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PT-05-1039Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 12/1/2005 Expires: 12/29/2006 Owner's Name: SCOTT & LORETTA MCWILLIAMS Permit Type: Paint Work Classification: Miscellaneous Job Address: 1451 103 Street NE Miami Shores Village, FL 33138- Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Type of Work: Exterior Additional Info: Color: 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. Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PT -12 -05 -1039 Phone: 305/757 -8118 Parcel #: 1132050310180 Block: Lot: Section: PB: Total Square Feet 0 Total Valuation: $ 500.00 Reauired Inspections Final Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.30 $0.10 $5.00 $60.00 $1.50 $66.90 Invoice Number PT - 12 - 05 - 1101 Total: Amt Due $66.90 Amt Paid $66.90 $66.90 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. 45111aE NOV 1 0 2005 MIAMI SH S VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Al.105 Type Insp'n WA-VA Permit No. ttJ � - Name Address `4S % ( 1.6 1 ` Company U1&G Phone # 135 t 5�3ac Inspection Date ikkO4C6 Approved Correction Re- Insp'n Fee ❑ g";(... 45 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Type Insp'n \OA WAN Permit No. ti-Y67- 7 -?5 l a Name \SOAVIVII■Yo Address V43 sT Company V N c..t.grig-- Phone # Inspection Date 16 Approved Correction Re Fee A 4.5 7, /1 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 ' ; , !� - • _, + 6.8972 NOV Permit NoPF0 5 t 03 9 ster Permit No. Permit Type (circle): Building C Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Sc->brr °f L ®,r, M C / %U.tA yne # ( c k Q. Owner's Address r LA 51 103 - CityMVA-M, SWD eon State FL. Zip 33 Tenant/Lessee Name Phone # Job Address (where the work is being done) i' 51 t ce SA • City _t/Miami Shores Village County ‘,Miami-Dade Zip 3313 p- Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Perml Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Fee $ Permit Fee $ G D , CCF $ d • E, CO /CC Notary $ - ©a Training/Education Fee $ CD . O Technology Fee $ i •,0 . Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 7 - 3D (Continued on opposite side) • Phone # I 4t f - :r f N/C : C 42_.( * * * * * *** * * * * * * * * *** * * * * ** Fees * * **** ** * * * * * * ** * * * * * * * * * * * * ** Bonding Company's Name (if applicable) Bonding Company's Address • City State Zip 3 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. W 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 certed 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 reinspection fee will be charged - Signature APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent Contractor The foregoing instrument was acknowledged before me this Z.9 The foregoing instrument was acknowledged before me this day of d v , 2 by L© V(4 :1 U.)1 1 I 1 C 1 t;»5ay of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced ,J ) NOTARY PUBLIC: N6 PUBLIC -STATE OF FLORIDA NOTARY PUBLIC: Sign: , r Y.rlen ., andez Mil ar ; / :7'47. Sign: Print: WIMINMI ,r ail : " Tn ; i CIO Print: M . • 41, . Tluu '� °'1"., Inc. As identification and who did take an oath. 0 My Commission Expires: ************ *****************************•********* •* * * * * *dr * * #ir * * * * * *• * * * *4 * * * * ** sir * * * * * * * * * * * * * * * *•• * * * ** ******* s*** ****** *************** *** * *k*** * * ** * * * ** * * *** ** * * * * ** * *** * #** * * * ** ** ** * * * * ** * * * ** * * *** * *** *+k * ** 1 Signature as identification and who did take an oath. (1 11 -10. PIans Examiner Engineer Zoning f • • Date Miami Shores Village Paint Color Approval and Agreement Owner's Name 2 & d��� W l`-Z - � Phone €� - 7 Sz2, Q Owner's Address 1145 1 10?) S�-- City t---k tAj- k Sr (-ea State - Zip 1eg Job Address (where the work is being done) t `i-CJ' t W \ b,3 . City +/' Miami Shores Village .- County ✓Miami -Dade Zip Ls Building Historically Designated YES NO L,/ A , Signature APPLICATION APPROVED BY: Lo6u5), Owner or Agent Contractor's Company Name (if applicable) Phone # ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls W 00 Niek7.50 6u1 �fi l ut / 1;445 4±1 Gt - CAIR' Fascia Drip Cap /drip Edge Soffit Roof \IJ 1.11, Flower bins 'Q 1 (-*.A.4) Shutters , S At*Jrl'D Li-sr-NI l c==.R Awnings Chimney Doors and door jams 131x'5 A6r) Garage doors Railings "fi'-St' r3QbL-N) Fences 1 nc R Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other *********************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** OWNE''S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicab - laws regulating constriction and zoning. Date 11 1 4 414 Date pittsfield buff bi tc / cy — cnc 6118103 Miami Shores Village Paint Color Approval and Agreement LLC 5e-t 1 t`'.A9-t VL-QA Phone,# J t 1 'iC�' Owner's Address 1 M ( OE ■ c City ". n S IfW-e State Date Owner's Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade 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 Signature APPLICATION APPROVED BY: P& Z Official Zip 9 t Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins l..1, Shutters ikkle - Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * *** * ** OWNER'S AFFIDAVIT. I certify that all the foregoing information is accurate and that all work will done in compliance with all applicable : ws regulating construction and zoning. 1 �� C� Zip Phone # Date (cd chc 6/18/03