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PT-10-315 Lx,rib^ kGf. sa"3nR 9.a^ 3 3 WWI Miami Shores Village 10050 N.E. 2nd Avenue Fi Miami Shores, FL 33138-0000 Phone: (305)795 -2204 x� Expiration: 09/04/201 Project Address Parcel Number Applicant 43 91 Street 1131010000171 BRUCE & AURELIE PLATT Miami Shores, FL 33150- Block: Lot: Owner Infonnatton Address Phone Cell BRUCE & AURELIE PLATT 43 91 Street (305)759 -6711 MIAMI SHORES FL 33150 - Contractor(s) Phone Cell Phone Valuation: $ 300.00 HOME OWNER m:,...., Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: PAINT Available Inspections: Classification: Residential Inspection Type: Color. Approved Code Comments: BEHR - WALLS - OUTBACK 390F -' Final Color Approved_ Color. _Denied Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $0.60 PT -3 -10 -37154 Education Surcharge $0.20 $66.60 $66.60 $0.00 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $0.80 Total: $66.60 Building Department Copy March 08, 2010 2 Miami Shores Village m cmawmi l I Building Department 1 MAR 0 1 2 -010 10050 N.!_..2nd Avenue. Miami Shores, Florida 33138 B Tel: (305) 795.2204 Fax: (305) 756.8972 Y' BUILDING Permit No. Tyl In - 3 rz) PERMIT APPLICATION master Permit No. F13C Permit Tyne PAINT PERMIT Owner's Name (Fee Simple Titleholder) Owner's Address IV YV - City K I � � State Zip 2a �Gjy Tenant /Lessee Name �Qr� Aj Q1��K � Phone # E-MAIL: - - -- � _..� NM�Coo Job Address (where the work is being done) �� NW q,� G t. City) �i� Shores Village County Miami -Dade Zip 3 (� FOLIO / PARCEL # Is Building Historically Designated YES -'NO Contractor's Company Name — Phone # Contractor's Address City_ State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: r Value of Work For,this Permit $ ICO Type of Work: ❑ Addition / [ Iteration l ONew / ❑ Repair /Replace Describe Work: 1 � Q1XkQlk oc- 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 wort: will be perl'ormed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate pemri[ must he secured for ELECTRICAL. WORK. PLUMBING. SIGNS, WELLS. POOLS, FURNACFS, 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 : I pplicant: As a condition to the issuance ofa hailding permit with an estimated value exceeding $2500. the applicant rnttsi promise in gtwd faith that a cohv of the notice of commencement and construction lien law brochure will he delivered to the person whose property is subject to attachment. 41so. a certified copy elf the recorded notice gf cornmencentent must be posted at the job sire,for the, fir i inspection which occurs seven (7) days after the building permit is issued In the absence of such listed notice. the inspection will not he approved and a reinspection fee will he charged. 'Permit Fee $ CCF $ Technology Fee: Training /Education Fee $ - Notary $ Code Enforce $ tt Double Fee $ Zoning $ Total Fee Now Due $ (0(1D - T14110 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: l 3 4 At od Fascia: I 2 3 4 Drip Cap /Drip Edge: I 2 3 4 Soffit: I 2 3 4 t �- - -- 390F -4 r Roof: 1 a 3 4 Outback Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 - - Awnings 1 2 3 4 ,', Chimney: 1 2 3 4 Doors and Door ,lams 1 2 3 4 71 OC - Raffia Cream Garage Doors 1 2 3 4 Rai 1 2 3 4 3- --- - -- Fences: I 2 3 4 poViUM" t-IIu.S nu All brick (simulated or regular): 1 2 3 4 I '3 Stucco Banding: 1 2 3 4 - - a ` >,'' o`� '• Any other Stucco Features: 1 2 3 4 4 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 a regulating construction and zoning. t Signature --- Signature (. vner or Agent ` - C"•�Trtncttrr -� � (�N The foregoing ins a was acknowledged before me this The foregoing innsstrrumment was acknowledged before �me this `_�. day or�. 201. by 5 e►N 1�7 A�vO Q�_. day or moo l . 20 0by �e1N y who is personally known to me br who has produced f % vvho is personally known to me or who has produced As identification zuld who did take an oath. as identification <Ind \wthFi ilF{! take an oath. NOTARY PU[3LIC NOTARY P IC: �i Sign: Sign: •.. i s Print: — _ --- �►Iltllrfe,.. Print: _ My Commission I xpires: ,`O`N'E ....,��7/►i,,� My Commission Expires: _ �O�p� 8 \�� Q .� S ••• � .•• 1� Com� 5941; p ZZ .APPLICATION APPROVED 131 � '' � � �" Plans Examiner Preservation Baalzl 1111 \�� '} ��a • Code Enlbrc:ement (Revised 04 /24/0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 136579 Permit Number: PT -3 -10 -315 Scheduled Inspection Date: March 31, 2010 Permit Type: Paint Inspector: Rodriguez, Jorge Inspection Type: Final Owner: PLATT, BRUCE & AURELIE Work Classification: Addition /Alteration Job Address: 43 NW 91 Street Miami Shores, FL 33150 - Phone Number (305)759 -6711 Parcel Number 1131010000171 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed , Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 30, 2010 For Inspections please call: (305)762 -4949 Page 6 of 23