PT-10-270Scheduled Inspection Date: June 08, 2010
Inspector: Rodriguez, Jorge
Owner: MITCHEL, KELLEY
Job Address: 10320 NW 2 Avenue
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
June 07, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 136059 Permit Number: PT -2 -10 -270
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (786)326 -6920
Parcel Number 1121360161100
paint exterior of the house
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 3 of 20
Project Address
10320 2 Avenue
Miami Shores, FL 33150-
1121360161100
Block: Lot:
KELLEY MITCHEL
AM
KELLEY MITCHEL
10320 2 Avenue
MIAMI SHORES FL 33150 -0000
(786)326 -6920 (305)893 -0954
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color. _Approved
Color: _Approved_
Code Comments: WALLS, FASCIA, SOFFIT - BEIGE
Color. _Denied
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.80
$66.60
Building Department Copy
February 25, 2010
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Expiration: 08/24/2010
Parcel Number
Invoice #
PT -2 -10 -37097
Invoice Total Amt Paid Amt Due
$66.60 $66.60 $0.00
Check* 6119
Applicant
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
1
2
BUI.LD
PERMIT APPLICATION
FBC 2004
Permit Type: PAINT PERMIT
II
Owner's Name (Fee Simple Titleholder) e :, LLt li l o� � t . LPhone # ` j� "� ( 1 / 0, 1 106
Owner's Address I C P7 DC<.� 1\-)6 v !J 12 1 AU E
City V ° 6 1 Ak o le tate L__-
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done
FOLIO / PARCEL #
State Certificate or Registration No.
OWNER BUILDER:
Describe Work:
Tel:
-F e
Miami Shores Village
Building Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Is Building H istorically Designated YES NO
kiMe) Owe
Value of Work For this Permit $
(305) 795.2209 Fax: (305) 756.8972
Permit No.
Master Permit No.
City Miami Shores Village County Miami -Dade
Zip
Phone #
Phone #
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier Name Phone #
K)D 411%
Zip 5 rd
Certificate of Competency No.
Type of Work: ❑ Addition / ❑ Alteration / (=New / []`Repair /Replace
t0 C. r t ' C)
Application is hereby made to Main 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 he secured for
EI.ECTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNACES, BOILERS, HEATERS, TANKS and 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: .1s a condition to the issuance ofa building permit with an estimated value exceeding $2500. the applicant must promise in good faith that a copy oldie
notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also. a certified copy of the recorded notice
of commencement must be posted al 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 he approved and a reinspeclion fee will he charged.
uxzrxuxx x9e *.w **xzxxxxwww**ww*****wwwww* ees **************** **************o:****
Permit Fee $ CCF $ • Technology Fee:
Training /Education Fee $ Notary $ Code Enforcement
Double Fee $ Zoning $ Total Fee Now Due $
•
See Reverse side -4
Signature
who is
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Drip Cap /Drip Edge:
Soffit: ,47)
Roof:
Flower Bins: 1
Shutters:
Awnings:
Chimney:
Doors and Door Jams: (I
Garage Doors:
Railings:
Fences:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
2
2
2
2
4
3 4
3 4
3 4
3 4
3 4
3 4
3 4
4
3 4
All brick (simulated or regular): 1 2 3 4
Stucco Banding: •
Any other Stucco Features:
Accessory Buildings
OWNER'S AFFIDAVIT: 1 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.
The fore n g was at;kno
day of . 20 10. by
NOTARY I
Sign:
Print:
lattki
Own or Agent
My Commission Expires:
APPLICATION APPROVED BY:
rsonally known to me or who has
adged before rle this
N\J
induced
3
3
Other:
entifcap 'and who did take an oath.
At e and
Signature
Contractor
The foregoing instrument was acknowledged before me this
. day of .20 .by
Oho is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
� r�� �� Sign:
e � t �� _ G� � �p��'rint:
4 1 - � � M Commission
*** * * ** * * * * * * * * * * * ** * * * * * * * * ** OW +Y+ ******** at*& vk+ Yelr*atet*+ rr**** k9r+ YkieaYe: elt*& et***4r*4r9teknk &dr*?:****
b
a o
S 714 L8
Expires:
Plans.Examiner .
Preservation Board
Code Enforcement
(Revised 04 /24/0
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Eity 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, BOIT.F.RS, 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: Asa 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.
Signature Signature
Owner or Agent �,—��' I
Contractor
The foregoing instrument was ackno - ged before A this �/„ D The foregoin strument was acknowledged before me this
day f p ' ,.....� ►■''r II
Y Y da of
A
h personally known to me or o has produced ' who is personally , o to me or who has produced
identification and who did take an oath.
NOT , p ,:LTC: �I $ y PUB
Sign: 1,1t 7
= �� /=�� on#DD gn:
4�LL��!, i _..� r►ra e Bxpi a s': n y ►' ut' 781 nt: ndiag
Prin
„,,, _ _ _
My Commission Expires: 0 My Commission Expir
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED B
"Cho 05/13/03
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
by clew)
dentification and who did take an oath.
84
s: Jul 13, 2007
, nded
t5 Plans Examiner
Engineer
Zoning