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PT-07-2195 PermitNo. PT-10-07-42,195 , Miami Shores Village -pe P#fimmType-Paint�y 10050 N.E.2nd Avenue 1 #ck classfllca4m.Now Miami Shores,FL 33138-0000 , ,. Phone: (305)795-2204 Uwe r :10131i2Qp7 Expiration: 04/28/2008 Project Address Parcel Number Applicant 9414 NW 2 Court 1131010150140 MARIE MICHEL Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell MARIE MICHEL 9414 NW 2 Court MIAMI SHORES FL 33150-2214 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER Total Sq Feet: 0 Type of Work:Exterior Available Inspections: Color:ROOF-WHITE knal nspection Type: Additional Info:ROOF Classification:Residential Color:ROOF-WHITE Approved Code ,entsF-WHITE Color:ROOF-WHITE Approved_ ® for FAN D NOV2 07 T'd MIAMI SHORES VILLAGE 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: $67.30 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated October 31, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday,October 31,2007 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - BUILDINGal! I Permit No. 1 ` p2,k1br PERMIT,APPLICATION 1:�-ECEIV Master Permit No. FBC 2004 OCT 2 9 zo07 Permit Type: PAINT PERMITIBY:—AZP Q Owner's Name(Fee Simple Titleholder)x �'� ione# Owner's Address City e!!97 ' � 4Qktate t7 Zip . - Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) City Miami Shores Villa<ge County Miami-Dade Zip f FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name civ, Phone# Contractor's Address City_ State Zip Qual i fiet-Name Phone# State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit$ Type of Work: ❑Addition/ ❑ Alteration/KNew/❑ Repair/Replace Describe Work: �u®J -- tXr 00l V Appiication is hcieby made to obtain a permit to do the work and installations as indicated. I certify thatro 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 lirr ELECTRICAL.WORK.PLUMBING.SIGNS.WELLS.POOLS.FURNACF.S.BOILERS.HEATERS,TANKS and AIR CONDITIONERS,ETC..... "WARNING TO OWNER: YOUR FAILORF. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR [PROPERTY. iF YOU INTEND TO otrrAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicam: As a condition to the issuance ola building permit with an estimated value exceeding$2.100.the applicant nuts1 promise in goad faith that a cohv of[lit' notice of commencement and construction lien knv brochure will be delivered to the person whose property is subject to attachment. Also.a cerified copy pjihe recorded nolicc o/'commencenteni roust he posted at the job site for the,irsi inspection which occurs seven(7)days after the building permit is issued In the absence of such posted notice.the inspection will not be approved and a reinspection fee will be charged. xxxxeex9cxxxxx xzxxxxa:x4exxsexxxxxxxxxxxxxx$Fees"wwwww%%'Y% Permit Fee$ CCF$ 0-60 Techn , cc��//^^ Notary AM Code E cement$ 11 , Training/Education Fee$ ©"O�l� y$ Double Fee$ Zoning$ Total Fee Now $ �.a a ide— H 'etr� A,��Ii�LAG�Rev tse s MIAMI 1 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: l 2 34 A Fascia: 1 2 3 4 Drip Cap/Drip Edge: 1 2 3 4 Sofi'it: 12 3 4 Roof: I 2 3 4 �- y —' Flower Bins: 1 2 3 4 1Deako Ccatings&Chemical ,inc� Shutters: l 2 3 4 { 2W NW 29th Avenue Niiemi, FL 314220 Awnings: l 2 3 4 2 pr Chimney: 1 2 3 4 - - - --_Dnors and_Door Jams__ l-- - __2 _ - 3 Garage Doors: 1 2 3 4 Railings: 1 2 3 4 3 Fences: 1 2 3 4 All brief:(simulated or regular):_ 12 3 4 Stucco Banding: l 2 3 4 Any other Stucco Features: 1 2 3 4 4 Accessory Buildings Other: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witJail. Sac c rr ting g construction and zonin ppp r Signature-- `yC% �, Signature - - Owner or Agent -Contractor The foregoing instrument was acknowledged before/me this The foregoing inst ent was acknowledged before me this 11 day of OFT .20 of .by fk tkL►4 day or .20_,by who is personally known to me or who has pioduce:d who is personally known Come or who has produced LK 57-'785b As idcntil•ic:ation and gull. as identification and who did take an oath. NOTARY P _ MpN\CPcv,S�0� e2 1.0 NOTARY PUBLIC: Sign: ,,�„�,, GS „o �° Sign: Prinl: t3�IC4 ' aeamr� Print: My Commission Expires: � ,�;gF,�`'' My Commission Expires: xx�ie4xx9c kx*nY•aF vYxfc#},hu4exdt eYza4 s:,Y,trx,k,4•,Yu9ede@4r 4 x+e,Yt4-0r 4e4evk,Y,Y iextt 9:agx$ru+r Y ie 9euG4�d:dt irk&vk 4 aR de4e4xdt+Y 9rxoY*dr 3e eYx#aY aY&&4e&ir d:4Yu�fexirxxu&x i APPLICATION APPROVED BY: Plans Examiner Preservation Board .u4; ,�•?��1•. Code Enforcement (Revised 04/24/0;