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517 NE 102 St (14)Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Permit Issue Date: 5/9/2007 Permit NO. PT -5-07 -919 Permit Type: Paint Work Classification: New Permit Status: APPROVED Expiration: 11/05/2007 Parcel Number Phone Applicant 517 NE 102 Street Miami Shores Village, FL 1132060170950 Block: Lot: JILL BREMEN Cell JILL BREMEN 517 NE 102 ST MIAMI SHORES FL 33138 -2454 Contractor(s) HOME OWNER Phone Cell Phone Type of Work: Exterior Color: dried palm /casa blanca /centaur Additional Info: Classification: Residential Color: dried palm /casa blanca /centaur Approved Color: dried palm /casa blanca /centaur_Approved Code Comments: BEHR - WALLS - DRIED PALM Color: dried palm /casa blanca /centaur_ 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 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Total $ 0.00 $ 0.00 Payment Type: Amt Paid I Amt Due $ 0.00 PAID Valuation: Total Sq Feet: $ 1,000.00 0 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. May 09, 2007 Date Wednesday, May 9, 2007 1 II Fik !Inspection Number: INSP -4$294 Inspection Date: 05/29/2007 Inspector: Grande, Claudio Owner: BREMEN, JILL Job Address: 517 102 Street NE Project: <NONE> Thursday, May 24, 2007 Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170950 Lot: Page 1 of 2 MAY 2 a 2007 Passed '( r k Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until II Fik !Inspection Number: INSP -4$294 Inspection Date: 05/29/2007 Inspector: Grande, Claudio Owner: BREMEN, JILL Job Address: 517 102 Street NE Project: <NONE> Thursday, May 24, 2007 Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170950 Lot: Page 1 of 2 Signature who 's l Directions: Please circle corresponding number to appropriate color sample Walls: The foreg day o Fascia: NOTARY 1 Drip Cap/Drip Edge: _1 (, ) 4 Soffit: 1 /N IA 2 3 4 Roof: Flower Bins: Shutters: 1 Awnings: 1 Chimney: 1 Z1eoea rzl Door Jams:_1 Garage Doors: 1 Railings: _ 1 Fences: 1 Sign: Print: My Comm ssion Expires: 1 Owner or Agent APPLICATION APPROVED BY: PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 3 2 2 2 2 2 3 3 4 3 4 3 4 3 4 3 4 3 3 3 Other: • 0 ' 0 cf'.: ng instrument was a o1 edge. before me this 2c by • Il ll _Oa A 1 y known to me or who has prc .As identiticationAtif.agkke R(foath. \ S• r . 4 4 4 4 4 All brick (simulated or regular):1 2 Stucco Banding: 1 2 3 Any other Stucco Features: 1 2 3 4 Accessory Buildings Attach c� 13 ET: 400C -3 u Dried Paim OWNER'S AFFIDAVIT: I certify tha all the foregoing information is accurate and that all work will be done in compliance with all applicably laws regulating construction and zoning. Signature Contractor The foregoing instrument was acknowledged before me this 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: Plans Examiner Preservation Board Code Enforcement ith name ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 04/24/07) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i Y : BUILDING C5)0 l . Permit No. l� I ( l PERMIT APPLICATION Tow& FBC 2004 Permit Type: PAINT PERMIT '®c. (S 11 17 pP S Owner's Name (Fee Simple Titleholder) _. A 4 a1 ` 1 � i f 1'/dk' `,^:fit Jv/ 'Phone # )1"—; / 1 - / J �!' Owner's Address f 1 �� ✓ > / City jilt /ill I1 j/L t/fkY State r Zip )) Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) �� VLL Contractor's Company Name Contractor's Address State Certificate or Registration No. OWNER BUILDER: Value of Work For this Permit $ Describe Work: 2 ,/k !!1, 4 Miami Shores Village Building Department County Miami -Dade City Miami Shores Villa : e FOLIO / PARCEL # Is Building Historically Designated YES NO Master Permit No. Phone # Zip Certificate of Competency No. YES /NO IIi iv Ij City State Zip Qualifier Name Phone # Type of W rk: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair /Replace rye 9 2601 Application is hereby made to obtain a per snit to do the work and installations as indicated. 1 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 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 not be approved and a reinspection fee will be charged. * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ (QL '� `� CCF $ �/ "�Q Technology Fee: I' Training /Education Fee $ 0-90 Notary $ t/'OD Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ Cal See Reverse side - PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER B TO RETAIN COPY) /� Date j - / / Job Address 5(7 be + O t �� St Tax Folio j/ J /9.5 a Q Legal DescriptionE 7 1,5 10417 r� inS ►Master Permit # ` J 0 /Xprg Owner / Lessee / Tenant IOM f nEAJ (SI" Owner's Address 5( 7 AJE 1® 0 6* Phone 75co 75h Contracting Co. 41/ Address Qualifier Phone State# Comps (/ wh"/ Ins. Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION PRESsvee C4t Square Ft. Estimated Cost 800 40 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. 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. Furthermore, I authorize the above -named contractor to do the work stated. date g/03/47 It Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder Date: 4 .lJ! i , i Not 7 y . 1 s to Owner and /or Condo President My Commission Expires: 7 Vg * * * * * * PERMIT FEE: APPROVED: Fire Zoning Mechanical Building Plumbing Date: Notary as to Contractor or Owner - Builder My Commission Expires: Electrical Engineering