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PAINTI nspection Number: INSP -8527 Inspection Date: 04/20/2006 Inspector: Grande, Claudio Owner: WRIGHT, ROBERT Job Address: 825 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph .* e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PT -2 -06 -269 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)754 -3123 Parcel Number 1132060142480 Lot: Page 2 of 2 Passed 0 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: INSP -8527 Inspection Date: 04/20/2006 Inspector: Grande, Claudio Owner: WRIGHT, ROBERT Job Address: 825 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph .* e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PT -2 -06 -269 Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)754 -3123 Parcel Number 1132060142480 Lot: Page 2 of 2 Miami Shores Village Building Department �SSa3 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 f0: 14 .AM 2 I CI I ©t. Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit Permit No." 1 — te 06 — c 9- 6 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) d IL. -2 / ? 1,d4 4 7 Phone # 30S ?S ,3 /�__? Owner's Address , ?).5 A)1%-- e cc City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 4)- 5 /UL y 5 j City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name / wt c.. C) W ( Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: X q g L / — Ao/ c) Type of Work: ['Addition ['Alteration ['New ❑ Re air/Re lace L /, p p 11 Demolition Describe Work: P/P� SS u, �� =�fi� ,�A-(� r Ho <-s Submittal Fee $ Permit Fee $ (.(L 0 0 --- CCF $ I -2-0 CO /CC Notary $S - 00 Training/Education Fee $ d . 40 Technology Fee $ 1 • . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 6S • 1 0 (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 Bonding Company's Name (if applicable) Bonding Company's Address City State 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." Signature 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 Contractor The foregoing instrument was acknowledged befoo t ,� e me this 1 The foregoing instrument was acknowledged before me this day of At' , 20 Oro, by� /OK VU t , day of , 20 by / who is personally known to me or who has produced „9 ;y//( .k who is personally known to me or who has produced edViA45 A'0 As identification and who did take an oath. as identification and who did take an oath. NOTARY PU I � I F / ARY PUBLIC: Si n: = 'ri ,� MONICA LISSETH DIAZ g • Print: • „„ SION # DD 483995 Sign: I � . EXPIRES: October 20, 2009 l..p ; ,,,, • , ThN Notary Public Undovriters Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 My Commission Expires: 2 Engineer Zoning Plans Examiner • Date Miami Shores Village Paint Color Approval and Agreement Owner's Name v , 4 7 Phone # 73-7(/ 3(,)-- ' _ Owner's Address A City State Zip Job Address (where the work is being done) City Miami Shores Village County _ Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) / DY~- - C)`'`-/ v`' !2 Phone # *********************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** All elements on the site must be Listed and indicate the color to be ainted Walls Sri �\ l 5 6.1r •�- �� 0'- -4 ;, ' 1 Fascia Signature Flower bins y � Shutters Awnings Chimney Doors and door jams Garage doors i \ Railings Fences (A4,. 7e- Drip Cap /drip Edge__ Soffit — R oof -- —. 1 ) Decorative metal _ All brick (simulated or regular) NI ■.1 r r '\ Stucco banding Any other stucco features Accessory Buildings_ Owner or Agent APPLICATION APPROVED BY: P& Z Official 2'B baby turtle Date Date 515 , Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance with all applicable laws regulating construction d zoning. chc 6/18/03 • * VILLAGE OF MIAMI SHORES I � v'�7 7 (< ;,j y - being the legal property owner, for the property Located at: Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),.And I have read and understand the following disclosure Statement, which entitles me t6 iork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for :a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is riot licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Thd foregoing instrument Was acknowledged before me this r day of o`J , 20a who is personally known to me or who has identification and who did take an oath. Produced t, OWNER BUILDER DISCLOSURE STATEMENT Owner BUILDING DEPARTMENT DISCLOSURE STATEMENT MONICA USSETIi DIAZ MY COMMISSION # DD 483995 Til EXPIRES: October 20, 2009 ���d Bond. ed Thn Na auy Pudic Under Issue Date: 2/8/2006 Owner's Name: ROBERT WRIGHT Permit Type: Paint Work Classification: Miscellaneous Job Address: 825 98 Street NE Comments: EXTERIOR PAINT Additional Information Additional Info: Miami Shores Village, FL Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Classification: Residential Permit Expires: 02/01/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: Exterior Color: BABY TURTLE AND WHITE 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $60.00 $1.50 $68.10 Invoice Number PT - 2 - 06 - 23702 Total: FE3 14. PAID Parcel #: Block: Section: Amt Due $68.10 Permit Status: APPROVED Permit Number: PT -2 -06 -269 Phone: (305)754 -3123 1132060142480 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,500.00 uired Ins ' ections Amt Paid . IL) 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. PERMIT APPLICATION F Date (� Z ] — / 1 7 Job Address (? ,4J5 qg Tax Folio Legal Description Historically Designated: Yes No 1 ll Owner/Lessee / Tenant r .I roe f I Qlt\ U 4- Master Permit # —( 2- v 73 APPROVED: Zoning Mechanical ta� t19E 9 8 64, Owner's Address Contracting Co. D 1 Ik( R MIAMI SHORES VILLAGE Phone Qualifier State # MunicipE Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): B ILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Signature of owner and/or Condo President Date Building Electrical ,�} Square Ft. Estimated Cost (value) , 7'1 5 O G • 1 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'S AFFIDAVIT: I certify that all the foregoing information is accurate and at all wo will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above- ed cons acto o . ork stated. Notary as to Owner and/or Condo President My Commission Expires: Date /Notary as to Contractor or Owner-Builder My C Date ' - °°� /� (, � OFFICIAL NOTARY PEAL e <0. SANDRA IS MONTIEL * COMMISSION NUMBER CC401261 • Ntl COMMISSION •EXP. P} r4C AUG. 17,1 e FEES: PERMIT i/O RADON C.C.F. 0 NOTARY Phone s-) r ) 91- ( 3 Z ga z9 q7 Signature of Con actor or O er- Builder Date i .z 7 BOND TOTAL DUE 6 4S - 1 6 D Plumbing Engineering Date Legal Description Owner/Lessee / Tenant Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address/ i:25- /V(; rj 7 Tax Folio Historically Designated: Yes Contracting Co /1 I/ — -' -c_ -445 )j / e-' Address Qualifier State # Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle oneZIJUII[,DING WORK DESCRIPTIO ► i; o Cc /� Municipal # Square Ft. Estimated Cost (value) X 3 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 YO U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NCEMENT.) Application is hereby made to obtain a permit to do will be performed to meet the standards of all laws PLUMBING, SIGNS, POOLS, ROOFING and OWNERS AFFIDAVIT: I certify that all the foregoin construction and zoning. Furthermore, I authorize the a ve Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 60 J RADON APPROVED: Zoning Mechanical LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE Date Date C.C.F. SS# Competency # Address Master Permit # y1Q 2 3 7 Phonex 3 P1 3 2 Phone Ins. Co. f i 4 2401. SL.t,g/9 Pm! 7) 0.3 / d above, and on the attached addendum (if applicable). I certify that all work 'sdiction. I understand that separate permits are required for ELECTRICAL d that all work will be done in compliance with all applicable laws regulating to do the work stated. ture of Contractor or Owner-Builder Notary as to Contractor or Owner - Builder Date My Conunission Expires: NOTARY .5 BOND No 6'0 TOTAL DUE � Date SIGN Building "t't /l CS Electrical Plumbing Structural Engineer •