1490 NE 101 St (14)Issue Date: 10/25/2006
Owner's Name: SHIRLEY SCHRAUB
Permit Type: Paint
Work Classification: New
Job Address: 1490 101 Street NE
Additional Information
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
Permit
Expires: 04/23/2007
Contractor(s)
Phone Primary Contractor
Type of Work: Exterior
Additional Info:
Color:
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 -10 -06 -2648
Phone:
Parcel #: 1132050350030
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
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 - 10 - 06 - 26533
Total:
Amt Due
$67.30
Amt Paid
V071 CV 7 2006
AOCA
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 .
BUILDING j (`'s1 4' , '
Permit No. Y I O( Z. GLI
Permit Type (circle):
Owner's Name (Fee Simp
Owner's Address
City »fr11?
Tenant/Lessee Name
IN°
Job Address (where the work is being done)
Architect/Engineer's Name (if applicable)
Bond $
Miami Shores Village Id
Building Department 1,er
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
b✓/
PERMIT APPLICATION gD!' 2 5 /' aster Permit No.
FBC 2004
Electrical Plumbing Mechanical Roofing
older) J 1 16E - 6 7 / 1 (JAGr (� Phone # _.?6 L j - S 6
Aft: / . f}
State .. -- Zip 33 >:$
Phone # 4/4---
City Miami Shores Villa e County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Jc / �/ ®CJL )n -ems Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Code Enforcement $ Double Fee $
Phone #
Value of Work For this Permit $ c X D _ Square / Linear Footage Of Work:
Type of Work: ['Addition ['New ❑ Repair/Replace ❑ Demolition
Describe Work: :11;;:e.
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ �� OO CCF $ , GO CO /CC
Notary $ Training/Education Fee $ ' 2C-) Technology Fee $ ' - SCE
Scanning $ Radon $ DPBR $ Zoning $
Structural Review. $ Total Fee Now Due $
See Reverse side -*
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."
Notice to Applicant: As a condition to the issuance of building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a • the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje o attachm t. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspecti which occurs even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not e approved and a einspection fee will be charged.
Signature
The fore
day of
Owner
ent w
ing ins
NOTARY P
APPLICATION APPROVED BY:
(Revised 02/08/06)
IC:
o Agent
acknowledged before me this IC
by
J-0°2En UGC1
who is personally known to me or who has produced 1
As identification and who jan oath.
•lam
ded Thrra
•
Sign:
Print: rk
1111111111A
My Com ssion Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
ci day of , 20 , by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * *, ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Miami Shores Village
Paint Color Approval and Agreement
Date: � 6 -/
Owner's Name: J OCE�" 4.4,ifehone #: L Jc e r- S�ZS'G
Job Address (where the work is being done): 1 1' ie 1 f -L
City: Miami Shores Village County: Miami -Dade Zip: 3li / g$
Is Building Historically Designated ?: YES NO ✓
Contractor's Company Name (if applicable): A/A Phone #:
Walls:
Fascia: fw s ---0 ,4t
4 C11$44 1111
Drip Cap /Drip Edge: ffr.. 7.-ft WI V iyw.I
Soffit: S-J 7. J ° e4.0- -
Roof: 1/1 Ifj 7
Flower Bins: 40( Ao
Shutters: /
Awnings: o_r/it ✓�ie-
Chimney: N
Doors and Door Jams: S ./ 27
Garage Doors: /la+
Railings: A
Fences: /ir/d'
Decorative Metal:
All elements on the site must be listed and indicate the color to be !minted
jii 7
All brick (simulated or regular):
Stucco Banding: i 14
Any other Stucco Features:
Accessory Buildings:
Other:
OWNER'S AFFIDA
done in compliance
Signature:
,y /4—
?co
Attach color Samples
with numbers
Date:
S�► 7D
ify that all the foregoing information is accurate and that all work will be
Iicable laws regulating construction and zoning.
`- 2 5
APPLICATIO _ ' ' ' OVED BY: Date: d ("
P & Z`OFFICIAL
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
PAINT WALLS WHITE BAIGE SW7009
GREEN TRIM SW 7050
SAN 2 5 VP
Y'�
Passed
b
I nspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspectlon Number:
emit T -2648
Inspection Date: 01/24/2007
Inspector: Grande, Claudio
Owner: SCHRAUB, SHIRLEY
Job Address: 1490 101 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Tuesday, January 23, 2007
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 1132050350030
Lot:
Page 1 of 1