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PT-06-2787Issue Date: 11/15/2006 Expires: 05/14/2007 Owner's Name: JENNIFER MICHELLE TRECO -SAGE Permit Type: Paint Work Classification: New Job Address: 526 97 Street NE Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Type of Work: Exterior Additional Info: Color. 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 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 File Copy Applicant Signat e Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -11 -06 -2787 Phone: 1132060171530 Lot: PB: Total Square Feet: 0 Total Valuation: $ 900.00 Reauired Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT - 11 - 06 - 26742 Total: Amt Due $67.30 NOV din\ 1 7P4I0 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. 'Return to: ' Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 IBiII To JAMES SAGE 526 97 Street NE MIAMI SHORES, FL 33138 -2426 Date Fee Name 12/05/2008 Expired Permit Renewal Fee Friday, December 5, 2008 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: 305 795 -2204 Fax: 305 756 -8972 Invoice Number: PT -12 -08 -33387 Invoice Date: December 05, 2008 Permit Number: PT -11 -06 -2787 Bond Number: 1Description of Work: 1 ................ Fee Type Calculated Total Fees Due: Fee Amount . $60.00 $60.00 Payments Date Pay Type 12/05/2008 Check Check Number Amount Paid 2542 $60.00 Change $0.00 Total Paid: $60.00 Total Due: $0.00 Miami Shores Village Building Department p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Far: (305) 756.8972 BUILDING ;i I dO PERMIT APPLICATION JON FBC 2004 Permit Type (circle): Owner's Address City Tenant/Lessee Name Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) d. /1►JI '1- Cer fitirrim ' iiPhone # rAca 75 7, I I State /C-/1 5r City Miami Shores Village County Miami -Dade Zip 3 3 ) 3 g Job Address (where the work is being done) / PARCEL # uilding Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Submittal Fee $ Notary $ 600 Scanning $ Radon $ atm< Type of Work: ['Addition ['Alteration ►I` ew ❑ Repair/Replace ❑ Demolition Describe Work: J ,j & CCF $ • LJ 0 CO /CC Technology Fee $ , -DO Zoning $ Permit Fee $ a - 2 DPBR $ Training/Education Fee $ Zip r S Phone # Square / Linear Footage Of Work: Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Phone # Phone # Permit No.2 Master Permit No. Total Fee Now Due $ IMCMEWM1 NOV 1 4 2006 BY: VOKk.s.... G . See Reverse side -a 1 VAC 7 �ni Bonding Company's Name (if applicable) i, T- Bonding Company's Address City State Zip honk 1eraNa ($f3plicable) Nita e nc r s Addr ss Signature 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 Signature ai Contractor The foregoing instrumentt was acknowledged before me this -C The foregoing instrument was acknowledged before me this day of lT} , 20 (L. by ( �n 0 � kltI,1 tCO" day of , 20 , by who is personally known to me o'lrwho has produced II l{L.. is rsonall known to me or who h produced Pe Y P T3 Z. 4") ItAs identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI : Sign: Print er or Agent My Commission Expires: �1 14 ;1, APPLICATION APPROVED BY: (Revised 02/08(06) NOTARY PUBLIC: Sign: Print: My Commission Expires: tL k. Plans Examiner Engineer Zoning .. , Miami Shores Village Paint Color Approval and Agreement Date o7-i9-0a r hone# 305 i 7S J p� )t-/ Owner's Name Owner's Address -- City IW 1/1C'�►16 State f � Zip Job Address (where the work is being done). C, ORO' t°16_ '1'1 CJ County Miami -Dade Zip 3 '3 13E City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls in Fascia P. IA Drip Cap /drip Epd� w Soffit /" Roof J k Flower bins lA Shutters , �-� C- K___ I. Awnings 0/ Ps / r N Chimney (a( Doors and door jams V lie A Pk.) 04 L) i- lTE-•111 Garage doors N / N V Railings tai P Fences t.'i Pr- 0.6 Decorative metal All brick (simulated or regular) (' e-WKS Stucco banding \,J A Irk 1� 1) Any other stucco features Accessory Buildings Other. applicable laws regula Signature APPLICATION APPR• VED BY: Owner or Agent NO� P& Z Official (II 4 440 Attach Color Samples With Numbers **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I certify dt all the foregoing information is accurate and that all work will be done in compliance with all l II/ - O Date Date chc 6/18/03 CLASSIC COMBINATIONS IIb 1 . ,. • 1 Body: Ultra Pure White 2 Trim Jet Black 3 Accent: Holly Berry* 1 Body: Ultra Pure White'" 4050' 2 Trim: Jet Black ECC -10 -2° 3 Accent: Holly Berry ECC -10 -3° cc Passed - i /02 Inspector Comments c.., Ai? ° Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid . until `rion Date: December 08, 2008 .,ispector: Bruhn, Norman Owner: SAGE, JAMES Job Address: 526 97 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, December 5, 2008 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: i 9[i7.[)6MNti Il ■ - 1 t N'A/ - AIt1. '''' Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060171530 Lot: Page 1 of 1 Permit Number: PT -11 -06 -2787 Invoice Number: PT -11 -06 -26742 Applicant: JENNIFER MICHELLE TRECO -SAGE Company Name: Owner Address: 261 NE 102 ST MIAMI SHORES, FL 33138- Job Address: 526 97 Street NE Miami Shores Village, FL Date Friday, November 17, 2006 11/17/2006 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 2829 Amount $67.30 Change $0.00 Total Payment: $67.30 Page 1 of 1