PAINTProject Address
254 NE 101 Street
Miami Shores Village, FL
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
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
Buil • ing Department Copy
Address
Permit
Issue Date: 4/2 /2007
Permit NO. PT- 3- 07-629
Permit Type: Paint
Work Classification: New
Permit Status: APPROVED
Expiration: 09/29/2007
Total
Parcel Number
1132060134620
Block: Lot:
Contractor(s)
HOME OWNER
Phone
CeII Phone
$ 0.00 $ 0.00
Payment Type:
APR 0 2pAD
.( TS) CO GOZZ
thori ed Sign ,1'e: Owner / Applicant / Contractor / Agent
Phone
Type of Work: Exterior
Color: HORIZON GRAY 2141 -50
Additional Info:
Classification: Residential
Color: HORIZON GRAY 2141- 50_Approved
Color: HORIZON GRAY 2141- 50_Approved
Code Comments: BEN MOORE PAINT - WALLS -
Color: HORIZON GRAY 2141 -50 Denied
Amt Paid 1 Amt Due
$ 0.00
Applicant
IVAN AND MARCELA
Available Inspections :
April 02, 2007
CeII
IVAN AND MARCELA ASTRALAGA
254 N. E., 101 ST.
(305)773 -0577
Valuation:
Total Sq Feet:
$ 1,000.00
0
Inspection Type:
Final
1
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 zonin• u hermore, I authorize the above -named contractor to do the work stated.
Date
1 ,•i. COI 040207 QC. � 11C001 043565 CHARGE
$6.730
Monday, April 2, 2007 1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING 10.
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
Owner's Name (Fee Si ple ' • der)
Owner's Address 54- NE
Miami Shores Village
Building Department
City M jalYti S re J State Zip
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO V
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Submittal Fee $
Structural Review. $
Electrical
A _ ._ Plumbing Mechanical Roofing
� 6cra (Q A-S rG1.l ola, Phone # 3 ®5 -- 3 a a
State
❑Alteration
d5 NE (01
County Miami -Dade
Permit No.Yf I —
Master Permit No.
33138
Phone #
v 1
Phone #
Zip .33 13 ?
1+9 1\ 0 W Y1.Q. -V Phone #
Zip
Phone #
Certificate of Competency No.
Square / Linear Footage Of Work:
❑ Repair/Replace
111 Demolition
Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
Bond $ Code Enforcement $
DPBR $
CCF $
Double Fee $
Total Fee Now Due $
See Reverse side —4
C 7'
-
PEAR 3 0 2001 LY
BY: C { / "--
CO /CC
Technology Fee $
Zoning $
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 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.
Sign:
Print:
(Revised 02/08/06)
Signature Signature
Owne -Agent Contractor
The foregoing instrument was ac owledged b ore me this . 0 The foregoing instrument was acknowledged before me this
day of €-a(1! , 20 Da , by I As yed. day of , 20 _ , by ,
who ii pers nally known to me or who has produced ,�
� who is personally known to me or who has produced
gI As identification and who did takk oath. as identification and who did take an oath.
�t3cP
y �0 p � S • y;y Q . ' �
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY:
NOTARY PUBLIC:
My Commission Expires:
Sign:
Print:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
t J om 6 � ,� - Zoning
Plans Examiner
Engineer
Miami Shores Village
Paint Color Approval and Agreement
Date: 3 / 30 /07
Owner's Name: M a P'C A kJ fA j phone #: 3OS- /s 7 ? CS
Job Address (where the work is being done):
City: Miami Shores Village County: Miami -Dade Zip: 33 3 8
Is Building Historically Designated ?: YES NO v
Contractor's Company Name (if applicable): kip w■LO U.JV`,.4" Phone #:
Walls: ,D v i Zo h r
U/V‘I
Drip Cap /Drip Edge:
Fascia:
Soffit:
Roof:
Flower Bins:
Shutters:
All elements on the site must be listed and indicate the color to be pzinted
kJ' 1--e_
Awnings: NA
'`
Chimney: 4904 ori Zo r a r ai l
Doors and Door Jams: LL) kA:-}-e.
