PT-07-2120Project Address Parcel Number
JOHN KREUZ
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Contractor(s)
HOME OWNER
Phone
Cell Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments:
Color: _Denied
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
Authorized Signature : Owner / Applicant / Contractor / Agent
Building Department Copy
AMOY
Cita
Expiration: 04/13/2008
988 N. E. 93 ST.
Total 1 Amt Paid 1 Amt Due
$ 67.30 $ 67.30
Payment Type : Credit Card
$ 0.00
Applicant
988 NE 93 Street 1132060350080
Miami Shores Village, FL Block: Lot:
:ON(!)g�.lnf,4ratl4n Address Phone Cell
Valuation:
Total Sq Feet:
JOHN KREUZ
$ 1,000.00
0
Available Inspections:
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 .
October 16, 2007
Date
Tuesday, October 16, 2007 1
BUILDING
Permit Type:
PERMIT, APPLICATION
FBC 2004
Owner's Name (Fee Simp
Owner's Address
City MI tiL1I
Tenant/Lessee Name
E -MAIL:
PAINT PERM
State
Job Address (where the work is being done)
OWNER BUILDER:
Value of Work For this
Describe Work:
Miami Shores Village
Building Department
t 1000 N.E.2nd Avenue, Miami Shores, Florida 33138
1: (305) 795.2204 Fax: (305) 756.8972 ,rte n
Permit NoW 1 �I 2O
Zip
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
Master Permit No.
Phone #
qg nc vivig
Zip
i?cq
. 5/1
Contractor's Company Name D VV'r'W/ Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No.
Certificate of Competency No.
ermit $ 1 , 000 - Type of Work: O Addition / 0 Alteration / ONew / O Repair /Replace
7N o
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 of a permit
and that alt 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 FO
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR
RECORDING YOUR NOTICE OF COMMENCEM NT."
Notice to Applicant: , is a condition to the issuance ofa 'building permit with an estimated value exceeding $ 2500. the applicant oncost promise in good faith that a cop,v of the
notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cent/led copy of the recorded notice
of commencement must he posted at the job site for the, / rsl 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 he charged.
***************************************Fe //,�mm�
L,, ]k9C9[1t
%XXXY1Q tt It X%*] ****it%'KlC* * **** ******
Permit Fee $ CCF $ 0 Technology Fee: ( .50
Training /Education Fee $ Notary $ 5 { Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side —
Awnings: I • 2
Chimney: l 2 3_
Doors and Door Jams: l.?
Garage Doors_
Railings:
Signature
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap /Drip Edge: 1 ?�
Soffit: 1�
Roof 1 2 3 4
3 4
Shutters: 1 2 3 4
3 4
4
4
4
4
I 2 4
Flower Bins:
Fences:
All brick (simulated or regular): V 2
Stucco Banding: 1 2 3
Any other Stucco Features: ji) 2 3
Accessory Buildings Other:
OWNER'S AFFIDAVIT: IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with al applicable laws regulating construction and zoning.
Signature
Contractor
The',Ifore of g instrument as a no (edged before me this (p The foregoing instrument was acknowledged before me this
day :of _. 2001":"I; V IA / �. , k this
day of • 20 . by
wwho is perso ly kn wn to me or who has paxlu �d . �; � who is personally known to me or who has produced
llc .— /I "!i ?i' s identification and who did tak 1 as identification and who did take an oath.
NOTARY PUB ' , f SQA•,s NOTARY PUBLIC:
Sign: � 1 ��11 r t. ! , J . $ 4' • Sign: c.
Print: _ 21.:i /.t.G'♦ ��•y 4 P' s • Print:
My Commission Expires:
Ow er or Agent
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
3
2 3
;; .
v
* * * * * * * * * * ** ate * & * *zx * * *ie4e * * * * * *u * * * ** 4 * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** Jc4rr * *ir * *aY * * * * * * ** *de *dt ** * * * * **
APPLICATION APPROVED BY: Plans Examiner
3
3
4
4
4
My Commission Expires:
Attach color samples with name and
numbe
Preservation Board
Code Enforcement
(Revised 04/24/0i
Bill To
JOHN KREUZ
988 N. E. 93 ST.
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Date
03/31/2008 Expired Permit Renewal Fee
Fee Name
Monday, March 31, 2008
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: 305 795 -2204 Fax: 305 756 -8972
Invoice Number: PT-3 -08 -31426
Invoice Date: March 31, 2008
Permit Number: PT -10 -07 -2120
..................
Fee Type
Calculated
Total Fees Due:
Fee Amount
$60.00
$60.00
Payments
Date Pay Type Check Number Amount Paid Change
03/31/2008 Credit Card $60.00 $0.00
Total Paid:
$60.00
,
Total Due: $0.00
Inspection Number: INSP -64438 Permit Number: PT -10 -07 -2120
Scheduled Inspection Date: April 19, 2010
Inspector: Bruhn, Norman
Owner: KREUZ, JOHN
Job Address: 988 NE 93 Street
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
e'c__
April 16, 2010
Miami Shores, FL
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 1132060350080
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