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PT-09-1939 ,� a � Miami Shores Village 10050 N.E. 2nd Avenue 3 Miami Shores, FL 33138 -0000 ° ry Phone: (305)795 -2204 r e Expiration: 0512412010 Project Address Parcel Number Applicant 1225 93 Street 1132050270030 Miami Shores, FL 33138- Block: Lot: JACK SCHILLINGER IF Owner InIbrmation Address Phone Cell MARJORIE SCHILLINGER 1225 NE 93 ST MIAMI FL 33138 -2940 Contractor(s) Phone Cell Phone Valuation: $ 2, 400.00 COMPLETE HOME PAINTING BY MICE 305 - 895 -1368 (305)215 -0016 Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: putty and redwood accent (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color: putty and redwood accent Approved Code Comments: BEN MOORE - WALLS, CHIMNEY Final Color: putty and redwood accent Approved_ Color: putty and redwood accent Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1.80 PT -11 -09 -36482 $ 64.80 $ 64.80 $ 0.00 Education Surcharge $0.60 Permit Fee $60.00 Check #: 6106 Scanning Fee $0.00 Technology Fee $2.40 Total: $64.80 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 December 10, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 10, 2009 1 I112.510q Miami Shores Village g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) '795.2204 Fax: (305) 756.8972 BUILDING Permit No. — PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) J ��n''' -�'/ N y Phone # 3 Owner's Address 12_2S_ NF- 93 S f City "110 tM / Y40 State i Zip 3 3 3 TenantJLessee Name Phone # E -MAIL: Job Address (where the work is being done) l 22 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO f /LI t 114 -� L Contractor's Company Name evi4t c G 0 r Phone # Contractor's Address lLf ? � /V/= 130 City / kq / State Zip 3 .3 Qualifier Name / C 4 it dJ �u/'y- z— Phone # .30T _ 0 0/ State Certificate or Registration No. V Certificate of Competency No. 0000 / Y OWNER BUILDER: YES /NO Value of Work For this Permit $ �i Type of Work: ❑ Add / El Alteration / ❑New / ❑ Repair /Replace Describe Work: �2l Lt-� ca •L itio &/ ' - K 7 / -. Application is hereby made to obtain a permit to do the work and instal ions as indicated. 1 certify h 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..... "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. 6c� � Permit Fee $ 6 � '�- CCF $ � 0 Technology Fee: �• �/� Training /Education Fee $ - Notary $ Code Enforcement $ 1 Double Fee $ Zoning $ Total Fee Now Due $ �j� a See Reverse side PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample Walls: 1 d 1 2 3 4 A Yle Fascia: 1 tN - 3 4 Drip Cap /Drip Edge: _ 2� 3 4 Soffit: 1 W __ 3 4 1 Roof: 1 2 VV 3 U et h 4 Flower Bins: 1 2 3 4 Shutters: (i { 1 14 R 741 6: J (3 l 4 - Awnings: 1 2 3 4 Chimney: 1 2 4 LA Doors and Door Jams 1 3 4 Garage Doors: 1 3 4 -- - Railings: 1 2 3 4 3 Fences: 1 2 N ' 3 4 All brick (simulated or regular): 1 r 2 3 4 Stucco Banding: 1 2 3 4 Any other Stucco Features: _ 2 A3 4 Accessory Buildings A Other: 4 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 a �~ "" "� I Signature Owner or Agent j 1 Contractor The foregoing instrument was acknowledged before me this 23 The fore ing was owle d b fore me t V day of it/Iwkd 20gjI by 4T -4 f� ��eG K / c-7 day of WC) 20V , by who is personally known to me or who has produced who i personally kno wn to me or who has produced As identification and who did take an oath. as identification and who did t e an oath.` NOTARY PUBLIC: NOTAR BLJ C: + 5���c� Sign:'` — Sign: ; �' j4���c: � 1Gti Print: Print: o My Commission Expires: FL��DA My Commission Expires: ��.ST ATE OF ?uto PUB ael iwaSkel,�ycz E i co., onded lluu Atlantic �ondnS APPLICATION APPROVED BY: Plans Examiner Preservation Board Code Enforcement (Revised 04/24/07) A Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129997 Permit Number: PTA 1 -09 -1939 Scheduled Inspection Date: March 09, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: SCHILLINGER, MARJORIE Work Classification: New Job Address: 1225 NE 93 Street Miami Shores, FL 33138- Phone Number Parcel Number 113205027003 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments Putty and redwood accent Inspector Comments Passe Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 9 of 34 1 9 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129997 Permit Number: PT -11-09 -1939 Scheduled Inspection Date: March 09, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: SCHILLINGER, MARJORIE Work Classification: New Job Address: 1225 NE 93 Street Miami Shores, FL 33138 - Phone Number Parcel Number 113205027003 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments Putty and redwood accent Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 9 of 34