PT-08-1615Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores , FL 33138 -0000
, /
efu Phone: (305)795 -2204
Project Address
MARIA MILIAN
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
Building Department Copy
Wednesday, September 10, 2008
..................... ...............................
..................... ...............................
..................... ...............................
Expiration: 0310912009
Parcel Number
575 NE 97 Street 1132060180020
Miami Shores, FL 33138- Block: Lot:
Owner InfQrmatiQn Address Phone CeII
575 NE 97 Street
MIAMI SHORES FL 33138 -2459
Contractor(s)
HOME OWNER
Phone CeII Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments : PITTSBURGH PAINT - WALLS -
Color: _Denied
Authorized Signature: Owner / Applicant / Contractor / Agent
Total I Amt Paid I Amt Due
$ 0.00 $ 0.00
Payment Type :
$ 0.00
4t1' 1 PAW
Applicant
Valuation:
Total Sq Feet:
MARIA MILIAN
$ 1,000.00
0
Available Inspections:
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 .
September 10, 2008
Date
1
PAINT EXTERIOR OF THE HOUSE
400 o 2%*
Passed
. 7 4
-eV
Inspector Comments
ic„,-
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 10/06/2008
Inspector: Bruhn, Norman
Owner: MILIAN, MARIA
Job Address: 575 97 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Friday, October 3, 2008
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
Lot:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Parcel Number 1132060180020
Page 1 of 2
YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION
FROM THE BUILDING DEPARTMENT.
This permit is valid for 180 days. If it is not finalized during this period of
time, the permit will expire, and it will require payment of a renewal fee to
reinstate it and to call final inspection.
WHEN THE PAINTING IS COMPLETED, . PLEASE CALL THE
B 1 1ING DEPARTMENT AT 305 -795 -2204 TO SCHEDULE YOUR
11 AL INSPECTION IN ORDER TO CLOSE YOUR PERMIT.
'AV
ner's signature
Miami Shores Village
Building Department
10050 NE 2 121 Ave
Miami, F133138
(305)795 -2204 (ph); (305)756 -8972 (fax)
ATTENTION HOMEOWNERS
Thank you for your cooperation
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: PAINT ERMI
Owner's Name (Fee Simp
ner's Address
Tenant/Lessee Name
E -MAIL:
Job Addr
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
OWNER BUILDER:
Value of Work For this Permit $
Describe Work:
here the work is being done)
Miami Shores Village
Application is hereby made to obtain a permit to do the w
and that all work will be performed to meet the standards
ELECTRIC'AI. WORK. PLUMBING. SIGNS. WELLS.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR I'ROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITFI YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
NT."
Notice to Applicant: A s a condition to the issuance ofa building permit with an estimated value exceeding $ 2500. the applicant taust promise in good faith that a copy oldie
notice of commencement and construction lien law broth re will be delivered to the person whose properly is subject to attachment. Also, a certified copy oldie recorded notice
of commencement must be posted at the job site, for the,ftr{ I 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 be charged.
ww**%'iCwwww**x******* **X *** **1C** ** ***** Fees**** *** ****** *tkr',****Be8:****** y. *XjC*wwwwwwX%X
Permit Fee $ CCF $
0 '60 j
Training /Education Fee $ 0. Notary $ 5 ,00
Double Fee $ Zoning
Miami Shores Village
Building Department
,10050 N.E.2nd Avenue, Miami Shores, Florida 33138
T' 1: (305) 795.2204 Fax: (305) 756.8972
Permit No. KOK
Zip ____a3/3
Phone #
q 42i--
NO/
Master Permit No.
Courutf Miami -Dade Zip 3/ 3
Technology Fee:
Code Enforcement $
Total Fee Now Due $
Phone # '!''� d i9 " UJ U
7. E
Certificate of Competency No.
Type of Work: ❑ Addition / ❑ Alteration / ['New / ❑ Repair /Replace
i rk and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit
m f all laws regulating construction in this jurisdiction. I understand that a separate permit must he secured lier
OOL S, f'URNACES,BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC..:..
See Reverse side -*
NO A
Sign:
Print:
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof:
Railings:
Fences:
All brick (simulated or regular):
Stucco Banding: 1
Any other Stucco Features:
Accessory Buildings
Owner or Agent
The fore °inin. ument was ackn lodged before
day of (1 . 20 b ( {ICI
who s persoh. Ilv known to me or who has produced
My Comn ission Expires:
APPLICATION APPROVED BY:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
4
Flower Bins: I
Shutters:
Awnings:
Chimney: 1 2 3 4
Doors and Door Janis: 1 2 3 4
Garage Doors: I 2 3 4
4
4
3
3
3
Other:
4
Attach color samples with name and
number.
Cracker Bitz
Desert Spice
Ginger Tea Palette
t R'S AFFIDAIT: 1 certify that all the foregoing information is accurate and that all work will be done in
pltan ce
V
Si g..
As identificar n and who did take Aa h.
� � )
0 0' 4 ���ti 'cir
y �
xxxxxxutc** xxx** XK K %XXxxxxxx'L :. y ********xxxxxxxx w w
Signature
Contractor
The foregoing instrument was acknowledged before me this
day or . 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:
317 -5
5
xxxxxx #xxxxScxxxxxxzxxxx* k****S,**warxxaxxxxx
Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/0';