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PT-06-2558 Miami Shores Village �n 10050 N.E. 2nd Avenue "'°' Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status: APPROVED Issue Date: 10118/2006 Expires: 04116/2007 Permit Number: PT-10-06-2558 Owner's Name: IVAN VERDES one: Permit Type: Paint Parcel#: 1132060131441 Work Classification: New Block: Lot: Job Address: 10010 1 Avenue NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 250.00 Re uired Inspections Additional Information Final Type of Work: Exterior Color: Additional Info: Classification:Residential 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. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $0.60 PT-10-06-26395 $67.30 Education Surcharge $0.20 Total: Notary Fee $5.00 fZ,,4-7 Permit Fee $60.00 Technology Fee $1.50 06 2 ® 2006 Total: $67.30 Building Department File Co NOTICE: In addition to the requirements of this permit, there may be g p Copy additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village Imcmg7m, BuildingDepartment O r 1 2 , 06 p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I I Tel:(305)795.2204 Fax:(305)756.8972 E3` :a�' - BUILDING (LM,,Q, (A;,� 1()ir� 10(� Permit NP 10(,. 2's,S a PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building ElectricaAI /,fvzDo A mbingMechanical Roofing Owner's Name(Fee Simple Titleholder) Vf gnjone# 4�07 09 Owner's Address 1001 Q N E. I or f V e City Q (• 6hQrState L Zip 3 3) 3 Tenant'Lessee Name Phone# Job Address(where the work is being done) f Colo ` V-r__ A-V City Miami Shores Villaae County . Miami-Dade Zip 3z l c FOLIO/PARCEL# — /1-L1 I Is Building Historically Designated YES NO� Contractor's Company Name Phorte.#/� Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ 5 L/ Square/Linear Footage Of Work: Type of Work: ❑Addition P<Alterati ❑New ❑ Repair/Rep ace ❑Demolition Describe Work: Submittal Fee$ Permit Fee$ V Win- CCF$ CO/CC Notary$� Training/Education Fee$ Technology Fee$ ­" Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See R —jsea iijj Q6 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 of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person 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 not be approved an reins ection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged ;before me this 2 • The foregoing instrument was acknowledged before me this day of(D ,20 y NVQ` llA � ��� day of ,20 by who is personally known to me or who has produced 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 L NOTARY PUBLIC: Sign: " Sign: i Print: Trent: } R, XP Jul1 J,4„ My Co fission Expires: o� [3aaded"i 4q,My Commission Expires: 'A 1* AA-A4 t APPLICATION APPROVED BY: a Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village Paint Color Approval and Agreement Date: 1 W06 Owner's Name: Phone#: 7S-B 0 (7 Job Address(where the work is being done): , /U E V City: Miami Shores Village County: Miami-Dade Zip: .33 13(j Is Building Historically Designated?: YES NO X Contractor's Company Name(if applicable): Phone#: All elements on the site must be listed and indicate the color to be n»inted Walls: 4one, a gr Fascia: C r," (0, Iq 6j Attach color Samples Drip Cap/Drip Edge: c t'e,-e 60-- le�ry with numbers Soffit: PON e y �y�� r Roof: N/ A Flower Bins: Shutters: WI-All Awnings: �' /UTA Chimney: 320C-31 �� n Honey Butter Doors and Door Jams: CjY'1y Garage Doors: Crl, r1 Railings: Fences: Decorative Metal: C r, S Ole �? Jr All brick(simulated or regular): Stucco Banding: Crisp Celery ICC-581 Any other Stucco Features: Accessory Buildings: Other: ----------y 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 Signature: V&- Date: / oh,6 le56) Owner or Agent APPLICATION APPROVED BY: Date: P&A O FICIAL "MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION" Miami Shores Village Paint Color Approval and Agreement Date: (/)I L2. 1o6CjeS Owner's Name: r�r'�cI�j �v Phone#: 7,5 ®Q Job Address(where the work is being done): ' 00 ( 0 Na k\.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 minted Walls: vi4C" CSP' (L Fascia: INESVILOW _ � r Attach color Samples with numbers Drip Cap/Drip Edge: g'e: tJ � - o Soffit: W COO(, �OC`�� Roof.- Flower oofFlower Bins: JAM%t Shutters: m 9JAtV16 Awnings: Chimney: 31OC-3 P Doors and Door Jams: l.J'r W.,e vi Warm Cocoon Garage Doors: �(�r!'��e g r'ee a Railings: Fences: - Decorative Metal: �' �. re eyi All brick(simulated or regular): -- Stucco Banding: Any other Stucco Features: Verde Tortuga PPH-54 Turtle Green PPH-54" 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 11 applicable lawsre lating construction and zoning. Signature: Date: p2 Owner or Agent APPLICATION APPROVED BY: Date: P&Z OFFICIAL "MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION"