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PT-10-300 ry � x Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Y C) 'Ty Phone: (305)795 -2204 r fi ` R s Expiration: 091112010 Project Address Parcel Number Applicant 253 101 Street 1132060134800 MONIQUE SMITH Miami Shores, FL 33138 -2422 Block: Lot: Owner Information Address Phone cell MONIQUE SMITH 253 101 Street (786)253 -2869 MIAMI SHORES FL 33138 - Contractor(s) Phone Cell Phone Valuation: $ 1 ,100.00 HOME OWNER Total Sq Feet: 0 Type of Work: Exterior Available Inspections: Color: Inspection Type: Additional Info: PAINT Final Classification: Residential Color: Approved Code Comments: BEHR - WALLS - CINAMMON CAK Color. Approved_ Color: _Denied Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice # PT -2 -10 -37135 Education Surcharge $0.40 03/15/2010 Credit Card $ 63.20 $ 0.00 Permit Fee $60.00 Technology Fee $1.60 Total: $63.20 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. Futhermors, I authorize the above -named contractor to do the work stated. March 15, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy March 15, 2010 1 Miami Shores village Building Department ee�� L 1.00 0 N.l .2nd Avenue. Miami Shores, Florida 33138 FEB 2 6 2010 Tel: (305) 795.2209 Fax: (305) 756.$972 BUILDING Permit No. By:........�...... PERMIT APPLICATION Master P ermit No. FBC 2004 Permit Type: PAINT PERMIT Owner's Name (f=ee Simple Titleholder) _Wb x -��'' Phone # 7 k (o 2' ✓ 2 Owner's Address S3 No to I - S� - City H � t Spa F" State - Zip -c� 3 C 39 Tenant /Lessee Name _ Phone# E- MAIL:_ Od N( QuE D, T74 �-A r Job Address (where the work is being done) c CL* l �- City Miami Shores Villa <- County Miami -Dade Zip _ FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name — c� �lc) c,-, ii ew- Phone # - Contractor's Address City___ — _ -- State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Ybl 1 6 vt �� C ✓yt Value of Work For this Permit $- DO. — _Type of Work: ❑ Addition / ❑ Alteration I ❑New / Repair / Replace t0CAt✓1 Describe Work: nQ t ✓1 +" �x I� ®� l ►"`J ( 1 Application is hereby made to obtain a permit to do the work and installations w indicated. I certify that no work or installation has commenced prior tothe issuance of a permit and that all work will be Performed to meet the standards of all laws regulating construction in this jurisdictirnr. I understand that a separate permit nwst be secured 161 EI.I CTRICAI WORK. PLUMBING, SIGNS, WEL.I.S, POOLS, FURNACI'S, BOILERS, HFATERS.'rANKS 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENCEMENT." Notice to. Ipplicant: As a condition to the issuance gf a building permit with an estimated value exceeding $ 2500. the applicant rnrrst promise in good faith that a coj,�! ref Jhc notice of comntenccment and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also. a certified copy ofthe rec'olded notice gf cornmencemem rnus/ he posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence gf such posted notice. the inspection will not be approved and a reinspeciion fee will be charged: // Permit Fee $ (06 •d0 CCF.$_ 1 . O _ Technology Fee: - Training /Education .Fee $ a 0 Notary $ Code Enforcement $ n J Double Fee $ Zoning $ Total Fee Now Due $ - 3_d"� -� See Reverse side --> PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: l 2 4 � FFnnta Fascia: I 2 ; 4 Drip Cap/Drip edge: I _2 _ ' 4 Soffit - -1 2 —' 4 C' gke,l I1 Roo f: 1 2 ; 4� r' 4A � Plower Bins _ I 2 3 4 �,l�� i i Shutters: 1 2 3 4 - — Awnings I 2 4 - - -- _— Chimney: 1 2 4�i Doors and Door ,lams: 1 2 3 4 Garage Doors: I 2 3 4 Railings 1 2 4 UJ Fences: 1 2 3 4 All brick (simulated or regular) 1 2 3 4 Stucco Banding: l ? 3 4 Anv other Stucco Features: 1 2 Accessory Buildings Other: Distant Ian PAL - 83' WNER'S AFFIDAVIT: I qeitt fy t all the foregoing information is accurate and that all work will be done in lance with all applica t law r ulating construction and zoning. Sign tur. Signature Owner or Agent Contractor The foregoing instrument was acknowledged b�(4 IMP ;s The foregoing instrument was acknowledged before me this_ day of G'. 20 10 • by "+t i \\ - ��/� clay of . 20 _, by who is personally known Io me or wh(_ )cic�� l �p� who is personally known to me or who has produced As identificatiomc� as identification and who did take an oath. NOTARY PUBLI .: NOTARY PUBLIC: Sign: Sign: — saT� c ` Print: / /,'�� BA r� ca\• ��`\ Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans examiner Preservation Board 24 4 Code Enforcement (Revised 04 /24/0; Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 136477 Permit Number: PT -2 -10 -300 Scheduled Inspection Date: April 05, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: SMITH, MONIQUE Work Classification: Addition /Alteration Job Address: 253 NE 101 Street Miami Shores, FL 33138 -2422 Phone Number (786)253 -2869 Parcel Number 1132060134800 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 02, 2010 For Inspections please call: (305)762 -4949 Page 3 of 18 . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Num INSP - 136477 Permit Numbe PT -2 -10 -300 Scheduled Inspection Date: April 05, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: SMITH, MONIQUE Work Classification: Addition /Alteration Job Address: 253 NE 101 Street Miami Shores, FL 33138 -2422 Phone Number (786)253 -2869 Parcel Number 1132060134800 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 02, 2010 For Inspections please call: (305)762-4949 Page 3 of 18