BP-05-750 Miami Shores Village
Building Department
. , � g p
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel: (7MAY
Fax. 305)756.8972
p" rIBUILDINGPermit No. X005-=750
3 2aPERMIT APPLICATION r_ aster Permit No.
FBC 2001
Permit TY�e �circle : Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) 4/i/7101U V eA 5,T/20 Phone# 30S- 75-1— � 9
Owner's Address /V40 C!lo
City/ 1,11 i •�AaXC� State )C:L Zip 3.3/SO
Tenant/Lessee Name Phone#
Job Address(where the work is being done) .51t-
City Miami Shores Village County Miami-Dade Zip 3/SU
Is Building Historically Designated YES NO
i
Contractor's Company Name 0W ne_V11 Phone#
Contractor's Address
City ip
Qualifier
State Certificate or Registration No. pe ency No.
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit C�0 Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition
Describe Work
Submittal Fee$ Permit Fee$co CSO CCF$ CD®; CO/CC
Notary$` 6O Training/Education Fee$ Technology Fee$ __C-P,so
Scanning$ , Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ G ��
(Continued on opposite side)
Bonding Company's Name(if applicable) '
Bonding Company's Address
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 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 and a reinspection fee will be charged.
Signature Signature
drier or Agent g Contractor
The forego' g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20 (}, ,by day of 20_,by
who is personally known to me or who has prodliced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PU LI NOTARY PUBLIC:
Sign: Sign:
CLJL
Print: *� ;,_ '"' 01T DD231984 Print:
07
My Commission Expires: �tonded Thni My Commission Expires:
untie Bonding Co_ t._
z � Os�--
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
chc 05/13/03 %i
Miami Shores Village
Paint Color Approval and Agreement
Date
Owner's Name 14M11-14e A; �A�T' Phone# - 005-_7,S`I—4WV,�7
Owner's Address
City X119/}1% .s lJ�' State L Zip 33/.5D
Job Address(where the work is being done) /4// NUJ 1?4
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/dripEdge
Soffit
Roof
R lowbins Attach Color Samples
Shutters With Numbers
7'';4
Awnings .�UdrJ/yl 2�+ ��/ ✓QST'�y •
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 c i 1ood a) . \J Cris,
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.
Date �6 J
Signature
Owner or Agent
Date
APPLICATION APPROVED BY: she 6/18/03
P&Z kfficial
Miami Shores Village Building Permit
10050 NE 2nd Avenue --
Phone: 305-795-2204 Permit Number: BP2005-750
Printed:6/1/2005 Page 1 of 1
Applicant: ANTHONY GEORGE CASTRO
Owner: CASTRO ANTHONY GEORGE
JOB ADDRESS: 141 NW 96 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1131010250110 Legal Description: RESUB OF BLK 3 OF BONMAR PARK PB 42-60 LOT 11 BLK 3
Fees: Description Amount
FEE2005-7073 Building Fee $60.00 Total Fees: $67.30
FEE2005-7074 CCF $0.60 Total Receipts: $67.30
FEE2005-7075 Notary Fee $5.00
FEE2005-7076 Training and Education Fee $0.20
FEE2005-7077 Technology Fee $1.50
Total Fees: $67.30
Permit Status: APPROVED Permit Expiration: 11/19/2005 Construction Value: $100.00
Work: RE-PAINT THE AWNINGS AND HOUSE TRIM Qo
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:
Miami Shores Village Building Permit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: BP2005-750 ,
Printed:6/1/2005 Page 1 of 1
Applicant: ANTHONY GEORGE CASTRO
Owner: CASTRO ANTHONY GEORGE
JOB ADDRESS: 141 NW 96 ST
Contractor Contractor's Address:
Local Phone:
Parcel# 1131010250110 Legal Description: RESUB OF BLK 3 OF BONMAR PARK PB 42-60 LOT 11 BLK 3
Fees: Description Amount
FEE2005-7073 Building Fee $60.00 Total Fees: $67.30
FEE2005-7074 CCF $0.60
FEE2005-7075 Notary Fee $5.00 Total Receipts: $67.30
FEE2005-7076 Training and Education Fee $0.20
FEE2005-7077 Technology Fee $1.50
Total Fees: $67.30
Permit Status: APPROVED Permit Expiration: 11/19/2005 Construction Value: $100.00
Work: RE-PAINT THE AWNINGS AND HOUSE TRIM
® M
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: