599 NE 101 StIssue Date: 2/28/2007
Owner's Name: LYNN WATERMAN
Permit Type: Paint
Work Classification: New
Job Address: 599 101 Street NE
Miami Shores, FL 33138 -2450
Contractor(s) Phone
COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Yes
Primary Contractor
Additional Information
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
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.
Fees Due Amount
CCF $1.20
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $1.50
Total: $68.10
Invoice Number
PT -2 -07 -27614
Total:
Amt Due
$68.10
Amt Paid
Building Department File Copy
Applica t Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 08/27/2007
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PT - - - 353
Phone:
1132060171150
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 2,000.00
Re • uired Ins • ections
Final
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.
PERMIT APPLICATION lef
BUILDING
FBC 2004
>Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
State
,/ Electrical Plumbing
/ ` .Owner's Name (Fee Simple Titleholder) LYNN S. INs}TERMANI
Owner's Address 5 9 9 NE 101 Sr
City MIAMI 51-tOR65 State FL Zip 33 /3 g
Tenant/Lessee Name Phone #
.599 NE INI' .
Master Permit No.
Phone #
County Miami -Dade Zip
NO
/J r
Contractor's Company Name l j bbl `nom Phone # 3 c Jr /3 6 (�
Contractor's Address / !4//,E /..3o '
Zip 3 ./41
Qualifier Name " , jT .-.* 1 kZ 1-4 Phone # 30r fY = /.36d'
State Certificate or Registration No. Certificate of Competency No. U/ C
Phone #
Square / Linear Footage Of Work:
e
Bond $ Code Enforcement $ Double Fee $
Permit No. 07`
❑ Repair /Replace ❑ Demolition
CCF $ ' JLJ CO /CC
100
Technology Fee $
3313 g
DPBR $ Zoning $
Structural Review. $ Total Fee Now Due $ (.0c' )()
Mechanical Roofing
(%5) 75 - 3 y�y
See Reverse side -+
a L r!•�
FEB 2 3 2007
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.
APPLICATION APPROVED BY:
(Revised 02/08/06)
)gnature 5fyrvr+ S . W cam_ Signature /,/, 7 Owner or Agent Contractor
The foregoing instrument was acknowledged before me this ZQ The foregoing instrument was acknowledged before me thisZK
day of ,2067, by , day of —40 ,20'.!J,by
who is personally known to me or who has produced who is personally known to me or who has produced
18I91 �1anIfo iligg wgiall t��pp 1Ke an oath. ntification and who did take an oath.
NOTARY PUBLIC - Michael Iwaskewycz
Commission # DD525359 NOTARY ' C:
xpires: APR. 10, 2010
nd Ad 'c Bon ' g Co., Inc.
Sign: Mr --� �,
Print: /
My Commission Expires:
Sign:
Print:
My Com ission Expires:
* * * * * * * * **
Plans Examiner
Engineer
Zoning
!),..Date:
Owner's Name: Ly h h S. Ge/a_74) a.ra Phone #: 30 S - 7 ret 3 si 6 Y
Job Address (where the work is being done): 1 l-,_ /O/ St
S ty: Miami Shores Village County: Miami -Dade Zip:
Is Building Historically Designated ?:
Contractor's Company Name (if applicable):
Walls:
All elements on the site must be listed d indicate the color to be painted
At 71w 25
Fascia: /Ad.
Drip Cap/Drip Edge:
Soffit: G!/k4C
Roof: I.Jh c2
Flower Bins: lit/ k
lVliami Shores Village
Paint Color Approval and Agreement
Shutters: kviklJ
Awnings: W fit
Chimney: N. / At
Doors and Door Jams: Fi 74 .6 - A i - 5-3 'j'
Garage Doors: if/A&
Railings: k.' / 4
Fences: OVit
Decorative Metal: lilt
All brick (simulated or regular): A, /of-
Stucco Banding: w /0
Any other Stucco Features: it, /#
Accessory Buildings: M /e-
Other: /'v/ R"
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:
, .5. 7..J a vr+-, a1
/ Owner or Agent
APPLICATION APPROVED BY:
YES NO ►—
P & Z OFFICIAL
Date:
Phone #:
2/ .21 /c7
Date: a h
* *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION **
PAINT BEJAMIN MOORE
WALLS HEIRLOOM GOLD 225
ROSEVELT TAUPE 4539
APR 2 5 2001
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -41137
Permit Number: PT -2 -07 -353
Inspection Date: 04/24/2007
Inspector: Grande, Claudio
Owner: WATERMAN, LYNN
Job Address: 599 101 Street NE
Miami Shores, FL 33138 -2450
Project: <NONE>
Contractor: COMPLETE HOME PAINTING BY MICHAEL
Building Department Comments
Monday, April 23, 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 1132060171150
Lot:
Phone: 305 - 895 -1368
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