54 NE 101 St (5)EXTERIOR PAINTING
6
FEB 1 5 SR
_
Passed
l
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection NumberfINS -1
ermftiNumt
- 06-1571
Inspection Date: 02/14/2007
Inspector: Grande, Claudio
Owner: PATTON, KAREN
Job Address: 54 101 Street NE
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Tuesday, February 13, 2007
Miami Shores Village, FL 33138-
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)807 -2220
Parcel Number 1132060131350
Lot:
Page 1 of 1
no\
BUILDING
PERMIT APPLICATION
FBC 2004 B Y
Permit Type (circle):
Owner's Name (Fee Simple Titleho r / l47Cen/
Owner's Address 3 /Vex /a/ s r S /
City / /A 4/ S /(4 s State FL
Tenant/Lessee Name /14
5 Ng
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City State
Qualifier Name
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work:
Describe Work:
Submittal Fee $
Notary $ S. DC
Scanning $
Bond $
❑Addition
Structural Review. $
/t7
Miami Shores Village -7 /7 / c�
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
M Ar
Radon $
['Alteration
Permit Fee $
Code Enforcement $
Electrical Plumbing
County Miami -Dade
NO
Training/Education Fee $ O • ZG
DPBR $
Master Permit No.
Phone #
Double Fee $
Phone #
Phone #
Square / Linear Footage Of Work:
L, 3 8 P '''te
Permit No.
Mechanical Roofing
2
tL
Phone # 3dS'kU7
=l3�
Zip 33/3k
Zip 33/3 S'
Zip
Phone #
❑ Repair/Replace ❑ Demolition
s' " * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****** pPP * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
.6
CCF $ CD. C=C7 CO /CC
Technology Fee $ 1 '
Zoning $
Total Fee Now Due $ •
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 inspect sn whi occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wil of : appr ved and a reinspection fee will be charged.
Signature
NOTARY PUBLIC:
(Revised 02/08/06)
L As identification and who did take an oath.
APPLICATION APPROVED BY:
IC-STATE OF FLORIDA
andez
55
Signature
Owner or Agent Contractor
The foregoing instrument was knowledged before me this C l The foregoing instrument was acknowledged before me this
day . �., 20'by (_)) k VCSS , day of , 20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
NOTARY PUBLIC:
4 '°
as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
3/ ca Zoning
Date
Owner's Name / �'
,�1t ?A-kw
IeA/
L , ss Phone # 30Sr- 807- 0 2,, z2. 0
, L At
Owner's Address 5'4 • / �
.•
Zip 33138
City
Maim, Sinks State FL-
Job Address (where the work is being done)
. �'� N_ /o/ ST si
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO )(
ge
Contractor's Company Name (if applicable)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls /0.1.
Fascia
Drip Cap /drip Edge N/4'
Soffit Nfr'
Roof Nl/4
Flower bins N/ 4
Shutters A
Awnings "//a
Chimney 7
w //9'
/4 /
tra//t
/`A"
All brick (simulated or regular) /Vit
Stucco banding IVA
Any other stucco features /tin.
Accessory Buildings / BENJAMIN MOORE®
Other �BGVR/1'T/ �i HC
// Oe � c /� � /1 J MNG9 (. /f COLOR PREVIEW® .
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in with all
applicable laws regula cons e tion and zoning.
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
Signature
Miami Shores Village
Paint Color Approval and Agreement
/02
APPLICATION APPROVED BY:
Owner or Agent
t'ec. Z Of
Zip .3 3138'
Phone # 30c- So 7- ,22,3„..0
2B
HC -102
Date 6/04
Date 767 i
chc 6/18/03
Issue Date: 7/6/2006
Owner's Name: KAREN PATTON
Permit Type: Paint
Work Classification: New
Job Address: 54 101 Street NE
Comments:
EXTERIOR PAINTING
Additional Information
Miami Shores Village, FL 33138
Building Department File Copy
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: 01/02/2007
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Type of Work: Exterior Color: CLARKSVILLE GRAY, HAMPSHIRE GRAN
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.
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT -6 -06 -1571
Phone: (305)807 -2220
1132060131350
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 400.00
Required Inspections
Final
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 - 6 - 06 - 25150
Total:
Amt Due
$67.30
'JUL 06
t = 1C - 1Z
Amt Paid
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 .
Date
Lega►escription
Square Ft.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
4 ob Address
r ) /0/ / ' Tax Folio ) J 32049 13 1
Address
Master Permit # 3 ` 5
Lessee / Tenant
er's Address
Contracting Co. (I) -1
Qualifier _ SS#
e/
State # Municipal # Competency # Ins.Co.
Phone
Phone
Architect /Engineer Address
n ing Company '=^ Address
gor Address
Permit Type(circle one): BUILDING /,
ELECTRICAL PL _ NG MECHANICAL ROOFING PAV,FIIG FENCE SIGN
WORK DESCRIPTION
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 will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President Notary as to
My Commission Expires:
** * * * * * * * * * * *
FEES: PERMIT.5 :.r° RADON C.C.F. •.31)
APPROVED: Fire
Zoning Building
Mechanical Plumbing
Estimated Cost(value)
My Commission
NOTARY
of
Date: 3�as NII
cora ).
zeNv
er- Builder
ract or
0
: * COMMISSION NUMBER
CC255237
�� ic "m j MY COMMISSION EXP.
OF ° JAI. 25
Y TOTAL DUE f.30D
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 go? Job Address � I " `-' /(1 7 I Tax Folio I j 301 0 6 0 )3 1 3 S O
G�
Legal Description SQL. j f d
,� . \f,) 4 .pc Historically Designated: Yes No
Owner/Lessee / Tenant pi,// l Master Permit # 4 19
Owner's Address /.A 7 7 Al / -! / /f/ 4 Phone r 7 ' ?S 7 g ( 7
Contracting Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Signature of owner and/or Condo President
FEES: PERMIT
APPROVED:
Zoning ge
Mechanical
ocvphi vp-t&nal
Square Ft. Estimated Cost (value) /
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 will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Date Signa
Notary as to Owner and/or Condo President Date Notary as to
My Commission Expires:
RADON C.C.F.
of Contra
er- : uild Date
to
My Commi
actor or
ion Expires:
�JWI NOTARY
N. ARY
GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. L2/1)2
BOND
TOTAL DUE 6 S- ■ O V
3 -22 -7
3/ .//
Building Electrical
Plumbing Structural Engineer
samples.
DATE: 3 2- z -
OWNER'S NAME: , ; U PHONE: 315 7 7 — 6C ) Y7
'ADDRESS :... O
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: \ 760/
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
APPROVED:
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
3)2-4'/
Building Ofial Date
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia
Soffit Gr/y
Roof fit/ /�
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors _ G,/ i T2-
Railings
Fences / e1".—
Decorative Metal ��
ti /�
All brick (simulated or regular) 4
Stucco Banding //,
Any other stucco features � G
Accessory Buildings /CY 2
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
do the work stated. Furthermore , the paint colors will be as per the attached
_ (
Signatur'of 1 wner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
tell
Pa-
I A2 -3
BUILDING ❑
ELECTRICAL ❑ DATE
PLUMBING ❑ PERMIT N? 3265
ROOFING ❑
Owner of
Building
Architect
Contractor -
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Y
Work to be performed under this Permit
rl
Subdi-
B1 I vision
Value of
Project $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or s ecifications and that he assumes responsibility for work
done by his agents, servants or employees.
4
Signed. r ., ..':. ....
INSPECTOR I
In consideration of the issuance to me of this permit I agree to perform the work c9Gered 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Contractor's
License No
Amount of
Permit $
BY AUTHORITY a
HUILDING
' LECTRICAL
LUMBING
1OOFING
Dwner of
: uilding
_ontractor
it Builder
.egal
)escription
'address of
luilding
Lot
❑ PERMIT N° 3417
MIAMI SHORES VILLAGE, FLORIDA
zrchitect
B1
Value of
Project $
/ .
DATF
195 r J
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
:ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees.
Signed BY
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
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY e
BUILDING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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. ..`22 44 . /
Registered Architect and /or Engineer may, ,. -
Name and address of licensed contractor C rik'a
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done t / b /
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
Date >2? C ,19 -. :(;) _
No.. ,57 street_ f� �._ tot Y/
and for no other u
P rpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost improvements $ / 4 0 Amount of Permit $
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 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 subcontractors, on work to be per rmed under this
permit, 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
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 ted e true.
Permit No._ 1 Date..."
Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
otary Public, State of Florida
PLANNI BOARD DATE
Chairman Member
Member Member
Member .... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.