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PT-09-2052Inspection Number: INSP- 131487 Permit Number: PT -12 -09 -2052 Scheduled Inspection Date: June 14, 2010 Inspector: Bruhn, Norman Owner: CARUSO, BERNICE Job Address: 1050 NE 105 Street Miami Shores, FL 33138 -2106 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR OF THE HOUSE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 11, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1122320280060 Page 2 of 29 Inspection Number: INSP- 131487 Permit Number: PT -12 -09 -2052 Scheduled Inspection Date: June 14, 2010 Inspector: Bruhn, Norman Owner: CARUSO, BERNICE Job Address: 1050 NE 105 Street Miami Shores, FL 33138 -2106 Project: <NONE> Contractor: HOME OWNER Building Department Comments June 11, 2010 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: New Phone Number Parcel Number 1122320280060 PAINT EXTERIOR OF THE HOUSE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments For Inspections please call: (305)762 -4949 Page 2 of 29 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 1050 105 Street Miami Shores, FL 33138 -2106 Owner Information Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Amount $0.60 $0.20 $5.00 $60.00 $0.00 $0.80. Total: $66.60 Parcel Number 1122320280060 Block: Lot: BERNICE CARUSO Address P.O. BOX 562992 MIAMI FL 33256- Valuation: Total Sq Feet: $ 1,000.00 Authorized Signature: Owner / Applicant / Contractor / Agent rn. Building Department Copy Phone Type of Work: Exterior Color: Additional Info: Classification: Residential Color: _Approved Color: _Approved_ Code Comments: BEN MOORE - WALLS - SOLITUD Color. _Denied Invoice # Total Amt Paid Amt Due PT -12 -09 -36639 $ 66.60 $ 66.60 $ 0.00 Applicant BERNICE CARUSO Inspection Type: Final In considcgation of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainingereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting is permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required f LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructibia and zoning. Futhermore, 1 authorize the above -named contractor to do the work stated. December 15, 2009 Date Expiration: 06/13/2010 Cell For Inspections please call: (305)762 -4949 Available Inspections: December 15, 2009 1 BUI.LD PERMIT APPLICATION FB Permit Type: PAINT PERMIT Owner's Name (Pee Simple Titleholder) pan Cara 5 d Phone # 30..5 3g- / ` % i-'3 Owner's Address loco NE /D ,j S 7 2 a City Miami S I ti' S State r1` . . Zip 33l ,J O Tenant/Lessee Name Phone # E -MAIL: 0 nca nes© , )444c r Gpt✓4 Job Address (where the work is being done) ,Ca Pk e. City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # / is Building Historically Designated YES NO l' Contractor's Company Name h ©At eBuy i e r Phone # Contractor's Address City Qualifier Name OWNER BUILDER: Value of Work For this Permit $ Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (300) 756.8972 Permit No. r M I ster Permit No. State Zip Phone # State Certificate or Registration No. Certificate of Competency No. ��. ®o!^.• .__- ),®® ®_® Type of Work: 111 Addition / ❑ Alteration / [New / 0 Repair /Replace Application is hereby made to olxain 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 he performed to meet the standards of all laws regulating construction in this juriSdiction. I understand (hat a separate permit must he secured for ELECTRICAI. 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 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 ofa building permit with an estimated value excee 'ing $2500. the applicant must promise in good faith that a copy oldie notice of commencement and construction lien law brochure will be delivered to the person whose projIieriy is subject to attachment. Also. a certrfed copy of the recorded nrnice of commencement must he posted al the job sihe for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the inspec7ion will not he'approved and a reinspection,fee will be charged. • • . • . r' *wwwwww : fC fYxi[.* wwx xxxxxxxxr xx .w**xxxxr *F *i:xot'+ Foe** ******w'Kwww Permit Fee $ V V CQO- CCF $ 01.(00 Technology Fee: ®• 0 .Training /Education Fee $ -0 - Notary $ '5 00 Code Enforcement $ ' Double Fee $ ' Zoning $ Total F e Now Due $ See Reverse side —> PAINT COLOR APPROVAL AND AGREEMENT AU elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: Fascia: I 2 3 4 Drip Cap /Drip Edge: Ae-2 3 4 Soffit: Roof: Flower Bins: 1 Shutters: NOTARY ll Sign: Print: My Commission Expires: 1 All brick (simulated or regular): Stucco BandingAIfe l Any other Stucco Features: 1 Accessory Buildings Owner or Agent The fo _ ing instrument was ac nvledged • ore me this day of . 2( '" t by who is persc natty known to me or who has produced D n AZOlifilation and who did take an oath. 0 3 Other: 4 1 2 3 4 1 2 3 4 2 3 4 2 3 4 Awnings: 1 3 4 Chimney: 1 2 3 4 Doors and Door Jams: 1 2 3 4 Garage Doors: 1 2 3 4 Railings: L 1 2 3 4 Fences: k hl I 2 3 4 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 /�'vl�LGG�i� Signature Contractor The foregoing instrument was acknowledged before me this___ day of . 20 . by rho is personally known to me or who has produced as identification and who did take an oath. 0� 1 0 010T PUBLIC: • .0 00 5 4 . � G C6r t Wb� coo: N ..- ma c$° My Commission Expires: - ** ** ******** Ye **** *****kxxxxu*** **3ede� ******* fit****ic4rek�YeY�Ydekekar**** dr9c? e+ Fk9e�1rt4it *** *** *.• &•k•k***.4eo4dc'+Y�: ',k4e�a.aY**** **** 16 i. ® NI\ 6t, APPLICATION APPROVED BY: Plans Examiner Attach color samples with name and number. 13�, Affini ONO Soli e AF-S 5'av4e- Cgs ex1Sf7nq char Preservation Board Code Enforcement AF -545 (Revised 04 /24/0;