1181 NE 97 St (14)Issue Date: 12/19/2006
Owner's Name: MARK EDELSON
Permit Type: Paint
Ste! Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Work Classification: New
Job Address: 1181 97 Street NE
Miami Shores Village, FL
Permit
Expires: 06/17/2007
Contractor(s) Phone
COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Yes
Primary Contractor
Additional Information
Type of Work: Exterior
Additional Info:
Color:
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.
Building Department File Copy
Applicant Sign
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT -12 -06 -2958
Phone:
Total Square Feet:
Total Valuation:
Required Inspections
1132050170020
Lot:
PB:
0
$ 2,350.00
Final
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Work without Permit Fee
Total:
Amount
$1.80
$0.60
$5.00
$60.00
$1.50
$68.90
Invoice Number
PT - 12 - 06 - 26955
Total:
Amt Due
$68.90
o y,tk "
Amt Paid
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 .
Inspection Date: 01/16/2007
Inspector: Grande, Claudio
Owner: EDELSON, MARK
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Job Address: 1181 97 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
Friday, January 12, 2007
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132050170020
Lot:
Phone: 305- 895 -1368
Page 1 of 1
Passed
C
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 01/16/2007
Inspector: Grande, Claudio
Owner: EDELSON, MARK
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Job Address: 1181 97 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
Friday, January 12, 2007
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132050170020
Lot:
Phone: 305- 895 -1368
Page 1 of 1
r4f-i 1 �
ICJ
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building A Electrical Plumbing
wner's Name (Fee Simple Titleholder) 11 AO ale LS t tl,� �"7 R Phone # s- 8- 31 U t
Owner's Address 1 i'( lv k, " 51
City MAK( 5W State
Tenant/Lessee Name
) (where the work is being done) I (U (tli ✓ 5
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES
City___i(y P14/
Qualifier Name
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 2'
Type of Work: ❑Addition ['Alteration
Describe Work:
O e1.)cti
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
crp
NO
Contractor's Company Name C.7 /-707f / / / one # e LlS
Contractor's Address 7G /(/ /,j D •+l
State
State Certificate or Registration No. Certificate of Competency No. C / w .3/
/v0
***,***** * * * * * * * * * * * * * * * * * * * * * * * * * *** **
Square / Linear Footage Of Work:
['New ❑ Repair/Replace
c'o 4 4 i ` ,�
r� o
Zip
Submittal Fee $ Permit Fee $ COO / CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Master Permit No.
33
Phone #
Zip 3.3/4/
Phone # 3 DJ — c -k-- /d 6-f -
Phone #
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Total Fee Now Due $
Permit No. Jl(J -P7
Mechanical Roofing
Zip 3� i38
See Reverse side -*
ir
ITC 7 2006
BY' L i �
❑ Demolition
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 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 wi 'ot be approved and a reinspection fee will be charged.
/
Signature 5 Signature
Owner or Agent Contractor (�
The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this
day of e , 20 0 6, by / u( 7jCZ4"4-e-S day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
r �
As identifica �t o as identification and who did take an oath.
.lc� IelIwaskewycz
�'vh
Commission # DD525359
ires: APR. 10, 2010
...Wed i s Adandc nd' g Co., Inc.
NOTARY PUBLIC:
(Revised 02/08/06)
My Commission Expires:
APPLICATION APPROVED BY:
Sign:
Print: /C 7 , �1•1/4"" -r
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Date:
Owner's Name: /7/,y 77;e41.4Wf Phone #: 3o5 - 7s �- 3/ f�
Job Address (where the work is being done):
City: Miami Shores Village County:
Is Building Historically Designated ?: YES
Contractor's Company Name (if applicable):ary,, /i � Phone #:
All elements on the site must be listed and indicate the color to be piinted
Walls: • 1/11 - l b ( (�
Fascia: Q 1A1 - // 6 c i
Miami Shores Village
Paint Color Approval and Agreement
Drip Cap /Drip Edge: _Co vu e Gf rf
Soffit: 6i/P) - //6 7
Roof: ////fri
Flower Bins: /v/A0
Shutters: /4-/ei
Awnings: w/t
Chimney: N/A7
Doors and Door Jams: cy 4
Garage Doors: 2.25
Railings: Gv /Gf
Fences:
Decorative Metal: f^-/e
All brick (simulated or regular):
Stucco Banding: 77 2 2 2
Any other Stucco Features: ;v /k'
Accessory Buildings: /(//Al
Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in co ith plicable laws regulating construction and zoning.
12107,
Signature:
Owner or Agent
APPLICATION APPROVED BY:
P & Z OFFIC AL
Miami -Dade
Date:
2 2 ' 7
Zip: 3 3 /.gam
NO �—
Date:
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **