PAINT PERMITS(� ( P
Passed
1 1
-
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: INSP -5852
Inspection Date: 01/17/2006
Inspector: Grande, Claudio
Owner: FREDERICK, NORMA
Job Address: 500 90 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Building Department Commen
Thursday, January 12, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: BP2005 -364
Permit Type: Imported Permit
Inspection Type: PAINTING
Work Classification: <NONE>
Phone Number
Parcel Number 1132060200010
Lot:
Page 1 of 2
Type of Work:
Describe Work:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder)
Owner's Address
City l 8,11/ 5_ State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City State
Qualifier
State Certificate or Registration No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Total Fee Now Due S
E AdZin I
(Continued or opposite side;
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Miami Shores Village
Building Department
Zip ? / ty
Phone #
/' 7 el
pc C
County
, CEO .CSC)
Submittal Fee $ Permit Fee $
Notary $ Y -CC Training/Education Fee $
Scanning $ Radon S
NO
EAlteration ['New
1640
Miami -Dade
Code Enforcement $ Structural Plan Review. $
Master Permit No.
Plumbing Mechanical Roofing
Phone #
Certificate of Competency No.
Permit No. 5
Zip
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
❑ Repair/Replace ❑ Demolition
Zip
CCF $ ( 0 CO /CC
Technology Fee $ /, LC v
Zoning Bond $
Bondin Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
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,
WELL,, 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.
"WAR ■LING 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,
CONSIJLT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice ,o 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 (7) days after the building permit is issued. In the absence of such posted notice, the
inspect on will not be approved and a reins tion fee will be charged.
r
Signature
chc 05/1 3/03
Owner or Agent
The foraying instrument �was acknowledged before me this 15 The foregoing instrument was acknowledged before me this
day of r Y..t 10 Y1 , 2 0 ( ,. Iv 1� 1ut f C Qk I' I C' ,
who is )ersonally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
* * * * * * * * **
NOTARY P J 1PC:
Sign:
Print:
My Comm ssion Expires
6W/
* * * * * * * * * * * * * * * * * **
****** ******************
APPLICATION APPROVED BY:
NOTARY PUBLIC:
Sign:
Commission DD23I984 Print:
7
•0
{ onded Thru
OF F�OQ`
AA. 'antic Bonding Co , hi(
********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * **
Signature
Contractor
day of ,20,by
My Commission Expires:
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
3\ 3G -D2"... Plans Examiner
Engineer
Zoning
•
Date •� ,,pp RED---6( 3 Owner's Name 0 l/` S Phone # S 7 5 2 z` c
Owner's Address
Q Z, off` S ?�
City
'7/ 9 O tate - Zip 3 3
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable) Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All ements on the site must be listed and indicate the color to be painted
( el
f 1
Walls
Fascia
Drip Cap /drip Edge
Soffit
(-1)
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
MI brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance with all
g.
applicable laws regulating construction and zo
Signature
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
Owner or Agent
p& fficial
ba►nflon O .
Date
Date 3 � % /0
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/1/2005
Applicant: NORMA FREDERICK
Owner: FREDERICK NORMA
JOB ADDRESS: 500 NE 90 ST
Contractor
Local Phone:
Parcel # 1132060200010
Fees: Description Amount
FEE2005 -4121 Building Painting Fee $60.00
FEE2005 -4122 CCF $0.60
FEE2005 -4123 Notary Fee $5.00
FEE2005 -4124 Training and Education Fee $0.20
FEE2005 -4125 Technology Fee $1.50
Total Fees: $67.30
Total Fees: $67.30
Total Receipts: $67.30
Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $500.00
Work: PAINT
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -364
Contractor's Address:
Legal Description: EL PORTAL SEC 4 PB 12 -56 ALL
Page 1 of 1
BLK K LOT SIZE SITE VALUE OR
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date AI 17 Job Address 5 0 0 NI. E. 1 0 T. Tax Folio I\ 3,Z 0 6- 0 0- 0 0 I p
Legal Description t- )oz -mr.. 5 c, £+ .P 1 - 5 (p Historically Designated: Yes No x
Owner/Lessee NiCwmik- �- t z-t) f Z % . IC
Owner's Address S 0 o a ., 010 a- s- g Phone �� 7 - 13 `I' i�
Contracting Co. kd 1} Address 1V ( II-
Qualifier tS A SS# - Phone
State # A Municipal # a Pc Competency # AI, \ k Ins. Co. nl 1 p
Architect/Engineer wA k Address Al A
Bonding Company N' k Address tJ( $
Mortgagor I4' fF Address Ai 1 t-
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A I o f. t c.4)
Estimated Cost (value) $ 5 d c a o
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Square Ft.
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing informati
laws regulating construction and zoning. Furthermore, I authorize th
Signature of owner and/or Condo President Date
FEES: PERMIT
RADON C.C.F.
is ccura
a.ive -na
Master Permit # ( 1 4 / ' 3
and that all work will be done in compliance with all applicable
ed contractor to\do the work stated.
IRi `
of Co? tact or wner- Builder
� nnpe
o,,, L Ai \ Q-L\i ,y
Notary as to Owner and/or Condo President Date Notary as to Contractor ordwner- Builder
My Commission Expires: My Commission Expires:
Date
Date
NOTARY BOND
TOTAL DUE
APPROVED:
d�• Lf�
Zoning Building l Electrical
Mechanical Plumbing Engineering