PT-10-518Project Address
70 102 Street
Miami Shores, FL 33150-
Owner Information
VIRGINIA WILDS DAY
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.80
$66.60
Building Department Copy
March 30, 2010
Address
Parcel Number
1131010180160
Block: Lot:
70 102 Street
MIAMI SHORES FL 33150 -1230
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments: SHERWIN WILLIAMS - WALLS - V
Color. _Denied
Authorized Signature: Owner / Applicant / Contractor / Agent
Pay Date Pay Type Amt Paid Amt Due
Invoice # PT -3 -10 -37421
03/29/2010 Credit Card $ 66.60 $ 0.00
Expiration: 09/26/2010
Applicant
VIRGINIA WILDS DAY
CeII
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Valuation:
Total Sq Feet:
$ 1 ,000. 00
0
Available Inspections:
Inspection Type:
Final
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.
March 30, 2010
Date
1
Inspection Number: INSP- 139161 Permit Number: PT -3 -10 -518
Scheduled Inspection Date: July 01, 2010
Inspector: Bruhn, Norman
Owner: DAY, VIRGINIA WILDS
Job Address: 70 NW 102 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
June 30, 2010
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
r_.---
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010180160
Page 6 of 26
Scheduled Inspection Date: July 01, 2010
Inspector: Bruhn, Norman
Owner: DAY, VIRGINIA WILDS
Job Address: 70 NW 102 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
June 30, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 139161 Permit Number: PT -3 -10 -518
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010180160
PAINT EXTERIOR OF THE HOUSE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 6 of 26
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) Y
Owner's Address
City State
Tetlant/Lessee Name
E -MAIL: 1.1-14 t.D ( an.
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address •
City State
Qualifier Name
State Certificate or Registration No.
OWNER BUILDER:
Describe Work-
Mimi Shores Village
Building Department
10050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit NoPr10 1c
Phone #
— ak)
County Miami -Dade Zip
NO
Master Permit No.
Phone #
r w
NJ
BY : ale **eeeee pee eeee'1...
Phone # s q-a5 OL
Zip
Phone #
Certificate of Competency No.
4
,Value of Work For this Permit j Type of Work: ❑ Addition / ❑ Alteration / ['New / ❑ Repair /Replace
Application is hereby made to ot.tain a permit to do the work and i stallations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit
and that all work will he perl'omted to meet the standards of all Taws regulatingconstructii n in this jurisdiction. I understand that a separate permit must be secured for
ELECTRICAL WORK. PLUMBING, SIGNS, WELLS. POOLS, Il'URNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE T() REf 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." I '
Notice to Applicant: As a condition to the issuance of building pJrrnit with an estimated value exceeding $2500. the applicant must promise in good faith that a copy Of the
notice of commencement and construction lien laiv brochure will d delivered to the person whose properly is subject to attachment. Also. a ceritlied copy of the recorded notice
of commencement must he posted at the job site for the first inspec Z ion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the
inspection will not he approved and a reinspection fee will he cha ged.
* *...wwwxx * *x* * * * ** * * ******* .******* *** es ************* ******** ******** **** ***********
Permit Fee$ (oO CCF
Training /Education Fee $ 0 *AO Nlibta
Doable Fee $ Zoning $
Technology Fee:
Code Enforcement $
Total. Fee Now Due $ (de"
mAR 2 9 zoio See Reverse side —a
Directions: Please circle corresponding number to appropriate color sample.
(
Walls:
Soffit:
Roof:
The foreg
day
Flower Bins:
Fascia:
Drip Cap /Drip Edge:
Shutters: 1
Awnings:
Chimney:
Doors and Door Janis:
Garage Doors: 1
Rai l in <gs: I
Fences:
NOTAR
Sign:
Print:
My Commission Expires:
xx *aa° &** xx*ux * *xxx
Signatur
Owner or Agern
g in trument vast •kiowledged bef• o
/1 .201 . by U1 /
who 's p scmally known to e or who has pioduccd
i feet
APPLICATION.APPROVE) BY:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
,
,
Other:
4
4
4
4
4
4
4
4
4
4
4
All brick (simulated or regular): 1 2 3 4
Stucco Banding: 1
Any other Stucco Features:
Accessory Buildings
SW 6072
Versatile Gray
SW 6074
palding
OWNER'S 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
Contractor
e th's QC 1 The foregoing instrument was acknowledged before me this
�.� • day of
. 20 . by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
with name and
re
Plans Examiner
•
Preservation Board
Code Enlorcement
1 1
SW 6070
Heron Plume
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(Revised 04/24/Oi