Garage Doors: .) h,1'f .
Railings:
Fences:
All brick (simulated or regular): I�
Decorative Metal:
Stucco Banding:
Any other Stucco Features:
Accessory Buildings:
Other:
Owner or Ag
APPLICATION APPROVED BY:
2141 -SO
&‘Z OFFICIAL
Attach color Samples
with numbers
Horizon Gray 2141 -50
1
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: � Date: ?//07
Date: 313 I4?
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
PAINTING EXTERIOR OF THE HOUSE
APR 1 8 2 i '
/ l
Passed
1
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -44686
Permit Number: PT -3 -07 -629
Inspection Date: 04/1712007
Inspector: Grande, Claudio
Owner: ASTRALAGA, IVAN AND MARCELA
Job Address: 254 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: HOME OWNER
Buildin De Comments
Monday, April 16, 2007
Block:
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)773 -0577
Parcel Number 1132060134620
Lot:
Page 1 of 2
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address \) 2 s-4 v t G t () S+ • Tax Folio
Legal Description _ I Historically Designated: Yes
Owner/Lessee / Tenant � V 1 1 4 1 "JLe Le l) tL TEL( tom+` �n.� .. Master Permit #
I
Owner's Address S 0 1'v^ , c= 2 j L1 n L , L S `�" • Phone y.30 S- 7-S 7 —
7/l
Contracting Co. 014/71,0 Address
Qualifier
Mechanical
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires:
APPROVED:
Zoning Building * No/
Electrical
Phone
er- Builder
f►
Date otary . to Contra or or • wner-Builder
My Commission Expires:
�.s
TOTAL DUE
No
VT?
SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): ; UILDING - ECTRICAL PLUMBING MECHANICAL ROOOFING PAVING FENCE SIGN
WORK DESCRIPTION')( 4'h- e 01 b .= k VV S } 4- K._
/` 17 v v✓rS •
Square Ft. Estimated Cost ( value),k 700
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and .: a ork will be done in m th all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor • do the wor. stated.
ature of Contractor or
fir
PL
pRV P� ANGELA t401ARY L
E ktYI BECK R
* COMMIb.'>OM NUMBER
Q CC7asssr
C.C.F. + � 93s °F Fl ° �`O �N COMM , 07
NOTARY S
0/ _ D. � v)
Date
.0
Date
Plumbing Structural Engineer
DATE)( 1 - 2 - 6) (
OWNER'S NAME:)(` AA. P_L a'' (gel 4,...4,...PHONE 3o5 7S' 7 9 �cq
ADDRESS:
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: S 141 .r,/0) S
CONTRACTOR & LICENSE (if applicable) IV/ /j
COMPANY NAME: -- PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
ll H
Walls
Fascia
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Fences
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
Doors and door jams t C
Garage Doors Lo k �-,
Railings
Decorative Metal /19
All brick (simulated or regular) h i /ir-)
Stucco Banding N / //-
Any other stucco features iv /[)
Accessory Buildings J f Jj
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. I authorize the above -named contractor, if applicable, to
d • - ork stated. hermore , the paint colors will be as per the attached
sample
APPROVED:
qt
Building Official ate
tt
H
H
AA_
Signature of • ner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address RA 4.c_i I 6"O rut
Date 1 9 t �
No. ,2 Sy Street N. • /D / ^ 47
Registered Architect and /or Engineer
Name and address of licensed contractor 49WA W
Location and legal description of lot to be built on:
Lot 11 / 1- C 4 Block \° Subdivision ? /v j V / , �`✓ C )/ V `1Jr/ I 1l/ 41
Street and Number where work is to be done Z S Lf /-/ g 1 a / Sf M t el I
State work to be done and purpose of building (by floors). state exterior colors (submit samples) e R
2eM elf L d cto. CZ* •C C3 1 4- � �. p Cam. rv4.w
ANA de- ) i- 4- se,n, t/a., e 4 rail rotor n her purpose.
New Building Remodeling v Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements s IP 0 0 * �� Amount of Permit $ t / './ri70
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su.contractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
} SS.
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
and who. being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. .5 Date / Read. Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Notary Public, State of Florida