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PT-06-1620 Miami Shores Village r`( 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 tE3 tix Permit Permit Status: APPROVED Issue Date: 7/6/2006 Expires: 01/02/2007 Permit Number: PT-6-06-1620 Owner's Name: JEAN VALCOURT Phone: (305)303-8729 Permit Type: Paint Parcel#: 1131010330550 Work Classification: New Block: Lot: Job Address: 75 95 Street NW Section: PB: Miami Shores Village, FL 33150- Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 1,000.00 Comments: Re uired Inspections EXTERIOR PAINTING Final Additional Information Type of Work: Exterior Color:SOFT APRICOT AND HONEY BLUSH Additional Info: Classification:Residential In consideration of the issuance to me of this permit, I agree to perform th CELLED 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. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $0.60 PT-6-06-25217 $62.30 Education Surcharge $0.20 Total: Permit Fee $60.00 I JUL 0 1 PAID Technology Fee $1.50 Total: $62.30 G Zvi Building Department File Copy NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature COW (r) Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I (305)795.2204 Fax:(305)756.8972 BUILDING Permit No. RI Oro_ I PERMIT APPLICATION D LT V MgyMMaster Permit No. FBC 2001 JUN 14 2006 Permit Type(circle): Building Electrical Plum ing Mechanical Roofing B Y:. 305-° 0 3- 8-72-9 �•eca,r� Owner's Name(Fee Simple Titleholder) AL x t S N-T O IJ klur Phone#_3D j -7 S 4 Zci. 4�1_ Owner's Address r1:5 M, W 9.5 -ST City 1-41 A State ; l.. Zip 3'3 1:5 0 Tenant/Lessee Name fV'/A Phone# Job Address(where the work is being done) 5 N, W 9> i City Miami Shores Villaee County Miami-Dade Zip 1'3 3 1 J Is Building Historically Designated YES NO " Contractor's Company Name (001ut, ( Phone# 14 4j ?� Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# S Value of Work For this Permit 00 Square Footage Of Work: Type of Work: DAddition ElAlteration E]New Q Repair/Replace El Demolition Describe Work: _ FA,N i, NL _ Submittal Fee$ Permit Fee$ O, CCF$ GO CO/CC Notary$ Training/Education Fee$ �U Technology Fee$ l s0 Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ VC - (Continued on opposite side) 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 cert 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 ELECTRIC NL 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 i vill 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 INTEN D 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 ex eeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broc re will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the a bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. °tPaY au�c JOHN A BURTON,JR. Signature 0-J4eY ry t A g t 3712 gnature Owner or Agent * * EXPIRES:November 14,2008 C Dntractor e �oPOP Bonded Dfu Budget Notary Services The foregoing instrument was acknowledgedefore me this_3 The foregoing instrument was E cknowledged before me this day of , �l 200 by f��f�o/��1�; 6X� day of .20 by , who is personally known to me or who has producedl� who is personally known to me or who has produced ,.i As identification and who did take an oath. as identifi4 ation and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: / Sign: Print: Print: My Commission Expires:�Q l/1!5 j My Commission Expire APPLICATION APPROVED BY: Plans Examiner Engineer Zoning clic 05/13/03 I • Miami Shores Village Paint Color Approval and Agreenle �2 Date 16- q- Owner's Name A N ro n)i't11) n t Phone# oS 7 Owner's Address '� J dV Lk) S , City S I A State F L Zip 7�5 1 S Job Address(where the work is being done) 'R S J ) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name(if applicable) Phone# All elements on the site must be listed and indicate the color to be painted Walls �� '� C.O"r Fascia Drip Cap/drip Edge i Soffit Roof Flower bins Shuttersy�� 1 V Sal Awnings SW 4 h I Chimney nt.$iush Doors and door jams / I Garage doors Railings Fences Decorative metal All brick(simulated or regular) / SW 632 Stucco banding Soft Apricot Any other stucco features Accessory Buildings Other. 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. S Date Signature or Agent Date APPLICATION APPROVED BY: _JJ clic 6/19/03 P Z Official