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PT-10-263 ! TJ.3€ X� Miami Shores Village 10050 N.E. 2nd Avenue ' 5 Miami Shores, FL 33138-0000 y i Phone: (305)795 - 2204' 3' y� Expiration: 08/23/201 Project Address Parcel Number Applicant 125 107 Street 1121360070270 Miami Shores, FL Block: Lot: TERRELL WALTER Owner Information Address Phone cell TERRELL WALTER 125 NE 107 ST MIAMI SHORES FL 33161 -7031 Contractor(s) Phone Cell Phone $ 1 ,600.00 HOME OWNER Valuation: Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: PAINT Available Inspections: Classification: Residential Color: _Approved Code Comments: Behr -walls -sage palebrush / fasc Inspection Type: Color. Approved_ Color: Denied Final Fees Due Amount CCF Invoice # Invoice Total Amt Paid Amt Due $1.20 Education Surcharge PT- 2-10 -37089 $0.40 Notary Fee $5.00 $68.20 $68.20 $0.00 Permit Fee $60.00 Check #: 877 Technology Fee $1.60 Total: $68.20 Building Department Copy February 25, 2010 2 V� Miami Shores Village "1919 V13 � FEB � Building Department �... 9�� 1.0050 N.l;2nd Avenue. Miami Shores, Florida 33138 1J Tel: (305) 795.2204 Fax: (305) 756.89 ..... ............. . BUILDING Permit No. �� " a� PERMIT APPLICATION ' master Permit N o. -FBC 2004 Permit Type: PAINT PERMI' Owner's Name (Fee Simple Titleholder) r, Y� W G Ck, Phone # 3o S' Y " rZ d Owner's Address AL:_ /p 7 ,4P 5r., _ City R I' State V4 Zip 331 Tenant /Lessee Name Phone # E-MAIL: Job Address (where the work is being done) f L - r r7 `7 1J 5 t� City _ __ Miami Shores Villa �_ye County Miami -Dade Zip 3�L FOLIO / PARCEL # Is Building Historically Designated YES fNO Contractor's Company Name _ '�� Phone '# 3 Contractor's Address City_ -- State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit $ / &t Type of Work: El Addition / ❑Alteration / El New /El Repair/Replace Describe Work: i. Application is hereby made to obtain a permit to do the work and installations ac indicated. I certify that no work or installation has commenced, prior to the issukacc or pennit and that all work will he perl'onmd to meet the ,landards of all laws regulatingeonstruction in this jurisdiction. I understand that a separate pern6it must be seaired l6r f:I.I-CTRICAI. WORK. PLUMBING, SIGNS, WEI.I,S. POOLS, FURNACES, BOILERS. 1- EATERS, TANKS and-AIR CONDITIONERS. ETC..... , "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMFNCEMENT •MAY. RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'T'END , rO Oli'rA1N FINANCING, CONSULT'WITtl YOUR LENDER OR AN ATTORNEY REFOR[ RECORDING YOUR NOTICE Oh COMMENCEMENT." Notice io ; I pplicanl: As a condition to the issuance of a hudding permit with an esti value exceedin $2jOtl, the applicant rrrusi promise in gmRad Iailh I110111 cop!° 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 cif the recorded notice of cornmencernew must he posted at the job site, for Ihe_firsl inspection which occurs seven (7) days after the building permit is issued. In the absence of sucb posted notice. Ilia inspection will not be approved and a reinspection.fee will be charged. Perin it Fee CCF $ Technology Fee: ` Training /Education Fee $ d y O Notary $ 5r du Code Enforcement Double Fee $ Zoning $ Total Fee Now Due $ tp77 See Reverse 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: I 2 3 4 Attach color samples With name and Fascia: I 2 , 4 .r. Drip Cap /Drip Edger I 2 ; 4 Softir. 1 X 2 1 ; 4 Roo(-. 2 3 4 Flower Bins: I k 3 4 Shutters: 1 2 3 4 / I N T E R 1 O R S & E Awnings: I 2 3 4 2 Chimney: 1 2 3 4 Doors and Door Janis: I 29 3 4 Garage Doors: 1 3 4 Railings: 1 2 3 4 3 BLANCO ULTRA PUROT " 2050 Fences: I 2 3 4 ULTRA PURE WHITE® 2050 All brick (simulated or regular 1 2 3 4 Stucco Banding: I 2 3 4 Any other Stucco Features: 1 .2 3 4 4 Accessory Buildings Other: 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 le;r Signature Owner or Agent Contractor 'The 1' e ing instrument was x •knowled ed efore me his foregoing instrument was acknowledged before me this_ day o k ;r1� by -U, day of . 20 — by who is ersonaliv vn o the or W110 has produced _ who is personally known to me or who has produced 11 ' dentification and ho did take an oath. as identification and who did take an oath. No'rA Y I' 1 �b9 N01'ARV PUBLIC: Sign: Sign- Print:� My Commission E:ixpires: ? ,�; � aC My Commission Expires: ��tx�• �t�* ,c * *��t * *,�� *�� *x *,��t *�t�' ..., �, ��t**• x�a* ��*** ��, �r, ��t�* ��r�**** ��**** ��r*** �* �* �t� *aat��r * *�r�r * * �� * *,x; *X APPLI(WHON APPROVED BY: Plans Examiner Preservation Board kO Code Enlorciement 74 (Revised 04/24/0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 135984 Permit Number: PT -2 -10 -263 Scheduled Inspection Date: March 02, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: WALTER, TERRELL Work Classification: Addition /Alteration Job Address: 125 NE 107 Street Miami Shores, FL Phone Number Parcel Number 112136007027 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passe �r r Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 01, 2010 For Inspections please call: (305)762.4949 Page 13 of 27 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 135984 Permit Number: PT -2 -10 -263 Scheduled Inspection Date: March 02, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: WALTER, TERRELL Work Classification: Addition /Alteration Job Address: 125 NE 107 Street Miami Shores, FL Phone Number Parcel Number 112136007027 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 01, 2010 For Inspections please call: (305)762 -4949 Page 13 of 27