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PT-06-1608Issue Date: 6/19/2006 Owner's Name: JAMES BALDO Permit Type: Paint Work Classification: New Job Address: 49 110 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINT Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/11/2006 Type of Work: Exterior Color: UNIVERSALKHAKI, HARDWARE Additional Info: Classification: Residential 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 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -6-06 -1608 Phone: (300)575 -8118 1121360040270 Lot: PB: Total Square Feet: 0 Total Valuation: $ 300.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT - 6 - 06 - 25206 Total: 'JUN 22 PAID Amt Due $67.30 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . BUILDING 1 C C° 4-cl A' PERMIT APPLICATION FBC 2004 Permit Type (circl Jl 3Q Owner's 4'1 /U8 `/0 Cit m on snores State Owner's Name (Fee Simple Tit e s o • er) Tenant/Lessee Name Job Address (where the work is being done) See 630 OE City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 631.0n-QJ& Contractor's Address City State Qualifier Name State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 50 O Type of Work: ['Addition ['Alteration Describe Work: Submittal Fee $ Notary $ �• co Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Training/Education Fee $ Q o 0 Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Permit N: F 1 Master Permit No. RECEIVED JUN 1 4 2005 BY: lipillecRtir 06 - 160$ Mechanial Roofing Phone # 3DS 7S I tits- Zip 3 31 ( Q Phone # Phone # Zip Phone # Phone # Square / Linear Footage Of Work: - ❑ Repair/Replace Total Fee Now Due $ Zip ❑ Demolition CCF $ 0 k J CO /CC Technology Fee $ Zoning $ -.3 See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 7 City State Zip Application is hereby ma to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to t e 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 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. "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 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 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 no a approved and a reinspec 'on fee will be charged Signature /.4f �i — „. Signature A wns o r Agent Contractor The foregoing instrument was acknowledged a fore me this i [ The foregoing instrument was acknowledged before me this day of JD� Cdr, 4&)CCc) — , 20 by /i )(Jj day of - , 20 , by who is personally known to me o who has produced 1iJi <L L,, who is personally known to me or who has produced lkD As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: _ NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08106) Sign: Print: My Commission Expires: 4 Plans Examiner Engineer Zoning Miami Shores Village Paint Color Approval and Agreement Date le vv , / h i Name JIVL4 7 3PYAQU 1 Phone # 36 S 4 -/ f Owners Nam i / �� / • o Roof Flower bins Shutters Awnings Chimney Signature Owner's Addrecss a �r / � City A4 e J4,0 S State — Zip !(JC Job Address (where the work is being done). 5e-C_ a k) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO . DU-)y0-Y\ Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Contractor's Company Name (if applicable) 11 - ei - a. vdiLk - Fascia Drip Cap /drip E ��,RD de Ca- f4 C I AC Soffit 3= Accent APPLICATION APPROVED BY: P& Z Official 14) v1 Combination B Date Date 4 Doors and door jams Garage doors Railings p� Fences r t o Decorative metal ft irr All brick (simulated or regular) 1 1101 Stucco banding VI V+ Any other stucco features / A Accessory Buildings 1 1 I Other, 1/1 I el— ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AF 1 � - ' ' : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws - . Pisii • zoning. i i Owner or Agent coliq lto6 srict chc 6/18/03