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278 NE 101 StIssue Date: 6/22/2006 Owner's Name: HERBERT AND RUMIKO WINSTON Permit Type: Paint Work Classification: New Job Address: 278 101 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/18/2006 Contractor(s) Phone VISCOUNT PAINTING & DECORATI 305 751 - 7164 Primary Contractor Yes Comments: EXTERIOR PAINTING Additional Information Type_of_Work Additional Info Color Classification 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -6 -06 -1675 Phone: (786)423 -1941 1132060134600 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,380.00 Required Inspections Final 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 Invoice Number PT - 6 - 06 - 25296 Total: Amt Due $68.90 Amt Paid $68.90 $68.90 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 . Inspection Number: INS 20513 ermit Number: PT -6-06 -1675 Inspection Date: 11/15/2006 Inspector: Grande, Claudio Owner: WINSTON, HERBERT AND RUMIKO Job Address: 278 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: VISCOUNT PAINTING & DECORATING Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: NOV 16 CL Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (786)423 -1941 Parcel Number 1132060134600 Lot: Phone: 305 - 751 -7164 Page 1 of 2 , Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INS 20513 ermit Number: PT -6-06 -1675 Inspection Date: 11/15/2006 Inspector: Grande, Claudio Owner: WINSTON, HERBERT AND RUMIKO Job Address: 278 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: VISCOUNT PAINTING & DECORATING Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: NOV 16 CL Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (786)423 -1941 Parcel Number 1132060134600 Lot: Phone: 305 - 751 -7164 Page 1 of 2 Tenant/Lessee Name City Miami Shores Villa e Is Building Historically Designated YES y Contractor's Company Name 1 SG � ?v 4 • Contractor's Address City aim; 5 �5 Qualifier (:.„, 15coutil State Certificate or Registration No. 6 R,a,!B GDnkooRS€ State A Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Submittal Fee $ Permit Fee $ Notary $ 5 Training/Education Fee $ Radon $ Scanning $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 t' Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 JUN 9, 2000 aster Permit No. BY: Permit Type (circle): Building . Electrical Owner's Name (Fee Simple Titleholder) AO WiNi,J Phone # v1%.1.03 9'( Owner's Address 278' /V • & (01 5 City 1 Sgggs State N1� Job Address (where the work is being done) Z 7&" /J.[7 . Mt ST County Miami -Dade NO Type of Work: ['Addition ❑Alteration ❑New . 0 „,1;.epairiReplaee «.;' ; °'' fl Demolition Describe Work: ?A(/1ar * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 (0C) 40 Zoning Code Enforcement $ Structural Plan Review. $ REC EIVED D Permit No. ?.V of \k; Plumbing Zip 33138 Phone # Phone # 30 — /J f - 7 r6 k zip 3313 Certificate of Competency No. 94 X35 00a it Phone # Square Footage Of Work: Total Fee Now Due $ 5- q0 VJ 27 (Continued on opposite side) Mechanical Roofing zip 33t36 • CCF$I Technology Fee $ :AEI 900e g Nor uaAta Bond $ co /CC 30 Bonding Company's Name (if applicable) Bonding Company's Address City State •R 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20CL 4'E,C.I3 L o Jf edJ, who is ersonally known tome or who has produced As identification and who did take an oath. NOTARY P.UBLIC: Sign: L Print: Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: Y R VII *RAN My Commission Expirei: .1.i. — aks,,, y cezt # .00178231 My Commission Expires: n�6 " * * * * * * * * * * * * * * * * * * *4 ** * dld,,****?**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ; � a4) onda Notary Assn., Inc. APPLICATION APPROVED BY: Chc 05/13/03 ixprtes:Jul ,3,2 Bonded 1'hni antic Bonding :', ;r ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date 5 V1 • o Owner's Name /t 1i' S 4 Owner's Address 27 D /4/• /o / ` p City /al/Wet I State S.r1 E .Job Address (where the work is being done) 770 d.'. / S � City Miami Shores Village County Miami -Dade Zip 33? 3 8 Is Building Historically Designated YES NO ?Aoki tit, . - Phone # '" 7g7- 7 /& - ( Contractor's Company Name (if applicable) �lrj�ptJfK J' ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and i dicate the color to be painted ?i ' , J ev8C Walls Fascia 1,01 µ' g Drip Cap /drip Edge GI E Soffit !J Roof l. 1 Q r Flower bins C Shutters r Signature Awnings GJ e Chimney /k± A 1 Doors and door jams , lArLtr e- Garage doors GJFK / G Railings tAhkre Fences Decorative metal All brick (simulated or regular) Stucco banding ,✓ / A-- 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. YsZttA-)AAA s-4C tLPP',TCATION APPROV P BY: tt-rrF Owner or Agent 4)4-5 r L _ Officio: Phone # JO ice6 1123 Zip 33138. Oc- m Attach Color Samples With Numbers BENJAMIN MOORE® OC COLOR PREVIEW® Date Date OC -1 qsil Jooto -P k th c 6/18/07 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 Job Address 4 :; 7eP 4.1 . 6- / a/ 7 Tax Folio Historically Designated: Yes Master Permit # 43184 Date Legal Description �J Owner/Lessee / Tenant) � U/E'.- - Owners Address/ 0 / /1 /6 /d Contracting Co. ( / 54 i % Qualifier C (v to 3 o ZJr- State # # Architect/Engineer Bonding Company Mortgagor 7 1 1 /A Address Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ± �s J t ? �i WORK DESCRIPTION x . h l : / � �/ .� 1 ' oQ Square Ft. Estimated Cost (value( 1 0 ,K-." - l• 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 ill . - • one in compliance with all applicable rk %tated. Owne `• r o . o President 1 ;.. _ GLADYS J VILLAR �I NOTARY PUBLIC STATE OF FLO t1IIA COMMISSION NO. CC714103 i . MI PM_MISSION EXP. MAR. 1,2002 Signa a oth e Y'1 Contractor or . owner- ilder ate 7 - � / - 1 36_ 6 7 laws regulating construction and zoning. Furthermore, I authorize the above -named contractor ary as to My Conuni FEES: PERMIT APPROVED: Zoning Mechanical Signature of owner and/or Condo President Date IOC' 72 . y / gyp lz -/3—o1 % Date Phone 77s - e SS# 4/ S 7.hone C3o5) 7 54/ - L 'Notary My Co 953 1 /A fe rical 4)e i lfo- p ir411W- Lli i " . tDA 41 e?hTN.4. ON NO. CC714103 l k ! e 1 ► ON EXP. MAR. 1 200 C.C.F. I ' u NOTARY S Cr° BOND No L - i 955 Date 9g Plumbing Engineering