Work: REPLACE KITCHEN CABINETS 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: MIA O S VILLAGE BUILDING DEPARTMENT 305-795-2204 Bu'lding Inspection Request Date 1 Type Insp'n 1 �Q1 5/,T�Vr Permit No. Name Address Company OW AAL Phone # Inspection Approved Correction Re-Insp'n Fee ❑ I Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: Printed: 10/12/2005 Page 1 of 1 Applicant: MARILOU LAYUG Owner: LAYUG MARILOU JOB ADDRESS: 136 NE 110 ST Contractor Contractor's Address: Local Phone: Parcel # 1121360040430 Legal Description: COLLEGE HEIGHTS PB 42-8 LOT 12 Fees: Description Amount FEE2005-13464 Building Fee $150.00 FEE2005-13465 CCF $0.60 FEE2005-13466 Notary Fee $5.00 FEE2005-13467 Training and Education Fee $0.20 FEE2005-13468 Technology Fee $3.75 FEE2005-13469 Scanning Fee $3.00 Total Fees: $162.55 Permit Status: APPROVED Permit Expiration: 4/3/2006 Construction Value: $1,000.00 Work: KITCHEN CABINETS REPLACEMENT Signed: (INSPECTOR) BLK 2 LOT SIZE 75.000 X 124 Total Fees: $162.55 Total Receipts: $0.00 M 1 00 MD 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: L J --PS - 3v ff 1 a8 - 4- Ole- . L � ,z ISI ►► - 13L ilw 3L F L -1l t5 fna g 1A3a J to ty 33 . I I I I Lid I �L- IZ 16i l6L • .... • • • a l5� F 14. ? t?�, 5✓ ! ` I LA �3�1 t-84-ao- 4- -t-3Lt-�(�-t- 3p g� V- t � - 2- E -1a201F � r •••• • 0000 ..0000 .. •• 000.0• 0 • • • L-�.v 26OSA m t ry • .... • • • .••• •0066• 0000 0000• • • 0• • • 0 .0 0• • 00 • •0.0.6 • •00• • ••666 • 6 • 0000 • • • ••• •••••• •• • FD Q=21 ---