PT-14-1595te-
JamI. l' AI
PAINT
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
REC Tt 7P-13
JUL 2014
BY: I N►
PWAN
FBC 2(0 10_
Master Permit NoP — 1 4- ISS
Sub Permit No.
JOB ADDRESS: 7 w Alt t / 6- 4'5 4 -
City: -- • Miami Shores r -L County: Miami Dade
Zip:
33i3S
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
OWNER: Name (Fee Simple Titleholder): a fl I -4 -et, h S$ n Phone#:3 b,3-- 7 a -F
Address: Al /
City: I'}v_ . m ; L� a, 1-4. S State: 1N Zip: 3 3 / 3
Tenant/Lessee Name: J -
Email: rot ro e r, t l ABY) SO ►-') ya. A oa , C Vfl
CONTRACTOR: Company Name: a 141-7/1-9-1-- 511:45 Phone#:
Address: 3151
City:
State: Zip:
Phone#:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
l�.
Value of Work for this Permit: $67)Square/Linear Footage of Work: 0 / 0
Description of Work: ?4; n + s lw /" 1 -e c
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, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS,
HEATERS, TANKS, AIR CONDITIONERS, ETC
"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 an inspection fee will be charged.
Permit Fee $ CCF Fee $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
TOTAL FEE NOW DUE $
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
DIRECTIONS: Please circle corresponding number to appropriate color sample.
Walls: 1 2
3 4
Fascia: 1
2
3 4
Drip edge: 1
Soffit: 1
2
3 4
2
3 4
Flower Bins: 1
2
3 4
Shutters: 1
2
3 4
Awnings: 1
Chimney: 1
Doors & Jambs: 1
2
3 4
2
3 4
2
3 4
Garage Doors: 1
Railings: 1
Fences: 1
2
2
2
All Brick: 1
2
3
3
3
3
4
4
4
4
Stucco Bands: 1
2
Other Stucco
Feature: 1
2
3 4
3 Er/
Accessory Bldg: 1
OWNER'S AFFIDE
applicable laws regulatin
2
3 4
Attach color sample with name and number
1. s I I ve r s 121 Cw [4,4-e
2. P,q°rt`�-
V
3.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all
Signature
The foregoing instrument was
ef: 6i day of
RaQgd �-
construction and f zoni
�a 1
Signature
CONTRACTOR
acknowledged before me this The foregoing instrument was acknowledged before me this
20 j I , by day of , 20 , by
ho is personally known to , who is personally known to
(111‘1)0( LC -CAS -C._ as me or who has produced as
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: AllOg
Print:
Seal:
%a+ t'U\A-- a
APPROVED BY:
BARBARA A ESTEP
,: •r5. MY COMMISSION # FF 073975
EXPIRES: March 29, 2018
,,e Bonded Thru Notary Public Underwriters
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Code Official
Historic Preservation Board
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
11/20/2015
776 NE 95 Street
Miami Shores, FL 33138 -
RE: Process No.PT-7-14-1595
Address: 776 NE 95 Street
Dear Owner,
Our records indicate that the above referenced permit has expired without obtaining the
proper permit approval. In order to serve you better, we need to keep our files up to date.
As per section 105.3.2 of the Florida Building Code, "An application fora permit for any
proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless
such application has been pursued in good faith or a permit has been issued."
Please be advised that open permits will hinder your ability to refinance or sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to
take care of this matter.
Sincerely,
Ismael Naranjo, CBO
Building Department Official
305-795-2204
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