574 NE 94 St (13)Issue Date: 12/1/2006
Owner's Name: ELAINE FUREY
Permit Type: Paint
Work Classification: New
Job Address: 574 94 Street NE
Additional Information
Miami Shores Village, FL
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: 05/30/2007
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.
Permit Status: APPROVED
Permit Number: PT - - - 2872
Phone:
Parcel #: 1132060140920
Block: Lot:
Section: PB:
Total Square Feet: 650
Total Valuation: $ 1,500.00
Required Inspections
Final
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $1.50
Total: $67.30
Invoice Number
PT - 11 - 06 - 26851
Total:
Amt Due
$67.30
Amt Paid
+JEC 0 MOD
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.
Its�ee��a�t E�um
uwr, �: T . 11 2812
Inspection Date: 12/26/2006
Inspector: Grande, Claudio
Owner: FUREY, ELAINE
Job Address: 574 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: HOME OWNER
Building Department Comments
Wednesday, December 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060140920
Lot:
Page 1 of 2
DEC 2 7 NE
Y
Passed
)4/AL
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Its�ee��a�t E�um
uwr, �: T . 11 2812
Inspection Date: 12/26/2006
Inspector: Grande, Claudio
Owner: FUREY, ELAINE
Job Address: 574 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: HOME OWNER
Building Department Comments
Wednesday, December 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060140920
Lot:
Page 1 of 2
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple Titleholder)
Owner's Address X77 ,t[
City /40 S xle,6s State �G
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County . Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City State
Qualifier Name
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ /JfoO,
Type of Work: ['Addition
Describe Work:
�/y
r / _ ?ao6 oil — o9ao
NO X
hAL Ootor
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ " &d
Technology Fee $
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $
Bond $ Code Enforcement $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 1000 2 75 1 P
Master Permit No.
Electrical , plumbing ' Mechanical , 91 _ 6//7
o f96J Few /e Y Phone # OS 7�� 'rte go? a"7
9i �T
['Alteration ['New ❑ Repair/Replace ❑ Demolition
Radon $ DPBR $
Zip 3 3'/ ge
Phone #
Phone #
Zip
Phone #
Certificate of Competency No.
Phone #
.3
Square / Linear Footage Of Work:3* 5
Double Fee $
Total Fee Now Due $
NOV la 2 9 2006
BY: ._St�lu�^
CO /CC
x' 00
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.
Signature X
The fore
day of
s
Owner or Agen
oing instrument was acknowledged b
,2
e thi
by
who is personally known to me or who has produced
l 46—(0-1'-0 I K pC l f`y t!
�-
As identification and Viitntictii bike an oath.
u� u. liohcl o L.
* * * * * * **
NOTARY P
Sign:
Print:
My Co mission Expires:
* * * * * **
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
* * * * * * * * * * * * * * **
Signature
Contractor
99 The foregoing instrument was acknowledged before me this
ird9 , day of , 20 , by
ho is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Date: / /.1/‘ .
Miami Shores Village
Paint Color Approval and Agreement
Owner's Name: c/D��✓ a9 /476:- A,PE/ Phone #: X45 — . 756 —
Job Address (where the work is being done): S
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 punted
Walls: } Ld4 7 S
Fascia:
Drip Cap /Drip Edge:���1 . P
Soffit: G�d �\(�
Roof:
Flower Bins:
Shutters: 5/9 YM.60/( 54G-6
ovE% �� Awnings; S Y� jD� 5/9-e*
Chimney: 5 e' �4
Doors and Door Jams: ,. /9yzY✓e60/t ✓ 1 -�
Garage Doors:
Railings: ��� h
Fencep - -
Decorative Metal:
ceog
All brick (simulated or regular):
Stucco Banding:
Any other Stucco Features:
Accessory Buildings:
Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with a� ...lic ble laws regulating construction and zoning.
Signature:
Owner or
& Z OFFICIAL
Miami -Dade 'Lip: .3,q/,3
YES NO
Phone #:
Date:
r //!-2 9 /a
APPLICATION APPROVED BY: Date:
Atta(
; I
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l\1
saybrook sage
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
silken pine