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PAINT PERMITInspection Date: 06/14/2006 Inspector: Grande, Claudio Owner: CONCEPCION, GAINDIA Job Address: 35 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, June 13, 2006 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)758 -2313 Parcel Number 1132060130100 Lot: Page 1 of 2 i d / K 4 1 Passed / Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/14/2006 Inspector: Grande, Claudio Owner: CONCEPCION, GAINDIA Job Address: 35 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, June 13, 2006 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)758 -2313 Parcel Number 1132060130100 Lot: Page 1 of 2 BUILDING PERMIT APPLICATION,,. FBC 2004 Permit Type (circ Tenant/Lessee Name Job Address (where the work is being done) Contractor's Company Name Contractor's Address Miami Shores Village Buiiding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 v ! 05) 756.8972 J Electrical 0 5 n 1006 Owner's Name (Fee Simple Title older A 1 W 1 ( 11 Co WC Owner's Address ' 9, City State P Plumbing City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO 1. VmCD me (=Lu-) Master Permit No. (CV Phone # 3 33/ (oroOS Zip 33 Phone # Phone # Permit No. P T CX. " 1 13 Mechanical Roofing 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 $ 0 0 • b Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration [New ❑ Repair /Replace ❑ Demolition Describe Work: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ees **** �* v*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ID ` Permit Fee $ 0 ✓ CCF $ CD ,�� CO /CC Notary $ �C-t Training/Education F6e $ (D . .0 Technology Fee $ I Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ 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 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. k'Signature O 0 . �� Signature Owner or Agent Contractor The for oing instrument was a owledged before me this 6 The foregoing instrument was acknowledged before me this day of ,2 b (f Uio Co lC "G t , ,by who is personally known to me or who has produced who is personally known to me or who has produced . NOTARY PUBLIC: Sign: Print: My Co ission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an oath. NOTARY PUBLIC: as identification and who did take an oath. Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning Date Miami Shores Village Paint Color Approval and Agreement Phone # 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 Fascia Drip Cap /drip Edge Soffit Roof Signature „—S\ ra Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences ► -1 oacss ( Decorative metal All 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 in compliance with all applicable laws regulating construction and zoning. APPLICATION APPROVED BY: Date Date 1 SW 6632 Neighborly Peach chc 6/18/03 Issue Date: 6/7/2006 Owner's Name: GAINDIA CONCEPCION Permit Type: Paint Work Classification: New Job Address: 35 91 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAITNIG 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: 12/02/2006 Type of Work: Exterior Color: NAIVE PEACH AND WHITE 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -6 -06 -1513 Phone: (305)758 -2313 1132060130100 Lot: PB: Total Square Feet: 0 Total Valuation: $ 500.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT -6 -06 -25059 Total: GQ�S1'� Amt Due $67.30 JUN 0 7 PAID Amt Paid $67.30 $67.30 Building Department File Copy Applicant Signature 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j APPLICATION FOR BUILDING PERMIT ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date ,r._. No._.' Strt and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed )_ _._lip g e-g-17 ceaeler d ,19 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application,•and that he did sign the same, and that all facts therein by him sta ed e. _ Permit No lJ ' Date 7 �‘ , 1 Disapproved D ( Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (3.-30- f '�ob Address /06 QC Si Tax Folio Legal Description Historically Designated/Yes No • Owner/Lessee / Tenant 4' 1 Sr7 ( 'f (° 2 Master Permit # Owner's Address Phone l / ?5i- y5a - 047 y 2b/ N6- lv<) t< Contracting Co. Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP t_. TION / aer) / (r a) / 5 `fi- C ? /r7PC/`I-/ /� % - / /Y( /c) /louse _ 3 q/ cS 7T /1 s 'c • Square Ft. Estimated Cost (value) "P o U 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 (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) 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. 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 construi•n and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signa My Commission APPROVED: Zoning i;' §° ° * : MARITE N. MAS 3 esident Date Notary Public, State of Florida My Commission Exp. June 17, 1997 ,t; q.t./ No. CC295374 FEES: PERMIT 'V O 0 RADON Mechanical Plumbing Address .o Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner - Builder My Commission Expires: C.C.F. /. O O NOTARY Electrical Co. Date TOTAL DUE 4 (4 O O Engineering