PAINTROOF PAINT IN WHITE
-°'
MAI 1 1 2007
0 ,4
Passed
nspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 05/10/2007
Inspector: Grande, Claudio
Owner: FREEMAN, PATRICIA
Job Address: 1151 99 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, May 9, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CL
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132050180070
Lot:
Page 2 of 2
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date [ l' 4 1 )Job Address I ( S ( it) • E (1 St Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant F e A E ( 1 ,- l) Master Permit #
Owner's Address ( ( ( Al 1 •' J Phone 3 0 5 — S a D 0
Contracting Co. ���� C �r, q � �.
Qualifier 'C., / !�A l� z /1 ee r F1
State # •
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION r Q - VC"( I * 'T q - 1 - /1 .42- 1'L 0 S (A- S l Cl Cam_
Square Ft. a 0 0 0 5 "
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': FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws r - g constru on an • onin :. urtherm • e, I authorize the above -named contractor to do the work stated.
•
ignature of owner d/or ondo President Date Signature of Contractor or Owner- Builder Date
Ph"?
&A CZEM Notary as to Owner and/9r CQ do r esi Date Notary as to Contractor or Owner- Builder Date
My Commission Expire ..p.RY ri CFFi NOTARY SE i
O. % f ^ PARA ANN FUG,'
4 . COMMISSION NUMEE,:
CC360191
MY COMMISSION EXP.
APPROVED:
Zoning
Mechanical
Building
[- �-' -�
Estimated Cost (value) 15 / / �- 0 O '' 0 0
My Commission Expires:
FEES: PERMIT '-k RADON C.C.F. 4 I, NOTARY
Electrical
Plumbing Engineering