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PT-09-18371 pp_t1144 Miami Shores Village 31 NOV 0 6 2009 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 9W (305) 795.2204 gem (305) 7562972 BUILDING Permit No.f l � -1637 PERMIT APPLICATION FBC 2004 Permit Type: PAINT PERMIT /� , � ss S �� / Q /} Owner's Name (Fee Simple Titleholder) 1 C I �R C �(,Q C Phone # T1O �. 4 — 6 /7f Owner's Address r L St Pi city NI poeytt 7ci S State Zip � 13 Phone # FOLIO / PARCEL # Contractor's Company Name Contractor's Address OWNER BUILDER: Tenant/Lessee Name �y E -MAIL: � , G . ci�l /0 t u ix,%- �' rrot l � . ( en Job Address (where the work is being done) 11 1Q C) L) E C O, City Miami Shores Village County Miami -Dade Zip 33(68 Is Building Historically Designated YES NO k orK/ Cvw1 City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Value of Work For this Permit $ Type of Work: ❑ Addition / ❑ Alteration / [New / ❑ Repair/Replace Describe Work: V . (tnfi v t U LAse, 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 "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 WTTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance ofa building permit with an estimated value exceeding 52500, 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 reinspectionfee will be charged *********** *,** * ** *** * ** **** **** ********* ees ******************************************** Permit Fee $ -120 0 J CCF $ ® ' . r • Training/Education Fee $ Q •0 Notary $ Double Fee $ Zoning $ Master Permit No. Phone # Technology Fee: Code Enforcement $ Total Fee Now Due $ (do 60 See Reverse side Signature The fo day of who is 4 NOTAR Sign: Print Directions: Please circle corresponding number to appropriate color sample. Walls: PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 4 Fascia: 2 3 4 Drip Cap/Drip Edg 1 2 3 4 Soffit: 1 )' 2 3 4 Roof: 1 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 oor Jams-' 1 2 3 t( ^ , J Garage Doors: 1 2 3 4 Railings: 1 2 3 4 Fences: 1 2 3 4 All brick (simulated or regular): 1 2 3 4 Stucco Banding: 1 2 3 4 Any other Stucco Features: 1 2 3 4 Accessory Buildings Other: OWNER'S AFFIDVIT: I ce?tify that all the foregoing information is accurate and that all work will be done in compli. .ce with My Commission Expires: APPLICATION APPROVED BY: plicable laws regulating construction and zoning. Attach color samples with name and number. 1 2 Signature Contractor going instrument was acknowledged before me this ,20 ,by is personally known to me or who has produced as identification and who did take an oath. AtbjARY PUBLIC: Print My Commission Expires: SW 7072 Plans Examiner Preservation Board Code Enforcement Online (Revised 04/24/07) Inspection Number: INSP- 128783 Permit Number: PT -11 -09 -1837 Scheduled Inspection Date: May 04, 2010 Inspector: Bruhn, Norman Owner: GARCIA, DIANA Job Address: 1160 NE 91 Terrace Project: <NONE> Miami Shores, FL 33138- Contractor: HOME OWNER Building Department Comments May 03, 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 Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050010450 PAINT EXTERIOR OF THE HOUSE Passed F . r Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 2 of 11 Inspection Number: INSP- 128783 Permit Number: PT -11 -09 -1837 Scheduled Inspection Date: May 04, 2010 Inspector: Bruhn, Norman Owner: GARCIA, DIANA Job Address: 1160 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments 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 May 03, 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 Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050010450 Page 2 of 11