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PAINTProject Address 335 NE 101 Street Miami Shores Village, FL 33138- Owner Information CLAUDIO RODRIGUEZ 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 Work without Permit Fee Total: Amount $1.20 $0.40 $5.00 $60.00 $1.50 $60.00 $128.10 Building Department Copy Address Permit Issue Date: 5/8/2007 Permit NO. PT -2-07 -385 Permit Type: Paint Work Classification: New Permit Status: APPROVED Expiration: 11/04/2007 Parcel Number 1132060135211 Block: Lot: 1250 NE 94 ST MIAMI SHORES FL 33138 -2947 Contractor(s) HOME OWNER Phone Cell Phone Authorized Signature: Owner / Applicant / Contractor / Agent Phone Type of Work: Exterior Color: 300F Additional Info: Classification: Residential Color: 300F_Approved Color: 300F_Approved Code Comments: Color: 300E Denied Total Payment Type: $ 0.00 $ 0.00 Amt Paid I Amt Due 4AY 1 0 Pe ('.III $ 0.00 Applicant CLAUDIO RODRIGUEZ Available Inspections : Cell Valuation: Total Sq Feet: $ 2,000.00 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 zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 08, 2007 Date Tuesday, May 8, 2007 1 EXTERIOR PAINT ALMONT TOAST 300F MAY 1 4 2001 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Project: <NONE> ............................... ............................... ............... ............................... .............................. .................. Inspection Date: 05/14/2007 Inspector: Grande, Claudio Owner: RODRIGUEZ, CLAUDIO Job Address: 335 101 Street NE Miami Shores Village, FL 33138- Contractor: HOME OWNER ildinq Department Comments Thursday, May 10, 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 1132060135211 Lot: Page 1 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PT -2 -07 -385 Invoice Number: PT -2 -07 -27686 Applicant: CLAUDIO RODRIGUEZ Company Name: Owner Address: 1250 NE 94 ST MIAMI SHORES, FL 33138. Job Address: 335 101 Street NE Miami Shores Village, FL 33138- Date Thursday, May 10, 2007 05/10/2007 Check Payment Type Check Number 11150 Amount $128.10 Change $0.00 Total Payment: $128.10 Page 1 of 1 Miami Shores Village Building Department � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION',. FFH FBC 2004 B Y: .1_�.. -- Permit Type (circle): Building j Electrical -- 'I'iuiflbing Mechanical Roofing Owner's Address 3 S N' E 10 1 < �- City ri State Is Building Historically Designated YES NO V Value of Work For this Permit $ J. 2.-C -C 7 Submittal Fee $ Permit Fee $ Notary $ V CO Training/Education Fee $ Q AD Scanning $ Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Permit No. Master Permit No. Owner's Name (Fee Simple Titleholder) C I � cLai Phone # i`� S - Z 1 (u - 2- . yt Zip .S S > g Tenant/Lessee Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: CCF $ I' Technology Fee $ Total Fee Now Due $ Job Address (where the work is being done) ✓ F J- C.I. - 1 S '1 City Miami Shores Village County Miami -Dade Zip 3 s 1 Z, q FOLIO / PARCEL # Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Name Phone # Type of Work: ['Addition ❑Alteration ['New ❑ Repair /Replace ❑ Demolition Describe Work: 'i �„ ' o c.9 S Q , . ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CO /CC 1 DPBR $ Zoning $ See Reverse side M 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. Signature Sign: / A c Print: My Commission Expires: ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * - Owner or Agent ti The foregoing instrument was acknowledged before me this ( day of 16,1 , 20 � , by C tlll y*, who is personally known to me or who has produced. ''vl L>� 4 As identification and who did take an oath. NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) Signature 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 PUBLIC: My Commission Expires: **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 4 Miami Shores Village Paint Color Approval and Agreement Date: 0 2 -2g —off Owner's Name: C (L J-doo C R.42.4r Z � one #: 3 ,., 5 , 2. i 6 o Z Z 2 . Job Address (where the work is being done): -Ss P e i. o 1 S f City: Miami Shores Village County: Miami -Dade Zip: 3 ' I. 3S Is Building Historically Designated ?: YES NO v Contractor's Company Name (if applicable): Phone #: Walls: All elements on the site must be listed and indicate the color to be printed 3 9 c (S Sam, �> Fascia: lA.9 L► - te_ Drip Cap /Drip Edge: L5L te_ Soffit: U-9441 V4z. Roof: U 9 L, `1 he. Flower Bins: Shutters: Awnings: Chimney: Doors and Door Jams: CA-ILL/ tc. Garage Doors: Railings: - Fences: Decorative Metal. All brick (simulated or regular): Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: Signature: 0.0 ner or Agent APPLICATION APPROVED BY: Attach color Samples with numbers doP OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all licable laws regulating construction and zoning. Date: ®2 — `Z g — Date: t- * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 300F i nspection Number: INSP -19786 Jl.; Inspection Date: 06/13/2006 Inspector: Grande, Claudio Owner: RODRIGUEZ, CLAUDIO Job Address: 335 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Deaartment Comments Monday, June 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 3 Block: Permit Number. BP2004 -734 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number Parcel Number 1132060135211 Lot: Page 2 of 2 1 Passed 3, c Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -19786 Jl.; Inspection Date: 06/13/2006 Inspector: Grande, Claudio Owner: RODRIGUEZ, CLAUDIO Job Address: 335 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Deaartment Comments Monday, June 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 3 Block: Permit Number. BP2004 -734 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number Parcel Number 1132060135211 Lot: Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Miami Shores Village Permit Type (circle): (Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple 1?-11°` Titleholder) e Gpi i D �, t Z - Phone # 30S ZI c , ^ 2 I li Z Z� Owner's Address % D G� `, City 1� � S1 k (Lt 5 State F�Ct�nio r> Zip � 3) � a Tenant/Lessee Name Phone # Job Address (where the work is being done) 33 J ti3 E.. (0 ( S _ 5 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name (DOA° I( Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 11 260. 00 Total Fee Now Due $ (Continued on opposite side) Permit No. Pat./4 73 Master Permit No. Square Footage Of Work: ' (QC() �G. PT: Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: c C- ` .K, 11-. cf1h5 k t * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip Submittal Fee Permit Fee $ C. , (J CCF $ 1 , 2 0 CO /CC Notary $ Training/Education Fee $ ' b0 Technology Fee $ I -30 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ x,3 • CL#- 4 . 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. Signature/ Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this,_ The foregoing instrument was acknowledged before me this day of Hv> , 20 GI. , by Z l L V)1C ,!) d l b U c zr , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTAR PUBLIC: if NOTARY PUBLIC: Sign: '� L /,e C ' Sign: Alt �T" `f �>1c�1LLirt1 7 J Y. MADRID w•• Prin 07..4{ 000286619 "`�16 2/1/20-3 My Commission Expires: a �� = •'S4: Ib1 y Expires: E lies: ; "� ✓ k � ^ • *********** * * * * * * * * * * * * * * * * * * * * * * * * * *1 * *�[ Wei o0aj************** * * * * * * * * * * * * ** * * * * * * * * * * * * * * *s* (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * ** *JUN ........ * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement . Date 0 Owner's Name a,/ .0) \ n ??0o€46,0- g-Z Phone # 3 D Z/ Owner's Address 10 Q ® /0Z_ () Z AUJ v2- City 1 M1 -3 State Q,t zip X3 31 3 Job Address (where the work is being done) )33 &) L \O\ City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls V et-A1 6t r 4 ln ey1 55 j ) 1 q Fascia 1 Oltp-rrf1�1 ir1P - �1'f 5 3/ l L y Drip Cap /drip Edge !