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PT-09-4170Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. P- °l -- oq - ( (( 70 PERMIT APPLICATION Master Permit No. FB cla Permit Tyne: PAINT PERMIT Owner's Name (Fee Simple Titleholder) i - we, e, `) Can �t��.►Yw A Phone # Owner's Address /) 20 N 1 / (P r f- City /t14". SlidevS State Ti Zip 11 l i r Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done City Miami Shores Village County Miami -Dade FOLIO /PARCEL# f/ '2 2-) 000 Is Building Historically Designated YES NO is State Z ip 3'wb OWNER BUILDER: )c r 11 ,. - 5' 9 370 1“. lo i Zip 77 )7© Contractor's Company Name Phone # (1 .r" b v+ '° Contractor's Address 9-0.„(5,--- — fa-) 3 City \ 1 -- t.a� -rO � f .4 Qualifier Name (51:14t- t- sts� -t ��s `g-' Phone # 1 S L `1 9 '� °t State Certificate or Registration No. C(, (,J C` 4'1 `1 Certificate of Competency No. Value of Work For this Permit $ /® yci d Type of Work: ❑ Addition / El Alteration / p(JNew / El Repair/Replace Describe Work: erc:3 -�5 t4 �4 j i�G1 fe( � t Application is hereby made to ottain a permit to do the work and installations as indicated. 1 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 regulatingconslmction in this jurisdiction. 1 understand that a separate permit must he secured liar 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 YOIIR PAYING TWICE FOR IMPROVEMENTS T() 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 $2500. the applicant must promise in goad faith that a cola gft/w notice of commencement and construction lien liaw brochure will he delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice of commencement muss he posted al the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the inspection will not he approved and a reinspedion, fee will be charged. *** **** t************ :xxxxxx*********4e / d:F es *de$esF'k**** **** *** *oY** ** **** e*************** Permit Fee $ • ‘O" CCF $ • (p . b 0 Technology Fee: . Training /Education Fee $ Notary $ Code Enforcement $ Double Fee .$ Zoning $ Total Fee Now Due $ s See Reverse side Walls: Directions: Please circle corresponding 11 Fascia: 1 Drip Cap /Drip Edge: 1 2 Soffit: Roof: Plower Bins: 1 2 3 Shutters: 1 2 3 Awnings: Chimney: Doors and Door Jams: Garage Doors: I Railings: Fences: 2 3 2 3 2 2 3 3 All brick (simulated or regular): Stucco Banding: l Any other Stucco Features: I 2 3 Accessory Buildings Other: OWNER'S AFFIDAVIT. Icertify that all the foregoing information is accur compliance with all applicable laws regulating construction and zoning. Signature,611.0.„ ,- Y )wi i or Agent QfIZ/ roves N6N) 6,40 gp The tbregoing instalment was acknowledged before me this 2.3 day of . 20 07. by tr ( 1-4-t c.- is 6TO b'" , triZ who is personally known to me or who has produced P t As identification and who did take an oath. NOTARY PURL Sign: `1 Print: C) ennwris..( My Commission Expires: ,J PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed andjndicate the color to be painted 4 4 4 4 4 4 4 tive Signature } SW 6106 SW 6126 Kilim Beige Navajo White My Commission Expires: SW 6150 Universal Khaki Contractor The foregoing instrument was acknowledged before me this day of Sts ?-� . 20 ot. by (5P-ft 'tss( Lov-►s rt `Si ) who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: APPLICATION APPROVED BY: Plans Examiner . Preservation Board i f 2 . U4. Code Enlorc ement ame and done in e c, ** ************ ******x****** ** ** fie ** * ************** * *** * ** * * * ***** * ** * **** *** ****x (Revised 04/24/01 Inspection Number: INSP - 126448 Permit Number: PT -9 -09 -1470 Scheduled Inspection Date: June 28, 2010 Inspector: Bruhn, Norman Owner: CONDO, BRYNWOOD Job Address: 1330 NE 105 Street 205 Project: <NONE> Miami Shores, FL Contractor: CBJ CONSTRUCTION, INC. Building Department Comments Pressure wash and paint navajo white,butternut and high tea. Passe /e,°61- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 25, 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 Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1122320580090 Phone: 561 - 756 -4884 Inspector Comments CREATED AS REINSPECTION FOR INSP- 123549. Not Complete, still painting. Page 3of27 i NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. / (- 22.32 -DS r Oro 1 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: - 54 t %o 2. Description of improvement: •■■ %N. Signature(s) of Owner(s) or Owners Prepared By Print Name /�� 04/0.00 Lorv»o 14vc., 5u8 /ors 7 - -1? 1 1 1 111 1 1 1 11 1 1 1 1111 1 1 CFN 2100 9RQ61 3' 64 OR Bk 26989 Ps 2828; (1ps) RECORDED 08/25/2009 10:53 :51 HARVEY" RL1VII'!r CLERK OF COURT II I All I -C'ADE COUNTY FLORIDA LAST OE Space above reserved for use of recording office 3. Owner(s) name and address: g/T. ov AAOp Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: 144/460A) p64 :N't7,i/ - /' D BOK 2.5474 l� Rieic.. r , re.vez 3732Q 7 72- - `35 -C 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. /J �� i1 Name, address and phone number. ge *!N * /I0/44/4 c Tib"Sif dR. ikrvid02'1 A Dd . Assoc, ©C. 1 3 3 0 X1 _ s7- 6. 10 S . 3o2_ j 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWIC�EFOB IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE B FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMME r OR RECORDING YOUR NOTICE OF COMMENCEMENT. By ❑ Individually, or ❑ as for cia Personally known, or ❑ produced the following type of identificatio a `; , Trn Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. uthorized Officer/Director/Partner/Manager Prepared By (e Print Name Title/Office p zwAyr SRr /cdm cry ,i voD ,4s54t, Title/Office STATE OF FLORIDA '/A/c COUNTY OF MIAMI -DADE AU‘gt/sf The foregoing instrument was acknowledged before me this day of U U C O� + w s ti U w Signature(s) of Owner(s) or!wner(s)'s Authorized Officer /Director /Partner /Manager who signed above: 0 e CC By A II I2VT By $ 0 ` .SnrodeS, XL 3373$ � v U