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PAINTInspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ..................... ...................... ..................... ..................... eeti�u ..................... ..................... ..................... Inspection Date: 10/02/2006 Inspector: Grande, Claudio Project: <NONE> Building Department Comments Thursday, September 28, 2006 OCT 0 3 2006 Owner: BOCKNER, DAVID Job Address: 1199 99 Street NE Miami Shores Village, FL Contractor: COMPLETE HOME PAINTING BY MICHAEL Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050180010 Lot: Phone: 305 - 895 -1368 Page 1 of 2 ` � Passed r Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ..................... ...................... ..................... ..................... eeti�u ..................... ..................... ..................... Inspection Date: 10/02/2006 Inspector: Grande, Claudio Project: <NONE> Building Department Comments Thursday, September 28, 2006 OCT 0 3 2006 Owner: BOCKNER, DAVID Job Address: 1199 99 Street NE Miami Shores Village, FL Contractor: COMPLETE HOME PAINTING BY MICHAEL Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050180010 Lot: Phone: 305 - 895 -1368 Page 1 of 2 Date Friday, August 25, 2006 08/25/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PT -8 -06 -2114 Invoice Number: PT -8 -06 -25851 Applicant: DAVID BOCKNER Company Name: Owner Address: 1199 NE 99 ST MIAMI SHORES, FL 33138 Job Address: 1199 99 Street NE Miami Shores Village, FL Payment Type Check Number 5010 Amount $68.90 Change $0.00 Total Payment: $68.90 Page 1 of 1 Issue Date: 8/14/2006 Owner's Name: DAVID BOCKNER Permit Type: Paint Work Classification: New Job Address: 1199 99 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 Expires: 02/1012007 Contractor(s) Phone COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Yes Primary Contractor Comments: EXTERIOR PAINT PRESSURE CLEAN WALLS 1523 BAIGES TRIM 1520 BRICK 1522 Additional Information Type of Work: 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 i Applicant Si ture Permit Status: APPROVED Permit Number: PT - - - 2114 Phone: Parcel #: 1132050180010 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 2,200.00 Re • uired Ins • ections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $1.50 $68.90 Invoice Number Amt Due PT -8 -06 -25851 $68.90 Total: CKT,I0 AUG 2 5 PAID 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. v()5( $t\ t: C3ckuni Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Ro Owner's Name (Fee Simple Titleholder DAVI p $OCKN 2 Phone # 305 757 11 qq Owner's Address 11A q N E A 61 gQR City M18•41 gHokss State 1"L Mi ni Sh res Village 10050 N.E.2ad Avenue, Miami Wires, Florida 33138 Tel: (305) 795.2204 Fu: (305) 756.g972 Zip .3315T Tenant/Lessee Name Phone # ^� /Job Address (where the work is being done) p NE. 0 $ine§ /' q City Miami. Shores Village County Zip 551ST Is Building Historically Designated YES NO Contractor's Company Name C y., P J,-,4 Phone # . ,1". , , Contractor's Address / Y76 If+/j- /56 City /1,m/ _ State f Zip . 33/I/ Qualifier )411 tial State Certificate or Registration No. Certificate of Competency No. 45 5.07.4./ Architect/Engineer's Name (if applicable) Phone # ems' $ Value of Work For this Permit * 2,1 7e , SgSgHare Footage Ot Type of Work: Describe Work: Scanning $ ❑Addition, ❑Alteration [New * * * * * * * * * * * * * * * * * * * * ** * Eder * ** ens ** * **** ***** * * **** * *** * * * * * *** Submittal Fee $ Permit Fee CCF $ CCC. Notary $ 5.00 Training/Education Fee $ Technology Fee $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan )l ew. $ Total Fee Now Due $ (Continued on opposite side) chiP AUG 2 5 - PAID Master Permit No, NacrEgvn AUG 0 2006 B Y: Permit No. Qr .• Z t ❑ Repair • ❑ Dentoliition Bonding Company's Name (if applicable) Bonding Company's Address q / City State 7 vj � 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this E r day of / 2001_, by 1/CW /4'.oC-fi K C who is personally known to n 11 146TAAINEIVPItt e Ct FLORIDA NOTARY PUBLIC: Sign: . --' Print: 1 3/49A L Zkif`i My Commission Expires: chc 05/13/03 As iden clididJe$ath. Commission # DD525359 ires: APR. 10, 2010 &ending Co., Inc. APPLICATION APPROVED BY: 4 C� Signature 1 NOTARY PUBLIC: Sign: Print: KO'v11 Contractor The foregoing instrument was acknowledged before me this i 6 day of 4U , 20 OC. , by K( �U�t S l [u.1Utf CZ.. , who is personally known to me or who has produced 1ZZOSib5ZZZ.1D as identification and who did take an oath. J 10 ats-PKA00. 7_ My Commission Exp *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning Date 0(06 Owner's Name DAVID 800<MRi- Owner's Address t 1 AO( N E AA Simi City 11IRtii 31- to RE.2 State F -154 Job Address (where the work is being done) i 1 q4 NE QA S�regET City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Garage doors n/ Q • lr Railings N. /39 - X t Fences 'v /At Decorative metal N /A7-- All brick (simulated or regular) r a ,''/3Zz.._ Stucco banding /V AI Any other stucco features /V Accessory Buildings w/ 6 �p. Other N /•/ i ggnature APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement Owner or Agent Phone ►SOS 15'7 110 Zip l3g Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the ^ ^' ^r tn he painted Walls 1:1 /.S2 3 / S2- t7 Fascia e 1 — 4 -"° Drip Cap /drip Edge ,(j -t ��2 Soffit am, /,--2 O Roof it// Flower bins Shutters N/ Awnings /Wes- Chimney ,d Doors and door jams / • � �v M Zip ( S 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. Date Date c/.I04 chc 6/18/03