PT-09-2033Inspection Number: INSP- 131267 Permit Number: PT -12 -09 -2033
Scheduled Inspection Date: March 09, 2010
Inspector: Bruhn, Norman
Owner: KLEIN, LESLIE
Job Address: 534 NE 94 Street
Project: <NONE>
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
March 08, 2010
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)876 -7514
Parcel Number 1132060140950
Phone: 305 -895 -1368
exterior paint
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 10of34
P 4 61 , 4 -C
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PERMIT APPLICATION
FBC�
Permit Type: PAINT PERMIT
Owner's Address . y N °R-.. G u s;
Cit (Ylk+
Tenant/Lessee Name
L- 1VIAIL: �11� +t i- irt_Se • U/.1T
,""Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL # I - at) o 1 4
Is Building Historically Designated YES
Contractor's Company Name ww4e141
Contractor's Address /Y ? (, A.', / 30
City r ` l 4 ill L ^ State
Qualifier Name /Z 4
State Certificate or Registration No.
OWNER BUILDER:
Value of Work For this Permit $ Z
Describe Work: 'Z C JJ
Permit Fee $ •
Training /Education Fee $.
Double Fee $ Zoning $
7 MairiM
Building Department
Mimi Shores Village
1005( N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: 305) 795.2204 Fax: (305) 756.8972
$pyOwner's Name (Fee Simple Titleholder) L CSL / ' 011_01_ AN Phone # ��„ j - 7 7
State j L :3 1 3c Zip
r����r., Miami-Dade
County Miami -Dade
r
NO
Phone #
CCF' •
r otary $
Permit No.
Master Permit No.
Technology Fee:
Code Enforcement $
Total Fee Now Due $
zip
Phone # 3OJ- f 5 1b
Zip
Phone # S 0 S - 2 / ,r' — Ob /t
Certificate of Competency No. 0 000 /V/ )J
Type of Work: • Addition / ❑ Alteration / [New / ❑ Repair /Replace
Application is hereby made to obtain a permit to do the work install ons as indicated. I certify that no work or installation has commenced prior to the issuance ol'a permit
and that all work wilt be peribrmed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must he secured for
ELEC'TRIC'Al. WORK. PI:UMI3tNG, SIGNS, WELLS. POOLS.'URNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC.....
"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 NOTICEOF COMMENCEMENT."
Notice to Applicant: .1 s a conditicin to the issuance of a building! unit with an estimated value exceeding $2500. the applicant tnusl promise in good faith that a copy of dtc�
notice of commencement and coni'truclion lien law brochure will e delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice
of commencement nwst be posted at the job site for the first inspe ion which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the
inspedtion 011 not he approved and a reinspeclion fee will be cha ged.
xx zAxxxiiat4e********x******xx& **********Fees********************** ************* Yx *x
See Reverse side
Directions: Please circle corresponding number to appropriate color sample.
a': 1
Drip Cap /Drip Edge: I
Soft: I wQ 3
Roof: 1 2 fr"1 3
Flower Bins: I 2
Shutters:
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors: u I
PAINT COLOR APPROVAL AND AGREEMENT •
All elements on the site must be listed and indicate the color to be painted
who is personally known to me or who has produced
As identification and who did take an oath.
Fences: 1 2 A' 01 3 4
All brick (simulated or regular):
Stucco Banding:
Any other Stucco Features: 1 2 *3 4
Accessory Buildings Other:
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
)— C SLIT 4 KLElki °‘
ignature t,\ r Jia )(LE) d "4?...,�.,54 -. dadiggature
Owner or Agent Co n ractor
The foregoing instrument was acknowledged before me this 7 The for oin instrument waackno I before me 4tlis!
day of J/ • . 2007. by/ea 4-) LI . day or . 2
NOTARY PUB NOTA
Sign:, r ` �-I Sign:
Print: L/ _ [ Print:
who is personally known to me or who has produced
as identification and wh lid take an oath.
LI
•
My Commission Expires: NOTARY PUBLIC - STATE OF FLORIDA My Commission Expires:
Michael Iwa �cz ��
xx xiYxxx&x k,kx,kx & &tvEx�YxxaY :, >:.- o'r'(� .pritm x?e xx &x�Y de eYx takiex * eY 4rtxxde * �Y4e et 4rx�t *de dr aY ak �e$de dcat aYxie4r�exaY dr e4�z
APPLICATION APPROVED BY:
Plans Examiner
Preservation Board
• Code Enlorcement
(Revised 04/24/0;
MIMVH DADE COU1±1'
1741C COLLEC
140 lit G LER S'1
14t FLOOR ==
MIAMI, FL 33130
SEE BACK OF RECEIPT FOR
A LIST OF NON - PARTICIPATING
MUNICIPALITIES
Receipt holder must
register in the city
where work is to be
done.
PAYMENT RECEIVED
MIAMI - DARE CNTY TAX
caL 0118/2008
02270016001
000175.00
MIAMI -DADE COUNTY
TAX COLLECTOR
140 W. FLAGLER ST.
14th FLOOR
MIAMI, FL 33130
OWNER
MICHAEL IWASKEWYCZ
Sec. Type of Business
196 SPECIALTY
THIS IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOES NOT PERMITTHE
HOLDER TO VIOLATE ANY
EXISTING OR REGULATORY
OR ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPTTHE
HOLDER FROM ANY OTHER.
PERMIT OR RECEIPT
REQUIRED BY LAW.THIS IS
NOT A CERTIFICATION OF
THE HOLDER'S QUALIFICA-
TION.
PAYMENT RECEIVED
MIAMI -DADE COUNTVTAX
COLLECTOR:
09/18/2008
02270016002
000045.00
SEE OTHER SIDE
109806 -0
BUSINESS NAME / LOCATION
COMPLETE HOME PAINTING BY MICHAEL
1476 NE 130 ST
33161 NORTH MIAMI
N =CIPAL CONTRACTOR'S
TAX RECEIPT
MIAMI -DADE COUNTY` -STATE OF FLORIDA
# RBUANTTODADE COUNTY CODE SEC. 10-24
EXPIRES SEPT 30, 2009
RECEIPT NO. 3071098060 CC NO: 000014131
BUSINESS NAME / LOCATION, THIS IS NOT A BILL -DO NOT PAY RECEIPT HOLDER MAY DO
BUSINESS AS A CONTRACTOR
COMPLETE HOME PAINTING BY MICHAEL AS SPECIFIED HEREON.
1476 NE 130 ST
OWNER :MICHAEL IWASKEWYCZ
DO NOT FORWARD
COMPLETE HOME PAINTING BY MICHAEL
MICHAEL IWASKEWYCZ
1476 NE 130 ST
NORTH MIAMI FL 33161
2008 LOCAL BUSINESS TAX RECEIPT 2009
MIAMI -DADE COUNTY - STATE OF FLORIDA
EXPIRES SEPT. 30, 2009
MUST BE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A ART. 9 & 10
THIS IS NOT A BILL -DO NOT PAY
RENEWAL
RECEIPT NO. 109806
CC B 000014131
BUILDING CONTRACTOR
WORKER /S
10
SPECIALTY BUILDING CONTRACTOR
DO NOT FORWARD
COMPLETE HOME PAINTING BY MICHAEL
MICHAEL IWASKEWYCZ
1476 NE 130 ST
NORTH MIAMI FL 33161
11 1111 1, 1711 1 ,1,1111)3131111111111 13111},! ItI
FIRST-CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231