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444 NE 96 St (15)Issue Date: 10/11/2006 Owner's Name: NEIL & ELIZABETH ROSEN Permit Type: Paint Work Classification: New Job Address: 444 96 Street NE Contractor(s) OWNER Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/09/2007 Phone Primary Contractor Yes Type of Work: Exterior Color: Additional Info: 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 clone 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 Si Parcel #: Block: Section: Total Square Feet: 0 Re . uired Ins . ections Final Permit Status: APPROVED Permit Number: PT -10 -06 -2498 Phone: 305 -576 -5900 1132060140580 Lot: PB: Total Valuation: S 4,000.00 Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $2.40 $0.80 $5.00 $60.00 $1.50 $69.70 Invoice Number PT -10 -06 -26329 Total: Amt Due 569.70 OCT 12 Pi O Ct( IaTi 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. RTES IN ZOR11>j. Inspection Number: INSP -29059 Inspection Date: 10/31/2006 Inspector: Grande, Claudio Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Contractor: OWNER ilding Department Comments Monday, October 30, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 of 02 Block: Permit Number: PT -10 -06 -2498 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305 - 576 - 5900 Parcel Number 1132060140580 Lot: Page 1 of 2 Passed Inspector Comments / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. RTES IN ZOR11>j. Inspection Number: INSP -29059 Inspection Date: 10/31/2006 Inspector: Grande, Claudio Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Contractor: OWNER ilding Department Comments Monday, October 30, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 of 02 Block: Permit Number: PT -10 -06 -2498 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305 - 576 - 5900 Parcel Number 1132060140580 Lot: Page 1 of 2 Permit Number: PT - - - 2498 Invoice Number: PT - - - 26329 Applicant: NEIL & ELIZABETH ROSEN Company Name: Date Thursday, October 12, 2006 10/12/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 1299 Owner Address: 444 NE 96 ST MMIAMI SHORES VILLAGI Job Address: 444 96 Slreet NE Miami Shores Village, FL 33138- Amount 869.70 Change $0. 00 Total Payment: $69.70 Page 1 of 1 Miami Shores Village BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle). Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple o der) e( Z y e '1/ (4 6 iJ S et-4- State LFL. Zip :313 r dos o6- i-/)63 `ry1 h A LI Cit Y 1 ok S t1V? Tenant/Lessee Name Owner's Address Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip )13,)% (7 14 s' S o FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City Qualifier Name State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Describe Work: ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F, s ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 3 Permit No. T1 No Q C14�' -- State Zip Phone # ew Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Master Permit No. Phone # Phone # CCF $ Phone # Square / Linear Footage Of Work: Technology Fee $ Total Fee Now Due $ See Reverse side —÷ Phone # 305 �� 7q C 33). ❑ Repair/Replace ❑ Demolition C O /CC DPBR $ Zoning $ 6 . ©CCT 12 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 promise in good faith th whose property • subje for the first i p: tion inspection w l no be ap Signature The foreg day of dition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must copy of the notice of commencement and construction lien law brochure will be delivered to the person attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the ved and a r inspection fee will be charged. 0 er or Agent g instrument was acicnott edged befor 2 0 , by L who is personally known to me or who has produced r As identification and whe,did take an oath. NOTARY'UBL : APPLICATION APPROVED BY: Sign: ad LA _ Print: MEIWAS My Com ission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this__ ('o , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning Date: Owner's Name: 4 (ALA 9te --- City: Miami Shores Village County: Miami -Dade Zip: Job Address (where the work is being done): Is Building Historically Designated ?: Contractor's Company Name (if applicable): fcdc_�,v17 C Fascia: Walls: Stucco Banding: Signature: Owner or Agent Al i ��,2P�Qgf� APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement P & Z OFFICIAL Phone #: YES NO Drip Cap /Drip Edge: Soffit: �-1—'- Roof: Flower Bins: Shutters: Awnings: Chimney: Doors and Door Jams: ' h 1 �- Garage Doors:. Railings: (AAA, Fences: uOttA, 1 ��- Decorative Met � All brick (simulated or regular) :1S 3 "1 4 Any other Stucco Features: Accessory Buildings: G Other: Date: 5` `1 All elements on the site must be listed and indicate the color to be p:.inted Phone #: Attach color Samples with numbers shaker beige super white 0 --"'' 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. Date: (6 1t) * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 2B HC -45 INT. RM