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PT-09-1804 h= J, LA s�° y Miami Shores Village�e s 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 " Phone: (305)795 - 2204 _ h t''i1C' I?39 Expiration: 09829/2010 Project Address Parcel Number Applicant 189 105 Street 1121360080090 JORGE NAVARRO Miami Shores, FL 33150- Block: Lot: Owner information Address Phone Cell JORGE NAVARRO 189 NW 105 ST MIAMI SHORES FL 33150 -1243 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color: _Approved Code Comments: WALLS, GARAGE DOOR, BRICK - Final Color. Approved_ Color. _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 PT -11 -09 -36285 $ 61.60 $ 61.60 $ 0.00 Education Surcharge $0.20 Permit Fee $60.00 Scanning Fee $0.00 Technology Fee $0.80 Total: $61.60 Applicant Copy For Inspections, Call (305) 795 -2204. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. November 03, 2009 2 3 { } - yf 3 �fL Tv` Miami Shores Village e v 10050 N.E. 2nd Avenue 33 ff Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Nom "= Expiration: 09/29/2010 Project Address Parcel Number Applicant 189 105 Street 1121360080090 Miami Shores, FL 33150- Block: Lot: JORGE NAVARRO Owner Information Address Phone Cell JORGE NAVARRO 189 NW 105 ST MIAMI SHORES FL 33150 -1243 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER _....... ......... ­1 - ....._ Total Sq Feet: Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: Availab Inspections: Classification: Residential Inspection Type: Color. Approved Code Comments: WALLS, GARAGE DOOR, BRICK - Final Color: Approved_ Color. _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 PT -11 -09 -36285 $ 61.60 $ 61.60 $ 0.00 Education Surcharge $0.20 Permit Fee $60.00 Scanning Fee $0.00 Technology Fee $0.80 Total: $61.60 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 03, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 03, 2009 1 Miami Shores Villag f �I' Building Department NOV Zoos 10050 N.1--'.2nd Avenue. Miami Shores, Florida 33138 BY: L I..r�w.w a.rr.r Tel: (305) 795.2204 Fax: (305) 756.$972 BUILDING Lm 111LA Permit No PERMIT APPLICATION Master Pe rmit No. FBC 2004 Permit Tyne PAINT PERMIT Owner's Name (Fee Simple Titleholder) j ow k< -s'-s p Phone # 10 Gz c - 4 - 5 Owner's Address Cit M � t�'UA1 Zip S"lo(��3 State �C. 3'�052> Cit � Tenant /Lessee Name Phone # Job Address (where the work is being done) t S WA ( V City Miami Shores Village County' _, il+liami -Dade Zip rf . FOLIO I PARCEL # Is Building Historically Designated YES NO [ \1 / :. Contractor's Company Name Phone ! # Contractor's Address City_ State Zip �M��llrfri�t��' Qualifier Name Phone # *Ww" to si i a . y11�1 �teN State Certificate or Registration No. Certificate of Competenc tt1Ew. tl4 naitt+pahntp OWNER BUILDER: eatlA>ncfoN�r+ai�Ktto�it Value of Work For this Permit $ 0 0 Type of Work: 0 Addition / RI X Ite6tion I ONew 10 or /Reps Describe Work: P k , ( , )j t ar } 0('Z— i u U P-JE- w tff rj C J It Application is hereby made to ottain a permit to do the work and installations ae indicated. I certify thatno work or installation has commeticed priers to the issuartce Of#Pennit and that all work will be performed to meet the standards of all laws regulatingc:onstruction in diis.iurisdidion. 1 urAerstand thata sepat*tpermit b sawrc.d firs EI.ECTRICAI. WORK. PIMM131NG. SIGNS, WEL,I,S, POOLS, FURNACES. BOILERS, HEATERS, TANKS and AIR CUND ITIONERS, ETC..... "WARNING TO OWNER: YOUR FAILEIRE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN VOtIR PAYING -T FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER (W A14 ATUWNEY 131eF011tt RECORDING YOUR NOTICE; OF COMMENCEMENT." Notice to Applicant: .1s a condition to the issuance of et huilding permit with an estimated value exceeding $25(X1, the atpp kml must prM#i:ar im 0040dth that a e(jp)' of the notice cif conrntencement and construction lien late brochure will be delivered to the person whose property is subfect to attachtnew..tlso. a pfthe rwwrrkd notice of cruttmencemeni must he posted at the job sile,for the,f rst inspection which occurs seven (7) days after the building pernot is iced ht tote a e;f sue#t prGx d nrpice. the inspection mill not he approved and a reinspection,fee will he charged. * * **** * Fees* Permit Fee S � _ CCF $ 0 4 0 *F Technology Pee: Training /Education Fee $ Notary $ Code Ef�forcett�t�tit`S� Double Fee S . .Zoning $ Total Fee Now Due See Revet^se side 4 PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: 1 2 3 4 '.;Attach color samples with name and Fascia: 1 2 3 4 number. Drip Cap /Drip Edge: 1 2 4 Soffit: I ? 