PT-09-1734Project Address
1285 104 Street
Miami Shores, FL
Owner Information
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$3.00
$68.80
November 17, 2009
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
Parcel Number
1122320300010
Block: Lot:
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Expiration: 05/16/2010
Applicant
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments: WALLS - LT. YELLOW / FASCI, DR
Colon. _Denied
Invoice # Total Amt Paid Amt Due
PT -10-09 -36202 $ 68.80 $ 68.80 $ 0.00
Check #: 541
JOHN TIMINSKY
Cell
JOHN TIMINSKY
1285 NE 104 ST
MIAMI SHORES FL 33138 -2659
(305)495 -0055
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
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.
November 17, 2009
Date
1
BUILDING
PERMIT APPLICATION
FBC 2004
Owner's Address
City
Tenant/Lessee Name
E -MAIL:
t. AL
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
OWNER BUILDER:
Value of Work For this P rmit $
Describe Work: Cl/.
Permit Fee $
o
Training /Education Fee $
Double Fee $
Miami Shores Village
ILN 4i,
Building Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax:
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple TTitleholder)c Jj)(` ..( r (L.( [ U ((.' Phone # 0
3 5 4h ( _pO_ 5
1041- �T. Fl
M ate Ft, Zip 1. 3 3/39
la�$S Ot 10 4d-
County Miami -Dade
NO X
Owuv •
Phone #
Phone #
54
•
B
(305) 756.8972
Permit No.9[ y LIM
Master Permit No.
Zip
City State Zip
Qualifier Name Phone #
State. Certificate or Registration No. Certificate of Competency No.
T Type of Wor • El A ddition / El Alteration / [New / ❑ Repair /Replace
Application is hereby made to obtain a permit to do (he work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit
and that all wort: will he performed to meet the standards of all laws regulating construction in this_ jurisdiction. I understand (hat a separate permit must he secured limy
EI.ECTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNACES, BOILERS. HEATERS. TANKS and AIR CONDITIONERS. ETC
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR _PAVING 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: pplicant: .1 s a condition to the issuance of a building permit with an estimated value exceeding $2500. the applicant must promise in good %with that 0 cola= 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 nwst.he 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 he approved and a reinspection fee will be charged.
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CCF $ Technology Fee:
Notary 1 J' 00 . • Code Enforcement
Zoning $
Total Fee Now Due $ 10
I I
See Reverse side —>
The fore
day of
who
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
1
Drip Cap /Drip Edge: 1
Soffit: I 2
Roof: 1 3
[ B ins:
Shutters:
Awnings:
Chimney:
Signatuc
",ng in trt
'
Doors and Door Jams:
Fences:
PAINT COLOR APPROVAL AND AGREEMENT
An elements on the site must be listed and indicate the color to be painted
3
4
4
4
4
4
2
3
3
4
4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
All brick (simulated or regular): I 2
Stucco Banding: I 2 3
Any other Stucco Features: I 2 3
Accessory Buildings Other:
Owner or Ageni
u was a • o edged befo e me this
4+i m1n
h) has produced
3 4
ersonally known to me. or
Attach color samples with name and
umber.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliancy with all applicable laws regulating construction and zoning.
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 idcntiIic•ttion and who 1 id take an Date as identification and who did take an oath.
NOTARY P IC • I 40 �l�'Q#1'b NOTARY PUBLIC:
Sign: 1
! A 1 l rh�1) G X 11 Sign:
Print:` ow'G Print:
My Commission Expires: 1`����oG� ��C My Commission Expires:
`z 4 46
******* * * ** * * * * * * * * * * * * * * * * * * * *X�.sk* *` sk 4************* 9 * * * * * * * * * * * * * * * * * * * * * * * ** * * * * **
�
V C
APPLICATION APPROVED BY - Plans Examiner
Preservation Board
1
Code Enforcement
(Revised 04 /24/0;
Inspection Number: INSP- 127483 Permit Number: PT -10 -09 -1734
Scheduled Inspection Date: April 16, 2010
Inspector: Bruhn, Norman
Owner: TIMINSKY, JOHN
Job Address: 1285 NE 104 Street
Project: <NONE>
Miami Shores, FL
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)495 -0055
Parcel Number 1122320300010
TOUCH UP PAINT OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 15, 2010
Inspector Comments
For Inspections please call: (305)762 -4949
Page 2 of 23
Inspection Number: INSP - 127483
Scheduled Inspection Date: April 16, 2010
Inspector: Bruhn, Norman
Owner: TIMINSKY, JOHN
Job Address: 1285 NE 104 Street
Project: <NONE>
Miami Shores, FL
Contractor: HOME OWNER
Building Department Comments
April 15, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: PT -10 -09 -1734
Permit Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)495 -0055
Parcel Number 1122320300010
TOUCH UP PAINT OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 2 of 23