PT06-1060Issue Date: 4/27/2006
Owner's Name: RALPH MUSER
Permit Type: Paint
Work Classification: New
Job Address: 1214 92 Street NE
Comments:
EXTERIOR PAINTING
Additional Information
Miami Shores Village, FL 33138-
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: 10/22/2006
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Type of Work: Exterior Color: NOMADIC DESERT, DIVINE WHITE, ECL
Additional Info: SHERWIN - WILLIAMS 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 -4 -06 -1060
Phone: (305)751 -7145
1132050270480
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 300.00
Required Inspections
Final
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$1.50
$67.30
Invoice Number
PT - 4 - 06 - 24598
Total:
Amt Due
$67.30
Amt Paid
$67.30
$67.30
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.
t
Passed
DO)
Inspector Comments
t/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP- 15781
Permit Number: PT -4-06 -1060
Inspection Date: 11/30/2006
Inspector: Grande, Claudio
Owner: MUSER, RALPH
Job Address: 1214 92 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ciL
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)751 -7145
Parcel Number 1132050270480
Lot:
Wednesday, November 29, 2006
Page 1 of 2
( 1 'SS A-)
BUILDING 1;1
PERMIT APP I " "T AP
FBC 2004 a
Owner's Address ,. /
City , , a�'!f G State
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ['Addition ❑AI erationn
Describe Work: ��c' . 74 4 0 £/'C
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): B ilding Electric P1 g Mechanical Roofing
Owner's Name (Fee Simple Title Phone # 30S
Job Address (where the work is being done) /4 // x) G 9:0?
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name ��7C�� hone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No.
cc )c
2006
Certificate of Competency No.
Square / Linear Footage Of Work:
ppR 2 5 PAID
Zip ` 53/3
Phone #
Permit No. p - 1 CCDCD
aster Permit No.
Phone #
❑ Repair/Replace El Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ DCD,_ 00 CCF $ cD6OCO /CC
Notary $ e - ( ) Training/Education Fee $ CD. Technology Fee $ 1 -
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ [7
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. 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 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 rat be approved an reinspection fee will be charged.
p Signature
Owner or Agent
The fore oing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this
day o ' a12 1 L20 cby P- i +4 M day of , 20 _ , by
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 an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign:
Print:
My Commissi
mission
n Expires:
* * * * * * * * * ** * * * * * * * * * ** avet A onilingkria *IP6 * * * * * * * * * * * * * * * * * * * *, **** , * * * * * * * * *,r * * * * * *,r * * * * * * * *,r
APPLICATION APPROVED BY:
(Revised 02/08/06)
f
!/fie i21 Signature
Contractor
D As identification and who did take an oath.
, i - ____)-k __
27, 2009
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
DATE: //A /0 6
OWNER'S NAME: R'IL 1{�� i1 / 7 as t .- PHONE: 5V 5- 75 / - 7 V'S
ADDRESS: lv`t I'/ N', E, q,44.,11. Sr in aor / Sikkes, FL 33 ! W
ADDRESS OF SITE: 5A ►Vl E.
CONTRACTOR & LICENSE (if a plicable)
COMPANY NAME: /V �/
All Elements on the site must be listed and indicate the color to be painted.
Walls: /j / 1) ff Ell
Fascia: Vl✓V /4J `
Drip Cap /Drip Edge: F 4.4 .S'e
S o ff i t : D u n UJ h i
Roof: v3 o - h.. (t3 O Ch ail 0
Flower Bins: Moil/
Shutters: ,VDNe
Awnings: 13 ev t w2. \t.J r t
Chimney: ). N �,
Doors and door jams: M i4CZ C (h°4i )
Garage Doors: 'D-ev we. W
Railings: IJ 0 Al
Fences: u1 (4 L T (1)0 C ►1 )
Decorative Metal: /V`0N
All brick (simulated or regular): NO NE
Stucco Banding: /VON6
Any other stucco features: /UD/1/e-'
Accessory/Buildings: /UD /l/&
Other:
Signature of Owner
APPROVED:
Building Official
/v /A
iee
Miami Shores Village
10050 Northeast Seeond Avenue
ivlinmi Mores, Florida 33138'2382
Telephone; (305) 795-2207
Fax: (305) 756-8972
WWW,m i41114 flhoneiJii logo: eam
Paint Color Approval and Agreement
N/A 6i/woe PeRiik ' 13 y n�//�� c veie
PHONE: /r/»
Date
4 I1 z Ce (°'
Date
: 6 � atura
Approa.ez
et,►wr 1.4d 101, v 4 E <
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3
Combination A
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Sfi'i/11—w! '- ve4-/1,S
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. I authorize the above -named contractor, if applicable, to do the
work stated. Furthermore, the paint colors will be as per the attached samples.
OAK aw& '3y "'wee_
Signature of Contractor Date
WHEN PAINTING IS FINISHED, CALL FOR FINAL
INSPECTION
2nTrim 3'Accent