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420 NE 94 St (7)�� Q Passed 00( Inspector Comments IL/_i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 10/02/2006 Inspector: Grande, Claudio Owner: TABATABAIE, S HASSAN Job Address: 420 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Thursday, September 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ec tir ............... ............... ................ ............... ....... . • pcj 0 3 200 CL Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060140350 Lot: Page 1 of 2 Issue Date: 8/15/2006 Owner's Name: S HASSAN TABATABAIE Permit Type: Paint Work Classification: New Job Address: 420 94 Street NE Miami Shores Village, FL Comments: PREASSURE CLEAN AND PAINT BRNJAMON MOORE WALLS FENNEL SEED BM -1101 TRIM 956 MilliftW14 fifformation 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 Permit Expires: 02/11/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes SHUTTERS SM -HC-47 F ROM VfNk9( Additional Info: Color: Classification: Residential 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -8 -06 -2136 one: 1132060140350 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,500.00 Re • uired Ins • ections Final 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 Invoice Number PT -8 -06 -25885 Total: Amt Due $68.90 SEP Ii BCD 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. Cityhcfr'e5 Tenant/Lessee Name >elob Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # (l - 32010 014 - 0 550 Is Building Historically Designated YES Value of Work For this Permit $ Type of Work: DAddition Describe Work: Submittal Fee $ Permit Fee $ Notary $ Scanning $ Bond $ Structural Review. $ State 23,'0 ❑Alteration Training/Education Fee $ Radon $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING M g ME .r PERMIT APPLICATION ' Al °C 1 ` 2t15 FBC 2004 BY: Y\Dy011 k - ___ - - - _ - - Permit Type (circle): uildin: Electrical Plumbing Master Permit No. Owner's Name (Fee Simple Titleholder) // R�,. h K►m►�muyh yU �1 Phone # Owner's Address 420 1� I 94 7T • * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * ** 42.o 1.16 94"^ 4. Zip 33138 -284( Phone # County Miami -Dade Zip 31 NO ✓ ,M t-6° Contractor's Company Name ` q� v -, hone # C 30J ' Q �� Contractor's Address 4'? ILA /-3 0 J r - \-7j City / One I Qualifier Name Phone # State Z ' Zip 3 3/ State Certificate or Registration No. Certificate of Competency No. Q/ Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: ew ❑ Permit No. Fr b 2-rdo Mechanical Roofing Repair/Replace ❑ Demolition A - Cei 9L/ r , ef c 4 i 1 '7 ` � • • DPBR $ Double Fee $ Total Fee Now Due $ V\ S C9- t b\ <\° 305-1008 - 9U/ /6-7-zo7 ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning $ See Reverse side —+ 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. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 4 . 6 Signature �--1 r�' )Signature Owner or Agent The foregoing instrument was acknowledged before me this /7 day of V k . , 20 , by 'I A% iy j1019 Si. who is personally known to me or who has produced V As iNtliilitiEWEnTWIrentiittolim oath. AEC" 1 waskewycz Corr ; # DD525359 Ex PR. 10, 2010 Crag Co., Inc. NOTARY PUBLIC: Sign-141r ' / Print: ! c 4 °-/ My Commission Expires: CJ *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was acknowledge d before me this n J4 . ay of )1JAfT ,20(x, by ft(4 (j/ 15lu� -Z wh known to me or who has produced fl.) Li( -1. J A 2-1O as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: r ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement ) ate j Owner's Name 2uTh n l o r o U k- t ev'1 Phone # 3oG- bo$'97lb INS-758-20 20P 9 Owner's Address _at 'T City'' 4'QA'r; 4ior 4 State FL Zip 331M-29410 >c /Job Address (where the work is being done) 4W CIE 94 4+. 33138' 2-S 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 th Walls 18i, — /10/ - ,MH'T Q Fascia w/11 Drip Cap /drip Edge g m - or 9`x'6 Soffit Ai /# Roof A /if Ai / i1 -- Flower bins ,/ ^7 Shutters ,3 Iv - HC ^ t l Awnings ^/ Chimney N/ Doors and door jams Firtner / d� 6m 1, e3 Garage doors B 7 ern - 'r4 Railings l Fences bt• 19" Decorative metal All brick (simulated or regular) 9; b Stucco banding O �,q Any other stucco features � �p !' / Accessory Buildings 4( ' - ✓ 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. ignature • APPLICATION APPROVED BY: Owner or .gent .. Pr Z Official l,i„/4s Ed?-e. 7'Zii,42$;. Date � 1 4/26Z Date chc 6/18/03