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PAINT PERMITIssue Date: 5/31/2006 Owner's Name: OMAR GAVIRIA Permit Type: Paint Work Classification: New Job Address: 136 91 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINT Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/19/2006 Type of Work: Exterior Color: SIERRA MADRE AND EAGLE RIDGE Additional Info: 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -5-06 -1380 Phone: (305)756 -7459 1131010190040 Lot: PB: Total Square Feet: 0 Total Valuation: $ 500.00 Required Inspections Final Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $0.60 $0.20 $60.00 $1.50 $62.30 Invoice Number PT -5 -06 -24914 Total: Amt Due $62.30 MAY 31 PAID Amt Paid $62.30 $62.30 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. 'Inspection Number: IN SP r PT -5-06 -1380 Inspection Date: 11/16/2006 Inspector: Grande, Claudio Owner: GAVIRIA, OMAR Job Address: 136 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, November 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 2 1 2006 cL Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)756 -7459 Parcel Number 1131010190040 Lot: Page 1 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. 'Inspection Number: IN SP r PT -5-06 -1380 Inspection Date: 11/16/2006 Inspector: Grande, Claudio Owner: GAVIRIA, OMAR Job Address: 136 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, November 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 2 1 2006 cL Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)756 -7459 Parcel Number 1131010190040 Lot: Page 1 of 2 y BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle). Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. PT aster Permit No. RFC:RIVED MAY 2 3 2006 BY: Al/Ca 1i Z Electrical Plumbing Owner's Name (Fee Simple ytleh Ch‘A4Ql 1 Owner's Address l q j 6\rrt- Mara( City S■Qrga State QvI Tenant/Lessee Name ' � Job Address (where the work is being done) Zip Phone # I ?-in 1\1 l &reek City Miami Shores Village County Miami -Dade FOLIO / PARCEL # I1 3101 'bt 1 - boob Is Building Historically Designated YES NO X Contractor's Company Name Contractor's Address City State Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 6 00 Type of Work: ['Addition ['Alteration Describe Work: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Notary $ Scanning $ Bond $ Structural Review. $ A v ( ,A )0 46 WV S'Q Ace Ace. Permit Fee $ GO.-CO Training/Education Fee $ • �J Radon $ Code Enforcement $ DPBR $ Double Fee $ Phone # a36-73.0 - 7L Mechanical Roofing 2 \3B 11^^ Phone # Zip 3 Zip Phone # Certificate of Competency No. ose Square / Linear Footage Of Work: E 4 414t! ❑ Repair/Replace ❑ Demolition CCF $ 0 Cn G CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -+ 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 COMMENCE i r T." Notice to Applica promise in good whose property is for the first inspe inspection wi Signature Sign: Print: APPLICATION APPROVED BY: (Revised 02/08/06) k.\\\pc As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must it that a copy of the notice of commencement and construction lien law brochure will be delivered to the person 'ject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 2- day of 0U`.Q,t,t , 20 0 (,, by who is personally known to me or who has produced As iden NOTARY PUBLIC: Notary Public - State of Florida • Ny Commission Expires Nov 23, 2009 Commission # DD 478307 Bonded by National Notary Assn. .00( - G�- Signature Contractor The foregoing instrument was acknowledged before me this day of ,20 who is personally known to me or who has produced as identification and who did t an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: av _ �-� to ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 7-Z ("'y Plans Examiner Engineer Zoning Date Owner's Name C.)\ &la [ v16_ Owner' Address 2)10 t■It Cit If\AOPA \4101f616 State Flovi Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name (if applicable) 0 \Pt- Phone # 01 / All elements on the site must be listed and indicate the color to be painted Walls S itry a. Madtre,- Ect- - LI(0 - t Roof ..e Flower bins IS 1 0, Shutters T4 I Pr Awnings 1■ I Pr Chimney 13 1 iN Doors and door jams -41,6KULA3 Garage doors g Railings Fences fir Decorative metal 10i All brick (simulated or regular) ..esitsvn) Stucco banding 1 VI' Any other stucco features \ Accessory Buildings Signature APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement VW 1\16 qt a- County Miami-Dade • p Fascia Drip Cap/drip Edge to4,&/4 ecap,.e. • ea. - 40 -2 A Soffit Sce.vick.-rActotre- 4(0 - If t•\ 1 PC Other 14 VYW et -ta."6 Owner or Age 7- P& Z Official Zip Phone # (. 2 :15"- - 15 - 10 - 1 1 15 - el 33138 Zip z5Z•1?)c6 1 Body: Sierra :V.Ecire ECC-46-1' 2 Trim: Eag!e R'dge ECC-40-2' -3-Ateee.o*t.i.Atd-Heevi-EF-46-14 13EHRovir A Masco Company 02004 BEHR Process Corporation 3400 W. Segerstrom Avenue Santa Ana, CA 92704 USA www.behr.com ************************************************************************************************************ 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. Date Date ** 2 clic 6/18/03