PT-09-1918Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
798 98 Street
Miami Shores, FL 33138-
1132060142290
Block: Lot:
CAROLINA KATTOURA
...
Address
Fees Due
CCF
Notary Fee
Permit Fee
Scanning Fee
Total:
Amount
$0.60
$5.00
$60.00
$0.00
$65.60
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Phone
Expiration: 05/18/2010
Applicant
CeII
CAROLINA KATTOURA
798 98 Street
MIAMI SHORES FL 33138 -2531
(305)754 -3213
Valuation:
Total Sq Feet:
$ 300.00
Type of Work:
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: Approved_
Code Comments: SHERWIN WILLIAMS - WALLS - P
Color: Denied
Invoice # Total Amt Paid Amt Due
PT -11 -09 -36456 $ 65.60 $ 65.60 $ 0.00
Check #: 1764
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
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.
November 19, 2009
Date
November 19, 2009 1
\\1qv9 ..� Miami Shores Village
Building Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING e ; Permit No .T a- 11 -rub -rub '7
PERMIT APPLICATI(Ni .- ' Master it _ _____ .t AT _
FBC 2004 ��
Permit Type: PAINT PERM,
Owner's Name (Fee Simple Titleholder
Owner's Address
City - a44't) �1 re6 State
Tenant/Lessee Name
E -MAIL: avato Li r'be0.r ‘ ( rY \
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO Al
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
OWNER BUILDER:
O[(Y)Gam, - 1+ei1` Phone# 3 6,322 s"
S 5firce:t
PL zip 3?, i c�
ma c` I •E Seat
County Miami -Dade
Phone #
Phone #
Zip 3 3
State Zip
Phone #
Certificate of Competency No.
Value of Work For this Permit "" X $ Type of Work: ❑ Addition / ❑ Alteration / [New / ❑ Repair /Replace
t
Describe Work: , Vv`- 1/14 O4 pp...., -
Application is hereby made to Main 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 he performed to meet the standards of all laws regulating constriction in this jurisdiction. 1 understand that a separate permit must he secured for
ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS. FURNACES, I3OILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOIL
IMPROVEMENTS TO YOUR PROPERTY. IF ' OU INTEND TO OBTAIN FINANCING, CONSULT WITFI YOUR LENDER OR AN ATTORNEY 13EFORF
RECORDING 1'O1.1R NOTICE OF COMM ENCER} ENT."
Notice to Applicant: AN a condition to the issuance gfc building permit with an estimated value exceeding $2500. the applicant rnust promise in good faith that cc copy e.f the
notice of conrmencernenl and construction lien taw brochure will be delivered to the person whose property is subject to attachment. Also. a cerl fled copy gf the recorded notice
of commencement must be posted at the job site for Chef rrst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the
inspection will not he approved and a reinspection fee Will he charged.
xxxxxxxx ..w*. x****xxx xxxxxxxaYxx3xxxww*F ****icx'r ****u' x*va x'+.'xxxxxx*x*** *** **''" ***
Permit Fee $ CCF $ Technology Fee:
Training /Education Fee $ Notary $ Code Enforcemen
Double Fee $ Zoning $ Total Fee Now Due $
5 &butfia
Se ' ' erse side a
Signature
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 I
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof:
Flower Bins:
2
Awnings: I 2
Chimney: I 2
Doors and Door Jams: 1 2
Railings: 1 2
Fences: 1
All brick (simulated or regular):
Stucco Banding: I
Any other Stucco Features:
NOTAR
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY: •
3
Shutters: 1 2 3
3
3
Garage Doors: 1 2 3
3
3
Accessory Buildings Other: .
Owner or Agent
The foregoing instrument was act• owledged before me this
day of 20
who is personally kn
•
t1BLI ty
)
wh
n
w h
take an oath.
4
4
4
4
4
4
4
4
4
4
My Commission Expires:
•
Attach color samples with name and
number.
Signature
Contractor
The foregoing instrument was acknowledged before me this
P4a''V 0 }2( P L ►.b
has produced rL ) 01, who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Plans Examiner
Preservation Board
Code Enroreement
o SW 6100
Pragtical Beige
— SW 6099
Sand Dollar
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.
SW 6098
Racer White
.iSW 7502
Dry Dock
* ***x xx*u* * ** ex #xxxxxxx ****xoY**** * ** **** etx dcdrakx eYeYx xdtdr * **** ** **** ** *** xx xxxx 4rxx eFxxxxxSt u* xxxX xx xxxxxxxx
•
(Revised 04/24/0i
Scheduled Inspection Date: April 19, 2010
Inspector: Bruhn, Norman
Owner: KATTOURA, CAROLINA
Job Address: 798 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor:
Building Department Comments
April 16, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 129672 Permit Number: PT -11 -09 -1918
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)754 -3213
Parcel Number 1132060142290
Pass
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
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