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PT-08-983 Mia Shor ., 10050 N.E. 2nd Avenue f� t effi ff Miami •i • mIShores FL 331 38 -0000 / Phone: .,> e. 30 m 5 795 -2204 ,r Ex iration• Project Address Parcel Number Applicant ..... .- ------- . _. ................................ ............................... .. - - - -. ---- .__. -- - --- ------------------------------ ............ 368 NW 111 Terrace 1121360010540 Miami Shores, FL 33168 -3340 Block: Lot: EMMANUEL PETION ......:............. ,vim:. >, ...............•... cw.•. c.•...,.... iS: v°.° dv^.: t' L: e..... ��' ievsi�»?.: t.:$:ev. <y55:•r,•r,:2rr,......: SvfS....>.» 2%.: :::...e.n..•................... ......... e.......... ...... . ... 5�!!? eC. 111f. 4Rllfl. 19n ........................... ............................... Address................................................... ............................... Phone .................... ............................... cell .............................. EMMANUEL PETION 368 NW 111 Terrace MIAMI SHORES FL 33168 -3340 ... .++.5....... ......., a?: r rrow _:•+_ . _ •:ro.. rr - r rr r.�•:•:.• • .v -.• - • .. e...... ....:...:C ...... eS<. ea. .�:::P.:.n:vA.'..:a<..n:....... .ev..... - .�.eda :�F°.Yn - S'.v R .....•. ......r��.n¢:.....:�L. -•5„i �.. .,2_ _. •�:, .. ................................................... ............................... Contractor(s) Phone Cell Phone Valuation: $ 1,0 00.00 HOMEOWNER __ .......__ ....._.._..._. ....._ F e et: _ .................. _..... ....... Total . 4 0 :. Type of Work: Exterior Available Inspections: Color: canewood Inspection Type Additional Info: Final Classification: Residential Color: canewood Code Comments: behr - walls - canewood ecc40 -1 Color: canewood_Approved_ Color: canewood, Fees Due Amount Total Amt Paid Amt Due CCF $0.60 .............................. Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee $60.00 Payment Type: Technology Fee $1. so Total: " $67.30 7 JUN 9 2- 2008 � fI _ I MIAMI BLOKES VILLAGE 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 30, 2008 Authorized Signature: Owner 1 Applicant I Contractor 1 Agent Date Building Department Copy Friday, May 30, 2008 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:. (305) 795.2209 Fax: (305) 756.8972 BUILDING �i Per No. i $° PERMIT APPLICATION' MAY 3 0 2W a ster Permit No, Fsc 2004 Permit Type: PAINT PERMIT - 1 6 - 4 1 "1 1 � Owner's Name (Fee Simple Titleholder) Amiwlaz �i yC)Ys Phone # l Owner's Address 3k �f.Q City # W, State -) Zip —q3l& 9 Tenant/Lessee Name Phone # E -MAIL: �l1� I ' Job Address (where the work is being done) City _ Miami Shores Villa<Je County Miami -Dade Zip FOLIO 1 PARCEL # Is Building Historically Designated YES NO , >n t Contractor's Company Name -�A , khQA!z Phone # Contractor's Address Ad W J11 A- Q' City Stat Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For his Permit $ Type of Work: ❑ Addition / ❑ Alteration T, Q Rio /Rtpte Describe Work: Application is hereby made to obtain a hermit to do the work and installations as indicated. I certify that no. work or installation has mnhv&v xd#ekw todit + &. mawt crf a permit and that all wort: will he perfomied to meet the standards orall laws regulatingconstruetion in this l understand that a ELECTRICAL WORK. PLUMBIWi. SICiNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS. TANKS AIR CONC7i"C0411S: "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCFMENT MAV SEk'j"A 10 M P¢YING TWICE FOP IMPROVEMENTS TO YOUR PROPERTY. IF VOU INTEND TO OBTAIN FINANCING, CONSULT wrrH YOUR LPill *A`+tl AN ATTOR - 13EFORI RECORDING YOUR NOTICE OFCOMMENCEMENT. Notice to :1 ppli cant:..4s a Condition to thM issuance q1 ' a building permit with an esti mated value eAX eding $2500. the.applicani.must Mtomite in gpod that a ca/ # of the notice of comnx ncement and construction lien law brochure will be delivered to the person whose properly -Js subject to attaeh»eent. Also. a erJied copy of the nee rxrlecf artier of commencement must be posted at the job site ,16r the inspection which occurs seven (7) days after the building permit is issued. In Me absence of such posted notice. the inspection will not be approved and a reinspeciion fee will be charged N Permit Fee S �� ® s 0. Technology Fee: 1y 5 r, *: Train inglEducation Fee S o Code Enforcement S Double Fee S lfooilg� Total Fee Now Due $' See Reverse side MIAMI SHORES VILLAGE PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must, be listed and indicate the color to bg minted Directions: Please circle corresponding number to appropriate color sample. Walls: " 3 °" - - Attach color samples with name and Fascia: 1 2 3 4 num ber. Drip Cap /Drip Edge: 1 2 ; # `4'' Soffit.. 11 Roof f .. 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings 1 2 3 4 2 Chimney: 1 2 3 4 Doors and Door .lams: 1 2 3 4 Garage Doors: 1 2 3 4 Railings: 1 2 3 4 3 Fences: 1 2 3 4 All brick (simulated or regular 1 2 3 4 Stucco Banding: 1 2 3 4 Any other Stucco Features 1 2 3 4 4 Accessory Buildings Other OWNER'S AFFIDAVIT: ify that all the foregoing information is accurate and that all work will be done in complL• rice with all applie ble I ws regulating construction and zoning. t Signature Signature Own 'r or Agent Contr ct ar The foregoing instrument was, led d before me this The foregoing instrument was acknowledged before me this` day of . 20OAA by Vv W*44,Yl d ( WW day of , 20 by who is peaily known tonic or who has produced IL JQd who is personally known to me or who has produced - L 531 -t As identification and who did take; an oath. as identification and who did take an oath. NOTARY I' I�.r NOTARY PUBLIC: .,y,. M(NaACA USSETH DG4Z Sign: Sign: :October 95 Print: �t1 E Print: ru Wary PubBc MeWers My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: 01\ `t3 zw 14Ubio (2 'flans Examiner 1 Preservation Board h3. Code t."Abreement (Revised 04 /24/01 Miami Shores Village Building Department 10050 NE 2 • 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 it will require payment of a renewal fee to reinstate it and to call final inspection. WHEN THE PAINTING IS COMPLETED, PLEASE CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR INSPECTIO ORDER TO CLOSE YOUR PERMIT. O er's signature Thank you for your cooperation