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PAINTInspection Daft. 2,4 ` b Inspector w Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Project: <NONE> Tuesday, February 6, 2007 Miami Shores Village, FL 33138- Contractor: HOME OWNER 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: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Page 1 of 1 FE3 08 E Passed Inspector Comments NT-re 007/) 7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Daft. 2,4 ` b Inspector w Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Project: <NONE> Tuesday, February 6, 2007 Miami Shores Village, FL 33138- Contractor: HOME OWNER 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: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Page 1 of 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE t I / Date , - Job Address / N3 At t Tr srl Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant)( J C7 Car f Con(sc i a Master Permit # Owner's Address Phone (3 7-1 go8ro Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle on : BUILDIN a ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .s /% .l _i_ .. I _.. Square Ft. L I I imated Cost (value) - 5 - 6 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT APPROVED: Zoning RADON Mechanical Plumbing e s) Date No as to Contract My Commission Exp i ' r _4 ature , - Contractor or Owner- der ta t S. ss 6 -7. -d f al 9'2 I/ Ail .r ■ Oi J ir +'T' ■ it 7.1 Date s: GtADYS J VILL}1R N JrARY PUBLIC SPATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 002 NOTARY .) BOND Buil Electrical TOTAL DUE -O Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE 3 - 2 - OWNER' S NAME: KoSePN Ploi t•►c® PHONE: j /3 o.s- 75'7- yo 2 G ADDRESS: 11N3 �f c 98' 5r: * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls s• ples Building Official Fascia Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal 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 al ;work will be done in compliance with all applicable laws regulating construction a zoning. I authorize the above -named contractor, if applicable, to do t 'e wor tated. Furthermore , the paint colors will be as per the attached '21 ' a ure of Ow' - r Date * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPRO Date WHEN PAINTING IS FINISHED, gnature of Contr.,' tor Date _._ CALL FOR FINAL INSPECTION MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: /-/ /1 OWNER' NAME: 0 ,5"e =/ate <— LONE �� t" ? — s ADDRESS: // Y �. 3 3 3 'e * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site m st be listed and indicate the color to be painted. Walls 4 / G Fascia --- Soffit Roof APPROVED: Building Of ' W ( // °) Date 7 Flower Bins ��ri�1(, Shutters x < Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) J 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 construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sampl 4 /7V ature of Owner Date Signature of Contractor Date ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** cn ro cn • OVitaziA x ',0%■ \A-4Z i • LI-11 \ 164 0 r O 4 WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Owner/Lessee / Tenant WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4/0 e Job Address //V ` /7f 6 ` r Tax Folio 3 . S O / e O,, 7..D Legal Description Historically Designated: Yes No "74-/Z1-7/-(6:-Ztec. so,cetfersr.. Owner's Address // 9' '-/ 5 9 s? h' 14 `'' Sl/ 0 Phone r - 'f 7 - Contracting Co. O Address Qualifier f7ft State # Municipal # Compe'. Architect/Engineer NV14- Addre:; Bonding Company Addrl Mortgagor SS# Master Permit # Addres Phone Square Ft. Estimated Cost (value) '#,so ¢, Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN / /ti T F5(7 1. - ( A C c S j T/Z d l` WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. of owner and/or Condo President Date gioic Notary as to Owner and/or Condo President Date My Commission Expires: • s,._ yC;I'ARY SEAL O UCH' T t,Y DAVIS COMNIt9n )N M./MIER CC235237 K Y qN ,e1V CO6i3,'SSION EXP. r•.0 : �;:. ;art Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder My Commission Expires: FEES: PERMIT 'VO, a 0 RADON C.C.F. .s0 NOTARY ,5O o TOTAL DUE 'SI,511 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Date