PT-08-1413 rr�
f 4 f
Miami Shores Village
10050 N.E. 2nd Avenue s 0 o
Miami Shores, FL 3313 8-0000 f c
Phone: (305)795 -2204
Expiration: 31
Project Address Parcel Number Applicant
315 NW 111 Street 1121360010740
Miami Shores, FL 33168 -3303 Block: Lot: MARGARET REYNOLDS
Owner Information Address Phone Cell
MARGARET REYNOLDS 315 NW 111 Street (305)759 -1235
MIAMI SHORES FL 33168 -3303
Contractor(s) Phone Cell Phone Valuation: $ 1,
HOME OWNER
Total Sq Feet: 0
Type of Work: Exterior Available Inspections:
Color: Inspection Typ
Additional Info: Final
Classification: Residential
Color: Approved Code Comments: GLIDDEN - WALLS - PETAL PINK
Color: Approved_ Color: _Denied
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60
Education Surcharge $0.20 $ 62.30 $ 62.30 $ 0.00
Permit Fee $60.00
Technology Fee $1.50 Payment Type: Cash
Total: $62.30
,J6 0 '7 PIT
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.
August 07, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Thursday, August 7, 2008 1
e
Miami Shores Village
.Building Department
10050 NE 2nd Ave
Miami, F133138
(305)795 -2204 (ph); (305)756 -8972 (fax)
ATTENTION HOMEOWNERS
YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION
FROM THE BUILDING DEPARTMENT.
This permit is valid for 180 days. If it is not finalized during this period of
time, the permit will expire, and if will require payment of a renewal fee to
reinstate it and to call final inspection.
WHEN THE PAINTIN IS COMPLETED, PLEASE CALL THE
BUILDING DEPARTME� AT 305-795-22'04 TO SCHEDULE YOUR
FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT.
*Wn signature
Thank you for your cooperation
Miami Shores Village "tZ C
JUL ± a 2008 ¢
Building Department
10050 N.F.2nd Avenue, Miami Shores, Florida 33138
• l►fAYY �a4♦ �i��•
Tel.: (305) 795.2209 Fax: (305) 756.8972
BUILDING Permit No. - pro * 40
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type PAINT PERMIT --®
Owner's Name (Fee Simple Titleholder) Phone # JAS75-62 (r � V
Owner's Address 3 `` // - /yw 1151 -
City �'•• 5 S State (-- � ✓i Zip 3/ fi
Tenant/Lessee Name f ° /��t c.. Phone #
E -MAIL:
Job Address (where the work is being done) 315"'
City Miami Shores Village County Miami - Dade Zip _ ,�} /ry
FOLIO / PARCEL #
Is Building Historically Designates! YES NO
Contractor's Company Name �� OG���t�- Phone #
Contractor's Address
ity_ State Zip
Q lifier Name Phone #
St e Certificate or Registration No. Certificate of Competency No.
OWP�ER BUILDER:
w
Value of Work For this Permit $ Type of Work: ❑ Addition / ❑ Alteration / ❑New / Q Repair /Replace
Describe 1 4rk:
Application is he v made to obtain a perrnit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the iswance of a pernnit
and that all w<xi W + be perl'onned to meet the standards of all laws tet ulating eonstmction in this jurisdiction. t understand that a separate permit mAtst r+ed Ibr
EI.XC'TRIC'Al. WC PI -LUMBING, SKINS, WEI. LS. POOt,S, f URNACI S, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC,....
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR: PAYING: TWICI FOR
IMPROVEMENTS TO YOt1R PROPERTY. IF YOU INTEND TO owrAIN FINANCING. CONSULT WITH YOt* LENCtER Olk All ATTORNEY BIWORE
RECORDING YOUR ly(bTICEOFCOMMENCEMENT."
Notice: to .4ppliccxn: A.c a condittkA, to the isrn anc:e qfa building permit with an estimated vakx, exceeding $ 2500. the applicant must promise in got dapith that a corn cr%t/k
notice of commencement and construction lien iCnv brochure will be delivered to the person 4hose propeHy is sabject to atthchmnt. 41so, a certified eWetthe reawkd w)iia
gf camrnenecnrent rrtust,be pasted of the job ite for the first inspection which occurs seven (7). dayi Oer the building permit is issued In the absence )rtf srtch posted murce A
inspection will not be approved and a rein.Vvdion.tee. wik be charged.
Permit Fee $_ia? _� CCF $ � � Technology Fee: �./
Training /Education Fee $ Q � Notary $ Code Enforcement
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse aide -
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the Color to be minted
Directions: Please circle corresponding number to appropriate color sample.
Walls: t 2 3 4 Attach color —
Fascia: I 2 3 4
Drip Cap /Drip Edge: 1 2 3 4
Soffit: I 2 3 4 �
Petal PinF E
Root' 3 4 1 OYY 74/08.
Flower Bins: I 2 3 4 - --
Shutters: I 2 3 4 l
Awnings: I NA 2 3 4
Chimney: i O A 2 3 4
4
Doors and Door ,lams: I 2 3 Indian Painting
OOYY 50/091
Garage Doors: 1 2 4
Railings: I KIL 2 3 4 —.
3
Fences: 1 4
All brick (simulated or regular I '"�1c 3 4
Stucco Bandin F L. 2 3 4 t
Anv other Stucco Features: 13 4
4 .
Accessory Buildings Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with all applieable.laws regulating construction and zoning: }
Signature
Signature f^ L
Owner or Contractor
gent
e this
The foreeoing instrument was acknowledged before me this The foregoing instrument was acknowledged before in
day of 200. by _ day of 20a. by r
who i. personally known o me or who has ptt)duccd .__ who i, ersonal y known o me or who has produced
As identification and who did take: an oath. as identification and who did take
NOTARY I I IC: NOTARY LIC:
Sign: Sign:
Print:._.
Print: POMN
, .� 1 PRY PVe . lT P b
Note Public - Stale � Fbdda My Commission Ex = 's Pubec - Stye d Fbr«!a
My Commission 1=x Notary Explo sJun25.2010
• • My Commission Expires Jun 25, 2010
Commission # DD 567746 **
* * #* * * **
e 1 'At"tA8trry l�asn'` * * * * * *� ** * * * * ** � ** j a ry Assn. ee
7� Plans Examiner
APPLICATION APPROVED BY:
_ Preservation Dowd
Code E.nkircement
(Revised 04/24/0
Inspection Worksheet
son n Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
- :sue
Inspection Date: 0812712008 Permit Type: Paint
Inspector: Grande, Claudio Inspection Type: Final
Owner: REYNOLDS, MARGARET Work Classification: New
Job Address: 315111 Street NW
Miami Shores, FL 33168 4303 Phone Number (305)759 -1235
Parcel Number 1121360010740
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Bullding Department Comments
PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Passed cc „ �7 ✓ OT
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid
Tuesday, August 26, 2008 Page 2 of 2