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PT-09-1762Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Type : : Pal Phone Type of Work: Exterior Color: Additional Info: Classification: Residential Color. _Approved Color. _Approved_ Code Comments: BEHR - WALLS, BRICK - PEBBLE Color. _Denied Fees Due CCF Education Surcharge Miscellaneous Fee Notary Fee Permit Fee Scanning Fee Total: Amount $0.60 $0.20 $1.50 $5.00 $60.00 $0.00 $67.30 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Invoice # PT -10 -09 -36236 Check #: 1595 Total Amt Paid Amt Due $ 67.30 $ 67.30 $ 0.00 November 17, 2009 Date Expiration: 05/16/2010 174 108 Street Miami Shores, FL 33138- 1121360100070 Block: Lot: JACQUELINE BARRETT Total Sq Feet: 0 CeII JACQUELINE BARRETT 174 108 Street MIAMI SHORES FL 33138- (305)754 -9892 Valuation: $ 1,000.00 For Inspections please call: (305)762 -4949 Available Inspections: 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 17, 2009 1 Inspection Type: Final 1 Lin ,01Zt um 1\13 BUILDING PERMIT APPLICATION FBC 2004 Permit Tyne: PAINT PERMIT Owner's Name (Fee Simple Titleholder)JA U d t (a. 1 3 Owner's Address - IN/ / D S City Ari\ 1 Sh a'ii - ,State Tenant/Lessee Name Phone # Job Address (where the work is being done NE lad "Sir I Ps° E -MAIL: City Miami Shores Village FOLIO / PARCEL # Qualifier Name OWNER BUILDER: Describe Work: am Permit Fee $ Training/Education 0 i!N Double Fee $ Miami Shores Village Building Department 1900 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 County Is Building Historically Designated YES NO fr Zip Miami -Dade Master Permit No. Phone # O )P (cma -- %m ' KCT27 BY :.. Permit No. Pr n (o g Vie-CtUr eel, { l Phone # O 3 •246- 1144- 3 / I Zip 4 ' I Contractor's Company Name Contractor's Address City State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Value of Work For this Permit $ 1 x'10 Type of Work: ❑ Addition / Alteration / ['New / ❑ Repair /Replace a 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 he performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must he secured liar ELECTRICAL WORK. PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC "WARNING T() 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 of a building permit with an estimated value exceeding $2500. the applicant roust promise in good /aith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also. a certified copy of the recorded notice of roust be posted al the job site for the first inspection which occurs seven (7).days after the building permit is issued In the absence of such posted notice. the inspection will not he approved and a reinspection fee will he charged. xwxd:xwxxa**********xxxxx ******* wwwww *F * ****'** ***3c4e***w**w tot *w**www.***wwwww.w** CCF$ Ntitary.$ I r 'Zoning $ Technology Fee: 1 ' SO Code Enforcement $ Total Fee Now Due $ (c'7 - oe tCCI ` ?_ P;; ;. j See Reverse side a Directions: PI = le corrsing number to appropriate color sample. Walls:t. ° eM rsamples with name and tl•c cam amber. Fascia: Drip Cap /Drip Soffit: Roof: Flower Bins: I Shutters: Awnings: Chimney: 1 2 Doors and Door Jams: Garage Doors: 12 3) Railings: Fences: 1 .-- All brick (simulated or regular t ..Stucco Banding: l Any other Stucco Features: PAINT COLOR APPROVAL AND AGREEMENT AU elements on the site must be listed and indicate the color to be painted 3 3 Accessory Buildings Other: My Commission Expires: • ►3-« 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 Owner or Agent Contractor The for of g i stn ant s owl ged hef re me this Th foregoing instrument was acknowledged before me this day o � �9 / 20 by i� .�� L � �J ` of . 20 . by Iv known t le or who ha produced who is personally known to me or who has produced .2.0) ti. ication an who did take an oath. as identification and who did take an oath. NOTAR I I IC ( • NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: w********* **** ***** ***xxxoe*xx**x*x********** **, ** *tc xxxx *****************W wwwx**x*********************** APPLICATION APPROVED BY: • Plans Examiner Preservation Board Code Enforcement (Revised 04/24/0 • Inspection Number: INSP - 127828 Scheduled Inspection Date: April 19, 2010 Inspector: Bruhn, Norman Owner: BARRETT, JACQUELINE Job Address: 174 NE 108 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments April 16, 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 Number: PT -10 -09 -1762 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)754 -9892 Parcel Number 1121360100070 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 eec Page 1 of 28 Inspection Number: INSP- 127828 Permit Number: PT -10 -09 -1762 Scheduled Inspection Date: April 19, 2010 Inspector: Bruhn, Norman Owner: BARRETT, JACQUELINE Job Address: 174 NE 108 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments 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 April 16, 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 (305)754 -9892 Parcel Number 1121360100070 Page 1 of 28