PT08-46 a
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Miamr :..
Shores Village
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10050 N.E.2nd Avenue ::::: :<::: :::::: :::::::::::::::::.:::::::.:::.:..:.;:::: s:.:.;::>;•r<;:.::;.:..::a...:......:::
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Miami Shores,FL 33138-0000 Ci 9
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.• Phone: (305)795-2204
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Expiration: 07f 08# 008
Project Address Parcel Number Applicant
_.
............. ....... _.. ..................... .
1191 NE 103 Street 1122320310050 'y
Miami Shores, FL 33138- Block: Lot: FEDERICO
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5?!!YAgf.Itff41 RlgSj9(i..........................................................Addresa...................................................................................i'!4!!g...................................................Cell..............................
FEDERICO 1191 NE 103 ST
MIAMI SHORES FL 33138-2651
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.......................................................................................
Contractor(s) Phone Cell Phone Valuation:
$ 1,000.00
HOME OWNER
...................................................................-.............................................................................................. Total Sq Feet: 0 :a
xxs
Tn<��'•.'i:a�:o:?•`rfA..�.i fe''<^ 's<w F a7'F :.� +. ••"" •y.:'r,'L:
Type of Work:Exterior Available Inspections:
Color:
Inspection Type
Additional Info: Final
Classification:Residential
Color:_Approved Code Comments:WALLS,FLOWER BINS-LIGHT
Color: Approved_ Color:_Denied
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60 :............................:
Education Surcharge $0.20 $0.00 $0.00 $ 0.00
Notary Fee $5.00
Permit Fee $60.00 Payment Type:
Technology Fee $1.50
Total: $67.30
I— AM( L11
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 responsibility for all work done by either myself,my agent,servants,or employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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 . Futhermore,I authorize the above -named contractor to do the work stated .
January 10, 2008
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
Thursday,January 10,2008 1
--------------.-
I s, -don Worksheet
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}` €viii^mi Shores Village
10050 N.E :i'.od Avenue Miami Shores,FL
Ph - 2044 Fax: (305)766-8872
._....._... __. ------------.........-...................-.................................................................... ...........
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Sche.lul=,i iarr Date: A:'r'l 24, 2039 Permit Type: Paint
Inso, :tc :r „, t�da�tnan Inspection Type: Final
owner: Dt=talc:o ...... Work Classification: Addition/Alteration
Job Add e:: i 131 NE 103 Street
Phone Number
Parcel Number 1122320310050
Project: :.ol')NE.
Contractor !-S0f-il: OWN EI'll
Buildinq , rPly rt Comments
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April page 12 of 34
�v I Miami Shores village JAN o 9 2008
Building Department sY:I ........
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No.10r�--4(0
PERMIT APPLICA ION Master Permit No.
FBC 2004
Permit Type: PAINT PE IT /�
Owner's Name(Fee Simple Titleholder) Asolftrw ,T Cftmo Phone# P041- 1%rr- P/�z
Owner's Address /$4/ AI,E, 0 It Sr'.
City #'1, 4r, State FL. Zip R- it
Tenant/Lessee Name Phone#
E-MAIL:
Job Address(where the work is being done) 1191 d 87,
City Miami Shores Village County iami-Dade Zip J.>t/�
FOLIO/PARCEL#
Is Building Historically Designated YES NO ✓
Contractor's Company Name oma+ CAOT o hone# $or- P/1 i-
Contractor's Address /9/ 4119 toy aTt.
City /Y1-Ami $I" State ft . Zip :5
Qualifier Name Phone#
State Certificate or Registration No, Certificate of Competency No.
OWNER BUILDER:
i � 1
Value of Work Fo is F4rmIt$ Ty fIrk:I ❑Addition/ ❑Alteration/ []New/ Repair/Replace
Describe Work:
Application is hereby made to obtain a Permit to do the:wort:and installations ac indicated. t certi(y that no wort:or installation has commenced prior to the issuance of a permit
Mid that all wort:will he performed to meet the aundards of all laws regulating construction in d4s'ji trisdiction. 1 understand that a separate permitust tie secured li)r,
El.ht"fRICAI.WORK.PLUMBING.SIGN..W'ELI.S.P(aOLS,FURNACES,BOILERS.HEATERS•TANKS and AIR CONDITIONERS.
"WARNING 7.0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOF
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING:CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFORI
RECORDING YOUR NOTICE OF COMMENCEMENT."
Noticx to Applicant: As a condition to the issuan a of a building permit with an estimated value exceeding$2500,the applicant must promim in good failh that a cot#,of the
nottcxc of commencement and construction lien len brochure will be delivered to be person whose properly is subject 10 atlachment. Also,a certified copy of the recorded notice
of commencement must be posted at the job site]r the first inspection which occurs seven(7)days gfter the bullding permit is issued In the absence of such posted notice.the
inspection will not be appromd and a reinspects ,fee will be charged.
Permit Fee$ CCF$ 0,60 Technology Fee:_ •SV
Training/Education Fee$' ��. Notary$ Code Enforcement$bq '\
Double Fee$ Zoning$ Total Fee Now Due$__ bL. l�
See Reverse side-)
I
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: I 2 3 4
ttarlt cnlnr Carr..+IQ- s.,.th name and
Fascia: I 2 3 4
Drip Cap/Drip Edge: 1 2 3 4
Soffit: 1 3 4 t
Roof: I W 1 2 3 4
Flower Bins: nl 2 3 4
Shutters: I VL `2 3 4
Awnings: 1 2 3 4 2
Chimney: I 2 5 4
Doors and Door Jams: 1 3 4
Garage Doors: 1 2 3 4
Railings: 1. 2 3 4 3
Fences: 1 2 3 4
All brick(simulated or regular):- I 2 3 4
Stucco Banding: l 2 3 4
Anv other Stucco Features. 1 2 3 4 4
Accessory Buildings Other:
OWRAVM I certify that all the foregoing information is accurate and that all work will be done in
colivable laws regulating construction and zoning.
Signature Signature
gent Contractor
The fa sing instrument was w gecl before a this The foregoing instrument was acknowledged before me this
day f .2a.by day of .20_.by
wl o is personally nown to me or who has pn►duced who is personally known to me or who has produced
As identification an who did tt► 1 'vQ~4as identification and who did take an oath.
N TARY PNOTARY PUBLIC:
.
Sign: c+ Sign:
Print: Print:
My Commission Expires: ;`'"""'•• y My Commission Expires:
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APPLICATION APPROV17D BY: Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/ 7