1292 NE 95 St (17)Issue Date: 11/22/2006
Owner's Name: WILLIAM POHOVEY
Permit Type: Paint
Work Classification: New
Job Address: 1292 95 Street NE
Miami Shores Village, FL 33138-
Additional Information
Type of Work: Exterior
Additional Info:
Building Department File Copy
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Applicant Signature
Color:
Classification: Residential
Fees Due Amount
CCF $1.80
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $1.50
Total: $68.90
Permit
Expires: 05/21/2007
Contractor(s) Phone
COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Yes
Primary Contractor
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.
Invoice Number
PT - 11 - 06 - 26814
Total:
Ch��k510
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT - - - 2848
one:
Total Square Feet: 0
Total Valuation: $ 2,400.00
Required Inspections
Final
Amt Due
$68.90
1132060144040
Lot:
PB:
Amt Paid
NOV 2 8 PM
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.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795. 204 Fax: (305) 756.8972
0oc
Irk J
(11€1‘' PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Electrical
BUILDING
City / K!/ „ 7e State L.
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 2, 4/ 00
Type of Work: ❑Addition EAlteration
Describe Work:
Submittal Fee $
Notary $ (j0
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Scanning $ Radon $
Miami Shores Village
Building Department
Permit Fee $
Bond $ Code Enforcement $
Permi
Master Permit No.
Plumbing Mechanical
Zip 3 3/ 3 k
Phone #
/? 72 9.r 'r
Contractor's Company NameC
Contractor's Address / 76 /t)E
City `/r
Qualifier Name fr
Training/Education Fee $ • (i/-19`f
� I
NOV 2 2 2006
tY:_ ''.
No`I�i sc J"o 2F4
Roofing
Owner's Name (Fee Simple Titleholder) / / tI Phone #
Owner's Address / 2 9 2 A»' 9r J rw—y
County Miami -Dade Zip
NO p/
/10470"6
/3 Q cp4
State
C2
❑New
DPBR $
Double Fee $
Phone # .�O.f /
Zip .33/17
Phone # ePJ - - /Jie
State Certificate or Registration No. U Certificate of Competency No. (7/4'/.1 /
Phone #
Square / Linear Footage Of Work:
❑ Repair/Replace
************** * * * * * * * * * * *,t * * * * * * * * * * * * * * * * **
CCF $
Technology Fee $
CO/CC
❑ Demolition
Zoning $
Structural Review. $ Total Fee Now Due $ ( U - 9O
See Reverse side --
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 not be approved and a reinspection fee will be charged.
gnature
Owner or Agent
The foregoing instrument was acknowledged before me this Z/
day of t# ,20 ,by s /// /�hr
who is personally known to me or who has produced 1
As jif{ ilgQ•gtltEM IfI®RIJ Aan oath.
NOTARY PUBLIC: Michael Iwaskewycz
Commission # DD525359
Expir :: APR. 10, 2010
ndin . °., Inc.
(Revised 02/08/06)
APPLICATION APPROVED BY:
State
State
k /
■mosft-„
MY COMMISSION #
O ge . Notary Put
Via; * **
)
Print: / Z
My Commission Expires:
*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
Signature / vF - ‘ ''•
Contractor
The foregoing instrument was acknowledged before me this
day of ,20_,by
o is persona y own to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Zip
* * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date:��
Owner's Name: /gr// 1/43JQ"11 E7 Phone #:
Job Address (where the work is being done): /2 ?Z A.16 f`J
City_ Miami Shores Village County: Miami -Dade Zip:
Is Building Historically Designated ?:
Contractor's Company Name (if applicable):C p p'�]'�/�s��a1�h
Walls:
Fascia:
All elements on the site must be listed and indicate the color to be painted
f/ C - 9 3
Drip Cap /Drip Edge: 50~ a1
Soffit: //C ^ <3
Roof: /• /h'
Flower Bins: "Ve
Shutters: Ave
Awnings: WW,
Chimney: 1
Doors and Door Jams: /// ^ 93
Garage Doors: /
Railings: 140
Fences: lib /y
Decorative Metal: 0/4
All brick (simulated or regular): i"' /Al
Stucco Banding: — 9 3
Accessory Buildings: b" /*--
Other: yv /
Miami Shores Village
Paint Color Approval and Agreement
Any other Stucco Features: /1/ /G1
YES
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be
done in complian 11 applicable laws regulating construction and zoning.
ign ,B
ature: / i�' �Ste: ) 1
_ /
APPLICATION APPROVED BY: Date:
P & Z OFFICIAL
Owner or Agent
/1II (ita
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
in 4peo ion
Inspection Date: 01/16/2007
Inspector: Grande, Claudio
Owner: POHOVEY, WILLIAM
Job Address: 1292 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
Friday, January 12, 2007
Block:
u�ir.. 1.;06 -2848
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060144040
Lot:
Phone: 305 - 895 -1368
Page 1 of 1
JAN 17 20011
Passed
I O �
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
in 4peo ion
Inspection Date: 01/16/2007
Inspector: Grande, Claudio
Owner: POHOVEY, WILLIAM
Job Address: 1292 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
Friday, January 12, 2007
Block:
u�ir.. 1.;06 -2848
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060144040
Lot:
Phone: 305 - 895 -1368
Page 1 of 1