PT-10-247Project Address
9950 4 Avenue Road
Miami Shores, FL 33138 -2451
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
VICTOR ORTEGON
9950 4 Avenue Road
MIAMI SHORES FL 33131-
Valuation:
Total Sq Feet:
$ 1,00
0
Contractor(s)
HOME OWNER
Phone
CeII Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments:
Color. _Denied
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
80.80
$66.60
Building Department Copy
Address
Expiration: 08/17/2010
Invoice #
PT -2 -10 -37072
Parcel Number
1132060171160
Block: Lot:
Phone
Invoice Total Amt Paid Amt Due
$66.60 $66.60 $0.00
Check #: 167
Applicant
VICTOR ORTEGON
CeII
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
February 18, 2010 2
BUILDING
PERMIT APPLICATIO■
FBC 2004
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) , Phone # ) S 6 9g?
Owner's Address 67 r/1 �•% -a-3
N
City 61(4 State / east
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City
FOLIO / PARCEL #
Miami Shores Village County
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
OWNER BUILDER:
Value of Work For this Permit $
Describe Work:
Miami Shores Village ragnvzi
0050 N.E.2nd Avenue. Miami Shores, Florida 33138
�
Fax: (305) 756.8972 ��, ^��. � 1 '.........
Permit No. U
Master Permit No.
i ui1ding Department
Tt'1: (305) 795.2204
State
NO
r
Application is hereby made to obtain a permit to do the ork 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 he performed to meet the standard.. of all laws regulating construction in this jurisdiction. I understand that 'a separate permit must he seaireddiir
EI.I:CTRICAI. WORK. PLUMBING, SIGNS, WELLS. TOOLS, FURNACES, BOILERS. HEATERS, TANKS and AIR .CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE i FO RECORD A NOTICE OF COMMENCEMENT RESULT YQUIR PAVING: TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITI-I YOUR LENDER OR AN ATTORNEY BEFORI
RECORDING YOUR NOTICE OF COMMENCEM I■NT."
Notice to Applicant: .4s a condition to the issuance of building permit with an estimated value exceeding $2500. the applicant mus7 promise in good. faith that a copy oldie
notice of commencement and construction lien Icnv brae ure will be delivered to. the person whose property is subject to attachment. Also. a certified copy of the recorded notice
of commencement must he posted at the job site for the sl 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 reinspeciion,fee w 11 be charged.
9r**** *, i** ti: tie xaYieak*vYYcdr****.4*** ***** *x F kdcxieab*aknY ***wmxxxuxxeY
Permit Fee $ I, + �l � CCF $ �J• � (LLJ � Technology Fee: 7 .50
• Training /Education Fee $
Double Fee $
Notary $ ' (( �� Code Enforcement $
Total Fee Now Due $ 6l.00
See Reverse side -*
. Zoning $
Zip " "/3
Phone #
Miami -Dade • Zip •
Phone #
Zip
Phone #
Certificate of Competency No.
Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair /Replace
Signature
.• .
•
Walls:
i •
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof:
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.
2 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors and Door Jams: 1 2
3 4
Garage Doors: I ° ° 3 4.' •
•
Rai[in�s: I 2 3 4
Fences:
All brick (simulated or regular): 1 2 3 4
Stucco Banding: l 2 3
Any other Stucco Features: 1 2 3
Other:
Accessory Buildings
•
APPLICATION APPROVED BY:
Owner or Agent
•
4
4
4
Attach color samples with name and
4
OWNER'S AFFID : : I certify that all the foregoing information is accurate and that all work will be done in
compliance wit plicable laws regulating construction and zoning.
de 01)0„1
Signature
Contractor
The fo egoi g instrument was a . owl ged hefo me this The foregoing instrument was acknowledged before me this
day of 20 Uy day of . 20 . by
who is personally known to me or who In s produced W ho is personally known to me or who has produced
As idcrttifi •ati in: d who did take an a .. 1� as identification and who did take an oath.
h <��4 OTARY PUBLIC:
Sign: .ter. i , t� 9 , Alva Sign:
Print: Qa ' O 0 Print:
My Commission Expires: •
e
*&d isc * *ww ****w*xwwx *xxwwwwwww* * ****x *** x********* aYkie*dreY*** *sk*xotdtaY4eaYoYdrz$********* k*****w** *ww seamy u********
My Commission Expires:
to—
r,
o ...
Plans Ekaminer
" Board
Code Enforcement
(Revised 04 /24/0;
Inspection Number: INSP - 135841
Scheduled Inspection Date: February 24, 2010
Inspector: Bruhn, Norman
Owner: ORTEGON, VICTOR
Job Address: 9950 NE 4 Avenue Road
Miami Shores, FL 33138 -2451
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
exterior paint for exterior wall
Passed � �
o�a
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
February 23, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: PT -2 -10 -247
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060171160
Page 18 of 34