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PT-08-1987 r� - �'•'.,,� �5► �, t Miami Shores Village IN 10050 N.E. 2nd Avenue n �3� ,yam a ircar� Miami Shores, FL 33138-0000 Phone: (305)795 -2204' Expiration: 051181 Project Address Parcel Number Applicant 380 NW 112 Terrace 1121360010210 Miami Shores, FL 33168 -3300 Block: Lot: MICHELLE MOLINA Owner information Address Phone Celt MICHELLE MOLINA 380 NW 112 Terrace MIAMI SHORES FL 33168 -3300 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER _ . .... .......... .... ......... ......... ......... ......... ........................ ........................... .- --._..... Total Sq Feet: 0 Type of Work: Exterior Available Inspections: Color: knal nspection Type: Additional Info: Classification: Residential Color: Approved Code Comments: RALPH LAUREN - WALLS - Color: Approved_ Color: _Denied Fees Due Amount Total Amt Paid I Amt Due CCF $0.60 Education Surcharge $0.20 $ 67.30 $ 67.30 Notary Fee $5.00 Permit Fee $60.00 Payment Type: Credit Card Technology Fee $1.50 Total: $67.30 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 November 19, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday, November 19, 2008 1 Miami Shores 'Ville Vov 13 2008 r Building Departm6nt � B Y�•�•••••••:w•••rrr••rr 10050N.E.2nd Avenue. Miami Shot, Florida 3308 Tel: (305) '795.2204 Fax: (305) 756` ";$972 BUILDING Permit No. L 1 20 - 7 PERMIT APPLICATION Master Permit No FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) I G�e tll o u rlv( Phone # Owner's Address f City &� rl , dl7' W Yom' State Zip ° 2 t Tenant/Lessee Name IOie l e: 14 0 It r) ' X Phone # E- MAIL:_ - - _h 116h Iyn DO."(n Job Address (where the work is being done) ro-GQ. City Miami Shores Villwye County Miami -Dade - Zip . FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 1kr%14 Phone # Contractor's Address I City_ State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: b Value of Work For this Permit S tP:JV • Ob Type of Work: 0 Addition / � AYteratiaan f ° phice � t Nscribe Work: 7 r l'l e-sr i o Application is herehy made to ottain a pemmit to do the work aril installations as indicated. l certify that work of installation has oonumucal pr 14111e`i of a pWnit tied that all wcwk will he perrormd to meet the tandards of all laws regulating c onsumetiat in this jurisdiction. 1 understand that a p rnut ct t t firr Fes• � ,t CTRICAI. WORK. PLUMBING, SIONS, WC:LLS. POOLS, FURNACES, BOILERS, HEATERS. TANKS.and AIR CC Q3TIONERS, IC'..., P WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M AV 'J t I 'IN YOUR TWICE F(A 1 7:O YOUR PROPERTY. IF YOU INTENT) TO OWTAIN FINANCING, CONSULT WITH • t N .f 1kPI A ; EFORI CORDING: YOUR NOTICE, OF COMMENCEMENT. - c-y xa= % )live to :I pplicant: As u condition to the issuance of a building permit with ern estimated value exceeding $ 35(X1, fire applicant must promise 10 that a copy Of the notice (if vornnience menf and construction lien lace brochure ivill be delivered to the person whose property is subject to allachri —t Also. a crttffiW Vy of A1W-r routed rurtice cnrrtntencemeni nuut he posted at the job site for fhe inspection which accurs seven (7) days after the building pernfit is issued. In the abseme of srfchlx�sted ox k . fire spectirm will not be approved and a reinspecfion fee will be charged *FeeeSn * *x i� re�a ,� *�iaaair � tz ,t t ae� t►w ,a, a s * ermit Fee S 010 CCF S 20 Technology Fee: 1 • ��,� R n Training /Education Fee S 0 Notary S Ste Code Enforcement $ Double Fee $ Zoning S Total Fee Now Due S See Reverse sitte -' Cm1 PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls. 1 3 4 Attach color samples with name and Fascia: I 2 3' 4 number. Drip Cap /Drip Edge: 1 2 ; 4 Soffit: I ? 4 I �. —� - - -- ' f Rcwf: 1 2 3 4 � Flower Bins: 1 & O'Connor VM54 3 4 �� Shutters: 1 3 4 Awnin(ys: 1 3 4 Chimney: I &A 2 3 4 Doors and Door .lams: 1 2 3 4 Garage Doors: 1 2 3 4 Railings: I K1, 3 4 Fences: 1 4 All brief: (simulated or regular): 1 3 4 Stucco Banding: I 2 3 4 Any other Stucco Features: 1 2 3 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 compl'• nce with all applicable laws regulating construction and zoning. Signature Signature Owner or Agent Contractor The fire )ing instrument was ac kn wiled +ed fore met is t The foregoing instrument was acknowledged before me this day or . 20�b, f day of • 20 _. by who is 'sonally known t(1 oho 4VI10 htlS pli)dUced who is personally known to me or who has produced _ s 1intiticat' m and ho did take an oat t. as identification and who did take an oath. NO "rA Y �p� `O WrARY PUBLIC: ry Sign: �Q o rs Sign: Print: _ ' `` �� Print: My Commission lixpires: 1� My Commission Expires: APPLICATION APPROVED BY: %e %� Plans Examines Preservation Board tt ,y " 1d1S Code I,nibreement (Revised 04/24/0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP- 111631 Permit Number: PT -11 -08 -1987 Inspection Date: December 01, 2009 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: MOLINA, MICHELLE Work Classification: New Job Address: 380 NW 112 Terrace Miami Shores, FL 33168 -3300 Phone Number Parcel Number 112136001021 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINTING THE HOUSE/ ROOF Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 99938. House painted different [* - than permit. #2 is dark brown NB Failed El INSPECTION APPROVED PER ANTHONY FLORES. 12/01/09 Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 December 01, 2009 Page 1 of 1 W i S". Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)796-2204 Fax: (305)756-8972 ......................... --------- - ------ - ... . ......... . . .................. . ------ - ---- ... .. ................... ............ . . . . . . ............... . . .... . . ........ . . . . ....... . ........ .................. Usti Scheduled Inspection Date: April 15, 2009 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: MOLINA, MICHELLE Work Classification: New Job Address: 380 NW 112 Terrace Miami Shores, FL 33168-3300 Phone Number Project <NONE> Parcel Number 1121360010210 Contractor: HOME OWNER Building Department Comments Inspector Comments Passed O AV re �� , Failed Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 14, 2009 Page 27 of 27 o^. Miami Shores Village Building Department 10050 NE 2n Ave Miami, F133138 (305)795 -2204 (ph); (305)756 -8972 (fax) ATTENTION 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 be able to call final inspection to close the permit. PLEASE, WHEN FINISH YOUR PAINTING; CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT. Owner or contractor's signature Thank you for your cooperation