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PT-07-564 Permit NO, 1 --0 -4 y Miami Shores Village Permit Type : :Paint c 10050 N.E. 2nd Avenue WOl1f CtasslfiCBtior+ New ... i Um Miami Shores, FL 33138 -0000. Phone: (305)795 -2204 Perrin Status: APPROVED Issue elate: 312912007 Expiration: 09/26/2007 Project Address Parcel Number Applicant _........ _ . .. ............. . ... „ . . ............. . ........... ............. .. ............................... _ ... „ .. ..... . _...._ _ 1228 NE 98 Street 1132050090340 Miami Shores Village, FL 33138 Block: Lot MIRIAM PASTOR � Owner Information Address....... _ ...._Phone ...... _ Cell MIRIAM PASTOR 1228 NE 98 ST (786)457 -2383 MIAMI SHORES FL 33138 -2561 Contractor(s) Phone Cell Phone Valuation: $ 1 ,000 00 HOME OWNER Total Sq Feet: 0 Type of Work: Exterior Available Ins pections: Color: HOT SPRING STONE Inspection Type: Additional Info: F inal Classification: Residential Color: HOT SPRING STONE Approved Code Comments: BENJAMIN MOORE - WALLS - Color: HOT SPRING STONE Approved Color: HOT SPRING STONE Denied Fees Due Amount Total Amt Paid Amt Due CCF $0.60 ...... ._ ................. _ Education Surcharge $0.20 $ 0.00 $ 0.00 $ Notary Fee $5.00 Permit Fee $ 60 . 00 Payment Type: �� Technology Fee $1.50 Total: $67.30 'APR ®6 pAl® 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: 1 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, 1 authorize the above -named contractor to do the work stated March 29, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday, March 29, 2007 1 Inspection Worksheet Miami Shores Village XW 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 lEt Inspection Date: 06/11/2007 Permit Type: Paint Inspector: Grande, Claudio Inspection Type: Final Owner: PASTOR, MIRIAM Work Classification: New Job Address: 1228 98 Street NE Miami Shores Village, FL 33138- Phone Number (786)457 -2383 Parcel Number 1132050090340 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments exterior paint hot spring stone ac -31 wall mountain peak white oc 121 flower bin and trims JUN 1 12007 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, June 8, 2007 Page 2 of 2 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 -3 -07 -564 Owner Address: Invoice Number: PT -3 -07 -27929 1228 NE 98 ST Applicant: MIRIAM PASTOR MIAMI SHORES, FL 33138 Company Name: Job Address: 1228 98 Street NE Miami Shores Village, FL 33138 - Date Payment Type Check Number Amount Change Friday, April 6, 2007 04/06/2007 Cash $67.30 $0.00 Total Payment: $67.30 Page 1 of 1 Miami Shores Village . Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 . Tel: (305) 795.2204 Fax: (305) 756.8972 P T V BUILDING a Permit No. �T �OO� � a PERMIT APPLICATIO MAR R 2 2 Master Pe r mit No. FBC 2004 BY: Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee S' p older ) i` /ei /�4 M �' ��1® Phone # 7�6 .� `� 8 Owner's Address A�C City A I State `/ Zip �- /l 7 Tenant/Lessee Name Phone # /)/A Job Address (where the work is being done) City Miami Shores Villaee County Miami -Dade Zip 3 a / op FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name me Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) / Phone # Value of Work For this Permit $ 00 Square / Linear Footage Of Work: Type of Work: DAddition []Alteration ? <ew.❑ Repair Replace ❑ Demolition Describe Work: )Oq9iN� Y -A She &4e, Submittal Fee $ Permit Fee $ ) CCF $ (0 PP CO/CC Notary $ Training/Education Fee $ . Technology Fee $ . �V Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ a See Reverse s d 0 a Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage lender's lame (if applicable) Mortgage F ' eir'ddress City State Zip - A � 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 Orith all' applicable laws, regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO DIPROVEMENTS 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 cerfifwd 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this g�Z_ The foregoing instrument was acknowledged before me this day of 20 01, by illy u 1W day of . 20 by who is personally known to me or who has produced __NV&JS who is personally known to me or who has produced I As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: OTARY PUBLIC: IVY., P` NN �MM16S��D9 0 204 EXP1FtE N�yP��u Sign: a Sign: Print �DYltc� Print: My Commission Expires:; My Commission Expires: } APPLICATION APPROVED BY: Plans Examiner q Engineer 3 Zoning (Revised 02/08/06) Miami Shores Village Paint Color Approval and Agreement Date: /• a6 • j P 7 Owner's Name: Phone #: Job Address (where the work is being done): /a cO p SU 9V City Miami Shores Village _ County: Miami -Dade Zip: -13139 Is Building Historically Designated ?: YES NO V Contractor's Company Name (if applicable): �L1 /GZ, Phone #: tl�/ & ■■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�irrrrrrrrrrrrrrrr� All elements on the site must be listed and indicate the color to be minted Walls: #10- r'i AC -31 fi�tt-- � .. Fascia: 41 Drip Cap/Drip Edge: Soffit: Roof: Flower Bins: Mau /7Ycu'n �ece CJ/V? ®C /a / D Shutters: n/a hot spring stones Awnings: Chimney: HC4 /fn�5 ®�e5' om Doors and Door Jams: /� ©�e�'N�'? �Q fe-' o D Garage Doors: �-�t2t e/1 fCU'�'� � cca-J� L� Y2c f� -oz . �3 Railings: n�Ck <o m Fences n /ct ' Decorative Metal: Ct R All brick (simulated or regular): MOc ce�fCain �� Le-j� mountain peak white Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: ■■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrru rrrrrrrr� OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all "cable laws regulating construction and zoning. Signature: Date: a .�3 Owner or Agent 31 2316-) APPLICATION APPROVED BY: Date. P & Z OFFICIAL * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **