BP-05-736 Miami Shores Village
• Building Department
10050 N.E. enue,Miami Shores,Florida 33138
Te (30' 204 Fax: (305)756.8972
BUILDING 4� n � � — -7 .
Permit No.
PERMIT APPLICATIO `�'`� �� "� Master Permit No.
FBC 2001 V
t
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) GlkJl}j /` SPhone#
Owner's Address % ✓V
M
City ' 't � State �i d(� Zip t�d
Tenant/Lessee Name Phone#
Job Address(where the work is being done) IQ
City Miami Shores Village__ County Miami-Dade Zip
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
. oe!�
City St
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit X 2 :M_CXD Square Footage Of Work:
Type of Work: ❑Addition Alteration ❑New / ❑ Repair/Replace ❑ Demolition
Describe Work:HA/
Submittal Fee$ ./� Permit Fee$ • 06 CCF$ ( Q:)(0 CO/CC
Notary$ Training/Education Fee$ r Technology Fee$ 1-150 .
Scanning$ Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ (25T 1 `c) 1 d t
(Continued on opposite side)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) /V
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 U 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 da
ys after the building permit is issued. In the absence of such posted notice the
inspection will not be approv ' and a reinspection fee will be charged.
Signature Signatur�,l
Owner or Agent Contractor
The forego' instrul t was ac-Lnowledged befa me thisZ4. The foregoing instrument was acknowledged before me this
day of 2RO ,by �� 1, lCC13,, day of 20_,by
who is personally lown to me or who has produced, who is personally known to me or who has produced
As identification and who diO fi e an X01 as identification and who did take an oath.
NOTA � ..�s�
RY P B C. l� '� OTARY PUBLIC.
Sign: Si n:
`
�t�G g
Print: - Print:
^',ST'47E
My Commission Expir s: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
(
x l.1 Z/'`
/ �...
chc 05/13/03 Zoning
Miami Shores Village
• Paint Color Approval and Agreement
Date
Owner's Name Phone#
Owner's Address
City State 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 jq
Drip Cap/drip Edge � I/
Soffit
Roof
Flower bins Attach Color Samples
Shutters With Numbers
Awnings
Chimney
i
Doors and door jams
Garage doors
Railings
Fences
J�
Decorative metal
All brick(simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings j �h
Other
OWNER'S AFFIDAVIT: I certify that all the foregoinginfo on is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
Date
Signature
Owner or Agent
,. .. .. Date f�
APPLICATION APPROVED BY:
P&Z Officia chc 6/18/03
Miami Shores Village g BuildingPermit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: BP2005-736 . `
Printed:6/3/2005 Page 1 of 1
Applicant: DAVID MARKUS
Owner: MARKUS DAVID
JOB ADDRESS: 1190 NE 92 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1132050270460 Legal Description: BAY LURE PB 44-63 LOT 8 BLK 3 LOT SIZE 75.000 X 125 OR
9 p
Fees: Description Amount
FEE2005-7172 Building Fee $60.00 Total Fees: $67.30
FEE2005-7173 CCF $0.60
FEE2005-7174 Notary Fee $5.00 Total Receipts: $0.00
FEE2005-7175 Training and Education Fee $0.20
FEE2005-7176 Technology Fee $1.50
Total Fees: $67.30
Permit Status: APPROVED Permit Expiration: 11/14/2005 Construction Value: $500.00
Work: PAINT
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: