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PT-07-2401Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address ....... ......... 108 NW 111 Street Miami Shores, FL 33168-4323 Parcel Number Applicant ......... ........................ ......... ....................................................... .................... 1121360030410 Block: Lot: JULIO ALVAREZ AgI�Ilf.4rmatiorl.......................................................... Address.................................................................................. Phone...................................................Cell.............................. JULIO ALVAREZ 108 NW` 111 Street MIAMI SHORES FL 33168-4323 Contractor(s) Phone Cell Phone HOME OWNER Type of Work: Exterior Color: BROWN Additional Info: Classification: Residential Color: BROWN—Approved Color: BROWN_Approved_ ....................................................................................... Valuation: $ 1,000.00 Total Sq Feet: 0 Available Inspections: Inspection Type: Final P A 9 to.%=51%LS, CHIMNEY - LIGHT Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee $60.00 Technology Fee $1.50 Total: $62.30 Total Amt Paid Amt Due $ 62.30 $ 62.30 $ 0.00 Payment Type: Credit Card .....::: ..:: a� DEC 0sJ 7 :-� � CANCLILE� MIAMI SHORES VILLAGE 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 . November 30, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, November 30, 2007 1 ��'°�• Miami Shores e Villa gWi Building Department 10050 N.E,.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) '795.2204 Fax: (305) 756.8972 BUILDING Permit No. 12 l PERMIT, APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) _ ,(/G/p 4_✓ , ez- Phone # r— Owner's Address !© A% W /`�f e•�!. City / p Q00,_Cf State l -O /�C� Zip s!?d Tenant/Lessee Name Phone # E-MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name km 0Phone # Contractor's Address State Qualifier Name State Certificate or Registration No. OWNER BUILDER: Zip Phone # Certificate of Competency No. Value of Work For this Permit $ Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair/Replace o Describe Work: 1 7V zee ( g 2c.¢ Application is hereby made to obtain a permit to do the work and installations as indicated. I w1ify that no work or installation has commenced prior to the issuance of a permit and (hal all work will he performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate pennit must he secured Ibr EH-VTRICAI. WORK. M.UMBING, SIGNS, WEIA.S, POOLS, FURNACES, BOILI:. RS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... "WARNING TO 011'NrR: YOUR FAILURE? TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'T'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to , l pplicant: .4s a condition to the issuance ol'o httilding pertnil with an estimated value exceeding $$500. 111c, applicant tntust pl•onri.se in good lWth that a copy of 1he notice of cotnntencentenl and construction lien ltnv brochure will be delivered to the person whose property is subject to attacbmenl. Also. a certilied c•opj? g%!he recorded nolicc gjcotnmencetnew must he polled at the job site for the firs! inspection which occurs seven (7) days after the building permit is issued.. In the absence of aitch posted notice. tine inspection will not he approved and a reinspection fee will be charged. Permit Fce $ 66 CC Technology Fee: �• S� Training/Education Fee $ 0.2,0 Code Enforcement $ Double Fee $ Z g $ Total Fee Now Due $ U' _ ' See Reverse side — c4j# MIAMI SHORES VILLAGE 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: I 2 3 4 Attach color samples with name and Fascia: 1 2 4 number. Drip Cap/Drip Ulgre. 102 3 4 Soffit: I _72F 4 Roof: 104 2 4 OWNER'S AFFIDAVIT: I certify that all the foregoirig information is accurate and that all work will be done in compliance with all applical-l- l -w- iegt$atirig construction and zoning. Signature Signature VIOL gen( The foref-I lillf-, instrument N -vas acknowledged before m this The foregoing instrument was acknowledged before me this— dav of 2001. by _.kEdwn a, of 20 _. by who i personally know to1iicloi-who has produced who is personally known to me or who has produced — identi ficA'on and who did ta T 1. as identification and who did take an oath. WAR NOTARY PUBLIC: .n, Sign Sign: Prins: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: I Plans Examiner Preservation Board Code Enkircemen( (Revised 04/24/0; Flower Bins: 1 2 3 4 Sl1L1ttC1_S: I 2 3 4 Awnings. 1 2 3 4 Chimney: 4 Doors and Door.lanis: I 2),IA 4 Garage Doors-- I K�A2 3 4 Railings: i QA 2 3 4 3 Fences- 1 2 3 4 All brick (simulated or reaular): f 3 4 Stucco Banding: I �_ 2 3 4 Any Othel' StUCCO Feaftll-eS.: 1 2 3 1 —4- 4 Accessory Buildings Other: OWNER'S AFFIDAVIT: I certify that all the foregoirig information is accurate and that all work will be done in compliance with all applical-l- l -w- iegt$atirig construction and zoning. Signature Signature VIOL gen( The foref-I lillf-, instrument N -vas acknowledged before m this The foregoing instrument was acknowledged before me this— dav of 2001. by _.kEdwn a, of 20 _. by who i personally know to1iicloi-who has produced who is personally known to me or who has produced — identi ficA'on and who did ta T 1. as identification and who did take an oath. WAR NOTARY PUBLIC: .n, Sign Sign: Prins: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: I Plans Examiner Preservation Board Code Enkircemen( (Revised 04/24/0;