PT-09-1807Project Address
1249 97 Street
Miami Shores, FL 33138-
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
$0.00
$60.00
$3.00
$0.80
$64.60
Parcel Number
1132050090410
Block: Lot:
STEPHEN MARINO
1249 NE 97 ST
Miami Shores FL 33138
305 -812 -0629
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color _Approved
Color: _Approved_
Code Comments: RALPH LAUREN - WALLS, CHIMN
Color: _Denied
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Invoice # Total Amt Paid Amt Due
PT -11 -09 -36288 $ 64.60 $ 64.60 $ 0.00
November 06, 2009
Date
Expiration: 05105/2010
Applicant
STEPHEN MARINO
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
i
November 06, 2009 1
BUILDING
PERMIT APPLICATION
FBC 2004
E -MAIL:
Miami
Buildi
10050 N.E.2nd
Tel: ; (305) 79
City f Y kill S AS State Pt-
Tenant,'Lessee Name
(V f
Permit Type: PAINT PERMIT
Owit is Name (Fee Simple Titleholder) VTePfe. -CZ
Ownes Address l?, V-tdt 1\--1 C'n-
Job Address (where the work is being done) I 2.-LIC1. N'
City Miami Shores Village County
FOLIO / PARCEL # tiI -2 Z OCP1 r c-1
Hui
0
C sNee.T
Is Building Historically Designated YES 1 JO
Contractor's Company Name h.-4.0
Contractor's Address t '- l Cam® col t fl S All
City SUnr\y l-e_S State
Qualifier Name 1-1 triCD YLiC,f'1
State Certificate or Registration No. C(C-c 2- IC= 2.
OWNER BUILDER:
Value of Work For this Permit $ Typ
Describe Work: ph /Jur Res
Application is hereby made to obtain a permit to do the work and installation
and that all work will be performed to meet the standards of all Ipws regulati
EL.ECTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNACE
"WARNING TO OWNER: YOUR FAILURE TO OCORD A
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance' of a building permit with
notice of commencement and construction lien law brochure will he delivere
of commencement must he posted at the job site for the f irst inspection which
inspection will not he approved and a reinspection fee will be charged.
Permit Fee $ bv,vw 111 __ $
Notary $
Training /Education Fee $
Double Fee .$ Zoning $
gores Village
g Department
venue, Miami Shores, Florida 33138
2 04 Fax: (303) 756.8972
u -071-101
Permit No.
Permit No.
Miami -Dade Zip aata
t ZtZ
Phone #
Zip 33 16e)
Phone #
'Phone #' .. - c I"r 5 2F
� - Zi aall.c,c:1
IrbiEUTTY
I■tiV 0 J.
BY:
M Permit No. �� Clt��cl2 -'
M Permit No. t2 V -L2 -(
Phone # ��td ` r at.t(:).
Certificate of Competency No.
of Work: ❑ Addition / ❑ Alteration / ['New /Repai /Replace
See Reverse
:u � t� . rig 4I 1
/ 'PALI 11/
as indicated. I certify that no work or installation has commenced prior to the s. ance of a
construction in this jurisdiction. I understand that a separate permit must he secured lbr
BOILERS. HEATERS, TANKS and AIR CONDITIONERS. ETC
NOTICE Of COMMENCEMENT MAY RESULT IN YOUR PAYING TWIC
BTAIN FINANCING,!,CONSULT WITH YOUR LENDER OR AN ATTORNEY B
m-esiimated value exceeding $ 2500. the applicant must promise in good that a copy of
to the person whose properly is subject to attachment. Also. a certified copy of the recorde
ccuits seven (7) days after the building permit is issued In the absence of such posted notic
*** k ees ********* ,**** ***** * ** * * * * * * * ** * * **** ** * * **
,Technology Fee:
(� l ;Code Enforcenient $
Total Fee Now Duel
C lilt
FOR
tFORE
nc
notice
the
ide -÷
NOT
Sign:
Pri
My Co
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof
Signature
Flower Bins:
Q
Shutters: I kVA
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors:
Railings: I
Fences: �I
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
All brick (simulated or regular):
2
3
3
Stucco Bandin«: ( 3
Any other Stucco Features: _I 2
Accessory Buildings Will Other:
3 4
3 4
3 4
3 4
3 4
3
3
OWNER'S AFFIDAVIT: I certify that a - foregoing information is accurate and that all work will be done in
compliance with all applicable I regulating construction and zoning.
4
4
4
4
4
4
4
The foregoing instrument was acknowledged before me this The foregoin
day of . 200'1 . by V day of
NOTAR
Sign:
P
My Corn
Attach color samples with name and
number.
Contractor
instrument w acknowledged efore me thisz
20O by t
who is personally known to me or • ho tias produced who is personally known to me or who has duced
\ As identi urd who did take an oath. as identification and did take an oath.
* *** *** - **** ** *** ************************* ***** ****** iq *** ** ***** ** ** * ******* ie * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/0";
Inspection Number: INSP- 128412 Permit Number: PT -11 -09 -1807
Scheduled Inspection Date: April 06, 2010
Inspector: Bruhn, Norman
Owner: MARINO, STEPHEN
Job Address: 1249 NE 97 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NU SPACE INC
Building Department Comments
PAINT EXTERIOR OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
April 05, 2010
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
Cc
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number 305 -812 -0629
Parcel Number 1132050090410
Phone: (561)319 -6883
Page 5 of 25
Scheduled Inspection Date: April 06, 2010
Inspector: Bruhn, Norman
Owner: MARINO, STEPHEN
Job Address: 1249 NE 97 Street
Project: <NONE>
Contractor: NU SPACE INC
Building Department Comments
April 05, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 128412 Permit Number: PT -11 -09 -1807
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number 305 - 812 -0629
Parcel Number 1132050090410
Phone: (561)319 -6883
PAINT 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
For Inspections please call: (305)762 -4949
Page 5 of 25