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574 NE 102 St (13)Issue Date: 5/9/2006 Owner's Name: CARLOS GONCALVES Permit Type: Paint Work Classification: New Job Address: 574 102 Street NE Comments: PAINT EXTERIOR OF HOUSE AND ROOF Additional Information Miami Shores Village, FL 33138- Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 10/21/2006 Contractor(s) Phone Primary Contractor HOME OWNER Yes 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -4 -06 -1035 Phone: 305/754 -5840 1132060171030 Lot: PB: Total Square Feet: 0 Total Valuation: $ 500.00 Required Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Invoice Number PT - 4 - 06 - 24581 Total: Amt Due $67.30 II OD IN 08 II Atty Amt Paid 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. Inspection Date: 11/30/2006 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, November 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number INSP-15637 :Permit Number. PT -4-06 -1035 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Page 1 of 2 Passed Inspector Comments t� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Date: 11/30/2006 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, November 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number INSP-15637 :Permit Number. PT -4-06 -1035 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Page 1 of 2 Date 06/08/2006 Permit Receipt Permit Number: PT -4 -06 -1035 Invoice Number: PT -4 -06 -24581 Applicant: CARLOS GONCALVES Company Name: Payment Type CheckNum Check CC /AMX Amount $67.30 Total Payment: $67.30 Thursday, June 8, 2006 Page 1 of 1 m 4250E M iami Shores Village DIECMRIUMn Building Department ' � " 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 + i 15,, kxko Tel: (305) 795.2204 Fax: (305) 756.8972 I I 4 . 1 BUILDING PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) (A-.2(a txN t/i -5 Phone # 2 2'- 71-/. Sec/0 Owner's Address 579 iJi /OZ' 5T City t'/»7 lr 5/1O1 State P6 Tenant/Lessee Name Phone # Job Address (where the work is being done) 57' ,i./E /C2 sr City Miami Shores Village County Miami -Dade Zip 2 2W FOLIO / PARCEL # Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Scanning $ Bond $ Submittal Fee $ J(J Permit Fee $ Radon $ Zip 3/ Code Enforcement $ Double Fee $ Phone # BY: Square / Linear Footage Of Work: Permit No. 406 - Contractor's Company Name (Jf" �IDN (//472f DtelNr3Z) Phone # S ? • r�j�U Contractor's Address /1/4- City it)/4 State Zip Qualifier Name P// Phone # State Certificate or Registration No. /V /ig Certificate of Competency No. /0 Type of Work: ❑Addition ❑Alteration �l ['New 121 Repair/Replace ❑ Demolition Describe Work: �/ tij EKTE1Ze,Q A-NO / 7 . AfauOE mh.u.0Jl,1 714in Au. S/h'i7 per ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * *,* * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ O ..GJ CO /CC Notary $ -VU Training/Education Fee $ (:)•C5C:p Technology Fee $ 1 - DPBR $ Zoning $ Structural Review. $ Total Fee Now Due $ 0 See Reverse side —+ c11akx y, PAIL Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ' . proved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The fo egoing instrument was acknowledged before me this Z.4 The foregoing instrument was acknowledged before me this day o Aft I , 2006 , by CCtJI05 &0x04 tt5 , day of , 20 , by who is personally known to me or who has produced /77Arti.) L/C who is personally known to me or who has produced C 5 s.4101 f 1 (-' As identification and who did take an oath. as identification and who did take an oath. Sign: Print: NOTARY PUBLIC: NOTARY PUBLIC: BEIMMIZEIC- " ••. MONICA LISSETH DIAZ ., • • 463995 iIRE ,c,ober 20, 2009 R • Under My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) r y Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning D ate A. 1 06 Miami Shores Village (sm iA` Paint Color Approval and Agreement Owner's Name 6 e9, 62,47G(/,e ' Phone # . 05 '" 5 S Owner's Address 574 .r�E io2 " 3786' 7 City // e!/ ,.5 Sta te ;-Ex.4?P/1�.9 . Zip 3 3/.3 Job Address (where the work is being done) ON '/A. /02 '7/1 e.7- City Miami Shores Village County Miami-Dade Zip 33/.a® Is Building Historically Designated YES NO � Contractor's Company Name (if applicable) N/' ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted W ails 0-IA(2IaVDcO Fascia Drip Cap /drip Edge soffit /J67 ,.vrT 7ly3 Roof Ii(Do ffr u ,,./1,7-4 -- .21(8 Flower bins Shutters %'DO 5l ecou Awnings Chimney Doors and door jams Garage doors ' Railings Fences Decorative metal DEEP ))ON a-6 All brick (simulated or regular) N/A Stucco banding Any other stucco features Accessory Buildings Other , tatuacti re47 — /Oee- 5PA ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFID T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable Taws r gulating construction and zoning. Signatur C pS Flo /uNtueS Date `f -6/. dto PLICATION APPROVED BY: Owner or Agent P& Z Official Phone # \ riarwood 73 Date chc 6/18/03 Date S. e Owner's Name GADS G A O Owner's Address G NE 02 Ef City t-t( Ml SROMS State R.- Job Address (where the work is being done) 574 V)6 1021 St City Miami Shores Village County Miami -Dade Zip 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 Walls "wr+hLE �cn I'A r [TL' c 1 Fascia Drip Cap /drip Edge NckAiff ij4kt . 2I Soffit Roof Miami Shores Village Paint Color Approval and Agreement Ilin,- tiitrr () Ahn 2143 Flower bins Shutters -wart- Pytht/J) (07-' ,)/A Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal 'Pao 4 %3 All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other . th),' W �'M ' TLD44 RJ/N 9�r ***************************************************************************** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** 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 - : 1 . ting construction and zoning. Signal G/f/' --t6s C7dav'ca (v $ Owner or • :en PLICATION APPROVED BY: P& Z Official Phone # -- L f' 5( Zip 33(38 Moonlight White 2143 -60 Tud Phone # Tumbleweed Tan HC- Town 62 Date Date 'e.Olo es s chc 6/18/03 • PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY— (OWNER TO RETAIN COPY) Date . / 9 Job Address 1 L� \ � . t ✓ , I b Q r\r- S E. Tax Folio // 3,206 /7 /O3O / Legal Description Lo7 3 / ,� 9� fgArp,zA jfq,0/ 4/ Master Permit # Owner / Lessee / Tenant �(' � ; Lp ( 3Nn Owner's Address • ) LJ \ J • . b c � 1/45it Phone c/- Q(n 8 Contracting Co. 0 uj\-cz j freou;i Qualifier SS# - - Phone State# OLONIAL etency# Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING' r ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost S () C. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work.will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. 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. Furthermore, I authorize the above -named contractor to do the work stated. . Signature of Owner and /or Condo President Date : S of Contractor/ or Owner- Builder Notary as to Owner and /or Condo President Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires:NOTARY PUBLIC STATE OF FLORIDA I S * . * * * * * * * * * SAY COMMI96ION EXPI 5/09/9 Other Bonded thru Stembler - Adams & Sweet PERMIT FEE: s` Q ������n E - X -P A � c� C Address ,r•� .Q, 7s?o6d' APPROVED: Fire q 3ning Building /b ��/' Electrical Mechanical Plumbing Engineering