1263 NE 94 St (2)Date
Miami Shores Village
Paint Color Approval and Agreement
(3c6) 1S4 _ss
Joh n
SjThtd+ Phone #
Owner's Name
Owner's Address
City
State Zip
l 2 3 N-e 4 sT
Job Address (where the work is being done)
City
Miami Shores Village County Miami -Dade Zip
is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
(_...L.J r Phone #
****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:
All elements on the site must be listed and indicate the color to be painted
Walls rYnmC—I 1 c:0 m .
Fascia C) L I F U e L " W
Drip Cap /drip Edge 1.1 / A
Soffit
Roof
Flower bins
Shutters V l ± x LA-J -Fc__
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
y ry 0..iQD al
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
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 laws regulating construction and zoning.
Signature
ALP ?L,TOAT1ON APPROVEI' BY:
1 Body: Summer Bloom ECC -28 -1
2 Trim: Ultra Pure White 5050
3 Accent: Deep Cherrywood ECC -42 -3
Date d 9 -
Walls
Fascia
Garage doors
Railings
Fences
Signat
1 •
Miami Shores Village
Paint Color Approval and Agreement
Date
Owner's Name jOh Phone � - - 73 4- 13S
Owner's Address
City
State Zip
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (if applicable)
Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Drip Cap /drip Edge
Soffit ll
Roof U� ��
Flower bins 1.N W V
Shutters h\ \' •
Awnings NC)
Chimney NO
Doors and door jams
Decorative metal 0
All brick (simulated or regular)
Stucco banding
Any other stucco features
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 laws regulating constriction and zoning.
_ .44
)(2_L q4
Owner or Agent
APPLICATION APPROVED BY: 40/
Pf. 2, O
Date
1 Body: Pacific Mist ECC -34 -1°
2 Trim: Boulder Creek ECC -34 -2`
3 Accent: Terra Cotta Sun ECC -34 -3"
3
Date i/ S7
cnc 6 /I8/07
`► Building Department
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) tie, R/"I,4 To HA/ SGN/y /p r Phone # 3 405 -75V /3
Owner's Address /243 WE d 9 V. TAB 7
City pi/ 1 M/ 51-144 State PL Zip 3 3 1 38
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 12 G 3 /KA 9 T
City Miami Shores Villa _e County Miami -Dade Zip 3 3 / 3
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit J( 4., . `
Total Fee Now Due $ (C • 0
(Continued on opposite side)
Miami Shores Village
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.
Master Permit No.
Electrical Plumbing Mechanical Roofing
CLU/ r
NO ✓
Phone #
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Phone #
Square Footage Of Work: t? 2 a a 0
Type of Work: ❑Addition ['Alteration ['New IN Repair/Replace
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
❑ Demolition
Submittal Fee $ } Permit Fee $ C2 0 1/ ' CCF $ O. 60 CO /CC
Notary $ / }� Training/Education Fee $ O. 20 Technology Fee $ t • i •
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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. 1 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 not be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of
who is personally ow to me or who has produced
NOTARY P
Sign:
Print:
My Commi ion Expires
* * * * * * * * * * * * * * * * * * **
Chc 05/13/03
Contractor
n The foregoing instrument was acknowledged before me this
20: n by 1 `'Cr� ` cC r) rn1 -[ day of , 20 by
I.f who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
APPLICATION APPROVED BY:
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # 4,44 4, # mot # ## * ** * * k # # # # # # # # # # # # # # # # # # # # # # # # # # # # ## #
iro/
Plans Examiner
Engineer
Zoning
v
Passed 64 I 4
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INSP -4941
Inspection Date: 01/04/2006
Inspector: Grande, Claudio
Owner: SCHMIDT, NORMA
Job Address: 1263 94 Street NE
Project: <NONE>
Contractor:
Building Department Comments
Tuesday, January 3, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (795 -2204 Fax: (305)756 -8972
c
Block:
Permit Number: BP2005 -1338
Permit Type: Imported Permit
Inspection Type: PAINTING
Work Classification: <NONE>
Phone Number
Parcel Number 1132050100070
Lot:
Page 1 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/19/2005
Applicant: JOHN
Owner: SCHMIDT
JOB ADDRESS: 1263
Contractor
Local Phone:
Parcel # 1132050100070
Signed: (Contractor or Builder)
NE 94
Building Permit
Permit Number: BP2005 -1338
SCHMIDT
JOHN
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 3/13/2006 Construction Value: $2,500.00
Work: PAINT AS AGREED
Page 1 of 1
Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 8 LOT SIZE 75.000 X 125 OR
Fees:
FEE2005 -12589
FEE2005 -12590
FEE2005 -12591
FEE2005 -12592
Description
Building Painting Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$60.00
$0.60
$0.20
$1.50
$62.30
Total Fees: $62.30
Total Receipts: $0.00
SEP
Signed: (INSPECTOR)
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 1 assume responisibility for all work
done by either myself, my agent, servants or employes.
BY: