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171 NE 100 Stv�P Passed z t Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . • until Project: <NONE> Tuesday, August 15, 2006 Inspection Date: 08/21/2006 Inspector: Grande, Claudio Owner: WHITLOCK, KATHRYN Job Address: 171 100 Street NE Miami Shores Village, FL 33138- 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 6 22 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)758 -8833 Parcel Number 1132060132060 Lot: Page 1 of 2 f. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building ) Electrical Plumbing (fig ratt, [s ti irc c a Owner's Address I / N C: !CZ 37 - City )i 4 144itt /Le State FL Owner's Name (Fee Simple Titleholder) Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # =CS) 1O Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Type of Work: ['Addition ['Alteration Describe Work: QC - ry i /-A U Scanning $ Bond $ Structural Review. $ Radon $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4s 4-g6- F County Miami -Dade ['New DPBR $ Double Fee $ Perm Phone # Total Fee Now Due $ it No. Master Permit No. Zip -33!J8 State Certificate or Registration No. Certificate of Competency No. L / epair/Replace RECEIVED MAY 2 6 2006 BY• Monl(St J• 7 Pc'06 30 S S 2 Mechanical Roofing Phone # .io r JF S 3 Zip Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Name Phone # Value of Work For this Permit $ Zero . Square / Linear Footage Of Work: ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ G ( CCF $ `OO CO /CC Notary $ CO Training/Education Fee $ 0. Technology Fee $ Zoning $ G- . 30 See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip loo Mtge lend c" ble) i Iortgage LendTe 4 rests 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." 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 Sign: Print: 1e 1 arft Owner or Agent The foregoing instrument was acknowledged before me this 5 day of �a`J , 20 Q, by Ch yn A 01 141kl7t/,K , who f,• is personally known to me or who has produced 'Dine/ism, \A13+251152.5126 As identification and who did take an oath. NOTARY PUBLIC: oft k tkZ_ for MY CO MOMCA USSETH DIAZ • . .. a EXPIRES: October 20, 2009 f : Boded Thru Noh u•,i, li My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date S 3o oe Owner' /Name a:1.a 4. G,lllf"toca Owner's Address /?/ NE ftri) S1 • City i(4-1( 45QE State F Phone# .. -7 re. gS .3� Zip 33(3 8 • Job Address (where the work is being done) 4f h ry City Miami Shores Village County Mia ade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** be listed and indicate the color to be painted All elements on the site must Walls C te- 3 W� Fascia '* r c Drip Cap /drip Edge L Soffit w' - le. Roof Flower bins Shutters Awnings Chimney e rg - 3 Doors and door jams Garage doors Railings Fences mfg - 3 Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features 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 APPLICATION APPROVED BY: P& Z Official Date . D G Date chc 6/18/03 Issue Date: 5/31/2006 Owner's Name: KATHRYN WHITLOCK Permit Type: Paint Work Classification: New Job Address: 171 100 Street NE Comments: EXTERIOR HOUSE PAINT Additional Information Miami Shores Village, FL 33138- 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 Permit Expires: 11/26/2006 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: Exterior Color: PALE TAN (C18 -3) Additional Info: Classification: Residential 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. Permit Status: APPROVED Permit Number: PT - - - 1440 Phone: (305)758 -8833 Parcel #: 1132060132060 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 200.00 Required Inspections Final Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Invoice Number PT - 5 - 06 - 25000 Total: JUN 0 2 ROD GA5 . Amt Due $67.30 Amt Paid 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request a Date 4 2-(O Type Insp'n h (a 1 ribon-1-- Permit No. 4'S Name Pon Address 11 I 1 e„ 100 5 Company o �1 r /- Phone # Inspection Date 4 -z_.:3-- Approved Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address i 7 I • V ', City L,iO3N1k 5 State Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami. Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Electrical Plumbing Mechanical Roofing PQ, p, S 1'Lu.Q. Pt kt " Phone # 30c 75i-27 l Qe) EArlict Fc- Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 I < o O c-)_QJ 1 \ City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO RECtilVEtY JAN S�/. %004 , Permit No. 731 Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit � V V • 0 Square Footage Of Work: Type of Work: ❑ dition ['Alteration ❑New �/� ❑ Repair/Replace ❑Demolition Describe Work:( MVO" 5 - 11 n k v 1 0 1 �L U Submittal Fee $ Notary $ 3 Scanning $ Code Enforcement $ Total Fee Now Due $ riy(,► Q) (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CQ 0.00• // CCF $ • (CO CO /CC Training/Education Fee $ • L 0 . Technology Fee $ I • Radon $ Zoning Bond $ Structural Plan Review. $ 41 w-2=' ft 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 trade 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 ineet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit inust 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." 