BP-05-999 Miami Shores Village
* 4 Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972
BUILDING
Permit No,
PERMIT APPLICATION
ON '-4 �Master Permit No.
FBC 2001
Permit Type(circle): Building Electrical lumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) Phone#
Owner's
Address C �77 AN ® r
City G6 O IZ State Zip
Tenant/Lessee Name Phone#
yj Job Address(where the work is being done) A 11A I 71" rvw
City Miami Shores Village Coun Miami-DadeZip
Is Building Historically Designated YES NO
Contractor's Company Namene# -
Contractor's Address
City State Zip
Qualifier
t
State Certificate or Registration No. erd to of Competency No.
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permi
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
;. ❑ Repair/Replace ❑.Demolition
Describe Work: c
Submittal Fee$ Permit Fee$ 600 ! CCF$ CO/CC
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$
(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 oc s seven (7) days after the building per it is issued. In the absence of such posted notice, the
inspection will not e approve a d a reinspec 'on fe it be charged.
SignatwSignature
Owner or Agent Contracttor
The foregoing i rument was acknowledged beforee this The foregoing instrument was acknowledged before me this
day of COJJ 20 h1cliby��Q �rn�� 20_,by
who i r nally own to me or who has produced 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 UB IC: NOTARY PUBLIC:
Sign: Sign:
Print: QAY Pua n Print:
'ptres:Ju 3,
My Commission Expires o ,nd£,A ('hr" My Commission Expires:
vrF..FP n �
APPLICATION APPROVED BY: Plans Examiner
Engineer
C i
Zoning
chc 05/13/03 '.r�✓ / /� , � '�� � �1�
Miami Shores village
Paint Color Approval and Agreement
Date _
Owner's Name Phone# � � c
I'1
Owner's_Address
�Cl// State Zip
City
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 �Y r
Drip Cap/drip Ed e
W '
Soffit
Roof
Flower bins `�—' Attach Color Samples
10
Shutters �� With Numbers
Awnings
Chimney
Doors and door jams
Garage doors
Railings _.
Fences
Decorative metal I
All brick(simulated or regular)
Stucco banding l/
Any other stucco features
Accessory Buildings
Other
OWNER'S AFFIDAVIT: I certify th all+the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating co structi d zoning.
Signatur / Date
TJOwner or Agent
41c' Date
APP�I A?IOI�F APP VEE Iii: ��� 1.4, � 1
QI1C4a1 ',r cttc 5/18/Q
°R
Miami Shores Village Building Permit
10050 NE 2nd Avenue ..;,. '" '
Phone: 305-795-2204 Permit Number: BP2005-999
' OR
Printed:
Printed:7/8/2005 Page 1 of 1
Applicant: GEOVANNA MERA
Owner: MERA GEOVANNA
JOB ADDRESS: 9337 NW 2 PL
Contractor Contractor's Address:
Local Phone:
Parcel # 1131010150210 Legal Description: ODELL MANORS PB 41-57 LOT 13 BLK 2 LOT SIZE 75.000 X 100
Fees: Description Amount
FEE2005-9345 Building Fee $60.00
Total Fees: $67.30
FEE2005-9346 CCF $0.60
FEE2005-9347 Notary Fee $5.00 Total Receipts: $0.00
FEE2005-9348 Training and Education Fee $0.20
FEE2005-9349 Technology Fee $1.50
Total Fees: $67.30 C-
Permit
Status: APPROVED Permit Expiration: 1/1/2006 Construction Value: $60.00 C)
Work:
Work: EXTERIOR 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: