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795 NE 94 St (5)1 Inspection Date: 08/01/2006 Inspector: Grande, Claudio Owner: SABELLA, ANN Job Address: 795 94 Street NE Project: <NONE> Miami Shores Village, FL 33138 Contractor: HOME OWNER Building Department Comments Monday, July 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CMG 0 2 RECD Block: .............. .............. .............. .............. Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060142040 Lot: Page 2 of 2 fPassed t 0fr Inspector Comments Fa 0ed Correc ion Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 1 Inspection Date: 08/01/2006 Inspector: Grande, Claudio Owner: SABELLA, ANN Job Address: 795 94 Street NE Project: <NONE> Miami Shores Village, FL 33138 Contractor: HOME OWNER Building Department Comments Monday, July 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CMG 0 2 RECD Block: .............. .............. .............. .............. Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060142040 Lot: Page 2 of 2 Receipt (Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PT -7 -06 -1870 Invoice Number: PT -7 -06 -25534 Applicant: ANN SABELLA Company Name: Date Monday, July 17, 2006 07/17/2006 Check Payment Type Check Number 7452 Owner Address: 795 NE 94 ST MIAMI SHORES, FL 33138 Job Address: 795 94 Street NE Miami Shores Village, FL 33138- Amount $67.30 Change $0.00 Total Payment: $67.30 Page 1 of 1 Issue Date: 7/13/2006 Owner's Name: ANN SABELLA Permit Type: Paint Work Classification: New Job Address: 795 94 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: PAINT WALLS ARABIAN SAND TRIM WHITE Additional Information Miami Shores Village, FL 33138- oam Shores V OOage 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Expires: 01/09/2007 Type of Work: Exterior Color: LIGHT BROWN Additional Info: 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Building Department File Copy Applicant Signature Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Permit Invoice Number PT - 7 - 06 - 25534 Total: Parcel #: Block: Section: Re•,uired Insl•ections Final Permit Status: APPROVED Permit Number: PT -7 -06 -1870 Total Square Feet: 0 Total Valuation: $ 1,000.00 Amt Due $67.30 Phone: 1132060142040 Lot: PB: Amt Paid NOTICE: In adgilit to the requirements of this permit, there may be additional restrictions appliente - 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. C\ssa� ( \CO' tf\k_tr.ci*, '1■.\\LV0 BUILDING PERMIT APPLICATIONAMIllipp FBC 2004 Permit Type (circle) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Permit No. Master Permit No. MCIEEMEN B Y: 01,10-4 err (X i nr Mechanicall Roofing Owner's Name (Fee Simple Titleholder) /y . -)3 / E.. 1 L L. 4 Phone #LB c- \r , 2J- Owner's Ownee Address 7 ( /y E 9 /� Jf' re� g� Cit 41 I i T' ELdaf' State Zip g3/ 3P Tenant/Lessee Name N /�. Phone # Job Address (where the work is being done) 7 f7 A 9 ,f ' ./T,? e 4i' City Miami Shores Village County Miami -Dade FOLIO /PARCEL# / / —�� Q�, 0 f y/ _J n Y0 Is Building Historically Designated YES NO 4� Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ c)() f, /() Type of Work: ❑Addition Describe Work: 1 iy ,' A ir ❑Alteration ❑New Scanning $ Radon $ DPBR $ Zip Phone # � N r - 9 Phone # Square / Linear Footage Of Work: ❑ Repair/Replace 33/ 9P ❑ Demolition ******,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Submittal Fee $ Permit Fee $ (01V � CCF $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ y CO /CC Notary $ Training/Education Fee $ Technology Fee $ Zoning $ See Reverse side -÷r 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 properly 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 approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this I 1 The foregoing instrument was acknowledged before me this day of , 2 GOIC3 by Artl 500 �Q , day of , 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. NOTARY P Sign: Print: My ommission Expires: * ** * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) j e j 4._ Nhhci NOTARY PUBLIC: Expires: Jul ' '3,2r 00 Bondedahnu *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4 -) - e (316 Signature Sign: Print: My Commission Expires: 77// D Plans Examiner Engineer Zoning Date Cs O 1 Vii16 Chimney . /d Doors and door jams W N i' Tr Garage doors Lv If Railings //7/ /rF_- Fences //a Signatr , APPLICATION APPROVED BY: Miami Shores village Paint Color Approval and Agreement Owner's Name II' � - S H t #1 Owner's Address 74f � r / e 9 B J�� F r City /4f/ 371 E.1 State `/c al U4 Job Address (where the work is being done) 72 [ /A/ t City Miami Shores Village County Miami- ade Is Building historically Designated YES NO Contractor's Company Name (if applicable) Phone if ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls j'eV 4 4-/YA i 3 ' / Fascia ic, f / / 0 .L r Pct 4 k Lo t+ ► T Drip Cap /drip Edge b/9/.7. Soffit Cc - F Roof Nip Flosver bins /sl/ P Shutters /1 ' /// Awnings bi // Decorative metal `d li r T / All brick (simulated or regular). fl/ ' /�- lit s 4/th A ref r Stucco banding /VP ' Any other stucco features Accessory Buildings ��/ A/R 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. Owner or Agent P& Z Official Phone /13 ov ? fb 9- zip 911 s'i-p FrT zip 33/ 3f Date Date a 1 I L3/ ()(a clic 6/18/03