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BP-04-257 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 137407 Permit Number: BP2004 -257 Scheduled Inspection Date: March 09, 2010 Permit Type: Imported Permit Inspector: Bruhn, Norman Inspection Type: Final Owner: Work Classification: <NONE> Job Address: 56 NW 102 Street Miami Shores, FL 33138 - Phone Number Parcel Number 113101018015 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments PAINT EXTERIOR OF HOUSE EXPIRED 06/14/05 NO INSP Inspector Comments Pass C t Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 32 of 34 Miami Shores Village Building Perm It 10050 NE 2nd Avenue ' Phone: 305- 795 -2204 Permit Number: BP2004 -257"` Printed: 312/2004 Page 1 of 1 Applicant: SUSAN ARGUIZ - GONZALEZ Owner: ARGUIZ - GONZALEZ SUSAN JOB ADDRESS: 66 NW 102 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305- 895 -1368 Parcel # 1131010180150 Legal Description: NAVARRO SUB PB 12 -59 LOTS 4 & 5 BLK 2 LOT SIZE 100.000 X 108 Fees: Description Amount FEE2004 -2226 Building Painting Fee $60.00 FEE2004 -2227 CCF $1.80 Total Fees: $68.90 FEE2004 -2228 Notary Fee $5.00 Total Receipts: $68.90 FEE2004 -2229 Training and Education Fee $0.60 FEE2004 -2230 Technology Fee $1.50 Total Fees: $68.90 '1 Permit Status: APPROVED Permit Expiration: 8/2312004 Construction Value: $2,250.00 41,0 Work: PAINT EXTERIOR OF HOUSE Signed: (INSPECTOR) 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: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 137407 Permit Number: BP2004 -257 Scheduled Inspection Date: March 09, 2010 Permit Type: Imported Permit Inspector: Bruhn, Norman Inspection Type: Final Owner: Work Classification: <NONE> Job Address: 56 NW 102 Street Miami Shores, FL 33138 - Phone Number Parcel Number 1131010180150 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments PAINT EXTERIOR OF HOUSE EXPIRED 06/14/05 NO INSP Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 32 of 34 g, i ml bores V illa Ma S g e Building Department 10050 N.E2nd Av'I nue C E �� E Miami Shores, Florida 3 13 8 Tel: (305) 795 204 Fax: (305) 756.0972 jUIL�IN Permit No. Z5 a PERMIT APPLICATION Ma star Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 'r-A N Nr f- & 0 r-j zA 'F–z- Phone # ® S°� Owner's Address (D City State t-- Zip 3 3/ TenandIessee Name Phone # ob Address (where the work is being done) NUJ , 10`� H ' Ci Mi a m i Shores VOLa Coun Miami -Dade Zip ty ami h ag ty TS Buildin g Historicall y Designated nated YES NO ,/�' � Phone # J Contractor's Company Name C 1 P Y Contractor's Address f 4 W City State Zip — 2 Qualifier Architect /Engineer's Name (if applicable) _ Phone # — Architect(Engineer's Address City State Zip r� $ Value of Work For this Permit 1%' Square Footage Of Work: Number of: B ay s Stories Families Bedrooms Baths Type of Work: ❑Addition DAlt7 []New Repair/Rep, ❑ Demolition Describe Work: &;>gat�!Am�'� f c `y0 Z f County Escrow Fee $ V0 Permit Fee $ ( 0 1 00 Notary $ • 0 Q . Educationfrraining Fee $ Tech $ t SO Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Due qo Continued on opposite side) Minus ?fans Check Fee S Total Fee Now B S �� (,x- 4o-7 Bonding Company's Name (if applicable) Bonding Company's Address =:;� City State Z i p 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 commenced prior to the issuance of a permit and that all work indicated I certify that no work or installation has _ is 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 WO WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....' PLUMBING, SIGNS, 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 T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY COMMENCEMENT." BEFORE RECORDING YOUR NOTICE OF 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 be approved and a reinspecdon fee will be charged. Signature �/.� Signature Owner or Agent Contractor , The foregoing instrument was acknowledged before me this g The foregoing instrument was acknowledged before me this day of —J� 20(1,y, b To day of 20, , by JP who is personally known to me or has produced who is personally known to me or who has produced �- As identification and who did take an oath, as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: +- Sigm. Print: Print My Commission Expires ; Aii'% Utdkd ItulpSloc wytz M Commission _; "� #Dfl09fi211 y Expires: AzEru 1; o'iiF F lk of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: MAR 1 2� Plans Examiner Engineer chc7/7l03 Zoning • ,�.� : ML4kMI SHORES VILLAGE Paint Color Approval and Agreement DATE: f 0 OWNER'S NAME: NN€ zp 6 PHONE: 7k - , 2� ADDRESS: fb�`�; ADDRESS OF SITE: 56 N W / Off. (1) i �' � a EJ-) cwz F S, �`t-' 3 X� CONTRACTOR & LICENSE (if applicable) COMPANY NAME: comol&. t g®f b MfcGhAY PHONE: 0'93 =/3�� All Elements on the site must be listed and indicate the color to be painted. Walls Fascia J - 72 - Drip Cap/Drip Edge HC Soffit _ 17 - 7 99M Roof P / Af ' 2B Flower Bins 1 - 77 _ - lion heart 30.6 Shutters !V 1 9'. �• Awnings Al lA9 -- — - H C a oors and door jams e ".. 0- A CY) Railings - Fences Decorative Metal - All brick (simulated or regular) Stucco g W 3s © HC -86 Any other stucco features �9 Accessory Buildings Other 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. I authorize the above -named contractor, if applica to do the work stated. Furthermore., the paint colors will be as .per the atta s ; p*. m oq Signature of Owner Date Signature f Contracto Date APPROVED: WHEN PAINTING IS F'INISHED9 CALL FOR FINAL INSPECTION Building Official Date 4/23/01 Miami Shores Village Paint Color Approval and Agreement Date 2 4# 0 4 Owner's Name q U_';;" a — Phone Owner's Addresa W S zi p - �3 City l SI 1!�� � � b:f'�r� State _ � � � p Job Address (where the work is being done) A ). W 01 city Nfiami Shores Village County Miami -Dade Zip �� S 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 p ainted Walls 3 ®-5 C o u tar+ (' ca v4 ® r - - — Fascia 171 Drip Cap /drip Edge TT 6 Soffit Roof 2B co�nt� comfort I`. 305 � Flower bins / _ M � 0 0 M C -��- -- Shutters With Numbers Awnings Chimney Doors and door jams 0 l'n Garage doors ` 1B Railings mushroom cap 177 Fences �n — Decorative metal AU brick (simulated or regular) V T] 0 Yn Stucco banding Any other stucco features Accessory BUD 6rome ' Other 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. Signature ' 4 Date Z er or Agent APPLICATION APPROVED BY: Date P& Z OffiC1al chc 611$!03