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PT-06-2836Issue Date: 11/27/2006 Owner's Name: FE PECACHE Permit Type: Paint Work Classification: New Job Address: 558 94 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 05/26/2007 Contractor(s) HOME OWNER Phone Primary Contractor Yes Type of Work: Exterior 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -11 -06 -2836 Phone: (305)751 -7051 1132060140930 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,500.00 Required Inspections Final Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $60.00 $3.00 $1.50 $65.30 Invoice Number PT - 11 - 06 - 26808 Total: Amt Due $65.30 Amt Paid NOV 2 8 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. Miami Shores V ��° Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (9(0 BUILDING j� � ^ �� Permit No. -2% i PERMIT APPLICATION NOV 2„ _1 fltM ter Permit No. FBC 2004 BY: Permit Type (circle): Building Electrical Tenant/Lessee Name • Architect/Engineer's Name (if applicable) City Ml /1 - State r L Qualifier Name N/A - Job Job Address (where the wosk is being done) ..CC $ /) E City Miami Shores Vill e County FOLIO /PARCEL # I 2' 0 1 Cont ' ctpr , s Cg3 Name ContraCter's Address f0 ' S 1 CO -- •r • Plumbing Owner's Name (Fee Simple Titleholder) fir i✓ • PE CA C 1f C Phone # (340 s) 7s i — 7 e2 s- / Owner's Address 5'. f•r. 99 ST . City /4/A1/1 .SHOP-G,5 State FL olT J.) A Zip 33 / .3 Cr Phone # 9 t 5 r . Miami -Dade Zip - /3 g Mechanical Is Building Historically Designated YES NO pAgJr ' - R-Er AI`.f 0l Phone # 78'6 Zip3 Phone # State Certificate or Registration No. Certificate of Competency No. AyA rr 7 Type of Work: ['Addition DAlteration DNew 0 Repair/Replace ❑ Demolition Describe Work: 7 F/U' a7't- "1- "' -T7,U. C ¢-J-e' ► � ,1 /MNE� �pA)7 i ©1 ft/ rcK'&N moo, , Qme -A-6r c 'ova_ i✓Tti4e roc , S ,4—L—L. c9WO,/ 70 ,4T?y Phone # Value of Work For this Permit $ . Square / Linear Footage Of Work: DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Q See Reverse side Roofing X 44- 575-S' ******** * * * * * * * * * * * * * * * * ** * * * * * * * * * * *** *************** * * * * * * * * * * *** * * * * * * * * * * * * ** * ** Submittal Fee $ Permit Fee $ 1 CCF $ Notary $ Training/Education Fee $ 0- Technology Fee $ .O/ � Scanning $ '00 Radon $ Zoning $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectionwill not be approved and a reinspection fee will be charged. ' Signature e Owner or Agent The fore oing instrument was acknowledged before me t his 2 0 day of At1/e$ CC. rJ , 20D l , by Fe �°e ca.0 t - who isp er� ally known to me or who has produced l As id NOTARY PUBLIC: Sign: Prin I -0ARMYD RAMZAN Notary Public, State of Florida My comm. expires May 16, 2009 No. DD 430192 My Commission Expires: Print: 2 p • (Revised 02/08/06) Signature • Contractor The foregoing instrument was acknowledged before me this day of ,20_,by whois personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC' Sign: Print: • My Commission Expires: APPLICATION APPROVED BY: l ( /?) - / Plans Examiner Engineer Zoning iby Date: Miami Shores Village Paint Color Approval and Agreement ,f-- 2& -® lo Owner's Name: C . PE C/is C 6 Phone #: ( 3 0S / - 7 © - ' Job Address (where the work is being done): S5 E 9 y City: Miami Shores Village County: Is Building Historically Designated ?: Contractor's Company Name (if applicable): All elements on the site must be listed and indicate the color to be minted Walls: MAE S CE ' Fascia: &La5 - c4,- Drip Cap /Drip Edge: ActiN G SGO Soffit: /40 Roof: )4' Flower Bins: X /JOd Shutters: A //ONE Awnings: $. AO 0,1 Chimney: Al $Ce7 Doors and Door Jams: SE")°/'/ Garage Doors: fit hill f Railings: X ,if/a Fences: Decorative Metal: All brick (simulated or regular): /4 CEat J7 Stucco Banding: /VS GgJT Any other Stucco Features: A aAESCcioT Accessory Buildings: TOOL. sft_D g F C 6 F?' SAS �4s ®�i,Ay 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. Signature: tj . Date: Owner or Agent APPLICATION APPROVED BY: Chi P'& Z OFFICIAL Miami -Dade Zip: 33 1 g YES NO Phone #: /6' 2p _O4. Date: 1( "LA V * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **