PAINTInspection Number: INSP -13279
Inspection Date: 04/27/2006
Inspector: Grande, Claudio
Owner: CARRAWAY, BRENT
Job Address: 298 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, April 26, 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: PT -3-06 -779
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number ()^
Parcel Number 1132060190380
Lot:
Page 1 of 2
Passed )
�.
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -13279
Inspection Date: 04/27/2006
Inspector: Grande, Claudio
Owner: CARRAWAY, BRENT
Job Address: 298 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, April 26, 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: PT -3-06 -779
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number ()^
Parcel Number 1132060190380
Lot:
Page 1 of 2
(4 --�i
� r � � C? -� 1 - 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
) / 1 ;i L
BUILDING
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle) Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple :. - -- rn4 - t,c) , 9 - -- c,' '*Phone #
K_. OA ' r fJi,
Owner's Address
City
Tenant/Lessee Name
Ss
Miami Shores Village
Building Department
State Zip
Phone #
Job Address (where the work is being done) r,)R !: ( . \V SVI.r_c
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name (,i)1 _ Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 000 .03
Submittal Fee $ Permit Fee $ � O
r
Notary $ Training/Education Fee $ --
Scanning $
Bond $
Radon $
Code Enforcement $ Double Fee $
Permit No. Pf 0 c - T 4C1
Square / Linear Footage Of Work:
Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace
Describe Work: C A:
DPBR $
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * *•„•*:::.:*
Structural Review. $ Total Fee Now Due $
µ?c
CCF $ ", CO /CC
Technology Fee $ a " •
Zoning $
See Reverse side - ->
dr
Bonding CompanST's•Name''Of 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
The foregoing instrument was acknowledged before me this
day of ,20,by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY P
Sign:
Print:
My Com
LIC:
. " ! DRA WILLIAMS
Public, State of Florida
No. DD076900
* * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
.Seal
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:
rint:
y Commission Expires:
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date
Walls Dc3 CJ a\ra . ,, ,. , .. , st•-
Fascia '" l"'` ,42..
Drip Cap /drip Edge k...-W^
Soffit L-5 \s-.'1/4
Roof
Flower bins
Shutters
Awnings
Chimney
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
.c"k% N€ O J ` Q-Q
Owner's Name
Owner's Address
City koc Sewnes State - Zip I - \3 �
Job Address (where the work is being done) '.a% 0 \ S•\ 4eo
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
"`K-c rr cp.
C. a- \ ;.�5
Doors and door jams r es,
Garage doors e.(k 1.)'^ ( Lv RQ4Y: I t‘ C 0
Railings Av . )0 Q_ NrLni.a
T S
Fences C-:‘ 11n Y
� (o. +�..a' p + co
Decorative metal
All brick (simulated or regula
Stucco banding
Any other stucco features
Accessory Buildings
P& Z Official
Phone #
2B
cinnamon 'n spice 1215
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Signature Date — 3/2 y t�
Owner or Agent
Date
chc 6118/03
NAME:
d • d
ADDRESS:
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
DATE: / t/9c
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family residence. You may
also build or improve a commercial building at a cost of $25,000.00 or less. The building must be
for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial
2. I understand that as an owner - builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
3. I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure meets the
minimum code.
Initial
Was acknowledged before me this day of / 14f 20 0 G
By
5. I understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate contract disputes.
Initial
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company or person.
7. I understand that if any person gets injured on my construction project —they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Produced there License or
OWNER
Initial%
Initial
Initial���,2
who was personally known to me or who has
f if tt it GCoSo a5 identification.
Official Seal
SANDRA WILLIAMS
Notary Pubilo, State of Florida
My Comm. erplrea Nov, 2007
No. 00070980
Issue Date: 3/31/2006
Owner's Name: BRENT CARRAWAY
Permit Type: Paint
Work Classification: New
Job Address: 298 91 Street NE
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Comments:
EXTERIOR PAINTING
Additional Information
Miami Shores Village, FL 33138-
Type of Work: Exterior Color: CINNAMON N' SPICE, TUDOR BROWN
Additional Info: BENJAMIN MOORE 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.
