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PAINT PERMIT..... ............ ................... •.... • Inspection Date: 09/19/2006 Inspector: Desharnis, George Owner: HOMES, LLC, OM Job Address: 525 92 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Inspector Comments 7,-er Monday, September 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 R,R20 Kin Block: Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)758 -0775 Parcel Number 1132060141130 Lot: Page 1 of 2 Pr1 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle Type of Work: Describe Work: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 3' `4 I (G T I) 756.8972 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ f .41° Notary $s Training/Education Fee $ Scanning $ Radon $ Bond $ Structural Review. $ Miami Shores Village Building Department City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES 1 O Submittal Fee $ Permit Fee $ D. 6U Permit N0PYQ6 Master Permit No. Electrical Plumbing Mechanical Roofing l" ► Via/166 1,(1- Phone # 1 3 1' S 6116 Owner's Name (Fee Simple Ti _ Owner's Address /at) 4 �jl/ f 17C, t 4/ _ � City Ufa" State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) '1. ✓ f - 1Z 64 Code Enforcement $ Double Fee $ Zip Phone # !?�'1 ✓ �/ ; ` �� Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Square / Linear Footage Of Work: Ile 'r Oastrig DAddition ❑Alteration ❑New ❑ Repair/Replace ® - 1&ai. 4 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 1 • 2.D CO /CC CD- •=/' CD Technology Fee $ C ' DPBR $ Zoning $ Total Fee Now Due $ 5p- 2.‘,06— 1L See Reverse side -› QDemolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address � • ' State .City • . ' --. - ' ' • - Zip Application is hereby made to obtam 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, POOL$, URN.ACES� BOI tRT,, HEATERS, TANK$ au' d AIR l\lrATIONR S, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is aecuYate and tnat'pll work will be done, in compliance with all applicable laws regulating constructionand'ioning. .' • ' . r .• • : • "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 ; AT` ORNE C - •BEFOR1 b RECORDING YOUR NOTICE OF COMMENCEMENT." •• 1 . • . • "1 ti •. • .' ;••.,, r . Notice to Applicant: As a cone ition'to the issuance of a building permit with ap estimated •.valugexceeding:$2500, the applicant must promise in good faith that a copy of the notice of commencement and,constr Berl law brochure 4Jill 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. NOF''ARi PUBLIC: N Sign: Print: My Co • ' sion Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Owner or Agent As identification and who did take an oath. # DD47 j ARY PUBLIC -ST. v RIDA ernandez Signature Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day ofl� "t -�! 20dt? bp-� 14 u - N , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced NOTARY, PUBL1 C as identification and who did take an oath. Sign: ,,.Print••• • .T o- • M uo mmisSion Expires:' ' • ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 0. Miami Shores Village Paint Color Approval and Agreement Date ®b Owner's Name 'r g7. Phone # i 1�6 Owner's Address o: . State City /U 'mime Job Address (where the work is being done). City Miami Shores Village is Building Historically Designated YES Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other Ut1/2/1 Signature APPLICATION APPROVED BY: Zip ls(,, Yle■ q2i4ef County Miami -Dade OG- lh-a - t3 v�111•a h } WW1? t (OW Zip Jjhtli4� Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,� r eelements ', on the site must be listed and indicate the color to be painted Walls � • ' r Qv • RV 1 WWU !+` / 146. 102 Fascia �y � I`'. Drip Cap /drip Edge F tist 1 t "" Soffit It i t. N Roof R(t O 1 4 0 14-6. Loy ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 regulating construction and zoning. /,t AA Vim Date o6 Date • — chc 6118/03 Issue Date: 3/13/2006 Owner's Name: OM HOMES, LLC Permit Type: Paint Work Classification: Miscellaneous Job Address: 525 92 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/08/2007 Type of Work: Exterior Color: HA -102, OCC -140, BRILLANY WHITE Additional Info: BENJAMIN MOORE 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. Permit Status: APPROVED Permit Number: PT -3 -06 -583 Phone: (305)758 -0775 Parcel #: 1132060141130 Block: Lot: Section: PB: Total Square Feet: 1800 Total Valuation: $ 1,500.00 Required Inspections Final Fees Due Amount CCF $1.20 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $68.10 Invoice Number PT - 3 - 06 - 24049 Total: Amt Due $68.10 Amt Paid I � Building Department File Copy Applicant Signature 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.