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920 NE 95 St (5)920 NE 95 ST FINAL PAINT dl / � Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Permit Number: 8P2005 -377 Inspection Date: 12/22/2005 Inspector: Grande, Claudio Owner: ZIBELLI, AMY Job Address: 920 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- 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 Wednesday, December 21, 2005 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060070010 Lot: Phone: 305 -895 -1368 Page 2 of 2 • Building Department 10050 N.F Miami Shores, Florida 33138 Tel' (1 414i101gA5)756.8972 i - BUILDING F IZR 1 ? lnnr PERMIT APPLICATIO ,. - ...,, - : - 4.1 Master Permit No. FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 920 /vE City /' /0H1 / ,��/tl (Li State Tenant/Lessee Name Job Address (where the work is being done) 920 /t'/ 9f Sf ' City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Ll Contractor's Company Name 46 l / ` ` 1" hot<e # aor f � l3 g Contractor's Address ( /be' /20 J7 City / t( N? 1 / State /t • Zip 3 /6/ Qualifier__ 7 '- 4 ' &v Total Fee Now Due S (Conrinuei. or opposite siae $ Value of Work For this Permit Miami Shores Village Type of Work: ['Addition ❑Alters 'on ['New Describe Work: / e/UL4/1/' ea rY ¢t 241 Electrical Plumbing Mechanical Roofing Q YL1 Z 444 Phone # (3U 5J 757 ` d /2_ / 9S st State Certificate or Registration No. Certificate of Competency No. Q / Y 7 3 Architect/Engineer's Name (if applicable) Phone # / Lt� -G't, Zip Square Footage Of Work: Phone # Permit No. QPC\S 317 Zip ❑ epair /Replace ❑Demolition 74 l 4 , * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ (,0 - CC' CCF $ 1 eC CO /CC Notary $ Training/Education Fee $ ' (QQ Technology Fee $ l 56 . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) • A a Bonding Company's Address /, / City State /'� Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address /il /' 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. 1 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 Owner or Agent The foregoing instrument was acknowledged before me this day of _ P ly! .t , 200 , by 7 Z ` f NOTARY PUBLIC: Sign: —.4'1' �f Print: ' My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. " uq r ., Y , ' 4'. IW Signature /r/� 4 - �. Q,6ci Z- The foregoing instrument was acknowledged before me this , day of Contractor NOTARY PUBLIC: Sign: Print: My Commission Expires: *********w******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 74 5 * ** * ** * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ' Paint Color Approval and Agreement Date 3 Tth44 0-1-e4 Phone # ( 'TJ 757-0 / Owner's Name Owner's Address 920 4sf 9 r , Cit /Alt *r . riGtP_ State /2 • Job Address (where the work is being done) / ZO City Miami Shores Village County Miami-Dade Zip 3 3 /J f Is Building Historically Designated YES NO . ' man Name (if applicable)Uyar d /— �,�j / i r el hone ; OJ J f 96f Contractor's Company y C ( �� / * ** *********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on tt e site must be listed and indicate the color to be painted c — 9r L / Walls �� feel, 2 / �. � � �� M Fascia 7 '43 _5 Q t - K Drip Cap /drip Edge 9 4' 3 Soffit 9 443 Roof /0/ Flower bins 9 4 3 Shutters biC - 6 S Been C' 1 Awnings ft' /g Chimney !ti/ At Doors and door jams '0e-s-7 403 Garage doors '' 1 /3 Railings /I /kr Fences ,"1/1" Decorative metal wi All brick (simulated or regular) 1" f Ni Of Stucco banding " / (nlC Any other stucco features /" /� Accessory Buildings '`'le Other iv/ if ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 APPLICATION APPROVED BY: Miami Shores Village Owner or Agent P& Z OfficiaV Zip 3 3T Qd U G eA-i 9y> Date 3/8/ Date 3% 7 ` chc 6/18/03 Issue Date: 12/21/2005 Owner's Name: AMY ZIBELLI Permit Type: Paint Work Classification: New Job Address: 920 95 Street NE Contractor(s) Phone COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Primary Contractor Yes Comments: paint Additional Information Miami Shores Village, FL 33138- Type of Work: Exterior Color: Additional Info: 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $1.50 $68.90 Invoice Number Amt Due PT - 12 - 05 - 23127 $68.90 Total: :DEC 21 PAID — 4443% Amt Paid $68.90 $68.90 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: 03/17/2006 Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: BP2005 -377 Phone: 1132060070010 Lot: PB: 0 $ 2,400.00 Final 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.