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PAINT PERMITInspection Date: 06/21/2006 Inspector: Grande, Claudio Owner: VAN DYKE, VANESSA Job Address: 425 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER • Building Department Comments Tuesday, June 20, 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 -7416 Parcel Number 1132060140100 Lot: Page 1 of 2 Passed A lA r Inspector Comments 7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/21/2006 Inspector: Grande, Claudio Owner: VAN DYKE, VANESSA Job Address: 425 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER • Building Department Comments Tuesday, June 20, 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 -7416 Parcel Number 1132060140100 Lot: Page 1 of 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C p [ t 1 ' . 1 5 2, am BUILDING VO PERMIT APPLICATION FBC 2004 Permit Type (circle): 'Building / Electrical Owner's Name (Fee Simple Ti o der) �,'C f`,(- jam, (, JC .,1 !, ,, 1„ Phone # . > , ' ) tl r L; 1 ( Owner's Address ) / '5 1 1 . Z c 1 ► 1 ; -.%. City tiY1∎c;;:.% s__)1,c - State C l • Zip 33 3``' Tenant/Lessee Name Miami Shores Village a Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 1 `.0 Vk Q ‘.Db Is Building Historically Designated YES NO x Contractor's Company Name 0 L 11 Contractor's Address City Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 44 .W Type of Work: ['Addition ['Alteration Describe Work: � C: ( .1_ Submittal Fee $ Notary $ Scanning $ Bond $ ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Review. $ Permit Fee $ Training/Education Fee $ Radon $ Building Department Tel: (305) 795.2204 Fax: (305) 756.8972 County Miami -Dade DPBR $ Master Permit No. Plumbing Mechanical Roofing Phone # Phone # Permit No. State Zip Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: ),,= 2006 It B Y_ on1 ft _ 06 — (J� Zip [New ❑ Repair/Replace ❑ Demolition ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 0 -CoO CO /CC Technology Fee $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ V� 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. Signature Sign: Print: (Revised 02/08/06) Cinel ../1/J r (.)Ciir) Owner or Agent " Contractor The foregoing instrument was acknowledged before me this Z. The foregoing instrument was acknowledged before me this day of 1y4, , 20 (X , by %Am Ji xdocsol4 , day of , 20 , by who is personally known to me or who has produced fl , criyo LtL who is personally known to me or who has produced • `_' NOTARY PUBLIC: grit ` D MY COMMISSION DD 483995 — u Signature NOTARY PUBLIC: as identification and who did take an oath. Sign: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: �ti ► ********** * * * * * * * * * * * * * * * * * * ** * * * * * * * ** ** Plans Examiner ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Engineer 1 Zoning • Paint Color Approval and Agreement Date II\\ Owner's Name U CAA ems` ,c 0.1(-=4- 'J c' y--- Owner's Address 4 r i). City \' \ ' c c o State Zip 33� � Job Address (where the work is being done) SC.G'^e Co G' 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 1r -r, Fascia a � •R� SClln J Drip Cap /drip Edge L,)\-\ ` Scwi Soffit t \ Sc∎ Roof Irt Flower bins W S -' Shutters L53\ SCICA.J Awnings n' Chimney n 1 Doors and door jams ($'\ - Garage doors V.")\ sNau Railings (.,0 &fi-- Fences 1 A Decorative metal mx, All brick (simulated or regular) WVNJE.c- Signature L) 0/114.4oe O Miami Shores Village Stucco banding Any other stucco features Accessory Buildings Owner or Agent • APPLICATION APPROVED BY: j — P& Z Official Phone # JUS • r S a (Li 1 tp Woodwind 1,4 Sandrock G�1G' White now , - 10t8/04 Gh 1.001) —5I1 t :r White (also tint base) 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 G i a I O to Date LUT, I ��....., 00YY58/076 chc 6/18/03 Issue Date: 6/8/2006 Owner's Name: VANESSA VAN DYKE Permit Type: Paint Work Classification: New Job Address: 425 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: 11/29/2006 Type of Work: Exterior Color: SANDROCK/WHITE SNOW 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 -6 -06 -1501 Phone: (305)758 -7416 1132060140100 Lot: PB: Total Square Feet: 0 Total Valuation: $ 400.00 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 - 25055 Total: CC Amt Due $67.30 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. Legal Description ! - Y ) eb Qualifier RMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) • '� V JOb Address 7 1 / r� � r ` ,( Tax Folio � ` �� ti � i �� Owner / Lessee / Tenant c C k �€� t / � � - e' �t UL S � /{a5 it' `iI Owner's Address SS# Master Permit # /Y ��' Phone iS /'/ f > (= Contracting Co. Address Phone State 4fr Municipal #1 Competency 1i Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOPING PAVING PENCE SIGN WORK DESCRIPTION / .(o v� 1 (mss r cn Square Ft. Estimated Cost(value) 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 - _ - - - gulating construction and zoning. Furthermore, I -n stated. a n w • P cdit1E Ct1RCIdo the .Notary Public, State of Florida :My Commission Exp. Apnf 3p 1996 Is . 11 .1 • ent authorize th abo 0 V Signatu f �owne Date: rim type or stamp name of Notary Public ers,n lly known OR Produced I.D.�]' 1.D. •roduced: - _ . -, 1� Nqtary as to Owner and or Condo Pr My Commission Expires: DID take an oath, or 0 NOT take All ®Atha Signature of Contractor or Owner-Builder Date: Notary as to Contractor or Owner-Builder My Commission Expires: ** * * * * * * * * * * * * * FEES: PERMIT /7, S' RADON C.C.F. r 6-V NOTARY y < e TOTAL DUE g Fire Other Zoning Building )4) Electrical Mechanical Plumbing_ APPROVED: * * ** Engineering