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PT-07-187Issue Date: 2/14/2007 Owner's Name: ROSEMARY BRUTUS Permit Type: Paint Work Classification: New Job Address: 10401 2 Avenue NE Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Miami Shores, FL 33138 -2058 Type of Work: Exterior Additional Info: Color lis creme Classification: Residential 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. 1 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. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Miscellaneous Fee $60.00 Notary Fee $5.00 Technology Fee $1.50 Total: $67.30 Invoice Number DS -1 -07 -27368 PT -2 -07 -27532 Total: Amt Due $0.00 $67.30 Ck 4 "-)/1 Amt Paid Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/13/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -1 -07 -187 Phone: 1121360130550 Lot: PB: Total Square Feet 1600 Total Valuation: $ 9,000.00 Required Inspections Foundation Sidewalk Landscaping Final NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village m ( o Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 09 1 5101 ° ° Permit No. Tr 0 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle). • (l uiltlinQ, Electrical Plumbing Mechanical Owner's Name (Fee Simple Tit ee older) Sejneb7 /-tQ Phone # 4673 lf�,�d� f Owner's Address /V4'0 / `ld�� 2, id Opt° City Mites ri , State Zip __?....?/98 Tenant/Lessee Name Contractor's Company Name Contractor's Address City State Qualifier Name Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Describe Work: Submittal Fee $ Notary $ '00 Scanning $ Bond $ Structural Review. $ s oc * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *,gyp Permit Fee $ Training/Education Fee $ Radon $ DPBR $ Code Enforcement $ Double Fee $ Phone # Job Address (where the work is being done) A '' / /V1= 4%'? /lc/ &v-c- City Miami Shores Village County Miami -Dade Zip FOLIO /PARCEL # Is Building Historically Designated YES NO Phone # Zip Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Square / Linear .Footage Of Work: 74 ..v ❑ Repair/Replace CCF $ 0 CO /CC Technology Fee $ ) ' � J Zoning $ Total Fee Now Due $ ( /" VV See Reverse side —4 IMMEVMT LIR JAN 31 3607 1 BY: w '' Roofing ['Demolition 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 aniestimated 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 it Z Signature Owner or Agent Contractor The for going instrument was acknowledged before me this The foregoing trument was acknowledged before me this day o �I � /l 20C, by jeOcri �11) day of 20 —, by who �� is sp� personally own to me or who has produced ©J — 30 who is personally known to '. a or who has produced c/'C/1 3 • As identification and who did take an oath. as identificat : ' and who did take an oath. NOTARY PUBLIC: Sign: Print: /1u41 C54 /J 5" APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: ********************************************************* (3\4 Plans Examiner Engineer Zoning L Miami Shores Village Paint Color Approval and Agreement Date: Owner's Name: Phone #: 369 L/O/ • 3( &3 Job Address (where the work is being done): /0 /A) 2. 901 City: Miami Shores Village County: Miami -Dade Zip: 3313 NO Is Building Historically Designated ?: Contractor's Company Name (if applicable): All elements on the site must be listed and indicate the color to be painted Walls: L [ d q {' f }1t?J 104 Fascia: /(J j 0- Drip Cap/Drip Edge: 1u (t Soffit: NI GI- Doors and Door Jams: (,4.' t t Roof: rU Ft Flower Bins: 0 (-- Shutters: - 31LC-c5) Awnings: A) l(/3- Chimney: //1) ( M Garage Doors: i,JY1(E C Railings: f \ ( Pr Fences: I/ ( d-- Decorative Metal: /V All brick (simulated or regular): Ail `/- Stucco Banding: ' (4- Any other Stucco Features: /y 1 10- Accessory Buildings: A( Pt 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. Signature: YES Phone #: APPLICATION APPROVED BY: j Date: `2 P & Z OFFICIAL Attach color Samples with numbers Lis Creme 30YY 77/169 RC 10 * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** PERMIT #: I ❑ Contractor -ner ❑ Architect Address: Acknowledged by: v\u6a Picked up 2 sets of plans and (other) From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to c. ue process. PERMIT CLEARK INITIAL: lJ�� PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT DATE: RESUBMITTED DATE: 2.5)6