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321 NE 100 St (8)BENJAMIN MOORE HC -82 bennington Gray HC -77 Alenadria beige 1183 Seminole Brown 4/0 IRR 2 5 921 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 -43647 Permit Number: PT -3 -07 -543 Inspection Date: 04/24/2007 Inspector: Grande, Claudio Owner: KNUTT, MARI Job Address: 321 100 Street NE Project: <NONE> Monday, April 23, 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 Contractor: COMPLETE HOME PAINTING BY MICHAEL Building Department Comments Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135350 Lot: Phone: 305 - 895 -1368 Page 1 of 2 Bill To I MARI KNUTT 321 NE 100 ST MIAMI SHORES, FL 33138 -2420 Return to: I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 04/04/2007 Revision Fee Wednesday, April 4, 2007 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: PT -4 -07 -28058 Invoice Date: April 04, 2007 Permit Number: PT -3 -07 -543 Permit Type: Paint / Work Classification: New Fee Type Calculated Total Fees Due: $35.00 AIR 0 5 .ph Fee Amount $35.00 Date: Owner's Name: Phone #: 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 #: Walls: Fascia: Drip Cap /Drip Edge: Soffit: Roof: Flower Bins: Shutters: 50350C Awnings: Chimney: Doors and Door Jams: Garage Doors: Railings: 51.15Sc Fences: Decorative Metal: Signature: All elements on the site must be listed and indicate the color to be p &inted Qnt r« 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. Owner or Agent APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement 41c- loct f 6Y t & loq FFICIAL Date: Attach color Samples with numbers Date: t * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** Project Address 321 NE 100 Street Miami Shores Village, FL Owner Information MARI KNUTT Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $1.50 $68.90 Building Department Copy Tuesday, March 27, 2007 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Permit Issue Date: 3/27/2007 Permit NO. PT -3 -07 -543 Permit Type: Paint Work Classification: New Permit Status: APPROVED Expiration: 09/23/2007 Parcel Number 1132060135350 Block: Lot: 321 NE 100 ST MIAMI SHORES FL 33138 -2420 Contractor(s) Phone COMPLETE HOME PAINTING BY MICI 305 -895 -1368 Cell Phone Authorized Signature: Owner / Applicant / Contractor / Agent Phone Valuation: Total Sq Feet: Type of Work: Exterior Color: Bennington Gray Additional Info: Classification: Residential Color: Bennington Gray _Approved Color: Bennington Gray Approved Code Comments: WALLS - BEN MOORE - Color: Bennington Gray _Denied Payment Type: Total I Amt Paid I Amt Due $ 0.00 $ 0.00 $ 0.00 AR 2 8 N L1 Applicant Date MARI KNUTT $ 3,000.00 Available Inspections: Cell 0 Inspection Type: Final 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 27, 2007 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): O wner's Name (Fee Simple 1 e older) Owner's Address 3 2-I We Cit M I Ai ,P cN2 s State Tenant/Lessee Name Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 VV Tel: (305) 795.2204 Fax: (305) 756.8972 V Job Address (where the work is being done) 3 ZI WE c 1 PO S , City Miami Shores Village County Miami -Dade Zip 3 3138' FOLIO / PARCEL # // 32 d 6 - G) 3 — 5350 Is Building Historically Designated YES NO Contractor's Company Name �itq 6 e4 Phone Contractor's Address / /vim `/- / / City / 7' *'/ State • Zip 33/6 Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Q/ W3/ Value of Work For this Permit $ Z/ 4-0 0 Type of Work: ❑Addition ❑Alteration Describe Work: Electrical Plumbing 14-it11Y1U■.w 10 0 Zi 3313 ` r Square / Linear Footage Of Work: Phone # Permit No. Phone # tO B Y: K�+► -, Mechanical TT 1-43 4111 f aster Permit No. Phone # 305 7 51k".5- 339 ❑ Repair/Replace ❑ Demolition Mr4.3u/te C etrii See Reverse side -+ Roofing ********* * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** e Submittal Fee $ Permit Fee $ 6 ** CCF $ 1- €50 CO /CC Notary $ r Training/Education Fee $ t (00 Technology Fee $ 1 • Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ l!/8, q Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Nafne (it 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 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 State ‘f. cdk - 15(vtis - Owner or Agent The foregoing instrument was acknowledged before me this day of / tutor' , 20 D 7'h9 ilia a' 10 ,4174 7 1 , who is personally known to me or who has produced As ide t tftd dd R A oath. Michael Iwaskewycz / Commission # DD525359 xpires: APR. 10, 2010 Inc. NOTARY PUBLIC: 2.3 Sign: _"/ APPLICATION APPROVED BY: (Revised 02 /08/06) Zip : ,.. - '�,ewy c Z Print: //)1/617 My Commission Expires: ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, Signature Contractor The forego , innstrument was acknowledged before me this 2 day of NCUI , 20 U ? by 1..Jk I k who is personally known to me or who has produced tenu•tAki as identification and who did take an oath. NOTARY + BLIC: Sign: . Print: My Commission Expires: L c Plans Examiner Engineer Zoning *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date: 3 Zo/ 0 Owners Name: May k< i r \ w = } ' 4 - Phone #: 3 O S " 1 b - 533, Job Address (where the work is being done): 3 2,( ?.J E 10 0 Sc City: Miami Shores Village County: Miami -Dade Zip: — 6 3 138' Building Historically Designated ?: YES NO Contractor's Company Name (if applicable): Phone #: All elements on the site must be listed and indicate the co Walls: 647 - HC - Fascia: gftij — /IC 7 7 Drip Cap /Drip Edge: �' Qaj /Z oif Soffit: ' 7 ,9c che v /f 7 7 Roof: IVO Flower Bins: v/ 19 Shutters: Awnings: Chimney: Doors and Door Jams: L/Q/eti /Slf Garage Doors: lam- 1-1c- '7 7 Railings: Fences: 6m' - Ne ,Ot ZE /t/ / It Decorative Metal: /A, All brick (simulated or regular): Stucco Banding: Any other Stucco Features: / v /if Accessory Buildings: 1/V /M Other: li(/ /k da d/ S r 67 - cf 77 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: ak: J/'i'UO Ali 3 2 a�0 7 r Age nt APPLICATION A PROVED BY: Date: `31 4 I Miami Shores Village Paint Color Approval and Agreement P & Z OFFICIAL r✓C /1 /7 -g-2 CC45)n C►- * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **