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PT-09-167 b Miami Shores Village ,fir 10050 N.E. 2nd Avenue's 3�y� Miami Shores, FL 33138 -0000 y �~ a Phone: (305)795 -2204 Expiration: 0 1902009 „ . oiw Project Address Parcel Number Applicant 9301 9 Place _ 1132050070060 JONATHAN S CROSS &W & JEN Miami Shores, FL Block: Lot: Owner Information Addre Phone Cell JONATHAN S CROSS $W & JENNIFER L 9301 NE 9 PL MIAMI SHORES FL 33138 -2973 Contractor(s) Phone Cell Phone Valuation: $ 2,0 00.00 HOME OWNER .._._.. Total Sq Feet: 0 Type of Work: Exterior Available Inspections: Color. Inspection Type. Additional Info: Classification: Residential Final Color. Approved Code Comments: BEHR - WALLS - SNOWDROP 53C Color. Approved_ Color. _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1 .0 Education Surcharge $0.440 PT - 2 - 09 - 33835 $ 68.10 $ 68.10 $ 0.00 Notary Fee $5.00 Permit Fee $60.00 Technology $1.50 Total: $68.10 In considtion of the issuance to me of this permit, 1 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 acceptings permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required f&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 taws regulating constructl6d,, and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 03, 2009 Authorized Signature: Owner 1 Applicant I Contractor I Agent Date Buildfng Department Copy March 03, 2009 1 Miami Shores Village Building Department 10050 NE 2 nd Avet Miami, F133138 (305)795 -2204 (ph); (305)756 -8972 (fax) ATTENTION YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION FROM THE BUILDING DEPARTMENT. This permit is valid for 180 days. If it is not finalized during this period of time, the permit will expire, and it will require payment of a renewal fee to reinstate it and to be able to call final inspection to close the permit. PLEASE, WHEN FINISH YOUR PAINTING; CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT. q . 4e o,- ne r contractor's signature f Thank you for your cooperation Miami S hores MMEY z S o es Village � ; �� r ] Building Department 10050 NX.2nd Avenue, Miami Shores, Florida 33138 BY' ... X, - - - - -- Tel: (305) 795.2204 Fax: (305) 756.€3972 BUILDING -- Permit No. PERMIT APPLICATION Master Permit No. FBC Pe OwneL'#R {f ``, � o } 1p ... ( �oSy Phone# 3 6 r - _7S Owner's Address - `� D 1 � C C l 4 _" T tG►d'2 City M s�ly�eg State Zip Tenant /Lessee Name Phone # E- MAIL: _..J C, Job Address (where the work is being done) City Miami Shores Village County Miami -Dade - Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name e �Q_� Phone # •' - - Contractor's Address City - - - -- State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit $ 3 00 O` Z)o Type of Work: ❑ Addition / ❑ Alteration / E]New repair /Replace Describe Work: ®aye_ e4 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. 1 understand that a separate pr unit must he secant d, for El..LiC'TRICAI. WORK. PLUMBING, SIGNS_ WELLS_ POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... "WARNING 1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC::EMENT MAV RESULT IN YOUR, PAYING TWICE FOR IMPROVEMENTS TO YOUR [PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to , I pplicam: As a condition to the issuance qfa building permit with an estimated value exceeding $2500. the applicant must promise in g(wMith that a cagy q)Ohe notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to atlachmeni. Also, a certified copy of the recorded notice of commencement must be ported at the job rile for the first inspection which occurs seven (7) days after the building permit is issued_ In the absence of arch Immled notice. the inspection will not he approved and a reinspeciion fee will be charged. Permit Fee $_� CCF $ �. Technology Fee: _ Training %Education Fee $ V 7V Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ 4 ' b See Reverse side --> PANT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the golor to be Ranted Directions: Please circle corresponding number to appropriate color sample, Walls: 1 2 4 Attach colo samples with na me and Fascia: I 2 3 4 Drip Cap /Drip Edge: I 2 3 4 ,, Soffit: 1 2 3 4 Z Roof: I 2 3 4 Flower Bins: I 2 3 4 Shutters: 1 3 4 l ' I 530A -1 " Awnings 1 ! 3 4 Snowdrop Chimney I 3 4 y -- Doors and Door .lams. 1 2 3 4 Garage Doors: I 2 3 4 Railings: I 2 3 4 3 Fences: I 3 4 All brick (simulated or regular 1 2 3 4 Stucco Banding: l 2 3 4 Any other Stucco Features: ` 1 2 3 4 4 Accessory Buildings Other: tj Jcle*-� OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wide all applicable laws regulating construction and zoning. Signature Signature Owner or Agent Contractor The ti Going instrument w• s owled d before m is The foregoin i strument as acknowledged before me t.h//is� . 10 day o by day of �by Q �6 u . 'o me or who has patducc d `� who is personally known to me ar who htus produced �`�" © a `i '� NOTARY URLtC NOTARY 1'U L C . �� Q 100 .4 CS Sign: Sign: � o,C, ,�Q� Print: (4 �' Print: My Commission Expires: ,•�4.an•`�,� My Commission Expires; ie,t,:4ex,t atst * * ar 4r arxar�a: ac *ar ,Yic 9c sr t is drat ae+kir�9r arx,t� *+t a: k vt ik Be,t, tar &,4x,ta}4ex�ar�lr �,ttsS',t�lr,elFae t etdtat ae,kiF &,tk tlr :k le,°+&�h,t &iax ft&Y ik 3e kat APPLICATION APPROVED BY: Plans Examiner n Preservation Board Code f:ntiircenieni {Revised 04/24/0, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 105738 Permit Number: PT -2 -09 -167 Scheduled Inspection Date: January 29, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: , Work Classification: New Job Address: 9301 NE 9 Place Miami Shores, FL Phone Number Parcel Number 1132050070060 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 29, 2010 For Inspections please call: (305)762 -4949 Page 2 of 8 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 105738 Permit Number: PT -2 -09 -167 Scheduled Inspection Date: January 29, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: , Work Classification: New Job Address: 9301 NE 9 Place Miami Shores, FL Phone Number Parcel Number 1132050070060 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 29, 2010 For Inspections please call: (305)7624949 Page 2 of 8