PT-10-84 Miami Shores Village
TM
10050 N.E. 2nd Avenue
Miami Shores, FL 33138- 0000 z
$ Phone: (305)795 - 2204._
\ s 1 Expiration: 0910612010
� s
Project Address Parcel Number Applicant
474 96 Street 1132060140440
Miami Shores, FL 33138 Block: Lot: LAURA JAVIER ORTIZ
Owner information Address Phone Cell
LAURA & JAVIER ORTIZ 474 95 Street
MIAMI SHORES FL 33138 -2730
Contractor(s) Phone Cell Phone Valuation: $ 1 ,000.00
H OME OWNE
Total Sq Feet: 0
Type of Work: Exterior For Inspections please call:
Color. (305)762 -4949
Additional Info: Available Inspections:
Classification: Residential Inspection Type.
Color: Approved Code Comments: BEHR - WALLS, CHIMNEY - BEAC Final
Color. Approved_ Color. Denied
Fees Due Amount invoice # Invoice Total Amt Paid amt Due
CCF $0.80 PT- 140 -36847
Education Surcharge $0.20
$66.60 $66.60 $0.00
Notary Fee $5.00 Check #: 752
Permit Fee $80.00
Technology Fee $0.80
Total: $66.60
Building Department Copy
March 10, 2010 2
Miami Shores Village � a I` `
Building Department BY .
1.0050 N.t'2nd AVenne. Miami Shores. Florida 331 38
Tel: ( 795.2204 Fax: (305) 756.8972 �^
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT J a v0e( ZN'h2
Owner's Name (Fee Simple Titleholder) � r� f�✓w6k N � 411011e # �_ T 1
Owner's Address � 1�� � 1 5T
City ' State Zip 3q
Tenant /Lessee Name Phone #
E- MAIL: IA lV EM— A — in C�� --
Job Address (where the work is being done) -4 t j 9 5t
City _ Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name "_
1 U'UVC.`�uxtsC/� t U' I�tL(1 l� s''� �(�one # %'`l` /
Contractor's Ad�drress 1j5
City_ �& r ll T�14 � State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
�
Value of Work For this Permit $ 10M i 00 Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair /Replace
Describe Work: �� CL { aG
`. ' i t
�r ' ! t t
J
Application is her by made to obtain a permit to do the work and installations at, indicated. I . certify that no work or installation has cimmienced prior to the issuance of a permit
and that all work will be performed to meet the standards ofall laws regulatin conswiction in this jurisdiction. I understand dual- it'Scparate penuit npct be secured 1j)0 ;
ELFC'TRIC AI WORK. PLUMBINCi, SIGNS. WELLS'. POOLS. PURNACF ?S, BOILERS, 1-I1-':A'T'ERSjfi'ANKS and ArRC'C1NDITIONI=R',4t ETC......
"WARNING TO ONVNER: YOUR FAILURE TO RECORD A NOTICE OF COMiNF cr.MGNT MAY WtSjlt,� 14 YOUR PAYING TWICE. FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON, IILT. WITH YOUh LNDER OR AN ATTORNEY BEFORE
RECORDING: YOUR NO "1'IG'[F, OF COn7MEN(EMENT." w
Notice to I ppl icant: !Is a condition to the issuance of o building permit with an estimated vahie exceeding 52500. flit al)phcan1 tlntsi pr•otnise An goodJatth that a capl' of the
notice o/ co)nrnc nce:mem 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 mist he pocied at the job site for the,irst inspection which occurs seven (7) days after the building pern:if is issued.. In the absence o /such posted notice. the
inspection will not he approved and a reinspection fee will be charged.
Permit Fee $_ �A , '� ) CCF $� w o n Technology Fee: D'
Training /Education Fee $ 0. Notary $ N Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due.$
See Reverse side —>
v PANT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
Directions: Please circle corresponding dumber to appropriate color camrle.
4 4 ,. •. _-
Wa1Is: , 1 2 3 4 A� -,amnjes with name anJ1
Fascia 1 ( ' 1 3 4
Drip Cap /Drip Edge I (!) 4
\
I \= 3 4 340F -5 M
J
-- Beachwalk
Roo(' 1 3 4 a
Flower Bins 1 2 3 4
Shutters: I 2 3 4 I
Awnings I 2 3 4 2,
Chimney: 1 2 3 4
Doors and Door ,lams I 2 3 4
Garage Doors 1 2 3 4
Railings: 1 2 3 4 3
Fences: 1 2 3 4
All brick (simulated or 1 2 3 4
Stucco Banding: 1 2 3 4
Any other Stucco f=eatures: l 2 3 4 4
Accessory Buildings Other:
C OWNER'S I certify that all the foregoing information is aumrate and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
Signature_ Signature
. Ocaner or Agenl Contractor
The fir going instrument was ac v owledged before n is The foregoing instrument was acknowledged before me this_ .
day o� 20 to by 20 — by
who is icrsr tally known to me or w has produced is personally known to me or who has produced
' A ki t i x.11 w• io did to .e an oath. as identification and who did take an oath.
NOTARY PUBLIC NOTARY PUBLIC:
Sign: MV1 yo Sign:
Print: - - - - -- � i1a"�A ;... tt►� t -iA !!231rint: -
My Commission Expires: ! . Cora ► S� 23�2o�ny Commission Expires:
t ?At) � CgON9B�C'CO e
% % % % %% % % % % %% • Y. % % % % % %% % % % %lC % % % % % %agvR'IC XI•C % % % % %1C % % % % % %1: f[%' iC% 1C%%%%%%%![%%%% if%%%%%%%%%%% % % % % % % % % %%' % % % % % % % % %X % %X % % % % %1C
APPLICATION APPROVI'D BY: '
c
:Plans E iner
Preservation Board
,! -- - uy Code EllItircement
(Revised 04/24/0
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 133747 Permit Number: PT- 1 -10 -84
Scheduled Inspection Date: March 25, 2010 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: ORTIZ, LAURA & JAVIER Work Classification: New
Job Address: 474 NE 95 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 113206014044
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
CLEAN AND PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Pass%
G
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 24, 2010 For Inspections please call: (305)762 -4949 Page 4 of 21
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 133747 Permit Number: PTA -10 -84
Scheduled Inspection Date: March 25, 2010 Permit Type: Paint
Inspector: Bruhn, Norman Inspection Type: Final
Owner: ORTIZ, LAURA & JAVIER Work Classification: New
Job Address: 474 NE 95 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060140440
Project: <NONEa
Contractor: HOME OWNER
Building Department Comments
CLEAN AND PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Passed El
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
te- inspection fee is paid.
March 24, 2010 For Inspections please call: (305)762 -4949 Page 4 of 21