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PT-08-1266Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number 1064 NE 97 Street 1132050170200 Miami Shores Village, FL Block: Lot: Owner information Address Phone Cell THOMAS ROBSON Contractor(s) HOME OWNER Phone Cell Phone Mot Expiration: 0111712009 1064 NE 97 ST MIAMI SHORES FL 33138 -2556 Valuation: Total Sq Feet: Type of Work: Exterior Color: SILVER TROPHY, SWEET BLUSHM WHITE Additional Info: Classification: Residential Color: SILVER TROPHY, SWEET BLUSHM Color: SILVER TROPHY, SWEET BLUSHM Code Comments : GLIDDEN - WALLS - SWEET Color: SILVER TROPHY, SWEET BLUSHM Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $0.60 $0.20 $60.00 $1.50 $62.30 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Total $ 0.00 $ 0.00 Payment Type : Amt Paid I Amt Due 0.00 Cctsk, UL23 Applicant THOMAS ROBSON $ 1,000.00 0 Available Inspections: 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 . July 21, 2008 Date Monday, July 21, 2008 1 • I It Inspection Date: January 29, 2009 Inspector: Bruhn, Norman Owner: ROBSON, THOMAS Job Address: 1064 NE 97 Street Project: <NONE> Contractor: HOME OWNER Building Department Comments January 28, 2009 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 z Permit Type: Paint Inspection Type: Final Work Classification: New asinc Phone Number rcel Number 1132050170200 Page 1 of 1 Passed //�� Inspector Comments ✓l�.i� ' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until • I It Inspection Date: January 29, 2009 Inspector: Bruhn, Norman Owner: ROBSON, THOMAS Job Address: 1064 NE 97 Street Project: <NONE> Contractor: HOME OWNER Building Department Comments January 28, 2009 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 z Permit Type: Paint Inspection Type: Final Work Classification: New asinc Phone Number rcel Number 1132050170200 Page 1 of 1 Owner ure Miami Shores Vi 1 Building Department 10050 NE 2a4 Ave Miami, F133138 (305)795 -2204 (ph); (305)756 -8972 (fax) ATTENTION HOMEOWNERS YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION FROM THE BUILDING DEPARTMENT. This permit is valid for 180 days. If it is not finalized during this period of time, the permit will expire, and it will require payment of a renewal fee to reinstate it and to call final inspection. VVHEN THE PAINTING IS COMPLETED, PLEASE CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT. I / Thank you for your cooperation BUILDING PERMIT APPLICATION FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) oLt(t�. �� Phone # Owner's Address t O1 N IF s+ Cityfobfi Sham State Zip Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) (O to City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address Tel: OWNER BUILDER: City State Qualifier Name State Certificate or Registration No. Value of Work For this Permit $ leCr Describe Work: elictejnerk e Mimi Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 305) 795.2204 Fax: (305) 756.8972 PT-OK— J��`tGW Permit No. VV I Master Permit No. te r: 13 - CountyFl Miami -Dade NO Phone # Phone # Zip ! °i1 � ti t Mt 1 A :. BY: Zip Phone # Certificate of Competency No. Type of Work: ❑ Addition / ❑ Alteration / ['New / ❑ Repair /Replace Application is hereby made to obtain a permit to do the work and hstallations as indicated. 1 certify that no wort: or installation has commenced prior to the issuance of a permit and that all work will he performed to meet the standards of all to I s regulating construction in this jurisdiction. I understand that a separate pemit must he secured for ELECTRICAI. WORK. PI.UML3ING, SIGNS. WELTS. POOLS, IURNACFS, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC "WARNING T() OWNER: YOUR FAILURE TO RE 'ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOP IMPROVEMENTS TO YOUR' PROPERTY. W YOU INT ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORI RECORDING VOIIR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance ofa building!" rtnit with an estimated value exceeding $2500. the applicant must promise in good %aith that a copy of the notice of commencement and construction lien law brochuhe will be delivered to the person whose property is subject to attachment. A /so, a certified copy of the recorded notice of commencement must he posted at the job site for the first inspect ion which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the inspection will not he approved and a reinspection,fee will be cha /, xx xxx * *** ***xx *xxxxxxxxxxrx* * * Fees"T' *** **** *** ** * ** ** ******** ** **** **x U! Permit Fee $ 0 CCF $ 0,60 L 0 Technology Fee:. au Training /Education Fee $ O. Z--' Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ 6Z- 30 See Reverse side — Signature PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate t-- Walls: Soffit: I 2 Roof: 1 2 Commission #D0446425 Expires: JULY 20, 2009 AI a ftWWW e4 c ", Sign: y Print: ire t o [ e L, 5 Z ?_ 3 4 Fascia: 1 3 4 Drip Cap /Drip Edge: 1 2 3 4 3 4 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings: I 2 3 4 Chimney: 1 2 3 4 Doors and Door Jams: I 2 3 4 Garage Doors: 1 2 3 4 Railings: I 2 3 4 Fences: I 2 3 4 All brick (simulated or regular): I 2 3 4 Stucco Banding: 1 2 3 4 Any other Stucco Features: I 2 3 4 Accessory Buildings, - boksz Other: OWNER'S AFFIDAVIT: 1 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 Owner or Agent Contractor The foregoing instrument was acknowledged . b -fore me this /l0 The foregoing instrument was before me this day o 4 .20o. by 'Mize, Woe . day of • 20 . by who is ers nal v n t i me or who has induced who is ersonall known to me or who has produced � � P p Y � As identification and who did take an oath. as identification and who did take an oath. My Commission Expires: 7' ao LI'O -6 AE OF FLORIDA zxx 3iy ...K tmewsGarlikt...w. xxxxx4rx x **** xxxxxxxx xx xxkxxxxxxxxxxxxxxxrxxx x xxx A� NOTARY PUBLIC: Sign: Print: My Commission Expires: Silver Trophy 30BB 53/012 ,sot' Plans Examiner Preservation Board Code Enforcement Sweet Blush 70YR ? ;/118 W -B -500 (Revised 04124/0