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PT-07-705 P #NCS:' P�"�?'�?Q5 �sN°R�s q Miami Shores Village Permit Type.Paint 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 Work C/assffloafion New Phone: (305)795-2204 Permit Status.-APPROVED FcaRmp Fxpiration: 11/13/2007 Issuegate:�17120d7 Project Address Parcel Number Applicant 12 NE 96 Street PARC2003-1 ''. Miami Shores Village, FL 33138 Block: Lot: CHRIS SHORR Owner Information Address Phone Cell CHRIS SHORR 12 NE 96 ST MIAMI SHORES FL 33138-2724 Contractor(s) Phone Cell Phone rLValuation-' $ 1,000.00 HOME OWNER q Feet: p Type of Work:Exterior Available Inspections: Color:CANOE/QUIT SHORE Inspection Type: Additional Info: Final Classification:Residential Color:CANOE/QUIT SHORE—Approved Code Comments:BEHR-WALLS-CANOE Color:CANOE/QUIT SHORE—Approved Color:CANOE/QUIT SHORE—Denied Fees Due Amount Total I Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $0.00 $0.00 Notary Fee $5.00 Permit Fee $60.00 Payment Type: Technology Fee $1.50 Total: $67.30 3 Y PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. May 17, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday, May 17, 2007 1 c6lnIm Miami Shores Village 046 �'`-~ g t1b bock, Building Department artment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 BUILDING �C�mr v m Permit No. PERMIT APPLICATIO � APR 1 07 Master Permit No. FBC 2004 Y.- - Permit Type(circle): Building Electrical Plumbing Mechanical Roofin Owner's Name(Fee Simp er) / Phone# 7,rj !S� -3 ,76— az*9 Owner's dress City eState r Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) O� 9l City Miami Shores Villa e County . Miami-Dade Zip ::5�3 FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name Phone# Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ &VD..W Square/Linear Footage Of Work: Type of Work: nAddition ❑Alteration w ❑ Repair/Replace ❑Demolition Describe Work: Submittal Fee$ Permit Fee$ ��© -� CCF$ O-W CO/CC Notary$ Training/Education Fee$ L� Technology Fee$ 'V Scanning$ Radon$ DPBR$ Zoning$ ' Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due ,I See Reverse side's 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,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. 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 o a building permit with an estimated value exceeding$2500, the applicant must PP f S P g promise in goodfaith that a co o the notice o commencement and construction lien law brochure will be delivered to the person P g .r Py f f 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 of such posted notice, the inspection will n p roved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 t') ,by 6 i1 t 1Ct t4& hp k, l.,Uvea I(�1'�(b',�A�day of ,20_,by c ' who is personally known to me or who has produced f7. `'✓L Ut who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: P1- NOTARY PUBLIC: 5 P�\ss��p0 Qe2g9 Sign: „ .y,,,, �l S• e� Sign: Print: J�+rCc� 1-r5`,t5 �N Print: My Commission Expires: " " My Commission Expires: APPLICATION APPROVED BY: kw, � Plans Examiner j Engineer / (d Zoning (Revised 02/08/06) Miami Shores Village • Paint Color Approval and Agreement �.... MANY 1. �� 2UO7 L Date:— BY: ate: \rte Q Y: __ - Owner's Name: Q//IP �� Phone#: :5�,_ f� Job Address (where the work is being done): NC �F6 .Z City: Miami Shores Village County: Miami-Dade Zip: Is Building Historically Designated?: YES NO Contractor's Company Name(if applicable): Phone#: ..............................................................................1 All elements on the site must be listed and indicate the color to be printed Walls: �� Yll -2 Fascia: Attach color Samples Drip Cap/Drip Edge: with with numbers Soffit: —� Roof.- Flower oof:Flower Bins: 3—/ Shutters: Awnings: �-_.� c t �,_s r - Chimney: /3 Doors and Door Jams: 4�aLo Garage Doors: /�J� 15Zap Z — -2- Railings: Fences: Decorative Metal: 1 Body ca-oe Fcc-13-1 , ;e'Shore ECC-13-2 All brick(simulated or regular): 2 Trm:Oj Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: OWNER'S AFF VIT: I certify that all the foregoing information is accurate and that all work will be done in compli a it,)all applicable laws regulating construction and zoning. Signature: Q Date: Owner or Age APPLICATION APPROVED BY: r 1 ,..- '_... Date: P&Z OFFICIAL "MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION"