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565 NE 102 St (10)i nspection Number: INSP- 14227 Inspection Date: 04/10/2006 Inspector: Grande, Claudio Owner: GUEDES, LOURDES Job Address: 565 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Thursday, April 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 eL Block: Permit Number: BP2005 -1113 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number (786)201 -4708 Parcel Number 1132060170990 Lot: Page 1 of 2 / 1 07 c41 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP- 14227 Inspection Date: 04/10/2006 Inspector: Grande, Claudio Owner: GUEDES, LOURDES Job Address: 565 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Thursday, April 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 eL Block: Permit Number: BP2005 -1113 Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number (786)201 -4708 Parcel Number 1132060170990 Lot: Page 1 of 2 Miami Shores Village Building Department Lou T e1�Q5,�,795.2204 Fax_ (305) 756.8972 �' -4�f Ah 3 z���� RFAr BUILDING Permit No. Erb '1 1 PERMIT APPLICATION aster Permit No. FBC 2001 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Permit Type (circle): Building Electrical I / Pllu � mbing Mechanical Roofing / Owner's Name (Fee Simple Titleholder) kOt).. (` S �J S Phone # (7e1p �/ 7 t ! (/0 ja f /'� 01'1;3g7 Owner's Address .56. /3 /0 u-re_ei City 141; (A-44;* e� State 6 Zip 33 / 3 J Tenant/Lessee Name Phone # Job Address (where the work is being done) 5 c 00-6- - City Miami Shores Village County Miami -Dade Zip 3 3 , —3 v Is Building Historically Designated YES ✓ Contractor's Company Name (,( ..' e..4 Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit )( .M Square Footage Of Work: Type of Work: Addition ['Alteration ['New [] kepair/Replaee • ❑ Demolition Describe Work: l' (,t 1 11L7k * * * * * * * * * * * * * * * * * * * * ** * ** * * ** F eess ** ' ** * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Cl2C t** , CCF $ 1 (4 0 CO /CC Notary $ Training/Education Fee $ 2-- 0 Technology Fee $ 1.3 J - Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ C6 ck._ VC I ( P . (Continued on opposite ide) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not he approved and a reinspection fee will be charged. Signature NOTARY PUB C: Sign: Pr nt: My Commission Expires: &,{,0 As ide Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2 The foregoing instrument was acknowledged before me this day of � 1 , 200 ,r, by iti di de,3: t , 't 1:6:!? , day of , 20 _, by who is personally known to me or who has produced rp ifwaEi n l R6irA ttf iremrt l ath. Comm./ 00042(141511 141 Wenn V21120011 goawN am 0100)4311420$ non a.n MIC NtNoNNNstN�N NNNNNN Signature Zip My Commission Expires: • . A ti who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning -47 Miami Shores Village Paint Color Approval and Agreement Date / Owner's Name �O (� r c c�c,ec� � S t Phone # 7 C / / `' 7e f7 Owner' Address 6 A.) • /0 le City 11' O ,i -90 rem State /`" Zip 33/,3 Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted id& 8 Walls Fascia 1)61) Cap /drip Edge Soffit 1 Roof 1 V3 S �,t1�\0'k l� Olk Shutters tJt Awnings ‘\\ C\, Chimney 101 Ok 1,��1 1(XIJIIW; Doors and door jams , �C �.X1i Garage doors k.).1\n4. 1AC0 Railings > 3\0' t 1, r J 't\k Fences �0. \U \ \\\ V.1-I tWk ') ``Ch--o 00101) tt-- Decorative metal .3 �ll� 11��U ` -- t�U' 041 All brick (simulated or regular) 1W101 iti Q gvA.� owc (icy • Stucco banding Any other stucco features [� �(,� / Accessory Buildings O CO \lM YV CVO . CY crclo l �y ,� oGY �'b/ ( ZO Other , (SlC ( u ova a`k moo UJ vw socr T ci ku ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 r ulating construction and zo Flower bins Signature APPLICATION APPROVED BY: P& Z Official Inspiration Point 'LOGY 73/099 NC 18 )les Date 3 ?Z1ID6 Date \ 6kp clic 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/29/2005 Applicant: GIL Owner: GUEDES JOB ADDRESS: 565 Contractor Local Phone: Parcel # 1132060170990 Signed: NE 102 Building Permit Permit Number: BP2005 -1113 GUEDES GIL ST Contractor's Address: Legal Description: 6 53 42 Permit Status: APPROVED Permit Expiration: 1/23/2006 Construction Value: $100.00 Work: PAINT (INSPECTOR) Page 1 of 1 PB 15 -14 MIAMI SHORES SEC 4 AMD PLAT E1/2 LOT 20 & LOT 21 Fees: FEE2005 -10374 FEE2005 -10375 FEE2005 -10376 FEE2005 -10377 Description Building Painting Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $60.00 $0.60 $0.20 $1.50 $62.30 Total Fees: $62.30 Total Receipts: $0.00 AUG 0 2 PAID -E4 IE,.0 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Issue Date: 3/28/2006 Owner's Name: LOURDES GUEDES Permit Type: Imported Permit Work Classification: Paint Job Address: 565 102 Street NE Comments: EXTERIOR PAINTING COLOR: INSPIRATION POINT SECRET GARDEN Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/31/2006 Contractor(s) HOME OWNER Phone Primary Contractor Yes Perm Type: Building Alpha Four: PAINT Alpha Six: SINGLE FAM Pay Amount: 62.3 Bond Return : Alpha Two: PAINT Alpha Five: RESIDENTIAL Pay Date: 8/2/2005 Pay Comments: PD BY CK # 1616 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 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BP2005 -1113 Phone: (786)201 -4708 1132060170990 Lot: PB: Total Square Feet: 0 Total Valuation: $ 100.00 Required Inspections Fees Due Total: A OZ P.4I t Amount .$bz.30 O Invoice Number Total: AL.) i p lc. cK-#I6I, Amt Due Amt Paid $62.30. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Issue Date: 3/28/2006 Owner's Name: LOURDES GUEDES Permit Type: Imported Permit Work Classification: Paint Job Address: 565 102 Street NE Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: EXTERIOR PAINTING COLOR: INSPIRATION POINT SECRET GARDEN Additional Information Miami Shores Village, FL 33138- Perm Type: Building Alpha Four: PAINT Alpha Six: SINGLE FAM Pay Amount: 62.3 Bond Return : Alpha Two: PAINT Alpha Five: RESIDENTIAL Pay Date: 8/2/2005 Pay Comments: PD BY CK # 1616 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. Fees Due Total: AU Cq OZ PA(A GK -44 I,IL Amount 4 &z .30 C7 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/31/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BP2005 -1113 Phone: (786)201 -4708 1132060170990 Lot: PB: Total Square Feet: 0 Total Valuation: $ 100.00 Required Inspections Invoice Number Total: Au Ci 02 PMD Amt Due Amt Paid 6Z .30 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT i DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. s 4 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building