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$60.00
$1.50
$62.30
Invoice Number
PT - 3 - 06 - 24257
Total:
MAR 31 PAID
CAS4-I
Amt Due
$62.30
Amt Paid
u
Building Department File Copy
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: 03/28/2007
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT -3 -06 -779
1132060190380
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
Required Inspections
Final
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.
- aG
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Datel i4
Type Insp' n 11(4
Permit No. Bp o4-c. ?q
Name
t■\L qi 54
Address
Company ne1P- •
Phone #
Inspection Date 11
Approved
Correction ❑
Re- Insp'n Fee ❑
BUILDING
PERMIT APPLICATION
FBC 2001 0.`)
(Continued on opposite side)
Nliami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Tenant/Lessee Name Phone #
Total Fee Now Due $ 6") ) . 3011
Permit No. OP P Ztv-4 - 341(2 .
Master Permit No.
Permit Type (circle). Buildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) \, 1 I (e Be V' V I OS Phone #( ) 7 S S '
Owner's Address 2"I
I Iv t
City/�/� i Gt I' ;/ W ✓t' S State - L Zip 31 3 g
� Job Address (where the work is being done) 2c- G 6i S r Q
Ci ty Miami Shores Village County Miami-Dade Zip 3 3
Is Building Historically Designated YES NO t
Contractor's Company Name 0 I A" Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit I 0 Square Footage Of Work: " 1, 3 G1 )
Type of Work: ['Addition ❑Alt tion ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 'e V 10
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ i . G • CCF $ • (00 • CO /CC
Notary $ Training/Education Fee $ I ) ,U Technology Fee $ 1 . .5 0 ,
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 Nt - e, (2-191--14-1 Signature
Owner or Agent Contractor
The foregoing instrument was acla►.wledged be re me this otoZ The foregoing instrument was acknowledged before me this
day of h) rlt v, 20 aY , by L 1 , day of , 20 by
who-is personally .. o n to me or who has produced who is personally known to me or who has produced
NOTARY
Sign:
Print:
S TATE OF FLORIDA
* * * * * tM>F99it7Pr1cg1:''ob' or******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
MY COMMISSION EXP. MAR. 27,2006
My
APPLICATION APPROVED BY:
Che 12/15/03
Asidenti cation
who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** } *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/. 7 '3
My Commission Expires:
MAR 2 4 2004
Plans Examiner
Engineer
Zoning
Miami Shores Village
• • ' • Paint Color Approval and Agreement
Date 3kzi 04 Z3 1 ����
1 1 11 e' Be i OS Phone #(9:;!5) -7S1 •S1 rigt9.9'
Owner's Name S i---. Owner's Address �� 8 N E 6 1 S
City X1 1 Ani-i Sito re S State ` . Zip 35 /
Job Address (where the work is being done) 26 g N� I S'4—
City Miami Shores Village County Miami -Dade Zip 733 ! 3 �
Is Building Historically Designated YES NO . ✓
Contractor's Company Name (if applicable)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ecf-ein All elements on the site must be listed and indicate the color to be painted
Walls
Fascia +� ��
Drip Cap /drip Edge LO
Soffit 1/®
Roof N A
Flower bins A
Shutters IJ A
Awnings N A
Chimney A
Doors and door jams N Pc
Garage doors \A) ar
Railings
Fences
W
Decorative metal
Nl
ti
kV
All brick (simulated or regul
Stucco banding R
Any other stucco features 13 1 P .
Accessory Buildings f■) I
Signature � �
Owner or Agent
APPLICATION APPROVED BY: a
P & Official
Phone #
r
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 22 /0V
Date
3/-2- 3 /0
chc 6/18/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/26/2004
Applicant: WILLIE
Owner: BERRIOS
JOB ADDRESS: 298
Contractor
Local Phone:
Parcel # 1132060190380
NE 91
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -396
BERRIOS
WILLIE
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value:
Work: PAINT EXTERIOR AS AGREED
Page 1 of 1
Legal Description: EL PORTAL PB 9 -101 LOTS 1 & 2 BLK 3 LOT SIZE 100.730 X 135 OR 12858 -398 0486
Fees:
FEE2004 -3236
FEE2004 -3237
FEE2004 -3238
FEE2004 -3239
Description
Building Painting Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$0.20
$1.50
$62.30
Total Fees: $62.30
Total Receipts: $62.30
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.
BY: