PAINTIssue Date: 7/13/2006
Owner's Name: WILLIAM IV YERKES
Permit Type: Paint
Work Classification: New
Job Address: 430 101 Street NE
Comments:
WALLS MIRAGE WHITE 400E -1
TRIM MOUNTAIN HAZE 400E -3
BRICK PROMENADE 400F -5
Additional Information
Building Department File Copy
Miami Shores Village, FL 33138-
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/09/2007
Contractor(s)
Phone Primary Contractor
Type of Work: Exterior Color:
Additional Info:
Classification: Residential
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.
Re
Parcel #:
Block:
Section:
Final
Permit Status: APPROVED
Permit Number: PT -7 -06 -1828
Phone: (305)751 - 7923
1132060170470
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
uired Ins . ections
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
Invoice Number
PT - 7 - 06 - 25494
Total:
Amt Due
$67.30
Amt Paid
°aa. 17 MD C�
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.
WALLS MIRAGE WHITE 400E -1
TRIM MOUNTAIN HAZE 400E -3
BRICK PROMENADE 400F -5
JUL 0 3 20g
11 4 1q/
Passed
/
V
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -21861
Permit Number: PT -7 -06 -1828
Inspection Date: 07/0212007
Inspector: Grande, Claudio
Owner: YERKES, WILLIAM IV
Job Address: 430 101 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
Buildin4 Deaartment Comments
Friday, June 29, 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 (305)751 -7923
Parcel Number 1132060170470
Lot:
Page 1 of 2
BUILDING
PERMIT APPLICATION B Y
FBC 2004
Owner's Address
City / ,
-•
Tenant/Lessee Name
City
FOLIO / PARCEL #
Notary $
Scanning $
Bond $
Permit Type (circle) Building
Owner's Name (Fee Fee itaeholctei'T
430 NE
540r-e-5 State
Job Address (where the work is being done)
Miami Shores Village
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
Miami Shores Village cAti) 410
Building Department vogt wl hog tW
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:
Contractor's Company Name
Contractor's Address
City
Qualifier Name
Type of Work: ❑Addition ❑Alteration
Describe Work:
Submittal Fee $ Permit Fee $
Training/Education Fee $
Radon $
Electrical
Ilk ! I t I+
to ! J.-
.-L
State
mat tS V
in
JLc7a
County Miami -Dade
(op
NO
DPBR $
756.8972
Code Enforcement $ Double Fee $
Permit No. V TOG2 1628
Master Permit No.
Plumbing Mechanical
Y ef I i- Phone #
zip 33 l '3 '
Phone #
Phone #
Roofing
So s' SI 9 z 3
Zip
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
Phone #
Value of Work For this Permit $ ' . 00 Square / Linear Footage Of Work:
❑ Repair /Replace ❑ Demolition
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F *****,***** * * * ** * * * * * * * * * ** * * * * * * * ** * * * * **
CCF $ CO /CC
Technology Fee $
Zoning $
Structural Review. $ Total Fee Now Due $ C 0 ' 7- SCD
See Reverse side —*
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
wner or Agent
The foregoing instrument was owl�ci me his
day of , 20 Q ( A rvi `
who
rsonally known to me or who has produced
Sign:
Print:
My C mmission Expir
Signature
ntification and who did Matt*. as identification and who did take an oath.
` : C;•1 r ,., ssion `' d3.1 NOTARY PUBLIC:
''
): Expires: Ju 13,20',
i ii- BondedThru
A • Bonding Co . !
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
Contractor
The foregoing instrument was acknowledged before me this
ay of ,20,by
who is personally known to me or who has produced
Sign:
Print:
My Commission Expires:
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
// L
— 1 k(oce
7
Plans Examiner
Engineer
Zoning
D ate
Walls
Fascia
Signature
Miami Shores Village
Paint Color Approval and Agreement
430 NC 101 S+
Owner's Name
Owner's Address G
City CII�i�n 5 Cr 42 - - S State rt.- Zip 3 3 1 3
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 it
********************* ******************************************* ***************** *d.d.4- k** * * * * * * * * * * * * * * * * * * **
must be listed and indicate the col'
All elements on the site
1
j��
W
Drip Cap/drip E dgge
Soffit 1' e Vu�
Roof
Flower bins
Shutters
Awnings
Chimney A \
Doors and door jams /1
N
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 w
applicable laws regulating construction and zoning.
• Prv.M�nAG -
kt4c,
APPLICATION APPROVED BY:
Owner or Age
PBi. Z Official
Phone # 3 dS 7 I
400E - 1 u
Mirage White
d Lf T5t E
W A t-
400E -3 u
Mountain Haze
Date
d (75 Df
elq cK
400E -5 '
Promenade
Date k ` (-)C
l ice with all
chc 6/18/03
Date t )- D -- - Job Address ^I 3Q N a IO l z't'V Tax Folio /1 J'&I I B !�
Legal Description D 94 90 /MO f L 9 . L.% f
J
/ Lessee / Tenant Tev\ v s . c _ rn . T c_a 1 Master Permit C17 W
Owner's Address 430 N a ■ 01 6a-V-e_p_. - Phone - i58- 30 () C(
Contracting Co. y'awv\-€V - Address
5-7 S X15 ( uJ
Qualifier
sS# P hone - ?S8 -,0.0 g h
State # Municipal # Competency 41: Ins.Co.
Address
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Architect /Engineer
Bonding Company _ Address
Mortgagor Cbdv��' f NC (Y r G- Address �-Ffl vv- , S° -e a 6 Q_
Permit Type(circle on . :UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �Ck tv\. -1-,f tr c, t { 11 ()NZ__
Square Ft. 1 Estimated Cost(value) $ a,96
WARNING TO ""t'• YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY REST - -- "'G —_ •^D TMDROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN LT : OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF -t
Application )bt 14W iork and installation as indicated above, and
on the atta pp e that all work will be performed to meet the
standards of aim �..__ ing is jurisdiction. I understand that separate
permits are required for ELEC"L'RIL_, _ __..- .,a.....,, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance w'th 41 arrnC hi, 1Awa rp dating construction and zoning. Furthermore, I
authorize the above -nay - d•;wet5hipnomN9tio the wo4k stated.
t l;, Notary blic, State of Flonda
MA_ "... _ _ 4 I , , a + , ; • Co iss�on Exp. April 30.1996
Si ��re of owner and :4ie '''res J Signature of Contractor or Owner- Builder
Date : 6/a OA Date:
Print typ or stamp name of Notary Public
fefsonally known ❑OR Produced
aced 1
ro numb, „f 1.1) p uce&
No ry : s to Owner and /or Condo Presi
My Commission Expires:❑ DID rake an oath, or
e'DID NOT take an oath.
Notary as to Contractor or Owner- Builder
My Commission Expires:
** * * * * * * * * * * * 5-1" /
* * * * **
FEES: PERMIT ' /, 5 RADON C.C.P. - NOTARY TOTAL DUE 1 14 7
APPROVED: Fire Other
Zoning Building , / 2 q t Electrical
Mechanical Plumbing, Engineering