PT-10-196 „ T 5
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Miami Shores Village 1 °
10050 N.E. 2nd Avenue F�
Miami Shores, FL 33138 -0000
” Phone: (305)795 -2204 a G
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"y Y' 0; N ' Expiration: 081071201
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Project Address Parcel Number Applicant
112 111 Street 1121360040100
Miami Shores, FL 33138- Block: Lot: ANA MARIA TORRES
Owner Formation Address Phone Cell
ANA MARIA TORRES 112 111 Street (305)754 -2251 (786)200 -9109
MIAMI SHORES FL 33161 -
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 0
Type of Work: Exterior For Inspections please call:
Color: (305)762 -4949
Additional Info: Available Inspections:
Classification: Residential Insp Typ
Color Approved Code Comments: HIMALAYAN TREK -WALLS BM154 Final
Color: Approved_ Color. _Denied
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $ P r - -10 -37007 $ 66.60 $ 66.60 $ 0.00
Education Surcharge $0.20
Notary Fee $5.00
Permit Fee $60.00
Technology Fee $0.80
Total: $66.60
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App cant Copy For Inspections, Call (306) 762 -4949.
Requests must be received by 3 pm for following day inspections.
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NOTIC� addition to the requirements of this pec -.4, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additiog,al restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
February 08, 2010 '— 2
Miami Shores Village o 3039T3
Building Department`
1.0050 N.L_..2nd Avenue, . Miami Shores, Florida 33138 B
Tel: (305) 795.2204 Fax: (305) 756.8972
........................
BUILDING Permit No.
PERMIT APPLICATION Master P ermit No.
FBCIM
Permit Type: PAINT PERMIT
Owner's Name (l=ee Simple Titleholder) M a la r e e `� 63 WIeZ Phone # �j 10 ,T 4.J y 'Z 2 —r
Owner's Address I 1 N 744 S .
City hjj, 4(A J State F{ Zip 3 fj
Tenant /Lessee Name Phone #
E -MAIL: _^ C D MA 1 164 q r Ap'E7�Vl l. co gAj
Job Address (where the work is being done) _ 11 ,� J
City Miami Shores Villa County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City__�� State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER RUILDER:
Value of Work For this Permit Type of Work: ❑ Addition / ❑ Alteration/ ❑New Repair /Replace
Describe Work: NIoi 1 .
Application is hereby made to ottain a permit to do the wort: and installations w indicated. ke& itv thtiind'tvork or installation has commenced prior to the issuance of a permit
, a y
and that all v` <ork will be pet l'arnicd to meet the standards of all laws regulaUn, construction in tl jurisdiction. I understand that A S t gaitt ilemryl #Je�eexlred !yr .
EL C'TRIC'AI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNAC FS, BOILERS, HEATERS, TANKS and AIR ('ONtlHJ* r 1 . CC ? .. :.: 4 { r,
"WARNING TO OWNER: YOUR FAR.,URF. TO RECORD A NOTICE OR COMMENCEMENT iVIAY, r RESULI' PALING TWICE FOR
IMPROVEMENTS'1'O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITtl YOUR LEND i N ATTORNEY 6EF0111-
RECORDING YOUR NOTICE OF COMMENCEMENT." `
Notice to ; I pplicant: As a condition to the issuance ofa building permit with an estimated value exceeding $2500. the applicant trust promise in good faith that a copy of the•
notice of cortmtencentent and construction lien tau brochure will be delivered to the person whose property is subject to. attachment. also. u cerf#iedcopy (0he recorded notice
gf connnencenteni must be posted ai the job site, the first inspection which occurs seven (7) days after the building perntit is issued In the absence oj'suc•h ponied notice. the
inspe will not he approved and a reinspection fee will he charged.
Permit Fee $ �' CCF $ Technology Fee:
Training /Education Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side —a
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be tainted
Dir•ectiOns: Please circle corresponding number to appropriate color sample.
Walls. I t Attach - _�� ..�..o and
Fascia: I 2 4 -
Drip Cap /Drip LAge: 1 2 3 4
Soffit: I ? 3 4
london fo g
Roof 1 2 3 4 1541
.. 2 3
Shutters: l 2 3 4'
Awnings: I 2 3 4 2 [
+
Chimney: I 2 3 4
A w
Doors and Door .lams: 1 2 3 4 '
Garage Doors: I S -, 3 4
Railings: I 2 3 4 3 V�
Fences: 1 2 33 4
All brick (simulated or re(rula.r 1 C2 '
3 4
Stucco Banding: I 2 3 4 ,
Any other Stucco Features: 1 2 4
4
Accessory E3uildings 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.
i
Signature Signature
` caner or Agent f � • onU•actor
m—
The t( a instrueWas i owled aed e re is The foregoing instrument was acknowledged %efore me this day of ? b)' v I' 2(1 by
n who is pei unall� known to me it who has pioduced� I is personally known to me or who has produced
�J �Wcation an �kho did take an o itl as identification and who did lake an oath.
NOTAR ,'�Z� NOTARY PUBLIC:
Sign: R.!• � b ,; , e"S n:
Print: --- - - - - -- a Z c0 e ® ���� Print _
My Commission Expires: � ® �� Y a + +,��d�h���,�fi�'� My Commission Expires:
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���: �.: �x� :�r:r�x *x *x��:� *�xx��x * * t �.:. ��r�** �x��xxKx�,: x�, r� �x��*. t** x** ��x�..: t• xx � *� *xxxx *x
.APPLICATION APPROVED BY: 7 Plans i xIaminer
Preservation Board
Code Enliircement
(Revised 04/24/O 'r
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 135072 Permit Number: PT -2 -10 -196
Scheduled Inspection Date: March 11, 2010 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: TORRES, ANA MARIA Work Classification: New
Job Address: 112 NE 111 Street
Miami Shores, FL 33138- Phone Number (305)754 -2251
Parcel Number 1121360040100
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Passed cc__
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 10, 2010 For Inspections please call: (305)762 -494.9 Page 11 of 20