� Soffit v t - 4› - / c�E 4'©•y 5,5))/ Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal 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 c ction and zoning. Signatur APPLICATION APPROVED BY: Owner or Agent Chatham Green 40YY 53/119 noddy Terrace White 53YY 87/070 Trim Date 0 e; Date o'((7 7 chc 6/1$/03 Applicant: Owner: JOB ADDRESS: 335 NE 101 ST Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -734 Printed: 6/2/2004 Contractor Local Phone: Parcel # 1132060135211 Building Permit Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE Fees: Description Amount FEE2004 -5548 Building Painting Fee $60.00 FEE2004 -5549 CCF $1.20 FEE2004 -5550 Training and Education Fee $0.60 FEE2004 -5551 Technology Fee $1.50 Total Fees: $63.30 Total Fees: $63.30 Total Receipts: $63.30 Permit Status: APPLIED Permit Expiration: 11/24/2004 Construction Value: $1,250.00 Work: PAINT Page 1 of 1 Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/2/2004 Applicant: Owner: JOB ADDRESS: 335 NE 101 ST Contractor Local Phone: Parcel # 1132060135211 Fees: Description Amount FEE2004 -5548 Building Painting Fee $60.00 FEE2004 -5549 CCF $1.20 FEE2004 -5550 Training and Education Fee $0.60 FEE2004 -5551 Technology Fee $1.50 Total Fees: $63.30 Total Fees: $63.30 Total Receipts: $63.30 Permit Status: APPLIED Permit Expiration: 11/24/2004 Construction Value: $1,250.00 Work: PAINT Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -734 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/2/2004 Applicant: Owner: JOB ADDRESS: 335 NE 101 ST Contractor Local Phone: Parcel # 1132060135211 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -734 Contractor's Address: Permit Status: APPLIED Permit Expiration: 11/24/2004 Construction Value: $1,250.00 Work: PAINT Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE Fees: Description Amount FEE2004 -5548 Building Painting Fee $60.00 FEE2004 -5549 CCF $1.20 FEE2004 -5550 Training and Education Fee $0.60 FEE2004 -5551 Technology Fee $1.50 Total Fees: $63.30 Total Fees: $63.30 Total Receipts: $63.30 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 756 -8972 GENERAL INFORMATION • HAVE PERMIT CARD & APPROVED PLANS ON SITE • PLEASE CALL FOR ALL INSPECTIONS AT (305)795 -2204 Leave a message in our voice ALL PERMITS REQUIRE INSPECTIONS Street and Number where work is to be done State work to be done and purpose of building (by floors). New Building To be constructed of STATE OF FLORIDA. COUNTY OF DADE. Permit No.._ Disapproved (Signed) ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement ur toe plans and specifications herewith submitted for the build inc 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 roust be kept at building during progress of the work. Date... G� _. . l _ I9 gG Owner's Name and Address ..... ■J. �. 1 ' i) � ..i r � �� _ No.. —S_3 S /...: -i— Rcgistered Architect and /or Engineer Name and address of licensed contactor :..L L. 5...._.... (�� lsc- 1t���.. -. .(c Location and legal des f lot to be built on: .5 .2- �/ Lot. .... /t Jt �� 1 / 7 Block (..7 Subdivision .....'. /.P... � "'`� 1.1 .1/4t9.?1 33 10 Remodeling Addition Repairs No. of Stories Kind of foundation Roof vering Estimate Total cost of improvements $ ./ 4 Q Amount of Permit S.... ( ..V 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 the 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and h.ts 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 suc ubcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed) Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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.. Date Chairman NIcrr,ber Member .. _....._......_..._._ ...._ Council Approved Date Notary Public, State of Florida Building Inspector My Commission Expires _.._ PLANNING BOARD DATE NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the PlanniNg Board. A rc•in.pection fee of 31.00 will be charged when such re-inspection is made necessary by improper notice materials anti /or workmanship. Ex / 36o and for no other purpose. Read, Sworn to and Subscribed before me. to me well known, Member Member Member ...._ — Disapproved Date has hero obtained from for inspection cc faulty