BP-05-590Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/4/2005
Applicant: KELLIE BUTLER
Owner: BUTLER KELLIE
JOB ADDRESS: 828 NE 97 ST
Contractor
Local Phone:
Parcel # 1132060142740
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -590
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E25FT OF LOT 12 BLK 74
Fees: Description Amount
FEE2005 -5440 Building Painting Fee $60.00
FEE2005 -5441 CCF $0.60
FEE2005 -5443 Technology Fee $1.50
FEE2005 -5444 Training and Education Fee $0.20
Total Fees: $62.30
Total Fees: $62.30
Total Receipts: $62.30
Permit Status: APPROVED Permit Expiration: 10/22/2005 Construction Value: $500.00
Work: PAINT HOUSE EXTERIOR
Page 1 of 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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/4/2005
Applicant: KELLIE BUTLER
Owner: BUTLER KELLIE
JOB ADDRESS: 828 NE 97 ST
Contractor
Local Phone:
Parcel # 1132060142740
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -590
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 11 & E25FT OF LOT 12 BLK 74
Permit Status: APPROVED Permit Expiration: 10/22/2005 Construction Value: $500.00
Work: PAINT HOUSE EXTERIOR
Page 1 of 1
Fees: Description Amount
FEE2005 -5440 Building Painting Fee $60.00
FEE2005 -5441 CCF $0.60
FEE2005 -5443 Technology Fee $1.50
FEE2005 -5444 Training and Education Fee $0.20
Total Fees: $62.30
Total Fees: $62.30
Total Receipts: $62.30
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
a l / or tc 2 � L.
J a t 1.7
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 04/03/2006
Inspector: Grande, Claudio
Owner: BUTLER, KELLIE
Job Address: 828 97 Street NE
Project: <NONE>
Contractor:
Friday, March 31, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone, (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number 305/756 -0272
Parcel Number 1132060142740
Permit Type: Imported Permit
Inspection Type: PAINTING
Work Classification: Paint
Lot:
Page 2 of 2
BUILDING � w v w
PERMIT APPLICATION
FBC 2001
Permit Type (c
Electrical Plumbing Mechanical Roofing
(.
Owner's Name (Fee Simple Titleholder) Ke i l i f5A ex , Phone # ° Y e 7 St ) CDZ_
Owner's Address 2_g , e 9
City �J �4 4k v s, State 0fik 91+ Zip 3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 2_ iJC 9' 7
City Miami Shores Village County Miami -Dade Zip 33/3S
Is Building Historically Designated YES NO X
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit LS`CCD-
Type of Work: ['Addition ❑Alteration ❑New
Describe Wor
Lem M I
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $
Total Fee Now Due $ (Oeg '
(Continued on opposite side)
************************
* *, * * * * * * ** * ***** * ** * * * * * * * **
Miami Shores Village
Buildim i artment
sF- ,a= ?ems' fiy`%
10 050 N.E.2nd Avenue,iltlianu- &hbies; F1nri' . 33138
Tel: (305) $5.2204 _fax: (305) 756_.897
aster Permit No.
Phone #
Code Enforcement $ Structural Plan Review. $
Permit N�.
Square Footage Of Work:
❑ Repair/Rep ace
❑ Demolition
CCF $ 0 ' 6 CO /CC
Technology Fee $ 1 r SD
Radon $ Zoning Bond $
Bonding Company's Name (if applicable)
i
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 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 approv: d and a reinspe o fee will be charged.
Sign:
Print:
•
wner or Ag 't
oing instrument wa acknowledged befo me this
0 by
't- • a•
.rr
Signature
The for
day o
NOTARY PUBLIC:
t
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
has produced
Signature
Contractor
6 The foregoing instrument was acknowledged before me this
day of ,20 ,by
Sign:
��" YP ,� G inny . H G ne11
°` qe # I 3870
- ' T�
,;. ~ aQ Expires: Ma„.' C i nission Expires:
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ion and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
. OP` Bond
who is personally known to me or who has produced
* * * * * ** ** i *; * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
0
Walls
Date L//2
Owner's Name
Doors and door jams �
kj`
Garage doors V ,k .
Railings Ps
Fences tJ P`
Signature
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
Owner's Address S 11 t 9 7 S4 e-
City SV,90.5e5 State ' ( .
iN1 \_. Phone # 305 75 ` 02_--17._
Zip 7 / 3
County Miami -Dade Zip 3 1 3
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO .
Contractor's Company Name (if applicable) Q lr)PC 62. -. Phone #
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Fascia ll ■sce
Drip Cap /drip Edge
Soffit \+'
1 � i
Roof V. � ®`t
Flower bins
Shutters
Awnings
Chimney
g.
Owner or Agent
S oo5TI ce
£cc — z2 ° I
aoay: Summer Solstice ECC -22 -1°
2 Trim: Bay View ECC -22 -2'
3 Accent: Rain Shadow ECC -22 -3"
, .n
Decorative metal N.) ,
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 g onstruction and
P8. Z Officio, r/
Date
env 6/18/03