PT-07-565 Permit NO. PT-3-07-565
*`oRF•r�,� Miami Shores Village M Permit Type: Paint
10050 N.E.2nd Avenue Pa rm i
Work Classification: New
Miami Shores,FL 33138-0000 Permit Status:APPROVED
,... /
Phone: (305)795-2204
Issue Date: 3/29/2007 Expiration: 09/25/2007 Eli
Project Address Parcel Number Applicant
801 NE 96 Street 1132060142780
Miami Shores Village, FL 33138- Block: Lot: JOSEPH LOUISIAS
Owner Information Address Phone Cell
JOSEPH LOUISIAS 801 NE 96 STREET
MIAMI SHORES FL 33138-2521
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 0
Type of Work: Exterior Available Inspections:
Color:JONQUIL/TANBARK Inspection Type:
Additional Info:
Final
Classification:Residential
Color:JONQUIL/TANBARK—Approved Code Comments:SHERWIN WILLIAMS-WALLS,
Color:JONQUIL/TANBARK—Approved Color:JONQUIL/TANBARK—Denied
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60
Education Surcharge $0.20 $0.00 $0.00 $ 0.00
Notary Fee $5.00
Permit Fee $60.00 Payment Type:
Technology Fee $1.50
Total: $67.30 CC6 MAR 3 O DA I®
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
March 29, 2007
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
Thursday, March 29, 2007 1
Miami Shore Villa
r g MAR 2 2 2007 U
Building Department BY:
__t&
10050 N.E.2nd Avenue Miami Shores Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
BUILDING U-, Permit No.�T�
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle): Building Electrical Plumbing Meech�anical Roofing
Owner's Name(Fee Simp TitlehoLLlder) Phone# VycS �` � �
Owner's Address 'G
City State f` Zip
Tenant/Lessee Name V1 D i Phone#
Job Address(where the work is being done) fz�&-
i
City�,�/� Miami Shores Village County Miami-Dade Zip 13�
FOLIO/PARCEL#
Is Building Historically Designated YES NO
Contractor's Company Name �n Phone#
Contractor's Address
City State Zip
Qualifier Name Phone#
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
Value of Work For this Permit$ k� Square/Linear Footage Of Work:
Type of Work: FlAddition ❑Alteration ew ❑ Repair/Replace ❑Demolition
Describe Work:
Submittal Fee$ Permit Fee$AL � CCF$ , O CO/CC
Notary$�_ Training/Education Fee$ r (n 0 Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side
r
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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,)~URNACES,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. IF 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 Oe notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachme Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs en (7) days after the building permit is issued. In the absence of such posted notice, the
inspectio not be approve d a reinspection fee will be charged.
Signature r ��� Signature
O er or Agent Contractor
The for ing instrument was acknowledged bef re me this The foregoing instrument was acknowledged before me this
day ofk 20('O,by 1 1 )J day of ,20_,by
whl is pefsonally known to me or who has produced who is personally known to me or who has produced
11,1
(III M.Z104LL/ As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: ` ��` NOTARY PUBLIC:
Sign: PN � 0?��0`5 Sign:
Print: Uti(Ut '�` G 5 n Print:
My Commission Expires: =_ My Commission Expires:
APPLICATION APPROVED BY: '/ ?�IA r7 Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
Miami Shores Village
Paint Color Approval and Agreement
Date: 3 `6 ��
Owner's Na e: [S Phone#:,3
Job Address (wher e work is bei done):
City: Miami Shores Villa e County: Miami-Dade Zip:
Is Building Historically Designated?: k Q-VA YES NO
Contractor's Company Name(if applicable): Phone#:
All elements on the site must be listed and indicate the color to be minted
Walls: , S t--
Fascia: k , Attach color Samples
Drip Cap/Drip Edge:_ S k..)
with numbers
Soffit: S
Roof: U!�\s S
Flower Bins:
Shutters: (J =�
Awnings:
Chimney:
Doors and Door Jams:
Garage Doors: OV-L �.
Railings:
Fences:
Decorative Metal:
All brick(simulated or regular):
Stucco Banding:
Any other Stucco Features:
Accessory Buildings-
Other:
■......■ ■....................................■■.............................■1
OWNER'S AFFIDAVIT: I ce ify that all the foregoing information is accurate and that all work will be
done in co p 'ance with 11 appl able laws regulating construction and zon' g.
Signature: Date:
caner o Agent
APPLICATION APPROVED BY:- Date:
P&Z OFFICIAL
**MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION**