PT-07-1359 Permit NO. PT -6 -07-1 359'
Miami Shores Village Permit Type: Paint
10050 N.E. 2nd Avenue
' Wrric Oiassificaton: Neva
Miami Shores, FL 33138 -0000
L e Permit Status.-
Phone: (305)795 -2204
Expiration: 01 8019200
Issue state: 7/5f2007
Project Address Parcel Nuer Applicant
_ _ _ ... .... ................... ............................... _ _ .. ...._.
70 NE 99 Street 1132060131050
Miami Shores Village, FL Block: Lo EVON MULLINS
Lot*
Owner Information Address Phone ....... Cell.... .
_ ..... ............................... .......... _
EVON MULLINS 70 NE 99 ST
MIAMI SHORES FL 33138 -2339
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER Total Sq Feet: 0
Type of Work: Exterior Available Inspections:
Color: SOCIABLE SW Inspection Type:
Additional Info: Final
Classification: Residential
Color: SOCIABLE SW Approved Code Comments:
Color: SOCIABLE SW Approved_ Color: SOCIABLE SW Denied
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60 _ ............... ......
Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00
Notary Fee $5.00
Permit Fee $60.00 Payment Type:
Technology Fee $1.50
Total: $67.30
ew 233
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 taws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated
July 05, 2007
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Thursday, July 5, 2007 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 01/10/2008 Permit Type: Paint
Inspector: Grande, Claudio Inspection Type: Final
Owner: MULLINS, EVON Work Classification: New
Job Address: 70 99 Street NE
Miami Shores Village, FL Phone Number
Parcel Number 1132060131050
Project: <NONE>
Block: Lot:
Contractor. HOME OWNER
Building Department Comments
EXTERIOR COLOR PAINT
Inspector Comments
Passed cc
Failed El
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Wednesday, January 9, 2008 Page 1 of 2
Miami Shores Village MC M97m
Building Department ItI 2 'K
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y ___111L�
Tel: (305) 795.2204 Fax: (305) 756.8972 ----- ---- - --
BUILDING Permit No. -01
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT
4 111
Owner's Name (Fee Simple Titleholder) EU r\ rn I T `J N ihon # 3 o S (a�'
Owner's Address /\J -S T
City - t S� o ( State FL Zip -- + 3 O
Tenant/Lessee Name ►1 �` Phone #
E-MAIL: e v J V_ J SO Li „ ,1
Job Address (where the work is being done) 70 r q 9 S-
City Miami Shores Villaee County Miami -Dade Zip 3 /3
FOLIO / PARCEL # — I � 3 2 ®(p
Is Building Historically esignated YES NO
Contractor's Company Name #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER: YES O
Value of Work For this Permit $ (�D� Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair/Replace
Describe Work:
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.....
"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.
Permit Fee $ CCF $ 1 (00 Technology Fee: " SO
e7 rN
Training /Education Fee $ Notary $ S Code Enforcement $ j i C nA in
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse s-�
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
Directions: Please circle corresponding number to appropriate color sample
Walls: 1 2 3 4 Attach color sa mples with name
Fascia: 1 2 3 4
Drip Cap/Drip Edge: _ - ALYVIM 2M 3 4
Soffit: 1 2 3 4 1
Roof: 1 2 3 4
Flower Bins: — 1 2 3 — 4 673
/
Shutters: 1 2 3 4
Awnings: 12 3 4 2
Chimney: 1 2 3 4
Doors and Door Jams: 1 3 4
Garage Doors 3 4
Railings: — 2 3 4 3
Fences: 1 2 n Y l 4
All brick (simulated or regular): 1 2 — 3 - 4 —
Stucco Banding: 1 2 3 4
Any other Stucco Features:_ 2 3 4 4
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.
Signature /� ' t/ Si nature
g g
Owner or Agent Contractor
The for oing instrument ack = now / ledged be�f/�re e this The foregoing instrument was acknowledged before me this
day o� 1 by —V r ' �� day of 1 20 by
who s per onall ✓✓Jknown to me or who has produced '� is personally known to me or who has produced
3 As identification and who did take a m as identification and who did take an oath.
NOTARY PUB o NOTARY PUBLIC:
Sign: o 0 Sign:
Print: Print:
My Commission Expires: '' ,Q a My Commission Expires:
<,
, Q��o *s•YO�os
APPLICATION APPROVED BY: - 2 9 - ° 7 Plans Examiner
4E,.
r Ow Preservation Board
Code Enforcement
(Revised 04/24/07)