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PT-10-343Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Parcel Number 1210 100 Street Miami Shores, FL Owner Information Address 1132050090070 Block: Lot: JOHN D WESENSTEN &W DOLORES LE 1210 100 Street MIAMI SHORES FL 33138 -2604 Phone (305)757 -1457 Valuation: Total Sq Feet: MISMINAMMERZIONEME Type of Work: Exterior Color: PAINT ROOF WHITE Additional Info: Classification: Residential Color: PAINT ROOF WHITE_Approved Color: PAINT ROOF WHITE_Approved_ Code Comments: Color: PAINT ROOF WHITE Denied Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $0.80 $66.60 Building Department Copy Invoice # PT -3 -10 -37195 Invoice Total Amt Paid Amt Due $66.60 $66.60 $0.00 Check #: 636 Expiration: 09/01/2010 Applicant JOHN D WESENSTEN &W DOLO Cell $ 1,000.00 PRO For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final March 05, 2010 2 s Inspection Number: INSP - 137131 Permit Number: PT -3 -10 -343 Scheduled Inspection Date: June 24, 2010 Inspector: Bruhn, Norman Owner: WESENSTEN, JOHN Job Address: 1210 NE 100 Street Project: <NONE> Miami Shores, FL Contractor: HOME OWNER Building Department Comments paint roof Passed .01h `��/� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 23, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)757 -1457 Parcel Number 1132050090070 Page 1 of 18 Inspection Number: INSP - 137131 Permit Number: PT -3 -10 -343 Scheduled Inspection Date: June 24, 2010 Inspector: Bruhn, Norman Owner: WESENSTEN, JOHN Job Address: 1210 NE 100 Street Project: <NONE> June 23, 2010 Miami Shores, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 paint roof Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)757 -1457 Parcel Number 1132050090070 Page 1 of 18 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) Q //�+jz,6' '{ !/[; - �L 125 Owner's Address / / /V, E. / ®d 1,261 .5 4 - 7 City // /9/0 /,SX/D.rl/- S State /--�®R JQi9 Tenant/Lessee Name E -MAIL: Miami Shores Village 6 l? °tt� i 0 L , e'er' Building Department 10050 N.E.2nd Avenue. Miami Sllpres, Florida 33138 Tel: ( 05) 795.2204 Fax: (305) 756.8972 Permit No.Pr 1 0 Master Permit No. Job Address (where the work is being done) /Ws/r /V- ZOO Phone # (9os) 7S 2 Zip L9 /3cP Phone # City Miami Shores Village ;County Miami -Dade Zip 33/3 FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name ,r if9111 er 0442/ r 2 Contractor's Address OWNER BUILDER: BY: Phone # (-9°s) 7 S`7"/ yz City State Zip Qualifier Name Phone # State Certificate or Registration No Certificate of Competency No Value of Work For this Permit $ � BGa 62, Type of Work: ❑ Addition / ❑ Alteration / (]New / ❑ Repair /Replace Describe Work: 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 be performed to meet the Standards oral) la}vs regulating construction in this jurisdiction. I understand that a separate penmit must he secured ti r EI.I-iCTRICAI. WORK. PLUMBING, SIGNS, WELLS. PCH)Ls r:URNAC S, I3OILF..RS, 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 1'ROI'ERTV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE: RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: pplicam: As a condition to the issuance of a building pe rmit with an estimated value exceeding $ 2500. the applicant must promise in good faith that a copy oldie notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to atiachrnent. Also. a certified copy of the recorded notice of conrnencenrent must be posted at the job site far 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 reinspectinn, fee will he charged. ***** dr*cF*****************xx* et ********** Fees***ek* tt4iic4c*iex denYir 4dr**k********************** * Permit Fee S .CCF'$ Technology Fee: Training /Education.Fee $ Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side --> Directions: Please circle corresponding number to appropriate color sample. Walls: Signature Fascia: I 3 4 2 3 4 2 3 4 4 3 4 3 4 4 4 4 Garage Doors: I 2 3 4 Railings: I 2 3 4 Fences: 1 2 3 4 Drip Cap /Drip Edge: Soffit: Roof: 1 2 Flower Bins: 1 Shutters: l Awnings: Chimney: 1 2 Doors and Door All brick (simulated or regular): NOTARY Sign: Print: Owner or Agent v known to • o who has produced 1 / • • APPLICATION APPROVED BY: PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 3 Stucco Banding: 1 Any other Stucco Features: Accessory Buildings Other: The t iregc day o who is p • •ation and 10 did take an oa L I 41) My Commission Expires: ` ******************************** s41* * * * * * * * * * * * * * * * * *4{ * * * * * * * * ** Attach color samples with name and number. My Commission Expires: 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 Contractor inst raiment was w , ed le is 5 The foregoing instrument was acknowledged before me this 20 , 0bv a, of _ 20 . by iho is personally known to one or who has produced as identification and who did take an oath. • c.+ NOTARY PUBLIC: e" rtes. Sign: c 13 co ,, � • vim, . v , Print: Plans Examiner Preservation Board Code Enforcement * * * * * * * * * * * * * * * * * * * * * * * * * * * * * tit * * * * * * *t * * (Revised 04/24/0