PT-09-1939 ,�
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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
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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.
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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:
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Print: Print: o
My Commission Expires: FL��DA My Commission Expires:
��.ST ATE OF
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ael iwaSkel,�ycz
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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