PT-10-252J
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Inspection Number: INSP- 135887 Permit Number: PT -2 -10 -252
Scheduled Inspection Date: July 02, 2010
Inspector: Bruhn, Norman
Owner: CSATA, AMY
Job Address: 150 NE 108 Street
Miami Shores, FL 33161-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
July 01, 2010
1
No Additional Inspections can be scheduled until
re- inspection fee is paid.
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: Addition /Alteration
Phone Number (786)200 -0178
Parcel Number 1121360100050
Page 6 of 14
«0
Inspection Number: INSP - 135887 Permit Number: PT -2 -10 -252
Scheduled Inspection Date: July 02, 2010
Inspector: Bruhn, Norman
Owner: CSATA, AMY
Job Address: 150 NE 108 Street
Project: <NONE>
Miami Shores, FL 33161-
Contractor: HOME OWNER
Building Department Comments
July 01, 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: Addition /Alteration
Phone Number (786)200 -0178
Parcel Number 1121360100050
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 6 of 14
Project Address
150 108 Street
Miami Shores, FL 33161-
1121360100050
Block: Lot:
ANA MERCEDES CASTILLO
Owner Information
ANA MERCEDES CASTILLO
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.60
$66.60
Building Department Copy
Address
Parcel Number
3 ISLAND Avenue
MIAMI BEACH FL 33139 -1335
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
(305)674 -8403
Valuation:
Total Sq Feet:
Type of Work: Exterior
Color.
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments: SHERWIN WILLIAMS - WALLS- N(
Color. _Denied
Invoice
PT - 2 - 10 - 37077
Total Amt Paid Amt Due
$ 66.60 $ 66.60 $ 0.00
February 18, 2010
Date
Expiration: 08/17/2010
Applicant
Cell
$ 500.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
1
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.
February 18, 2010 1
Building Department
t0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Td (305) 795.2204 gaga 805) 756.8972
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT (y n L
Owner's Name (Fee Simple Titleholder) 1 t� y M C (� 5 tit Phone # L D 4 . o U
Owner's Address 15 0 p6 () 1 ',' 5f.
City1 arn t 5k, V(? 9 State Ft_
Tenant/Lessee Name
E -MAIL: GA C 5 o0-ok p 9 rn 01. c Oral
Job Address (where the work is being done) ( 9 ® fig f (V? ' cJ t • Nkf a m S Y 1, or-es FL to
City Miami Shores Vill. e County Miami -Dade Zip ( 1
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
Miami Shores Village
Amy M (r,t
Zip 531 (4)I
Phone #
State Zip
Value of Work For t is Permit $ 5 OS- Type of Work: ❑ rr Addition / ❑ Alteration / ❑New / ❑ Repair/Replace
Describe Work: & l (\j -( ,1-er ( or of ko U 5-C.
Application is hereby made to obtain 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 be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for
ELECTRICAL 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 exceeding $2500, the applicant must promise in good faith that a copy 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 of the recorded notice
of commencement must be posted at 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 be approved and a reinspection fee will be charged
Permit Fee $ CCF $ Technology Fee:
Training/Education Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side -+
PAINT COLOR APPROVAL AND AGREEMENT
An elements on the site must be listed and indicate the color to be painted
Directions: Please circle corresponding number to appropriate cc
Walls:
3
Fascia: 1 2 3 4
2 3 4
2 3 4
Roof: 1 2 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney 1 2 3 4
Doors and Door Jams: 1 2 ®3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
Fences: 1 2 3 4
Drip Cap/Drip Edge:
Soffit: 1
All brick (simulated or regular): 1
Stucco Banding: 1 2
Any other Stucco Features: 1
Accessory Buildings
Signature
APPLICATION APPROVED BY:
3
Other:
Att and
SW 6107
Nomadic Desert
OWNER'S A}' VIDAVIT: 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
Contractor
The foregoing instrument was acknowledged before me this
day of ,20 ,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Owner or Agent
The foregoing instrument was ac %Wedged before me this
day of ,6 , 20 t" by !1iiU A ,
who is personally known to me or who h i i H
As identificatiO pi i .
NOTARY PUBLIC:
�� �0812012
\
Sign: ` < i ,
C '
Print: Comm # '
My Commission Expires: ..„..3.-0,46: Nl .. 00785901 : O -
Of f1O 0. •.•
Plans Examiner
n Preservation Board
t 111 t C Code Enforcement
(Revised 04/24/07)