PT-09-1836 1 ;
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Miami Shores Village m rf
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10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
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Phone: (305)795-2204 i f�f
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Expiration: 06105120 1
Project Address Parcel Number Applicant
711 94 Street 1132060141980
Miami Shores, FL Block: Lot: ELIDA TRIAY VALDES
Owner Information Address Phone Ceti
ELIDA TRIAY VALDES 711 NE 94 ST
MIAMI FL 33138 -2914
Contractor(s) Phone Cell Phone Valuation: $ 350.00
Total Sq Feet: 0
Type of Work: For Inspections please call:
Color: (306)762 -4949
Additional Info: Available Inspections:
Classification: Residential Inspection Type:
Color: Approved Code Comments: SHERWIN WILLIAMS - WALLS BA Final
Color. Approved_ Color: _Denied
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $ PT -11 -09 -36338 $ 64.60 $ 64.60 $ 0.00
Education Surcharge $0.20
Permit Fee $60.00 Check #: 6458
Scanning Fee $3,00
Technology Fee $0.80
Total: $64.60
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
November 06, 2009
Authorized Signature: Owner / Applicant 1 Contractor / Agent Date
Building Department Copy
November 06, 2009 1
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Miami Shores Village
Budding Department
1.0050 N.I;.2nd AVenUe, Miami Shores. Florida 33138
Tel: ( 795.2209 Fax: (305) 756.8972
BUILDING _ Permit No.
PERMIT APPLICATION RECEIVED aster Permit No.
FsC� XV 06 `g
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Permit T PAINT PERMIT
Owner's Name (Fee Simple Titleholder) _ /s �W' Pho # �S <i� l _7 /i Q
Owner's Address E 9�hh 5�2'E To•r' f3 l3 �EZ�
City A/ / 4l/ 44FS State Zip ..3-3 13 U
Tenant /Lessee Name Phone #
C -MAIL:
Job Address (where the work is being done)
City _ Miami Shores Village County Miami -Dade Zip ���✓�'
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name got j% /) Phone #
Contractor's Address
City_ State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
Value of Work For this Permit T e of Work: Addition / / New / 0 Repair /Replace
v Yp ❑ ❑ Alteration
Describe Work:
Application is hcrchy roads to obtain a permit to do the work and installations as indicated. I certify that no work or installation has coninwnce d.prior to the issuance of a permit
and that all w(m will be performed to meet the standards of all laws regulatingconstruction in this jurisdictim. I understand that a separate pennit -must be secured Ibr
EI.I-:CTRIC'AI. WORK. PLUMBING, SIGNS,.WELI.S_ POOLS, FURNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS. ETC.....
"WARNING TO OAVNF,R: 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 it) I ppl icant: , i.s a condition to the issuance of a building permit with an estimated value exceeding $ 2500. the applicant nuist promise in gocxl faith that a colw 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 gf the recorded notice
of conimencenteni ntusi he posted at the job site for 1he_rrst inspection which occurs seven (7) days after the building permit is issued. In the absence gf such posted notice. the
inspection will not he approved and a reinspection fee will he charged.
Permit Fee $ CCF $ Technology Fee:
Training /Education Fee $ Notary $ Code Enforce m t $
Double Fee $ Zoning $ .
Total Fee Now Due $
k �,A'ee Reverse side -4
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PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
Directions: Ptease circle corresponding number to appropriate color sample.
Walls: 2 3 4
_ _ Attacf
Fascia: 1 2
Drip Cap /Drip Edge: 1 2 3 4 � r
SoI`ti -- - -1 2 4
Roo(' 1 2 3 4
SW 6114
Plower Bins 1 2 3 4 Bagel
Shutters: 1 2 3 4
Awnings 1 2 3 4 2
Chimney: I 2 3 4 �..1
Doors and Door lams 1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4 3 SW 6113
Fences: 1 2 3 4
Interactive Cream
All brick (simulated or reOular ): 1 2 3 4
Stucco Banding: I 2 3 4
Any other Stucco Features: 1 2 3 4
r 1 4 - - - -- -
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 all applicable laws regulating construction and zoning.
Signature Signature
Owner or Agent Contractor
The tiiregoing instrument was acknowledged before me this lY " ill) The foregoing instrument was acknowledged before me this
day of —_ 20 by day �1-�/. day of . 20 by
Who is Personally o%ho has pioducedV - Q who is personally known to me or who has produced
1 -1 t yid io di take all oath. _as identification and who did take an oath.
NOT Y 1 L{ • }' " p W M NOTARY PUBLIC:
Si n t Sign:
Print: r l Print: _
My Commission ixpires: My Commission Expires:
APPLICATION APPROVED BY: Flans Examiner
Preservation Board
lCr �V p Code Enforcement
(Revised 04 /24/0 �
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 128748 Permit Number: PT -11 -09 -1836
Scheduled Inspection Date: April 06, 2010 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: VALDES, ELIDA TRIAY Work Classification: New
Job Address: 711 NE 94 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060141980
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passe G C
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 05, 2010 For Inspections please call: (305)762 -4949 Page 7 of 26