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PAINT
Contractor: ^ ORES 9 0 inspection Number: INSP -19998 Inspection Date: 06/15/2006 Inspector: Grande, Claudio Owner: HARDWICKE, SUZAN Job Address: 240 97 Street NE Miami Shores, FL 33138- Project: <NONE> Building Deaartment Comments Wednesday, June 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: BP2003 -1 417 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: <NONE> Phone Number Parcel Number 1132060134020 Lot: Page 1 of 2 to a,5 Passed '� f b Inspector Comments / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Contractor: ^ ORES 9 0 inspection Number: INSP -19998 Inspection Date: 06/15/2006 Inspector: Grande, Claudio Owner: HARDWICKE, SUZAN Job Address: 240 97 Street NE Miami Shores, FL 33138- Project: <NONE> Building Deaartment Comments Wednesday, June 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: BP2003 -1 417 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: <NONE> Phone Number Parcel Number 1132060134020 Lot: Page 1 of 2 t . k BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Su24 fqrd wLGke. Phone # 3 06° ? 433 Owner's Address 2 4 0 14E q? S I City K AN sit GS State FL- Tenant/Lessee Name $ Value of Work For this Permit Number of: Bays Stories 1 Education/Training Fee $ Tech $ Miami Shores Village Building Department Zip Permit No. Master Permit No. Scanning $ 33 13? Phone # Job Address (where the work is being done) 2 qo Ile' ci' S l / City Miami Shores Village County Miami -Dade Zip 3 3132 Is Building Historically Designated YES NO X Contractor's Company Name 4one # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) : Phone # Architect/Engineer's Address City State Zip 190 i Square Footage Of Work: 2-9 Families ( Bedrooms 3 Baths 2- Type of Work: ❑Addition ❑Alteration ,, D _ New ❑ Repair/Replace ❑ Demolition Describe Work: t hT1� . e X- erlo i� U f house.- ****************************p Calculatio - ) i sc Permits * * * * * * * * * * * * * * * * * * * * * * * * **' ' County Escrow Fee $ • . Permit Fee $ 0 h ' 6 9 3 t30,QQ Notary $ Code Enforcement $ Bond $ / Struct. $ f Minus Plans Check Fee $ Fee Totals $ / C . �7 Ci 10050 N.E.2nd Avenue Miami Shores, Florida 23138 Tel: (305) 795 2204 Fax: (305) 756 8972 Radon $ * (Contin ` d on opposite side) 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 will not be approved and a reinspection fee will be charged. chc6/1 8/03 Signature Owner or Agent Contractor The foregoing instrument was ackno edged before e this ,,�D The foregoing instrument was acknowledged before me this d ly of , 20 b , by J 42-4A pp , 7 1LiZ ck day of , 20 _, by ' who is petso lly known to me or who as 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. 40"'' ANTHONY HESS NOTARY P1.IBLIC: APPLICATION APPROVED BY: • t Notary Public - Statfilorida E My Commission Expies Jan 16, N08 � Commission D�Q$4 N ' ti ` _ ` aR Bonded By National Notary Assn. • _ _ fission Expires: Sign: Print: 1 1/4 1 . 7 1 - G y ' My Commission Expires: 0i - / 6 ' "G ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** SEP - 3 2003 v Plans Examiner Zoning Miami Shores Village Paint Color Approval and Agreement Date 5. 0 � %,� e Owner's Name 5U2 7. 1 i'd&/c Phone # 305 75 03 7 Owner's Addr ess 290 Ai e 97 s City ,,Skores State FL Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO X Contractor's Company Name (if applicable) Phone # * *** * *** ** *** ** *** ** *** * *** ** *** ** *** ** *** ** ** ** *** ** *** ** *** ** *** ** *** * *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Walls Fascia All elements on the site must be listed and indicate the color to be painted Pol /she4 ppeq // Drip Cap /drip Edge Soffit ! / Roof N if Flower bins N 4 Shutters P � 6ariu,:t Awnings N 4 Chimney Doors and door jams Dzei 6 arm eA. Garage doors C ark' Railings N P Fences N 4 n) f Decorative metal 4b ° I r cd Grcy 40YY 53'C11 All brick (simulated or regular) N Stucco banding N f Any other stucco features poils h e4 C rezi Accessory Buildings Na Other 317/4 © /mil Mon Signature 2g q7 sr Zip 3313,k o: : . : onterey - House Zip 3303) 30YY 33/047 50YR 08/038 Deep Garnet 80RR ( Coi -'�J� Ey-e trrylor Ci Per 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 / APPLICATION APPROVED BY: G � � �� Date 1 ! r 3 Chc6 /1803 Pk/ fficial Date Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/3/2003 Applicant: SUZAN Owner: HARDWICKE JOE ADDRESS: 240 Contractor Local Phone: Parcel # 1132060134020 Signed: (Contractor or Builder) Signed: NE 97 (INSPECTOR) Building Permit Permit Number: BP2003 -1417 HARDWICKE SUZAN ST Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 Fees: FEE2003 -5311 FEE2003 -5312 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $0.60 $60.60 Permit Status: APPROVED Permit Expiration: 2/29/2004 Construction Value: $600.00 Work: painting exterior of house Total Fees: $.6. P d Total Receipts: WOO 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 responisibility for all work done by either myself, my agent, servants or employes. BY: BLK 30 LOT