3 4 Root: 1 2 3 4 Plower Bins: t 2 3 4 ° -- Shutters 1 2 3 4 Awnings 1 2 3 4 2 Chimney: 1 2 3 4 i Doors and Door .lams: 1 2 3 4 Garage Doors: 1 2 -3. 4 s: l 2 3 4, BLANCO ULTRA PURO' 2050 Railing ., 3 ULTRA PURE 1NNITE� 2050 Fences: 1 2 3 All brick (simulated or regular ,__2„,, Stucco Bandina: 1. 2 3 Any other Stucco Features 1 2 3 4 4 Accessory Quildings Other: Il E N lItAMN 0UIwwwo Nwq tit: - no of tggtilkt C W i FW l4thNlIrt ify that all the foregoing information is accurate and that all work will be done in maarrlat ` ws regulating construction and zoning. Signature Signature weer or Agenb Contractor The firregoing instr-uumnt was acknowledged before me this` Z The foregoing instiumenit was acknowWged before me this . day of _ . 20 QT by _ f day of 20 by who is personally known to me or who has ptuduced who is personally known to rte or who hits produced As identification avid who did take wi oath.- _as identification and who did take an oath. NOTARY PIIBLIC: NOTARY PUBLIC Sign: Sign: Print: Print: My Commission t'xpires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Preservation hoard Code Ealbreement (Revised 04/24/01 p> ra'"n r Miami Shores Village " !?ain...: 10050 N.E. 2nd Avenue� r -0Miami Shores, FL 33138 000 h Phone: (305)795 -2204 �FlRiDA Expiration: O5B0�2010 Project Address Parcel Number Applicant 189 105 Street 1121360080090 Miami Shores, FL 33150 Block: Lot: JORGE NAVARRO Owner Information Address Phone Cell JORGE NAVARRO 189 NW 105 ST MIAMI SHORES FL 33150 -1243 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER . .. Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)7624949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color. Approved Code Comments: Final Color: Approved_ Color. _Denied Fees Due Am ]$ 60.00 Invoice # Total Amt Paid Amt Due CCF PT -11 -09 -36285 $ 61.60 $ 61.60 $ 0.00 Education Surcharge Permit Fee Scanning Fee Technology Fee Total: $6 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 t&eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting 44 permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fop%LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS �FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio nd zoning. Futhermore, I authorize the above -named contractor to do the work stated November 02, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Bui*g Department Copy November 02, 2009 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 128404 Permit Number: PT -11 -09 -1804 Scheduled Inspection Date: April 02, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: NAVARRO, JORGE Work Classification: New Job Address: 189 NW 105 Street Miami Shores, FL 33150 - Phone Number Parcel Number 1121360080090 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR IN PURE WHITE Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 01, 2010 For Inspections please call: (305)762 -4949 Page 2 of 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 128404 Permit Number: PT -11 -09 -1804 Scheduled Inspection Date: April 02, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: NAVARRO, JORGE Work Classification: New Job Address: 189 NW 105 Street Miami Shores, FL 33150- Phone Number Parcel Number 1121360080090 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR IN PURE WHITE Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 01, 2010 For Inspections please call: (305)762 -4949 Page 2 of 4