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PAINT PERMITpaid renewal my 3/28/06 Passed °Y Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -13344 Inspection Date: 03/29/2006 Inspector: Grande, Claudio Owner: SEYBOTH, WOLFGANG Job Address: 1111 91 Sweet NE Project: <NONE> Contractor: Tuesday, March 28, 2006 Miami Shores Village, FL 33138- Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone 05)795 -2204 Fax: (305)756 -8972 eL Block: Permit Number: BP2003 -1318 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: <NONE> Phone Number Parcel Number 1132050010120 Lot: Page 1 of 2 Miami Shores Village • RECEIVED Building Department o ia.0zao3 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - BUILDING PERMIT APPLICATION FBC 2001 Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) N4(-.1 ENV t -s/ Phone # 3Cs i-t`1 l - C t 1 - IS % - 4 4z i3 Owner's Address i\<( ki != `, t 1 e 2 e be. C 1 r 4- 11/k 1 6 1 O k- tr State FL— Zip .3: E'S j City Tenant/Lessee Name Phone # Permit Type (circle): Buildin Job Address (where the work is being done) (i l tJ G dl ( TEP Coun Miami -Dade Zip a City Miami Shores Village h' Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Q�ialifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ['Addition ❑Alteration New epair/Replace ❑ Demolition Describe Work: - 44 4ICJ (► ( Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due (Continued on opposite side) *** *************************Fees******* *********************** Permit Fee $�" CCF $ Training/Education Fee $ Technology Fee $ Radon $ Bond $ Structural Plan Review. $ Permit No. (� 1 Master Permit No. Phone # Zip EVISI N Bonding 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, 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 (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of 20 by who is personally 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 PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Conunission Expires: My Conunission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OCT 2 3 2003 APPLICATION APPROVED BY: Chc 10/14/03 Ai 3A Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date (v I ( Oct— -cfc+ 6& a - Owner's Name 1\/\ A A .1 ce- Phone # (B 0 ( i-° / - CGS i Owner's Address 1)11 1� E C f City I4-'(At e: S State Signature Owner or Agent Zip X3 Job Address (where the work is being done) it it f V • Tetze -46 City Miami Shores Village County Miami-Dade Zip 1 3 E 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 painted Walls ■M L-4 -P Fascia Ce--tv r F ` / A - - Drip Cap /drip Edge N IT Soffit C - Roof t re Flower bins 1.1 / A Shutters E 0 14 , - . (UAJ c naS 1.1tte. ) Awnings /J /A Chimney N I A Doors and door jams Z 444. iJ Garage doors V ("rt.. Railings k.1 r+ --r- -9wa h r �s Fences /A v Decorative metal kJ T C All brick (simulated or regular) `1A1+1- iTc Stucco banding NA A i / i' e Any other stucco features N I a V a &4. Accessory Buildings Nil uv S Other NIA *************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws reOlating constructio nand zoning. APPLICATION APPROVED BY: Date P& Z Official chc 6/18/03 7‘. Date Miami Shores Village . Paint Color Approval and Agreement Owner's Name Owner's Address City State Zip 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 elements on the site must be listed and indicate the color to be painted `� Walls c, N C,D `c---e L.)US\ Fascia IA ) 1X- & &.) "�� I Drip Cap /drip Edge �-- Soffit lam/ Roof w Flower bins I � Shutters ( c�C Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDA applicablaws -r jl a Signature APPLICATION APPROVED BY: Owner or Agent vU 4 P& Z Off al Phone # ce • ik that all the foregoing information is accurate and that all work will be done Jn compliance with all constru'tion and zoning. �� Dat Date 2 chc 6/18/03 ' Mi ami Shores Villa 200 � Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) �' �'},qO • (,� s !�'_� �� Phone # '� J �r /--(/ I v' Owner's Address \ /> )(--- Master Permit No. City ) 4 s ; � � iC ' J State 1 Zip Q . 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P ■3 �D Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 \ )3 - � �� - City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City ~ State Zip $ Value of Work For this Permit 02 O V • Square Footage Of Work: Number of: Bays Stories 1 Families Bedrooms Baths : Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * ** * ** * * * * * * * * ** * ** * * ** * * ** County Escrow Fee $ + COO - Permit Fee $ (rJ V -00 Notary $ 5 - 00 ' Education/ Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ 0 5 . CO 0 (Continued on opposite side) 1 O I Va( e r 4Co 3 _ Bonding 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, 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 (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this _____. The foregoing - instrument was acknowledged before me this day of i()S' , 2 0 , by WO I f q 0 () Sal GU 1,h day of , 20 by who is personally known to me or who has prod ed [/ ('1\ U,Q v who is � � Q personally known to me or who has produced � y ' "`t •-L' As identification and ho di &talc a as identification and who did take an oath. LIC: ,, a�e � � amt' • • ` Commission #DD23} Ay PUBLIC: Expires: Jul 13, 200 NOT Sign: Print: chc7/7 /03 APPLICATION APPROVED BY: Atlantic Bonding Co., Inc. Signature My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************-******************** s* s*********** s***** s* * *s * * * * * * *s *** * * * *• * *s * * *s * * * *s Sign: Print: AUG 1 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE • Paint Color Approval and Agreement DATE: 2(i.,2)(5 OWNER'S AME: VcD S ;lc, 4, PHONE: 5 -75 / - ADDRESS: I 1 a \ JT (? rcr,, Siley? s *********************************** * * * * * * * * * * * * * * * * * * * * *. * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls M;c,adk Fascia Drip Cap/Drip Edge Lt)( . Soffit UOGL.■: Roof 6) t; Flower Bins ,v /. Shutters APPROVED: Building Official Date -re ty ©� Qa t �"► N Gl wnings / OA ccl o imney Doors and door jams 2P Wt„j' Garage Doors Railings ('.o 4; P 1 Fences /0/4 Decorative Metal Ccp,-,4 ;eJ All brick (simulated or regular) ■o uclin i n ,7- Stucco Banding /Ci /P, Any other stucco features LC''/ Accessory Buildings /i/7 Other /�/' / c) ,,,r,� ,�1Q1n 1,% • WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION t2 r‘ k u✓/ Gv r`� yk doo G' -7 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as the attached samples. Si a r- of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1318 Printed: 8/14/2003 Applicant: BETTY DAKIN Owner: SEYBOTH WOLFGANG JOB ADDRESS: 1111 NE 91 TERR Contractor Local Phone: Parcel # 1132050010120 Fees: Description Amount FEE2003 -4936 Building Fee $60.00 FEE2003 -4937 Notary Fee $5.00 FEE2003 -4938 CCF $0.60 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $65.60 (cf Permit Status: APPROVED Permit Expiration: 2/8/2004 Construction Value: $200.00 Work: PAINT EXTERIOR HOUSE Signed: (INSPECTOR) Building Permit Contractor's Address: Page 1 of 1 Legal Description: 5 53 42 WATERSEDGE PB 9 -141 LOTS 14 & 15 BLK 1 LOT SIZE 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: