BP-03-1074 Miami Shores Village
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Fax:(305)756.8972
BUILDING Permit No.9?3, ® -42
PERMIT APPLICATION Master Permit No.
FEC 2001
Permit Type(circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple TitleholdeAV f)on na- Phone#�� 261 `rt
Owner's Address , 3 f
Ci 7__�� State Zip
Tenant/Lessee Name Phone#
Job Address(where the work is being done) 5-70 K)C 101 S�° Q
City Miami Shores Village County Miami-Dade
Is Building Historically Designated YES NO
Contractor's Company Name Phone#
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name(if applicable) Phone#
Architect/Engineer's Address
City State Zip
4.
$Value of Work For this Permit z0oo QSquare Footage Of Work:
Number of.Bays Stories Families Bedrooms Baths
Type of Work: ❑Additiorn []Alteration [:]New ❑ Repair/Replace ❑Demolition
Describe Work: �XfiF r P
Calculation Mist
County Escrow Fee$ v Permit Fee$ ® Notary$ 4 -
EducationlTraining Fee$ Tech$ Scanning$ Radon$
Code Enforcement$ Bond$ Struct.$
Minus Plans Check Fee$ Fee Totals$�o�n ^ y (Continued on opposite side)
f
Bonding Company's Name(if applicable)
� v
Bonding Company's Address ,
City State Zip
Mortgage Lender's Name(if applicable)
,Mortgage Lender's Address
CityState Zip
I
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 incompliance 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.
�-M,10— N SSignature �
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 a byFRIII q, ' ;1&d
day of .20_,by
who is personhy known to me or who has produced who is personally known to me or who has produced
identification and who did take an oath. as identification and who did take an oath.
NOTARY P IC: NOTARY PUBLIC:
Sip:
ny p T -I IC1ALNOTARY SEAL Sign:
z 1 l Print•
Print: ii COMMISSION NUMBER
�vi
� DD091094
My Commission Expire YrF O(t� '21Y COMMISSION EXPIRES My Commission Expires:
OF MAR.1,2006
Iririritvtirir4rlriritdriritinlr9tiriir4ir4r9t9ri4nlnt9tilrieirit4r�t4rdrir4r k h4rieirJriririririe&y{rinrririr4e*irlir*ktriirie4riririt+IeintrieiinYir4rinTrirYhdtirirVir*ir'+irtdrir4Iriie#dr
(Certificate of Competency Holder)
State Certificate or Registration No: Certificate of Competency No.
APPLICATION APPROVED BY: Plans Examiner
r Q 0 -3 Zoning
chc6n 8/03
i
MIAMI SUORES VILLAGE
Paint Color Approval and Agreement
9
DATE: -7Zi /03
® 9s NA1vtE: n w PH 30s �� -�►��
ADDRESS: Zve FL- 33133
ADDRESS OF SITE: 5-70 lel E 10 S4Y-eet - M i i Sha--es 3�
CONTRACTOR& LICENSE if a plicable ' 0- Z, ( 9 cc 0)0:qO-� o
COMPANY NAME: - ' v c--o i\- - PHONE. 3 R2 3
All Elements on the site must be listed and indicate the color to be painted.
Walls t l.i e. Lid
Fascia W � L& vie,-
Drip
iDrip Cap/Drip Edge
Soffit OW
F
Roof
Flower Bins
Shutters - W
Awnings
Chimneyy
Doors and door jams U/L h e,
Garage Doors 3
Failings
Fences _ uLf—�
Decorative Fetal .
All brick(simulated or regular) C
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
sawn es.
Signature of® er Date ature of Cont for Date
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECZ'I®N
Building Of ` 'al Date 4/23/01
MIAMI SHORES VILLAENEID
Paint Color Approval and Agreeme t JUL 1 4
DATE: C)3 ----
OWNER'S NAME: n'1 ax PHONE: Z -7
ADDRESS: IAve C - ove x. 33133
ADDRESS OF SITE: 'j-70W�-5 103 St(—eek
CONTRACTOR& LICENSE (if applicable)
COMPANY NAME: PHONE:
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia o
Drip Cap/Drip dge o
Soffit W
Roof
Flower Bins
� b
' r
Shutters
Awnings
Chimney x
Doors and door jams z
Garage Doors
Railings
Fences
Decorative Metal .
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other ly't in ( ru.n ja.b'1c:r evn'_a^ .
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.
GOA O 7-lq -0.3
Signature of Nvner Date Signature of Contractor Date
APPROVED: WHEN PAINTING IS FINISHED,
a� / CALL FOR FINAL INSPECTION
161-11,03
Building Offici Date 4/23/01
HORFS
Miami Shores Village
Buildin Permit .... M��
10050 NE 2nd Avenue .....
Phone: 305-795-2204 Permit Number: BP2002-1783
�OR1'D�
Printed:10/21/2002 Page 1 of 1
Applicant: NINO TILLMAN
Owner: TILLMAN NINO
JOB ADDRESS: 570 NE 103 ST
Contractor POPEYES FENCE&CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE 132
Local Phone:
Parcel # 1132060170880 Legal Description: MIAMI SHORES SEC 4 AND PLAT PB 15-14 LOTS 3&4 BLK 93
Fees: Description Amount
FEE2002-5861 Building Permit Application Fee $60.00 Total Fees:$361.60
FEE2002-5862 CCF $0.60 Total Receipts: $0.00
FEE2002-5863 Building Fee $1.00
FEE2002-5912 Buildier's Bond $300.00
Total Fees: $361.60
Permit Status: Approved Permit Expiration: 4/16/2003 Construction Value: $800.00
Work: 5' HIGH WOOD FENCE
If there is no permit package accessible on the job-site for inspectors to verify,there will be no inspections. Re-inspection
fee is$50.00,which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,drawings,statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents,servants or employees.
Signed: (INSPECTOR) BY:
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,sery is or employes.
Sig ed: (Contractor or Builder) BY: