PT-07-2078Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax:
BUILDING ICS 15��� --
PERMIT, APPLICATION nos
FBC 2004
Permit Type: PAINT PERMIT Vic( y i ak..
Owner's Name (Fee Simple Titleholder)
Owner's Address .34c1 /\( , E. q 9- Si- eel--
City gliyy`� S6ves State yr
Tenant/Lessee Name
E -MAIL:
IFOMEMEI
BY:
(305) 756.8972
Permit No. fr —201F
Master Permit No.
Phone # 305- 156
Zip
Phone #
3313Y
wi z at �d-rtr ► e
Job Address (where the work is being done) 311-6t o q<3441
Skeet
City Miami Shores Village County Miami -Dade Zip '3 31 3
FOLIO / PARCEL # J1320400135510
Is Building Historically Designated
Contractor's Company Name
Contract is Addres. 349
City -1C5e—g
Qualifier Name
YES r-
(i
\Aaals
� . ggkk Sfree-t-
State Fort ek
�!-
Phone # 3) 79G -3442,
31 3?
State Certificate or Registration No.
OWNER BUILDER:
Zip
Phone #
Certificate of Competency No.
Value of Work For this Permit $ (° -°D Type of Work: ❑ Addition / ❑ Alteration / [New / ❑ Repair /Replace
Describe Work: L 4 7'r ; i cn'i 7 -O7- r 503
J1 r1 s Qyt CQ PAU i �1qs
Application is hereby made to obtain a p1nnit to do the work and installations as indicated. 1 certify that.no work or installation has commenced prior to the issuance of a permit
and that all work will he performed to meet the standards of all laws regulating construction in thiS ur sdiction:- I understand that a separate permit must he 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 FO
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFOR
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;upplicant nutst promise in good lailh that a copy of the
notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a certified copy oldie 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.
**' ter.,% �:***** **************de******'***** *** ees*****� *** *****ac****** ** ******* *-************
Permit Fee $ 620 � CCF $ 1.2_O Technology Fee: 1-S J
Training /Education Fee $ ' 40 Notary $ 5,00 Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
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:
Fascia:
Drip Cap/Drip Ed
Soffit:
Roof:
4
2
Flower Bins:
Shutters:
Awnings:
Chimney:
3
71—
2 3
3
2 3
Doors and Door Jai is: tiJ
Garage Doors: 1
Railings:
Fences:
2 3
4
4
4
4
4
4
2 3
2 3
All brick (simulate' or regular):
0
± 1
Stucco Banding: 1 2
Any other Stucco Features: <',„,,,,3,„
1 '
Accessory Buildings
3
4
4
3, 4
Other:/( )
Atta
a
I g •
Spirea
70GY 83/100
RC18
Wreath of Green
70GY 11/300
ith name and
% <
OWNER'S AFF AVIT: I certify that all the foregoing infOicatidri, is accurate and that all work will be done in
compliance ith al applicable laws regulating construction an „zoppg.,
Signature
The foregoi
day of
net- or Agent
g instrument wals ac
. 2060.1)y
w o is p .sonally known to Mc or who has piodu
r
before me thi
Signature
Contractor
The roregOing 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.
It 2010 At c)
As iantification and wlegivi tt:444)
NOTA V P JBLI
Sign: 40',
Print:
My Commission Expires:.
********************
APPLICATION APPROWO BY:
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
ww*******************w******* * acae wacxwat****
•
Plans Examiner
Preservation Board
Code Enlbrcement
(Revised 04/24/0;