PT-10-71f
Z
Inspection Number: INSP- 133586 Permit Number: PT- 1 -10 -71
Scheduled Inspection Date: June 15, 2010
Inspector: Bruhn, Norman
Owner: WALTER, DORA & LEOPOLD
Job Address: 6 NW 106 Street
Project: <NONE>
Miami Shores, FL 33150 -1246
Contractor: HOME OWNER
Building Department Comments
June 14, 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 1121360050170
CLEAN AND PAINT EXTERIOR OF THE HOUSE
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 3 of 25
t
Inspection Number: INSP- 133586 Permit Number: PT- 1 -10 -71
Scheduled Inspection Date: June 15, 2010
Inspector: Bruhn, Norman
Owner: WALTER, DORA & LEOPOLD
Job Address: 6 NW 106 Street
Miami Shores, FL 33150 -1246
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
CLEAN AND 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
June 14, 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 1121360050170
Page 3 of 25
6 106 Street
Miami Shores, FL 33150 -1246
1121360050170
Block: Lot:
DORA & LEOPOLD WALTER
Owner Information
Valuation:
Total Sq Feet:
DORA & LEOPOLD WALTER
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
6 106 Street
MIAMI SHORES FL 33150 -1246
Expiration: 12/1 2/2010
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color. _Approved
Color: _Approved_
Code Comments:
Color: _Denied
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.80
$66.60
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Invoice #
Total Amt Paid Amt Due
PT -1 -10 -36833 $ 66.60 $ 66.60 $ 0.00
Date
Cell
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.
January 15, 2010
January 15, 2010 1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: PAINT PERMIT
Phone #
Owner's Name (Fee Simple Titleholder)
Owner's Address _le e 4/ et) /0 (Q /'
Cit 4/f ! G4 44 ( State Ft
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
Contractor's Address
City_
4,(//4 44( State
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY
Tel: (305) 795.2204 Fax: (305) 756.8972 �
Permit No.� - 10 1
Zip
Master Permit No.
Phone #
rQ ,v ui io
- 3 3 (5Q
City AgikaltAiami Shores Village County Miami -Dade Zip '3 3 Lc C3
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Qualifier Name Phone.#
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
Zip 5 /5
r gianwmp
JAN 1 4 2f1
Contractor's Company Name Phone # 9
ca c) (to &
Value of Work For this Permit $ #000 (31° Type of Work: ❑ Addition / El Alteration / [New / I1 Repair /Replace
Describe Work:
Application is hereby made to obtain a permit to do the work and installations as indicated. !certif.), 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 peniut must he secured Ibr
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 PAYING TWICE FOP
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 he delivered to the person whose property is subject to attachment. Also a certified copy of the recorded notice
of commencement must he posted at the job site for the firs! 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 he charged.
xxxxxx *.. xoYxxx xxxdcxxxxx�Y* ww*'. r. wwwx* FeeSz*xxx �tieeY* ***aY*******wxrxxxxxaexxxx**. #, xxxx *x
Permit Fee $ (O'00 CCF $ 0 .( Technology Fee: 0. WO
Training /Education Fee $ 0 . I✓v Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $ Cp.A.IG
/ y
See Reverse side -*
day of
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Drip Cap /Drip Edge:
Soffit:
Roof:
4
4
Shutters: I 2 3 4
Flower Bins:
Railings:
Fences:
Signature ' \
NOTARY
Sign:
Print:
My Commission Expires:
xxxxxxxxxx4xxx *xx
Awnings: I 2
Chimney:
Doors and Door Jams:
Garage Doors: I
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
2 3
2
3
3
,
2
All brick (simulated or regular):
Stucco Banding:
Any other Stucco Features:
Accessory Buildings Other:
2 � by
nally known ar who has produced
3
The for oing instrument was a •nowledged e re
Oa_ A L A
"��'�
4
4
4
4
Signature
)wner or Agent Contractor
Attach color samples with name and
number.
v
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with a applicable laws regulating construction and zoning.
t
e this j The regoing instrument was acknowledged before me this
i .20 ,by
wI o is personally known to me or who has produced
cation and �Iro did take an oath. as identification and who did take an oath.
• '"L� NOTARY PUBLIC:
p4.0 Print:
,�,p���� My Commission Expires:
******‘ Xa'x eretxx �txxxxxrxxxxx*u+ X+ 4x** xx%x *s:u drx 4e XxxeYxxoFxxxxrx xxxxxxxxxxxxxxr. u*x
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/0