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 dit AtiAL MALI Si Owner or Agent f9{ hi0 DZ/ rfJCv Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of J-. l , 20 b4 by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced Lia po y: 1•9yy9As identification and who did take an oath. as identification and who did take an oath. NOTARY IC „ NOTARY PUBLIC: VA /� p SZY Po �. OFFICIAL No. .r,Y s AL Sign: ", L�" " 0 1 6- GLA Y. Jv;uJ.R Sign: K CC:4MIKiON �JU1i :.:_; Print: ,,,;yj�, R Print: :r :: , .,•O :� MY COMMISSION E: ^..1E. F OF F dGAR. r� c ;: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *j ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Conunission Expires: APPLICATION APPROVED BY: Chc 12/15/03 My Commission Expires: na�o� GPr f3� ,/a 3�oy Plans Examiner Engineer Zoning Date n � � � �� Owner's Name // ^ 1' k(f) [1, 1 � p 10 ', l' l l ,/� ►10 `�] ► . 7.5/ . Phone # � Owner's Address - 0 s+vte City /4iet ki J 6.Q State `1 _ 1T Zip Flower bins Shutters Awnings Chimney Job Address (where the work is being done) . 5 v► ,- ` `tT a' � C' l.. City Miami Shores Village County Miami -D de Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls DD �" - Fascia 3 O C) V F Drip Cap /drip Edge 2i t F Soffit 2. D f Roof vwF 210 Doors and door jams + F Garage doors 2- ( F- 2 - Railings C,� I) 1 f T Fences V\.) F 2 - � V Miami Shores Village 1' K' ° y -4 -4 Paint Color Approval and Agreement 1,PO4 7 Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done applicable laws egula • g co ction and zo 1 1'1 Signature p/ APPLICATION APPROVED BY: Owner or Agent P& Z Official AIAU Date Date W -F -210 chc 6/1$/03 TSV _ S Miami Shores Village . Paint Color Approval and Agreeme Date Owner's Name Owner's Address City Flower bins Shutters Signature / Owner or Agent APPLICATION APPROVED BY: a( P & Phone # 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) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls l i — 1 Fascia 0C ' - 411 Drip Cap /drip Edge ° c ?9 Soffit 4 Roof l - TEL po a Awnings t ° K Chimney ` uu �C o Doors and door jams 1-AdAOGIH 2 \ a Garage doors t E N A' c , « 2i N � Railings 0C —4 ` Fences CC- — 6 19 Decorative metal .J2 All brick (simulated or regular) j Stucco banding_ v Any other stucco features F Accessory Buildings ON 3 Mo A 8 deserted island Date / /c9a /o 2 n U shaker beige 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. Date � / 4/0 0 chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /23/2004 Applicant: MARCOS Owner: MUELA JOB ADDRESS: 171 NE 100 Contractor Local Phone: Parcel # 1132060132060 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -51 MUELA MARCOS ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & W1/2 LOT 21 BLK 15 LOT SIZE Fees: Description Amount FEE2004 -741 Building Painting Fee $60.00 FEE2004 -742 CCF $0.60 FEE2004 -743 Notary Fee $5.00 FEE2004 -744 Scanning Fee $3.00 FEE2004 -749 Training and Education Fee $0.20 FEE2004 -750 Technology Fee $3.50 Total Fees: $72.30 Total Fees: $72.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/13/2004 Construction Value: $800.00 Work: EXTERIOR PAINTING JAN 2 6 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Date Signature No :. My Co mmission PERMIT APPLICATION FOR MIAMI SHORES VILLAGE a1 b Address fl "� /� t✓ (00 S (: Tax Folio Legal Description Historically Designated: Yes No V� Owner/Lessee / Tenant /0MI hu(�o (V.. � j - GO"f'� Master Permit # 3 91 Phone 305/ lI ' S 3 1 Owner's Address 1 M t ( Contracting Co. Address Qualifier - SS# State # Municipal # Y,f Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one) ; UILD b ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Jid f �� DC, rc ( �� ( _. owner and/o /WA O F CIA_ NOTARY SEAL as to Own ,e + - AF FLORIDA xPireLsOMMISSION NO. CC719103 COMMISSION EX P. MAR 1 002 esiden Da e FEES: PERMIT S U RADON APPROVED: Zoning Building \Mechanical Plumbing -op Sq . - Ft. Estimated Cost (value) 317 Electrical • Phone Ins. Co. 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. 0 ' 'S AFFIDAVIT: I certify the or • : g information is accurate and that all work will be done in compliance with all applicable laws regulating construr tion and zoning. e, I authorize the . + +ve -named contractor to do the work stated. Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. NOTARY 3 / BOND TOTAL DUE .573 Structural Engineer Date Job Address /7/ 1:76: s1 Tax Folio /1 %& !3 2o40 Legal Description ../W 5 / a /2 2 / L) /45 Lessee / Tenant CI4KL, A , Master Permit #__,17a Owner's Address Contracting Co. NLt9/ Ai .E. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAV NG PE CE SIGN WORK DESCRIPTION ' I_ '�i, ' ��. � ' Square Ft. i ' o9OZMS g nu mew ese" Estimated Cost(value) TC ;ECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY REE TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Application sin a permit to do work and installation as indicated above, and on the att -. s soz MS — uueso iicable) . 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 info be done in compliance with all applicable laws regulating authorize the above -named contractor to do the work sta Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * FEES: PERMIT 11 APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 17) NE 1605 T Phone 55 XCo RADON C.C.F. Signature of Date: on is accurate d that all work will ruc and zo ing. Furthermore, I SHARON C. HONES My Comm Exp. 4/20 B9W8fgE'rvRE( caner- Builder Ofr * * NOTARY TOTAL DUE /' Fire ,,i Other Zoning Buildin: i Electrical Mechanical Plumbing Engineering