271 NE 95 St (10)Issue Date: 8/7/2006
Owner's Name: SANDRA ROBERTS
Permit Type: Paint
Work Classification: New
Job Address: 271 95 Street NE
Contractor(s)
HOME OWNER
Phone Primary Contractor
Yes
Com ments:
EXTERIOR PAINT
Additional Information
Type of Work:
Additional Info:
Miami Shores Village, FL
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Expires: 02/03/2007
Color:
Classification: Residential
Permit
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.
IAA/ /6v I i - fal-
Parcel #:
Block:
Section:
Total Square Feet:
Total Valuation:
Required Inspections
Final
Permit Status: APPROVED
Permit Number: PT -8 -06 -2046
Phone:
1132060133950
Lot:
PB:
0
$ 2,400.00
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
Amount
$1.80
$0.60
$60.00
$1.50
$63.90
Invoice Number
PT - 8 - 06 - 25744
Total:
Amt Due
$63 90
AUG 0 0 8 o
Amt Paid
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 .
EXTERIOR PAINT
JAN 18 2007
Passed
I D
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspect on Iii t er;;;;I
................. ...............................
................. ...............................
Inspection Date: 01 /17/2007
Inspector: Grande, Claudio
Owner: ROBERTS, SANDRA
Job Address: 271 95 Street NE
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Tuesday, January 16, 2007
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060133950
Lot:
Page 1 of 1
Permit Number: PT -8 -06 -2046
Invoice Number: PT -8 -06 -25744
Applicant: SANDRA ROBERTS
Company Name:
Owner Address:
271 NE 95 ST
MIAMI SHORES, FL 33138
Job Address:
271 95 Street NE
Miami Shores Village, FL
Date
Tuesday, August 8, 2006
08/08/2006 Credit Card
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 - 2204 Fax: (305)756 - 8972
Payment Type Check Number
Amount
$63.90
Change
$0.00
Total Payment: $63.90
Page 1 of 1
ASS .' c\ 0 oOMVk/\
0160
BUILDING
PERMIT APPLIC
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple
Owner's Address 2 -/
City kt `J .
Tenant/Lessee Name
Job Address (where the work is being done)
City
FOLIO / PARCEL #
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 2
Type of Work: DAdditiAn ❑Alteration
p-iiv/7 A/6-- ex
Describe Work:
Submittal Fee $
Miami Shores Village
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 7
ON Master Permit No.
e older) J4 0M (�'v/ (26
itAT
State ` v Zip .3 S
Phone #
YES NO
Permit Fee $
Miami Shores Village
Building D epartment
Electrical
Notary $ Training/Education Fee $ v ��
Scanning $
Bond $ Code Enforcement $
Structural Review. $
Plumbing Mechanical Roofing
Phone # dar
County Miami -Dade Zip
Phone #
MMCMCVM
Aue lia
B Y:
N
State Zip
Phone #
Radon $ DPBR $
Double Fee $
Phone #
Square / Linear Footage Of Work:
Repair/' eplace ❑ Demolition
******** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** F ees * * *** * * * * * * * , * ** * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ Ub CO /CC
Technology Fee $ I`St)
Zoning $
Total Fee Now Due $
See Reverse side -+
C L
Bonding Company's Name (if applicable)
4
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. 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.
Sign
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signature
Owner or Agent Contractor
day of ,20,by day of
who is personally known to me or who has produced who •
As identification and who did take an oat
My Commission Expires:
, by JelY0/ 44645 J /14t. 44
who has produced
as identification and who did take an oath.
NOTARY PUBL : WOOD "s VON BPPou
se r w)
woz.1Z :33111dX3 e:3 /p+ � Y
r9tY WW
10 # NOISSIOD AIN
ZS8
2l3MOCT 'd -NNW! ��a `1.
Sign: ar+�
(� ,q l , / — ( w � ___
Print: Q Jie
05 e, Plans Examiner
Engineer
" ;t Zoning
Date: ?• 06
Owner's Name: cl /44), i24 L Phone #: Q 3 c4§
q
Job Address (where the work is being done): 2- 9/ iL' q Y I
City: Miami Shores Village County: Miami -Dade Zip:
Is Building Historically Designated ?:
Contractor's Company Name (if applicable):
Walls:
Fascia:
Roof:
Flower Bins:
Shutters:
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors:
Railings:
Fences:
Decorative Metal:
Signature:
Miami Shores Village
Paint Color Approval and Agreement
All elements on the site must be listed and indicate the color to be printed
All brick (simulated or regular):
Stucco Banding:
Any other Stucco Features:
Accessory Buildings:
Other:
Owner or Agent
APPLICATION APPROVED BY:
Drip Cap /Drip Edge:
Soffit: �Z
YES
P & Z OFFICIAL
Date:
Phone #:
Date:
Attach color Samples
with numbers
OWNER'S AFFID: IT• I certify that all the foregoing information is accurate and that all work will be
done in complian�V . . I ap . icable laws regulating construction and zoning.
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **