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1205 NE 91 Terr (14)Inspection Date 0 Inspector: Grande, Claudio Owner: SANDOVAL, LYDIA Job Address: 1205 91 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, February 9, 2007 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)751 - 7980 Parcel Number 1132050010220 Lot: Page 1 of 1 FEB 1 2 2 1 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date 0 Inspector: Grande, Claudio Owner: SANDOVAL, LYDIA Job Address: 1205 91 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, February 9, 2007 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)751 - 7980 Parcel Number 1132050010220 Lot: Page 1 of 1 Issue Date: 3/3/2006 Owner's Name: LYDIA SANDOVAL Permit Type: Paint Work Classification: New Job Address: 1205 91 Street NE Comments: Additional Information Miami Shores Village, FL 33138- Building Department File Copy ( k) . \(J MAR 13 ID 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: 02/22/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: Exterior Color: ARIZONA TAN, HARVEST BROWN Additional Info: CHANTILLY LACE 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. I 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. Permit Status: APPROVED Permit Number: PT- 2- 06-445 Phone: (305)751 -7980 Parcel #: 1132050010220 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Final OMNI Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 wa $17`1 PNW Invoice Number PT - 2 - 06 - 23914 Total: Amt Due $67.30 Amt Paid 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. Date / oSoffit Roof Flower bins Shutters Awnings Chimney Doors and door Garage doors _ Railings Miami Shores Village Paint Color Approval and Agreement i ); A- lib n o 6_ Phone # 305/757 7l —! Owner's Name Owner's ddress � ( p � � / � �? City r i 5 ave_5ate Zi .lob Address (where the work is being done) S fri' "L e City Shores Village County Miami -D de Zip is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be s ainted < it) 0 r Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco feat Access( r Buildings Other> 2 hY r CO `l Agent_ la all th- foregoing n ' d zo ', ing. Owner or * * * * * * * * * * * * * * * * OWNER'S AFFID applicable laws reg SignaturX T: Er APPLICATION APPROVED BY: P& Z Official 7 Harvest Brown 2104 -30 Chantilly Lace 2121 -70 'vdn) /Oy 3v orn . tion is accurate and that all work will be done in compliance with all Date Date )6c; the 6/18/03 Miami Shores Village mSci zJz Ion t Building Department N'ke ssag , • 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 E2)o5 -3/-7 10(o 05) 756.8972 Permit No. PTOG PERMIT A FBC 2001 Permit Type (circle): Building Electrical `, Plumbing Mechanical -- Roofin / i g � Owner's Name (Fee Simple Titleholder) I-1 GI i it, y S l i J V 4L- Phone # S �� / ��(/ Owner's Address ',R, 0 C-) r 1 E /'e6 7 City N, . ` 5h D oq5 State Zip ` ?j 3 / 3 f Tenant/Lessee Name Phone # Qualifier Job Address (where the work is being done) 5 4 o'er Master Permit No. City Miami Shores Villa_e County Miami-Dade Zip Is Building Historically Designated YES NO 1/ Contractor's Company Name '& I c Phone # Contractor's Address City State Zip State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit I 000 Square Footage Of Work: Type of Work: ❑Addition DAlteration ['New ❑ Repair/Replace ❑Demolition Describe Work: pa j ✓\ i A Q ir-t 0 Ca- h Total Fee Now Due $ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Ll3 CO CCF $ t 6 CO /CC Notary $' .W Training/Education Fee $ , Z Technology Fee $ / . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ (Continued on opposite side) &7_50 -f0 • e rr. Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) A /i/ 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 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 .ays after the building permit is issued In the absence of such posted notice, the inspection will .ot . • .pp oved d a rei .pectin fee will be charged Signatur; L — Signature Owner or Age Contractor The foregoing instrument was acl ged bef e me this 2Z , • The foregoing instrument was acknowledged before me this day of r) ,200(aby H CItC Tt vii i, day of ,20_,by who is ersonall known to me or who y ho has produced who is personally known to me or who has produced s identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PU Sign: Print: Sign: `YP ,s Mabel Vargas Print: Commission #p My Commis on Expires: _ p2319 4t �w� : �' ********* * * * * * * * * * * * * * * * * * * * * * * * **dr,0 * * * * * 04/Wie44 .************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * ** ** ** * ** ** ** * * s* I t** ** 1** * * * * * *s * * * *s * * * * * * * * * ** * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 My Commission Expires: 6/0 / Plans Examiner Engineer Zoning