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PT06-114Issue Date: 1/18/2006 Owner's Name: MARY BERRY Permit Type: Paint Work Classification: Miscellaneous Job Address: 464 91 Street NE Comments: EXTERIOR PAIN Additional Information Miami Shores Village, FL 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: 01/17/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: Exterior Color: WESTWOOD TAN, COUNTRY REDWOO 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 -1 -06 -114 Phone: (305)754 -5783 1132060190030 Lot: PB: Total Square Feet: 0 Total Valuation: $ 4,000.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $2.40 $0.80 $5.00 $60.00 $1.50 $69.70 Invoice Number PT - 1 - 06 - 23466 Total: Amt Due $69.70 Amt Paid $69.70 $69.70 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 Date: 10/26/2006 Inspector: Grande, Claudio Owner: BERRY, MARY Job Address: 464 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Wednesday, October 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 cL 20 Block: Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)754 -5783 1 1 Parcel Number 1132060190030 Lot: Page 1 of 2 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Type of Work: Addition Describe Work: ) t.. ,` 1, (Continued on opposite side) Total Fee Now Due $ - .10 Miami Shores Village City Miami Shores Village County Miami -Dade Job Address (where the work is being done) Permit Type (circle): Building Electrical Plumbing Mechanical Is Building Historically Designated YES NO Master Permit No. Owner's Name (Fee Simple Titleholder) 'i% Owner's Address L 1 ✓_ 1 5' City � � r �'� State � � Zip V3 Architect/Engineer's Name (if applicable) Phone # rJAN 17 PAID Permit No. ` - % Phone # . C.S Phone # Zip _ Contractor's Company Name `� :�,'� ( 1.��t /� � L_ Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Roofing 'l cl $ Value of Work For this Permit / r / � (4 , �- Square Footage Of Work: ❑AIteration ❑New ❑ Repair/Replace ❑ Demolition C , L' (c) *******.********************F * * * * *** * ** * * * *** * * * *** * *** Submittal Fee $ Permit Fee $ ( \J CCF $ ' • 40 CO /CC Notary $- _ ).- C' Training/Education Fee $ 0 • s o Technology Fee $ 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 she 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 note gpproved and a reinspection fee will be charged. , t S ignature_ V NOTA • Y • BLIC• Sign: Print: APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent / Contractor i The forgoing instrument was acknowledged before me this 11 The foregoing instrument was acknowledged before me this day of)g- Kt , 200 by � Pall \df , 20 b 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 t U l, as identification and who did take an oath. ISO ''�R� S'I ernan d TOTARY PUBLIC: x� �D476 0.4 �: aty�llllRSi nding o. I nc. Signature Sign: Print: My Commission Expires: • 4 * ** * * ** 1.* SeF*************4************ * * * * * * * * * * * * * * * * * * * * * * * * **** *x* qtr***** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** ********************* ** ** * * *** * * ** * * **** * **** ** * * * ** * ** **** * * * ** * ***** ** ** * * * * * * ** **ski * * *** * ** * * *** *** its Plans Examiner Engineer Zoning Owner's Name Owner's Address/ �-� y� City " 1 ch/e Job Address (where the work is being done) 6 /O E / J City Miami Shores Village County Miami-Dade Zip / / Is Building Historically Designated YES NO %°� Phone # Contractor's Company Name (if applicable) va -2-)� ******************** ***************************** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *f: All elements on the site must be listed and indicate the color to be painted 174 Walls 112 ...ST ()cab t�l . Fascia C_CDC—) Drip Cap /drip Edge Roof t Flower bins &VA Shutters C.A....)(4'1 ^ ra Awnings 1'4 1A A Chimney NI °' _ Doors and door jams Garage doors C., C::x.--) L1 'l~=`DLA—AD Railings Fences Nil P • Decorative metal CcL- kt ,...)-' ov All brick (simulated or regular) N /.A Stucco banding Q IA • Any other stucco features /A 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 re: ating construction and zoning. i lir 7 Signatur Miami Shores Village Faint Color Approval and Agreement Phone # 3 0 ”O - ,' er or Agent APPLICATION APPROVED BY: P& Z Official Date Date clic 6/18/03