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PT-09-1437 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 123215 Permit Number: PT -8 -09 -1437 Scheduled Inspection Date: October 29, 2009 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: PLATT, AURELIE & BRUCE Work Classification: New Job Address: 290 GRAND CONCOURSE Miami Shores, FL Phone Number (305)469 -6978 Parcel Number 1132060136200 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments PRESSURE CLEAN AND PAINT HOUSE Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 28, 2009 For Inspections please call: (305)762 -4949 Page 10 of 36 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 123215 Permit Numbe PT -8 -09 -1437 Scheduled Inspection Date: October 29, 2009 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: PLATT, AURELIE & BRUCE Work Classification: New Job Address: 290 GRAND CONCOURSE Miami Shores, FL Phone Number (305)469 -6978 Parcel Number 1132060136200 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments PRESSURE CLEAN AND PAINT HOUSE Inspector Comments Passed E] Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 28, 2009 For Inspections please call: (305)762 -4949 Page 10 of 36 �ssr { Miami Shona; Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 P 0, Phone: (305)795 -2204 � �g Expiration: O7J2312010 1>9 0W` Project Address Parcel Number Applicant 290 GRAND CONCOURSE 1132060136200 Miami Shores, FL Block: Lot: AURELIE & BRUCE PLATT Owner Information Address Phone Cell AURELIE & BRUCE PLATT 290 GRAN CONCOURSE (305)469 -6978 MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 COMPLETE HOME PAINTING BY MICE 305 - 895 -1368 (305)215 -0016 . _ Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color: Approved Code Comments: Final Color: Approved_ Color: _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1.60 PT -8-09 -35741 $ 68.90 $ 68.90 $ 0.00 Education Surcharge $0.60 Notary Fee $5.00 Check #: 3068 Permit Fee $60.00 Technology Fee $1.50 Total: $68.90 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 August 27, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Auqust 27, 2009 1 *��Pit Xe JW It-, re�rcu� Miami Shores Village Z G) 1 Building D AUK 2 200 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B Y BUILDING Permit No. / PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT kl'bwner's Name (Fee Simp�lee Titleholder) e!uk 1 Phone # � 5 � Jy 6 3 6c Owner's Address 2 p �.X� Cyt A &)r) f City ^ I) Ol,A i ��O� State Zip 33 tenant/Lessee Name Phone # E -MAIL: Q.1,J P_'iQA� �b Address (where the work is being done) 2 �4G7 G'd�J C'0�,� ' \ City Miami Shores Village County Miami -Dade Zip ,FOLIO / PARCEL # Is Building Historically Designated YES NO f Contractor's Company Name e.4 A lw / di 'Phone # 31) �� P¢ p — / j d i Contractor's Address City /'? / p oy / ... State Zip Qualifier Name / G 41? -- yGL Phone # „30 .�r� 2 IT 00 l� State Certificate or Registration No. Certificate of Competency No. e) OOOI V l 31 OWNER BUILDER: YES/NO Value of Work For this Permit $ Q o-0 Type of Work: ❑ Addition / ❑Alteration / ❑New / ❑ Repair/Replace Describe Work: �J C— ia f �!/ e ;Ze- 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..... "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 A17ORNEY 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 ofsuch posted notice, the inspection will not be approved and a reinspection fee will be charged. Permit Fee , 00 CCF $ I , xn Technology Fee: Training /Education Fee $ Notary $ Code Enforcement $ y Double Fee $ Zoning $ Total Fee Now Due $ (015 o See Reverse side -+ 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: 140 2 3 4 U, L lame Fascia: 1 W 2 3 4 a-3 Drip Cap/Drip Edge: _ 2 s 4 Soffit: 2 3 4 Roof: 1 2 iV�p' 3 4 Flower Bins: _. 1 2 1'V 3 4 Shutters: 1 - 2 "" 3 4 Awnings: 1 2 Al 3 4 C'f° W 0 Chimney: 1 2 IV it 3 4 mk y 7J tJ . Doors and Door Jams 1 2 4 Garage Doors: 1 2 34J 0 4 Railings: - 2 7 Ck Z ft 4 Fences: 1 2 V 3 4 All brick simulated or regular): 1 2 3 q -70 Stucco Banding: 1 2 IN _J3 4 C: Any other Stucco Features: 1 2 N W3 4 =_ Accessory Buildings W1 !P Other: 4 Deep Bronze 62 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 Signature nt ��. Owner or Agent Contractor q The foregoing inst ent was acknowledged before me this The fore ing ins ment wa cknowl ge before e th, day of 4 "L, bY_ �/t L . �G4 day of , 20 by who is personally known to me or who has produced wh is p to me or who has produced As identification and who did take an oath. as iden 'fication and wh id take an oath. NOTARY PUBLIC: NOT C Sign: �� _ Sign: Print: C 11 Print: My Commission Expires: My Commission Expires: ics ?NARY PUBLIC STAT1 OF FLORIDA ` Michael iwask to 1� 2�1� e�eent�. E ticcBBo dung Co., Inc. ,nded Thru a APPLICATION APPROVED BY: Plans Examiner Preservation Board LU Code Enforcement (Revised 04/24/07)