PT-09-2025Project Address
585 93 Street
Miami Shores, FL 33138-
Owner Information
JERRY MOORHEAD
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Parcel Number
1132060141030
Block: Lot:
585 93 Street
MIAMI SHORES FL 33138
Contractor(s)
HOME OWNER
Phone
Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$60.00
$3.00
$0.80
$64.60
Authorized Signature: Owner / Applicant / Collractor / Agent
Building Department Copy
Expiration: 06112/2010
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color. Approved
Color. _Approved_
Code Comments: BEHR ULTRA - WALLS - NILE SAP
Color. _Denied
Invoice
PT -12-09 -36606
Check #: 148
Total Amt Paid Amt Due
$ 64.60 $ 64.60 $ 0.00
Applicant
JERRY MOORHEAD
Valuation:
Total Sq Feet:
$ 1,000.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
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 14, 2009
Date
Cell
December 14, 2009 1
IDANorl
BUI.LDING
Owner's Address
C 4 A114 61-40
Tenant/Lessee Name
State
e/(4.-1-014.11,e04„
E -MAIL: P V✓I1tM b01r'e�iJ e1d Niry
Job Address (where the work is being done)
City
FOLIO / PARCEL #
OWNER BUILDER:
Describe Work: 0 00. 444 t -- h o ege-
Miami Shores Village
Building Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 �- �p�
Permit No. ��j-1 Qq O
PERMIT APPLICATION
FBCa.
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) . '[ l lR tf J A nbc, R el,+ FA. .D Phone # 3o5 151- -655 I (o
.J3 i E 9,trct S r
F L
Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO 1/
Master Permit No.
Zip ,315P — 226
Phone #
Phone #
Zip ,33(V 2 SY3
06
B Y: _
Contractor's Company Name ba.)P1 e'
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Value of Work For this Permit $ 100 Type of Work: ❑ Addition / ❑ Alteration / ONew / ❑ Repair /Replace
Application is hereby made to Main a permit to do the work 'and installations as indicated. I certify that no work or installation has commenced prior to the issuance or permit
and that all work will he performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must he 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 1'O OIITAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY I3EFORt
RECORDING YOUR NOTICE OF COMMENCEMENT:"
Notice to Applicant: .1s a condition to the issuance of a building permit with an estimated value exceeding $2500. the applicant must promise in good faith that a co1y 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 oldie recorded notice
al must he 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 he approved and a reinspeclion fee will be charged.
r. w*. xxxxxxaB *.*wxw..**4********4c****** Fees***** Ydr****x *****xie***************4:***** ***
Permit Fee $ • CCF $ Technology Fee:
Training /Education Fee $ Notary $ Code-Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side -*
Si
The titre
day of
NOTAR
Sign:
Print:
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: /. ! I 2 3 4
Fascia fJJ, 7rF 3 4
Drip Cap /Drip Edge: I 4
Soffit: I ( 3 4
Roof: I ) 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings:
Chimney:
Doors and Door Jams:
2
2
3
3
Garage Doors: 1 - ---� 3
Railings:
Fences:
2
All brick (simulated or regular):
3
Stucco Banding: I
Any other Stucco Features:
Accessory Buildings Other:
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in
compliance with all applicable laws regulati • construction and zoning.
1
vner r i enr G t $
oing instrument was t cnowledged bef e me thi
. 20 b 1I a
who is personally known to me or who hi produced
vho did take tut oath. as identification and who did take an oath.
NOTARY PUBLIC:
ray-" c
\ di)ti Sign:
L 'ti
,
4`'; My Commission Expires:
***&* xxxxx **xa4**x *************l*.#: _ti °E k** * *vY9r********xdee ** 1C*= kir*dc# sFde, k**x xxehx******,Y*eYxa4******** eu**skxxx
• APPLICATION APPROVED BY: Plans Examiner •
As identification and
My Commission Expires:
4
4
4
4
4
4
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of' . 20 . by
ho is personally known to me or who has produced
Preservation Board
Code Enforcement
(Revised 04/24/0
Inspection Number: INSP- 131127 Permit Number: PT -12 -09 -2025
Scheduled Inspection Date: May 03, 2010
Inspector: Bruhn, Norman
Owner: MOORHEAD, JERRY
Job Address: 585 NE 93 Street
Project <NONE>
Miami Shores, FL 33138-
Contractor: HOME OWNER
Building Department Comments
April 30, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060141030
PRESSURE CLEAN AND PAINT HOUSE
Passed r'
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 6 of 29
Inspection Number: INSP - 131127
Scheduled Inspection Date: May 03, 2010
Inspector: Bruhn, Norman
Owner: MOORHEAD, JERRY
Job Address: 585 NE 93 Street
Project: <NONE>
April 30, 2010
Miami Shores, 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
Permit Number: PT -12 -09 -2025
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060141030
PRESSURE CLEAN AND PAINT HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
For Inspections please call: (305)762 -4949
Page 6 of 29