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PT -06-2370 Miami Shares Village rM � 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 4 Phone: (305)795 -2204 Fax: (305)756 -8972 €oAi Permit Permit Status: APPROVED Issue Date: 9/2512006 Expires: 03/2412007 Permit Number: PT -9 -06 -2370 Owner's Name: ELEANOR BECK one: Permit Type: Paint Parcel #: 1131010220150 Work Classification: New Block: Lot: Job Address: 117 101 Street NW Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 500.00 Re uired Inspections Additional Information Final 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. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $0.60 PT -9 -06 -26187 $62.30 Education Surcharge $0.20 Total Permit Fee $60.00 SEP 2 6 PAID Technology Fee $1.50 1"R Total: $62.30 C� Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village Building Department SAP 1 9 2006 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y..,, Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATIO �l �N "U• Master Permit No. FBC 2004 Permit T � . ype (circle): Buildin Electrical Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) ES 6-r E: E LE A Akk& Phone # /��j C L/V L/U - C� Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) N W 10 ( ' City Miami Shores Village County Miami -Dade Zip 3 T 5a FOLIO / PARCEL # '� l � D I 0 Is Building Historically Designated YES _.. Contractor's Company Name OL& yrC,�1 Phone Contractor's Address City. State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # CP Value of Work For this Permit S sow Square/ Linear Footage`Of Work: Type of Work: ❑Addition QAlteration nNew n ❑ Repair/Replace ❑`Demolition Describe Work- QRES$y -per � },.! 2 ®�- PPHN? 5?VCC -O Submittal Fee $ Permit Fee $ CCF $ C CO� /CC Notary $ Training/Education Fee $ � Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee Structural Review. $ Total Fee Now Due $ 61' DO See Reverse side Bonding Company's Name (if applicable) N f T Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) ri f 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 .$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for. the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature A txwe_� , Signature Owner Age Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20cL , by day of . 20 _, by - -T— wh is ersonally kno to me or who has produced who is personally known to me or who has produced As identi nnA Wt oath. as identification and who did take an oath. NOTARY PUBLIC: ' LOSE UNDLEY NOTARY PUBLIC: VY C ^MIMISSION N DD 881851 a"a € ExPttr6S: Dr Mft 15, 200$ Rf�h a" ''� t �NON %pyg�Undawdten Sign: Sign: Print: b 1 s E Li kz r, Ls, Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: � 2 _// 4 �4;ans Examiner r / Engineer l 1 l 0 4 Zoning (Revised 02/08/06) Miami Shores Village Paint Color Approval and Agreement Daty - 7 Owner's Name Phone 4 Owner's Address Ci ty ,�_�,, State zip - 3 Job Address (where the work is being done) i t I V C' City — Miami Shores Village County Miami -Dade - Zip Is Building Historically Designated YES Contractor's Company Name (if applicable) Phone 4 All elements on the site must be listed and indicate the color to be painted Walls Fascia Drip Cap/drip Edge_ Soffit- Roof L Flower bins S li it tte k HIS g4 - V Awnings -A i mm ml E U- M1 W VIM Chimney ]NOW K, nvw Ar y W; Doors and door jams a Garage doors r4A VM! 4 " 2 , Railings Fences 14 0 -Pu Decorative metal 1"11 Al All brick (simulated or regular) Stucco banding_ t1H 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 onstruction and zoning. f Date Signanue Owner or Agent APPLICATION APPROVED BY: Date P& Z Official chc 6/18/03 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ? ....................... ............::::::::::::::::.:. :.::........................::.......................................::::................. ..F"T::,.::..'.::. Inspection Date: 06/25/2007 Permit Type: Paint Inspector: Grande, Claudio Inspection Type: Final Owner: BECK, ELEANOR Work Classification: New Job Address: 117 101 Street NW Miami Shores Village, FL Phone Number Parcel Number 1131010220150 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments EXT PAINT MUSTARD LJn Jury 2 6 zoos Inspector Comments Passed Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, June 22, 2007 Page 1 of 2 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756-8972 Bill To ELEANOR BECK Invoice Number: PT -6 -07 -28929 117 101 Street NW Invoice Date: June 22, 2007 MIAMI SHORES, FL 33150 -1213 Permit Number: PT -9 -06 -2370 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name Fee Type Fee Amount 06/22/2007 Expired Permit Renewal Fee Calculated $60.00 Total Fees Due: $60.00 Payments Date Pay Type Check Number Amount Paid Change 06/22/2007 Check 15059 $60.00 $0.00 Total Paid: $60.00 Total Due: $0.00 Friday, June 22, 2007