PT-09-1565Project Address
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
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$65.80
Building Department Copy
September 24, 2009
Invoice #
PT -9-09 -35959
Parcel Number
Type of Work:
Color:
Additional Info:
Classification: Residential
Color. _Approved
Color. Approved_
('e Ggmments;FRESHAIRE- WALLS, CHIMNEY
or enied
Authorized Signature: Owner / Applicant / Contractor / Agent
Total Amt Paid Amt Due
$ 65.80 $ 65.80 $ 0.00
September 24, 2009
Date
Expiration: 03/23/2010
Applicant
277 97 Street
Miami Shores, FL 33138 -2403
1132060134280
Block: Lot:
JENNIFER SAXON
JENNIFER SAXON
277 97 Street
MIAMI SHORES FL 33138 -2403
Valuation:
Total Sq Feet:
$ 500.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
i
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.
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 125249 Permit Number: PT -9 -09 -1565
Scheduled Inspection Date: February 24, 2010
Inspector: Bruhn, Norman
Owner: SAXON, JENNIFER
Job Address: 277 NE 97 Street
Project: <NONE>
Contractor:
Miami Shores, FL 33138 -2403
Building Department Comments
February 23, 2010
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060134280
Passed
ic=z,W
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Cc-
Page 7 of 34
FsCr
Permit Type: PAINT PERMIT
Job Address (where the work is being done)
City _ Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
OWNER BUILDER:
Describe Work:
Value of Work For this Permit $ 5
Miami Shores Village
wilding Department
0050 N.E.2nd Avenue. Miami Shores, Florida 33138
(305) 795.2209 Fax: (305) 756.8972
T '1: (� ��
BUILDING E 'E0�'�' Permit No.T f q — J 5 5
PERMIT APPLICATIO S 2 3 2009 M ster Permit No.
Owner's Name (Fee Simple Titleholder) n111 1 y�Jl Phone # 3o1,5 9 '(d ( _
Owner's Address a . 6 S
City (P (\Pct IAA l S S State Zip 33A
Tenant/Lessee Name Phone #
E -MAIL: -/e
9
m /0E__ crir -
County Miami -Dade
NO V
State Zip
Phone #
Type of Work: ❑ Addition / ❑ Alteration / ['New / El Repair /Replace
Application is hereby made to obtain a permit to do thew rk 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 he performed to meet the standards all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for
EI.liCTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. IURNACE:S, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE 'O 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 COMM ENCEMEi 4T."
Notice to Applicant: A s a condition to the issuance of a h gilding permit with an estimated value exceeding $2500. the applicant must promise in good faith that a cotty oldie
notice of commencement and construction lien law hroch ''re Hill be delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice
of commencement must he posted at the job she for theft ,t inspection 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 wi 1 he charged.
******* ******* *** *** ********A drxxxxx nYFees* **** ***de9e4ck*3r9:*ia'&o1** dxxxxxxxxx* xx &xxxxx****
Permit Fee $ CCF $ t � Q • Technology Fee:
Training /Education Tee $ Notary $5 03 • Code Enforcemen $ ��
Phone #
Double Fee $ Zoning $ . Total Fee Now Due $
I4
Zip
Certificate of Competency No.
See Reverse side ->
I A
Si,natur
The fo
da of
w
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 color sample.
Walls:
Fascia:
Drip Cap /Drip Edge: 1 2 3
Soffit: 1 2
efie5s -1 '` v-e- C
Roof 1 2
• Flower Bins:
Shutters:
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors:
Railings: 1
Fences:
All brick (simulated or regular):
Stucco Banding: l
Any other Stucco Features:
Accessory Buildings
. 2ti (1 by
is personally known to me
As iden
Commission Expires:
PLICATION APPROVED BY:
2
2
2
3 r:,oir 4
3
3 4
3
3
3
3
3 4
3
7 � 7 1 - 1: 7 r, Attach color 'samples with . name an
617wi
3
Other:
who di to an oath
4
4
4
4
4
4
4
My Commission Expires:
Arbor Vine
Signature
her or A ' l � � Contractor
oing instrument was acknowledged before me this 2 3� . The foregoing instrument was acknowledged before me this
Ct S4 a ' or . 2O __, by
ioduced- F_C /7Z., who is personally known to me or who has produced
as identification and Who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Plans Examiner
Preservation Board
".^
6 4-1 41--. . • 1 Code Enforcement
OWNER'S AI+'>'I I certify that all the foregoing information is accurate and that all work will be done' in
comp lance with all applicable laws regulating construction and zoning.
grs
•
(Revised 04/24/0;