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PAINTInspection Number: INSP -139 Inspection Date: 02/13/2006 Inspector: Grande, Claudio Owner: ZELKOWITZ, STEVEN & ALL Job Address: 420 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, February 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL one: (305)795 -2204 Fax: (305)756 -8972 I P 2 LL Block: Permit Number: PT-12-05-1023 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)758 -3430 Parcel Number 1132060140461 Lot: Page 1 of 2 • b Inspector Comments Passed j i . i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -139 Inspection Date: 02/13/2006 Inspector: Grande, Claudio Owner: ZELKOWITZ, STEVEN & ALL Job Address: 420 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, February 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL one: (305)795 -2204 Fax: (305)756 -8972 I P 2 LL Block: Permit Number: PT-12-05-1023 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)758 -3430 Parcel Number 1132060140461 Lot: Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Owner's Address 2..D /'' • . 4r#"" S-�nLt City 0.4i C....: s `t..1r,[ s State Ft. Tenant/Lessee Name $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building ) Electrical Plumbing Mechanical Roofing D—Jc tseev% W , ?eAko -5 Phone # Job Address (where the work is being done) /2o qc S City Miami Shores Villa _e County Miami-Dade Zip 3 s t 3 $ Is Building Historically Designated YES NO y Contractor's Company Name �- %: ���;�� r P4 Phone # ( ' � ` (� �` d (r Contractor's Address /J �� t° f �� , , cityty c /r 4I1 // A ��t 4 State Zip c 3g/ �� 2 Qualifier / f/or Ofd / S7 LI W ( - Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ❑Alteration ❑Nw ❑ Repair/Replace ❑ Demolition Describe Work: r e ,4 lia gg, iti,, k i. (J' s /^.) e SA€" GOLa1LS , / Vid t/$v`f /t ff'z dt, * * * * * * * * * * * * * * * * * * ** * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $$ --11 Permit Fee $ 62 0 o CCF $ 1 -. CO /CC Notary $5- 0 Training/Education Fee $ C.) . 4 Technology Fee $ 1 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Permit No. Master Permit No. Zip 7 71 3 Phone # /" /A Square Footage Of Work: 7 aS • 7 S� � s 3 0 X05 ` 1 O Bonding Company's Name, 'Of applicable) Bonding Company's Address City State 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: / Chc 12/15/03 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of AA) who is personally known to me or who has produced (1 l"IVQ✓. '1 '( ZZ10 As identification and who did take an oath. NOTARY P : LIC j y vow 1(4 -Pay. My Commission Expires: APPLICATION APPROVED BY: 8re1PM DIIWnd F+eioN N41 moos 600Z 'Oz iegoloO :S3UIdX3 ZVIa H13SSI1 VOINOW • 1�r ILffi i, /Y: ontractor The foregoing instrument was acknowledged before me this day of ? IdP 4V 20 OS, by .tirive.f Lrpho i personally known to me or who has produced as identification and who did take an oath. OTARY PUBLIC: -� Sign:�°� -c Print: �.� -ktJGh tom. ; I4'Z, My Commis Zip State of Florida ********************************************** * * * * * * * * *. * * * * * * * * * * * * * * * * *i *Ast` k * 'Sil: * * * * * 49 t * * * * ** * * * * * ** oiw° ` Expire:, 416756 ire:, [1 2009 State Certificate or Registration No. Certificate of Competency No. (Certificate of Competency Holder) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning °1Plr pu e Stteven W Zel ow'/tz of Florida My Commission DD416756 OF w oe Expires 0612112009 Miami Shores Village Paint Color Approval and Agreement Date °'c Owner's Name 4460/4 2..lkou4; h Phone # 3 oc 1 S1 4 c l?■0 Owner's Address it..10 NE. 417 C City I-44w. 'S is a State FL Zip 131 ?1!, Job Address (where the work is being done) PE 45 4 S City Miami Shores Village County Miami -Dade Zip ? ?1 Is Building Historically Designated YES NO '.- Contractor's Company Name (if applicable) �� / � 4tc- .�" `�° Phone #, �° �°.;� � **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls A.016 • �oo fi 141 bA ( / i 7 Alt". ..v*. W`I. ki Fascia A"»• ��* � " I I/ Drip Cap /drip Edge Soffit Roof /0 /4 Flower bins s'' /ia Shutters .'''! Awnings N` 4 Chimney NS4 Doors and door jams /4w.x Garage doors Nl A V Railings P' ! A Fences /4 /A Signature APPLICATION APPROVED BY: 1f Atve X 7'1 Adv. PA h' Decorative metal t'' All brick (simulated or regular) N/A 2B Stucco banding N barley 199 Any other stucco features Ail Accessory Buildings J•-•/ A Other N / A ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Owner or Agent — . P& Z Official Atrium White 79 Date t ! of /105 Date i4 ; chc 6/18/03 Issue Date: 12/1/2005 Owner's Name: STEVEN & ALL ZELKOWITZ Permit Type: Paint Work Classification: Miscellaneous Job Address: 420 95 Street NE Contractor(s) HOME OWNER Phone Primary Contractor Yes 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: 12/28/2006 Type of Work: Exterior Additional Info: Color: 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. Fees Due Amount CCF $1.48 Education Surcharge $0.49 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $68.47 Building Department File Copy Applicant Signature Invoice Number PT - 12 - 05 - 1130 Total: Permit Status: APPROVED Permit Number: PT -12 -05 -1023 Phone: (305)758 -3430 Parcel #: 1132060140461 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 2,465.00 Re ' uired Ins ' ections Final Amt Due Amt Paid $68.47 DCoSP 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. PERMIT APPLICATION F Date 4121 I oo Job Address AP .e. 45 41 ' Sr. Legal Description 3 'Nf'iHlr Owner/Lessee / Tenant GIN 4 A 4coJ 7 L ico„. r r 2 Master Permit 0 HC - 27 Owner's Address 49.0 0. V . 0 15 44 ' Arr. ►W I ,R'w► ► h aF, 3 Phone 7 io, 7 f' 7 f, J Contracting Co. " s Address Qi Qualifier SS# - - Phone i State # Municipal # Competency # • Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor ' Ocwt VIA ca.. Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION "rArt - t - 1a ei c male- . V AC. t A t 4 • fir t t1 : } ' i/146t= 4 j tr.) ,41' Square Ft. Estimated Cost (value) at ► 3 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT RADON C.C.F. NOTARY BOND 9. t OO Signature of owner and/ Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: Slew// cd. 2e / rf©c.);72 APPROVED: TOTAL DUE Zoning Building 3/14,41 Electrical Mechanical Plumbing Structural Engineer N LE 0 E