PT-10-159Project Address
131 96 Street
Miami Shores, FL
1132060132590
Block: Lot:
CARL L SCHOOLFIELD &W CLE
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
3910 PINENEEDLE DR
GREENSBORO NC 27405
Type of Work: Exterior
Color.
Additional Info: PAINT
Classification: Residential
Color. _Approved
Color. _Approved_
Code Comments:
Color. _Denied
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
Amount
$120
$0.40
$60.00
$1.60
$63.20
Authorized Signature: Owner
Invoice #
Parcel Number
Applicant 1 Contractor / Agent
Total Amt Paid Amt Due
PT -2 -10 -36944 $ 63.20 $ 63.20 $ 0.00
Applicant
February 03, 2010
Date
Expiration: 08/01/2010
For Inspections please call:
(305)762 -4949
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.
Building Department Copy
February 03, 2010 1
i mi Shores Village raZgwrel
(X Building Department
1 0050, N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. T 10-69
BUILDING
PERMIT APPLICATION
WINO
Permit Type: PAINT PERM T
Owner's Name (Pee Simple Tleholder \evu WiThone # WV q
r
Owner's Address 13 �3i
2
City V (f l , l � S State r I Zip 53 1
Tenant/Lessee Name
E- MAIL:
i,
Job Address (where the work is being done)'' 17� f J - S!'
City Miami Shores Villave I County I� ' M ` iami -Dade Zip 1
FOLIO / PARCEL # i `' �l_ . — OG74#
Is Building Historically Designated YE NO
Contractor's Company Name
Contractor's Address
State Zip
City
Qualifier Name
State Certificate or Registration No.
pair /Replace
OWNER BUILDER:
D scribe Work:
aeizo
Master Permit No.
Phone #
Phone #
Certificate of Competency No.
Type of Work: [] Addition / ['Alteration / ['New
R
Value of Work For this Permit $
I if
Applicant n is hereby made o obtain a permit o do the Work and installations as indicated. I certify that no ork or installation has commenced prior to the issuance of a permit
and that all work will he performed to must the standards of all laves regulating construction in this jurisdiction. I understand that a separate permit must he secured for
ELI:C'TRICAI. WORK. PLUMBING. SIGNS, WELLS. POOLS. FURNACES, BOILERS. HEATERS. TANKS and AIR CONDITIONERS, ETC
*WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INh'END TO'OB'1'AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice 10 Applicant: pplicanC .4s a condition to the issuance of y building permit with an estimated value exceeding $ 2500. the applicant must promise in good faith that a copy oldie
notice of commencement and construction lien law brochure will he delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice
of commencement nuts, he posted at the job site, for the first inspection which occurs seven (7) days after the building perrnit is issued In the absence of such posted notice. the
inspection will not he approved and a reinspection fee will be charged.
zx zz zzzzz z*z irx* zz zzzzs4zzzzaq,zxak'ie'x9ezzzzww F *zzzzzw*w* Yzzzzzzzzxz *zzzzz zzxzzxzz
Permit Fee $ • 03 CCE $ • ■.0 Technology Fee: V
Training /Education Fee $ 0 • ' O Notary $ Code Enforcement $- •
Double Fee $ Boni �g $ Total Fee Now Due $ � 9$-a,.J. go •
See Reverse side -4
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof:
Flower Bins:
Shutters:
Awnings:
Chimney:
l
1
Doors and Door Jams:
Signature .11/ 0 i/t ,
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must listed and indicate the color to be painted
2
2
2
3
3
3
3
3
4
4
4
4
4
4
4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
Fences: I 2 3 4
All brick (simulated or regular) :. l 2 3 4
Stucco Banding: 1 2 3 4
Any other Stucco Features; l 2 3 4
Accessory . Buildings . Other:
ttacb color samples with name and
number.
Milton cream - 1107
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
aft
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 2 -- The foregoing instrument was acknowledged before me this
day of ` rOS 20 ID. by ' PC t ( �,� day of 20 • by
who is personally known to mcr ��`� r � 1 who is personally. known to me or who has produced
As i dol l Nt rt • D�C4ei;+a d tidy: an oath. as identification and who did take an oath.
' 061201
NOTARY PUB C: 0 = NOTARY PUBLIC:
Sign: �= �i i �, i PUBLIC _ Sign:
Print: `% c'• .. 00765-941 -` Pr Print: • My Commission Expires: ' % ,�gjF'o� ��0� My Commission Expires:
49f
I d' i l I U I imo`
***************************************************************************** ******** ****************** *** **
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
t t•to Code Entorcement
(Revised 04/24/0/
0
Inspection Number: INSP - 134668 Permit Number: PT -2 -10 -159
Scheduled Inspection Date: February 10, 2010
Inspector: Bruhn, Norman
Owner:
Job Address: 131 NE 96 Street
Project: <NONE>
Miami Shores, FL
Contractor: HOME OWNER
Building Department Comments
Passed oz -/
Failed
Correction
Needed
Re- Inspection
Fee
February 09, 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
Cia
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060132590
Page 13 of 21
Inspection Number: INSP - 134668 Permit Number: PT -2 -10 -159
Scheduled Inspection Date: February 10, 2010
Inspector: Bruhn, Norman
Owner:
Job Address: 131 NE 96 Street
Project: <NONE>
Miami Shores, FL
Contractor: HOME OWNER
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
February 09, 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 Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060132590
Page 13 of 21