PT-09-1899Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.00
$0.80
$66.60
Building Department Copy
Address
PROVED
Expiration: 05/15/2010
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments: BEHR - WALLS, CHIMNEY, GARA
Color: _Denied
Authorized Signature: Owner / Applicant / Contractor / Agent
Invoice #
Total Amt Paid Amt Due
PT -11 -09 -36435 $ 66.60 $ 66.60 $ 0.00
80 94 Street
Miami Shores, FL 33138-
1132060130300
Block: Lot:
CHRISTOPHR & CHRISTA WHITI
Cell
CHRISTOPHR & CHRISTA WHITE
80 94 Street
MIAMI SHORES FL 33138-
Valuation:
Total Sq Feet:
$ 1,0
0
Date
For Inspections please call:
(305)7624949
Available Inspections:
Inspection Type:
Final
1
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 16, 2009
November 16, 2009 1
BUILD
PERMIT A PPLICATIOiN
FBC 2004
Is Building Historically Designated YES
Contractor's Company Names
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
Miami Shores Village
l uilding Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Tyne: PAINT PERMIt
Owner's Name (Fee'' Simple Titleholder) C IV lS�b Phone # C30'5) 15a 310E)
Owner's Address � gd .Art ctc S iCe-k
City AAA: O t�l 1 ''1,0x¢...5 State F Zip ' �j i3t
Tenant/Lessee Names —�' Phone # er
E-MAIL: '( hl('iS ,1(1'1 YID • 1/l1Q .'E'
Job Address (where the work is being done) $O ME
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
NO
hcoe
OUJQ/r
State Zip
Phone #
OWNER BUILDER:
Value of Work For this Permit $ Type of W rk: ❑ Addition / ❑ Alteration / (]New / fRepair /Replace
Describe Work: ;Altsio t!pA_ fit' —
Master Permit No.
Phone #
Permit No.
Certificate of Competency No.
Application is hereby made to obtain a permit to do the wor 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 *rl'ormed to meet the standards o,'all laws regulating construction in this jurisdiction. 1 understand that a separate permit must he secured for
EI.ECTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO 'YOLIR PROPERTY. IF YOt INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: pplicant: ,4s u I condition to the issuance of a building permit with an estimated value exceeding $ 2500: the applicant roust promise in good Pith that a copy of the
notice of commencement and construction lien km brochure will be delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice
of commencement must hi posted al the job site for the firsfl inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. Are
inspection will not he approved and a reinspection fee will be charged.
* * * * * * **..* **** rx*x Sea'r****www***F :#* ** *ic *a4**wwww**xnxxrxxxwww** ** wwww**
Permit Fee $ (P CIO CCF $ 0' # Technology Fee: d •
nn �ll
Training /Education Fee $ ® •DS � 1 Notary $ Code Enforcement $
Double Fee $ Zoning $I Total Fee Now Due $ Caw/ .'
See Reverse side -
Directions: Please circle corresponding number to appropriate color
Walls: 1 3 4
Fascia: 1 3
Drip Cap /Drip Edge:
4
4
Soffit: 1 3 4
Roof: I 2 3 4
4
Shutters: -- --1�� 2 3 4
4
2 3 4
3 4
Garage Doors: 2 3 4
Railings: -- 2 3 4
Fences: 2 3 4
Flower Bins: —1-
Awnings:
Chimney:
Doors and
I
Door Jam
All brick (simulated or reguta r I
•
Stucco Banding: --
Any other Stucco Features- — 2 3
Accessory Buildings
kg/ L"1/1
511
OWNER' AFFIDAVIT: I certify th t a the foregoing information is accurate and that all work will be done in
complia pplicable laws regul4ing construction and zoning.
Signature Signature
Contractor
The fore._ i g instrument yes owledg d b o ` h's ,/ 1 The foregoing instrument was acknowledged before me this
day of ;dl , . 20 _ b Y 1 (1 4. ay of . 20 . by
who is per vitally known �� me or who has pi d iced VW ho is personally known to me or who has produced
O10' ktl entitica ' )n and w to did take an oath. as identification and who did take an oath.
NOTAR r� rl: 5 I __ . al AY
NOTARY PUBLIC:
't_ y19 1 I tz '� t � immission Expires:
0
.. '''s , Q Nom"_
a �
xXxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx*xxxxxxxxxxxx
My Commission Expires:
Owner or Agent
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
3
Other:
A
780C -1 "
Sea Salt
500F -4
Swan Sea
:1
xx ; exxx irxx x xxxx x
APPLICATION APPROVED BY: Plans Examiner
l I Preservation Board
/t! f t? l . Code Cnl'orcement
2 rim: Light Sandstone EC r
3 Accent: Cherry Barkt ECC2
I
(Revised 04/24/07
e
4
Inspection Number: INSP- 129432 Permit Number: PT -11 -09 -1899
Scheduled Inspection Date: April 15, 2010
Inspector: Bruhn, Norman
Owner: WHITE, CHRISTOPHR & CHRISTA
Job Address: 80 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINTING EXTERIOR OF THE HOUSE
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 14, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060130300
Page 4 of 18
1
4
Inspection Number: INSP - 129432
Scheduled Inspection Date: April 15, 2010
Inspector: Bruhn, Norman
Owner: WHITE, CHRISTOPHR & CHRISTA
Job Address: 80 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINTING EXTERIOR OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 14, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: PT -11 -09 -1899
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060130300
Page 4 of 18