PT-08-1639 Miami ml Shores Villa ... ..
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Shores FL 33138 F11111.3 t, .......................
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45 795 -2204
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0� I Exp iration: '� 02009
Project Address Parcel Number Applicant
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149 102 Street 1131010230050
BARBARA M GROSSO &H &
Miami Shores Village, FL Block: Lot:
; ....RvY!?gr Inform! Q4 ........................... ............................... Address................................................... ............................... Phone.................... ............................... Cell...........................
BARBARA M GROSSO &H & NORMAN 149 NW 102 ST
MIAMI FL 33150 -1231
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Contractor(s) Phone Cell Phone :Valuation: $ 1, 000.00
HOME OWNER
_ _ .... _ _ ............ .. ............. _.... ..._......... ;Total Sq Feet: 0
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Type of Work: Available Inspections:
Color:
Inspection Type
Additional Info: Final
Classification: Residential
Color: _Approved Code Comments: BEHR - WALLS, FASCIA - HERB
Color: _Approved_ Color:
Fees Due Amount Total Amt Paid I Amt Due
CCF $0.60 :..............
Education Surcharge $0.20
$ 0.00 $ 0.00 $ 0.00
Notary Fee $5.00 I M......,..
Permit Fee $60.00 Payment Type:
Technology Fee $1.50
Total: $67.30
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IAI�i SHORES V ILLAGE
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 .
September 11, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Thursday, September 11, 2008 1
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Miami Shores Village
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Building Department
10050 NX.2nd Avenue. Miami Shores, Florida 33138 gY „ - - - -- -�- --
Tel: (305) '795.2204 Fax: (305) 756.8972
BUILDING Permit N Tl 0 1--- 8g -1(0 9
PERMITT APPLICATION Master P ermit No.
FBC 2004
Permit Type: PAINT PERMIT ? 1
er's Name (Fee Simple Titleholder) A'w e Phone #
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Owner's Addres y /O 2 i
City A114A41 J7W63 FG Zip 33 /SO -- 1 231
Tenant/Lessee Name / "A Phone #
E- MAIL:_C50" s / O - G — fS �° a /Y1�t.c.,('•G�
Job Address (where the work is bein <, done)
City Miami Shores Village County Miami -Dade > Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City_ — State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
a�d 1.. V
Value of Work For this Permit $ / Type of Work: n Addition / '❑ Alteration / (]New f 11.E trl�.epiace3,
Describe Work: Pd , ' ^/ 7 �X fe�ior o,L v,J
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 dic issuanee ofa permit
and that all w(mi< will be perl'onned to meet the standards of all laws regulating construction in this jurisdiction. I understand that a t *e secatretttiw
EI ECTRIC'AI. WORK. 1 SIGNS, WEIA.S. POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONVITIONEI##' ETe....
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESttLT tN "1lD€It, PAVING'TWIC:E FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OlffAIN FINANCING, COhtSt1L Wl YOUR LENDEW6R AN ATTORNEY BEFORE
RECORDING: YOUR NOTICE OF COMMENCEMENT.”
Notice to. I pplicant: .4s a condition to /he issuance qfa building permit with an estimated value exceeding $2500. tite applicant must irramiu in txrd faith that a crrin° n /'Jlx
notice of cornrnencernent and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, u certiflr d copy of the recorded notice
of commencement roust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the ahsem a (?{such posted n(*Cx. the
inspection Trill not he approved and a remspection. fee will be charged.
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Permit Fee $� -- —r CCF $ 0. � Technology Fee:
Training /Education Fee S Q+ y e Enforcement $ `l
Double Fee S Zoning $ Total ow Due S
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MIAMI SHORES VILLAGE
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: r 1 2 3 4 Attach color samples with nam and
Fascia: 1 2 3 4
nu.bei~. �-
Drip Cap /Drip Edge: 1 2 ; 4
Soffit•. ( 3 4 1
Roof. N 1 2 3 4
Flower Bins: l 2 3 4
Shutters: q 1 2 3 4 -
Awnings 1 2 3 4
Chimney: NMI 2 3 4
Doors and Door .lams: I N 3 4
Garage Doors: I Q 2 3 4
Railings: ILJ 2 3 4 r
Fences: I KJ LA 2 3 4
All brick (simulated or regulars I� 23 4
Stucco Bandin 1 2 3 4
Any other Stucco Features:1 2 3 4
Accessory Buildings Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that al 1 work will be done in
compliance w i all applicable laws regulating construction and zoning.
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Q/
Signature Signature
Owner or A94 Contractor
The f< Dui' ins meat was ac lent (edged before me . The foregoing instrument was acknowledged before me this_ .
day of _ by day or .20 _. by
who , per. ovally kn w ii o me or who has produced who is personally known to me or who has produced
i&entificat* to and ho did takr iti '� as identification and who did take an oath.
_ -
NO AR U ����C��1 NOTARY PUBLIC:
Sign: Sign:
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Print: _ 1`a Print:
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My Commission Expires: " �p`S;, w' "- My Commission Expires:
" 1 '4 06, `' °, a�* ��, t� *� * *r� *� *� *�xx� +� *�� *�� * *� ** star *, ter a t* �* � t* ��ra�e* , ts , k��r�r�� , t� , uarw�r•x *a
APPLICATION APPROVED BY: Plans Examiner
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Preservation Board
Code Enforcement
(Revised 04/24/0;
t Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
a S 'y
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Date: 11/17/2008 Permit Type: Paint
Inspector: Bruhn, Norman Inspection Type. Final
Owner: , Work Classification: New
Job Address: 149102 Street
Miami Shores Village, FL Phone Number
Parcel Number 1 131 0 10230050
Project: <NONE> �T
Block: Lot
Contractor: HOME OWNER
Building Department Comments
PAINT THE EXTERIOR OF HOUSE
Az�
Inspector Comments
Passed PLEASE LEAVE RESULTS IN MAILBOX.
Failed E]_
Correction
Needed
Re- Inspection
Fee
(7)
s
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Friday, November 14, 2008 Page 1 of 2
'C • t
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OFFI
Miami Shores Village
Building Department
10050 NE 2n Ave
Miami. F133138 COPY
(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.
f
ner oZont�r4ctoVs sig ature
Thank you for your cooperation