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PAINT PERMITInspection Number: INSP -20198 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: Job Address: 469 91 Street NE Project: <NONE> PALMER, MARTIN Building Department Comments Friday, October 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138 0 mu Contractor: PRISMA PAINTING & FAUX FINISHES Block: Permit Number: PT -6-06 -1634 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Page 2of2 co 1 Inspector Comments Passed i Failed . Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -20198 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: Job Address: 469 91 Street NE Project: <NONE> PALMER, MARTIN Building Department Comments Friday, October 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138 0 mu Contractor: PRISMA PAINTING & FAUX FINISHES Block: Permit Number: PT -6-06 -1634 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Page 2of2 Issue Date: 6/20/2006 Owner's Name: MARTIN PALMER Permit Type: Paint Work Classification: New Job Address: 469 91 Street NE Comments: EXTERIOR PAINTING 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: 12/20/2006 Contractor(s) Phone PRISMA PAINTING & FAUX FINISHE Yes Primary Contractor Type of Work: Exterior Color: MOORE LIFE, WHITE DIAMOND Additional Info: HASBROUCK BROWN, GET 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, di 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 Permit Status: APPROVED Permit Number: PT - - - 1634 Phone: 305 -310 -4673 Parcel #: PARC2004 -16 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 3,400.00 Required Inspections Final Fees Due Amount CCF $2.40 Education Surcharge $0.80 Permit Fee $60.00 Technology Fee $1.50 Work without Permit Fee $60.00 Total: $124.70 Invoice Number PT - 6 - 06 - 25244 Total: Amt Due $124.70 Amt Paid 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 . BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) • Owner's Address City �rY Tenant/Lessee Name Job Address (where the work is being done) Contractor's Company Name Contractor's Address , • 3:1 City State Qualifier Name _ • k' State Certificate or Registration No. Architect/Engineer's Name (if applicable) Fze Miami Shores Village Building Department 10050 N.E.2nd.Avenae, i nl;Shores, Florida 33138 Tel: (305) 79 ,:j2 )05) 756.8972 Electrical 1 At City Miami Shores Villa •e FOLIO / PARCEL # Is Building Historically Designated YES NO, County Miami -Dade Bond S Code Enforcement $ Double Fee $ Permit No. Master Permit No. 3 Phone # • Phone # Structural Review. $ Total Fee Now Due $ Mechanical Zip Zip . . Phone # Certificate of Competency No.__ Value of Work For this Permit $ a : < ° :" .,. ? 1. S %t 1 Sgt Af A ork: .' i =1:100101 0 1 1 0 Type of Work: ❑Addition ❑Alteration '4 ', °' t ❑Ne , � ' epairlReplace El Demolition Describe Work: ¢ i /y y FT ******* *** * * ** * * *k * **** ** * *x* ** * ****Fees******************************************** ***Fees******************************************** Submittal Fee $ � Permit ee 0 CCF $ # CO /CC Notary $ Training/Education Fee $ Technology Fee $ I Scanning $ Radon $ DPBR $ Zoning S 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. :: certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to met 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 b,.ochure 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 w/iich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be applrove)d and a reinspection fee will be charged. Signature/ / ' or Agent The foregoing instrument was acknowledged before me this /� J day of Y� F / , 20 , by L1v' who is personally kn i to mAor who has produced ' '. Notary Public State of Florida Kathleen Hamilton of w Expires 0512312010 Print: My Commission Expires: A (R As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor -¢ - The foregoing instrument was acknowledged before me this i 4 day of 0' ,2( a? ,by t>t ; /p POD 61 1 ,t 11:'1 ' . who is_personal known `o me /or who has produced as identification and who did take an oath. NOTARY PUBLIC: f, P— - - ««.•.. MARTIN J. PALMER 0.01111300322 31t) r i i' /` 441t: _i ., gonad Ong N00)432..425 • if gasp., ic; � My Commission Expires: 1................ h. k************************* k****•*** : * * * * * *r: * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Soffit Roof Date Owner's Name /, S Owner's Address AJ City Job Address (where the work is being done) 46 City Miami Shores Village Is Building Historically Designated YES Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Signature , Miami Shores Village Yaint Color Approval and Agreement ar Phone # 36 & 3 d .4:Q 3 1- * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: State 1 c to r l-t4 e - 7( Owner or Agent & Z Official County Miami-Dade O 5 Walls al0Ore. L. co to,„ # t.k se 2 -7 Fascia L 0,0 \P � ,�� 77 Drip Cap /drip Edge COI.0r - ®C ( t ezw- 7-7 Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other tl Ok` (Pale F . e (07 Zip Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the colt 3,2 'VOA. Mc9°nrt , waa o O� white diamond *********************************************** * * * * * * * * * * * * * * * * * * ** * * * * * ** * * 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 sttruction and zoning. chc 6/18/03