PAINTProject Address
1430 NE 101 Street
Miami Shores Village, FL
Owner Information
Monday, March 19, 2007
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$1.50
$67.30
Building Department Copy
Permit
Issue Date: 3/19/2007
Permit NO. PT- 3- 07-488
Permit Type: Paint
Work Classification: New
Permit Status: APPROVED
Expiration: 09/15/2007
Parcel Number
1132050240020
Block: Lot:
Contractor(s)
HOME OWNER
Phone
CeII Phone
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
Applicant
RICHARD D & GERTRUDE
Cell
RICHARD D & GERTRUDE BLUM TR
1430 NE 101 ST
MIAMI SHORES FL 33138 -2613
Type of Work: Exterior
Color: bagel /tatami tan
Additional Info:
Classification: Residential
Color: bagel /tatami tan_Approved
Color: bagel /tatami tan_Approved
Code Comments: WALLS - SW 6114 BAGEU TRIM -
Color: bagel /tatami tan_Denied
Total Amt Paid I Amt Due
$ 0.00
Payment Type:
$ 0.00
$ 0.00
Valuation:
Total Sq Feet:
$ 1,000.00
0
Available Inspections :
eh lie. 2v7
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.
March 19, 2007
Date
1
BAGEL, TATAMI TAN, EXTRA WHITE, TRICORN BLACK
XAY 17 21
<(iil
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number INSP- 42749
Permit Number: PT- 3- 07-488
Inspection Date: 05/17/2007
Inspector: Grande, Claudio
Owner:
Job Address: 1430 101 Street NE
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, May 16, 2007
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132050240020
Lot:
Page 1 of 2
Tel: (305) 795.2204 Fax: (305) 756.8972
a Vim
BUILDING Permit No.
PERMIT APPLICATION
FBC 2004
Permit Type (circle): ( Building ) Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Tit eke older)
roc5 e �; r p'}+c�„ Phone # ( i ,Z'1 � 5 _4 - t°
City M p A m i State Ft_
3 3 t '
Tenant/Lessee Name Phone #
Owner's Address 1 G ?y c) ttU a
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ /0 0
ku T EKTERIO
Type of Tor k: ['Addition Alteration
Describe Work:
Scanning $ Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
DPBR $
Bond $ Code Enforcement $ Double Fee $
Master Permit No.
IH2c tiQ to '-h+
County Miami -Dade Zip 33 (37
Contractor's Company Name Iv t S1t/, Phone #
Contractor's Address
City State Zip
Qualifier Name
Phone #
State Certificate or Registration No. Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
❑ Repair/Replace
L`L, MAk 1 2 200
B Y4 1/149's
❑ Demolition
*I?i u' - S1< ,
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ (Q 0 W ----- CCF $ 0
Notary $ 5'00 Training/Education Fee $ 2.0
Technology Fee $
CO /CC
Zoning $
Structural Review. $ Total Fee Now Due $ 01.
See Reverse side —+
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mort age Lender',§ Name (if applicable)
Mdrtgfgle 'Le$der% Address
4'
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 n, be approv =: any a reinspection fee will be charged.
Li
Signature
Owner or Agent
The foregoing /' instrument was acknowledged before me this la The foregoing instrument was acknowledged before me this
day of ri�d(4 , 20 0 , by 66 yee 5 , day of , 20 _ , by
who is personally known to me or who has produced F. %-j/tt <S who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Li p -1 6
tft
f).ttta tl33C/
N
�,40S0' SOI ODD 0095
E Xp DSS 0c t
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Revised 02/08/06)
As identification and who did take an oath.
APPLICATION APPROVED BY:
Signature
Sign:
Print:
My Commission Expires:
****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Contractor
Plans Examiner
Engineer
Zoning
Date: 1 12-1-o9-
Owner's Name: g_or P i i ___ Phone #: (3—) �S 2 — 2,416
Job Address (where the work is being done): 3430 NE, t ( S+
City: Miami Shores Village County:
Is Building Historically Designated ?:
Contractor's Company Name (if applicable): PIA
Walls: �,o.3 514i (oily
Fascia: 1-al m' 5 t,t,) (e1(
Drip Cap /Drip Edge 1 Gi v e, i T4 to S W (a l 1 &
Soffit: 1 Sty; 611q
Roof:
Flower Bins:
Shutters:
Awnings:
Chimney: b6,3 l .S (0lly
Doors and Door Jams: ix t._A'',fie_, 5c,4, 6
Garage Doors: 9 4 j sk,
Rai Z"
Railings: /_..0C A 'LLCM Si-L) (v2S2
Fences:
Decorative Metal:
All brick (simulated or regular):
Stucco Banding: i -- . j Tom, n S' ' (p/L6
Any other Stucco Features:
Accessory Buildings:
Other:
OWNER'S AFF P AVIT: I c
done in complia / ' a with all
1
Signature:
APPLICATION APPROVED BY:
Miami Shores Village
Paint Color Approval and Agreement
Owner or Agent
P'& Z OF IAL
YES
Miami -Dade
Date:
Zip:
Phone #:
All elements on the site must be listed and indicate the color to be pointed
33138'
SW 7006
Extra White
ify that all the foregoing information is accurate and that all work will be
'cable laws regulating construction and zoning.
3/(2 7
Date:
3 \6,
. ....- ..- . -. -.-. 1
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
SW 6114
Bagel
Date / -1 4 ' Job Address /7 € , 4 / /�K
Legal Description
Owner / Lessee / Tenant ,4 %. / 44:0-5-4 , 4e \.42 Ale S
Owner's Address / o 4E /D /ofd. Phone 7S -6 F 6 c
Contracting Co. ...:7;;;.'v 6c. .. Address . 6 1- 41.6 /7/ v-
Qualifier _ � Phone Cyr 'D 37 ,
State # Municipal # Competency #S Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION CJ�tivi
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Notary as to Owner and /or Condo President
My Commission Expires:
Zoning :uilding
Tax Folio j/ La 26 ofy 027/ f
74,5r4
Master Permit #1,5
zt) ;? ) TAL a),„4 C0�.0�/�Cc NL�oC.fC
Square Ft. Estimated Cost(value) /T ).
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 that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stat
Signature of owner and /or Condo President f'nature, of Contractor or Owner- Builder
Date: g ate:42,0 9ok
ota as to C
My Commission
z- z.% -1 - qz
1 _
** * * * * * * * * * * * * * * * **
FEES: PERMIT/ /e 5 RADON C.C.F. 019 NOTARY 6 0 TOTAL DUE i fJ i-0
APPROVED: Fire Other
Electrical
E dt�l
Apiratater
Ma CUM
Mechanical Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ PERMIT N? 6453
E
Architect
Contractor
or Builder
rd
Legal Lot
Description — Bl
/ `,
9
Work to be performed under this Permit
•
ell
Subdi-
vision
Value of
Project
$ /4
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed.
INSPECTOR
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 ac•
cepting thlWfpermit I assume responsibility for all work done by either, myself, ,my agent, servant or employee.
CONTRACTOR' OR BUILDER BY AUTHORITY
DATF
195
Contractor's ? ?
License No.
Amount of It
Permit $