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534 NE 102 St (15)Issue Date: 9/8/2006 Owner's Name: JIMMIE BEARD Permit Type: Paint Work Classification: New Job Address: 534 102 Street NE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/07/2007 Miami Shores Village, FL 33138- Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: WALL APPLESAUSE TRIM WHITE Additional Information Type of Work: Exterior Color: 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 Re Parcel #: Block: Section: Final Permit Status: APPROVED Permit Number: PT -9 -06 -2277 Phone: 305/757 -2400 1132060171050 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 uired Ins • ections Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $0.60 $0.20 $60.00 $1.50 $62.30 Invoice Number PT - 9 - 06 - 26072 Total: Amt Due $62.30 Amt Paid re g i Brits of this permit, there may be • `f this property that may be found in the 1, NOT E: In addition to the addit o " ..-strictions a• public records of f is Bounty. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. the permit is attached to the window 1/ D Passed ✓ Inspector Comments Failed Correction Needed Re- Inspection Fee . ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: INSP!= 26088 . er: ' PT946- 2277 Inspection Date: 10/03/2006 Inspector: Inspector, Default Owner: BEARD, JIMMIE Job Address: 534 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, October 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ®CT 0 4 M 6 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305/757 -2400 Parcel Number 1132060171050 Lot: Page 1 of 2 BUILDING MOMEVM PERMIT APPLICATION FBC 2004 Permit Type (circle Building ) Ele ttcar Plumbing Mechanical Roofing Owner's Name (Fee Sim Owner's Address 3 L i City NI AA't SMu Tenant/Lessee Name Job Address (where the work is being done) City Is Building Historically Designated YES Contractor's Company Name Contractor's Address lV r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 10 5T E`r State E (...v Q. i RA Miami Shores Village County Miami -Dade FOLIO / PARCEL# 11 30,0(a — 01 ©SO aster Permit No. Zip 3 3a Phone # N F_ (o Z4 Brut . NO Structural Review. $ Total Fee Now Due $ Permit No. PrOG Zip 3 3 (32) Phone # City State Zip Qualifier Name Phone # State Certificate or Registration No. ; Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 47' 506 •®® / Square / Linear Footage Of Work: Type of Work: yp ['Addition ❑Alteration - ❑New Re air/Re lace p p ❑ Demolition Describe Work: Pfre_5c (1.0 Sic[ Cl Per f) u 5E: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, F * * * * * * * * * * * * * * * * * * * * * * * *** * * * ** Submittal Fee $ Permit Fee $ `) • oO CCF $ t GO .COO /CC Notary $ Training/Education Fee $ i ZCD Technology Fee $ 1 ' Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ (02 See Reverse side —* Bonding Company': Bonding Company's City Mortgage Lender's Mortgage Lender's City Application is herei commenced prior t■ construction in this j WELLS, POOLS, F1 Signat (Revised 02/08/06) NOTARY PUBLIC: J. ANTHONY BEAM 534 NE 102 ST. MIAMI SHORES, FL 33138 l ie . odeeo ✓ S t APPLICATION APPROVED BY: 6120-22 &at0Yn1 BNd. ,,, i 1-866- Florida 38137 Won% 1,8/62 P (Y !! n (�� - 1:06701313368: /0 L8 L0 'II° 0 L 23 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) d s after the building permit is issued. In the absence of such posted notice, the inspection will,not be pro d a ectT�on fee w be charged. Sign: Print: lo te'A fl') A ISO 11 My Commission Expires: /Q - / 9 -01 S ignature t PA !/ 4 .P.' 'AA. . Gloria Madison ` i Commission #DD251037 :. • r xpires: Oct 19, 2007 Bonded Thru onding Co., inc. 63- 1383/870 1018108 l .123 azi-ze °1 i °t al e NOTARY PUBLIC: 8 0. Fe ,..a } maxY ANTIQUE Plans Examiner Engineer .- Zoning -t lotion has . egulating 1, SIGNS, Owner or Agent Contractor The forego g instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this day of 2046, by Sl w. *, t L A. 132.442d , day of , 20 , by , who is personally known to me or who has produced p f) k who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Miami Shores Village Paint Color Approval and Agreement Date GI S do Owner's Name S\MitmE Q - S�RQ-D Owner's Address S3 2 - 0 - 3 - City rkAW■ti 5 No2£S State J ob Address (where the work is being done). 53 r`kE City Miami Shores Village County Mia ' -Dade Zip e) Is Building Historically Designated YES NO Contractor's Company Name (if applicable) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted P Walls ALE s{QJce 3saG - 3 Fascia l)1 —TRH f O 4S l> FEoE 113 50 Drip Cap /drip Edge vLT(4 ''i) UD - l'TE 16GO Soffit ( se4 Roof 01 CCrr� LJf A L kau_C.. Flower bins N ) a Shutters (/ Awnings ft Chimney A P? SR') - &O C-- 3 Doors and door jams l T 1? °R. (A) t+,TE ) 050 Garage doors L i e n — 'PO 2-F,7 r.�ti ; i& Railings t•-' 1 fl Fences APP ( &&J C-6 35D C'. 3 Decorative metal I" IA pia /S All brick (simulated or regular) (W el. V( E 3 SO C-3 Stucco banding a 1 k Any other stucco features Accessory Buildings Other Signature 014 APPLICATION APPROVED BY: Phone # 30S — 7 Ste L\-1.00 zip 33 t3 2 Phone # Date aanesaiddw d E - DOSE 1850 Ultra Pure White **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I certify that all the foregoin information is accurate and that all work will be done incompliance with all applicable Taws regulating construction and zonin Date C g 05/ 2_6 9 (1 (oL, chc 6/18/03