Loading...
PT-06-2302 Inspection Worksheet e Miami Shores Village t� r<aa ooaaa� 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 ..::::::::.:::....................................................................................................Ic; rt .luer.<...PT.. .. ... � ... Inspection Date: 09/26/2006 Permit Type: Paint Inspector: Desharnis, George SEP 2 7 200 Inspection Type: Final Owner: Work Classification: New Job Address: 1150 103 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050190050 Project: <NONE> Block: Lot: Contractor: COAST TO COAST GENERAL Phone: (954)920-3900 Building Department Comments Inspector Comments Passed r� Failed �. a Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, September 25, 2006 Page 1 of 2 Miami Shores Village -- 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 ORIV Permit Permit Status: APPROVED Issue Date: 9/13/2006 Expires: 03/12/2007 Permit Number: PT-9-06-2302 Owner's Name: one: Permit Type: Paint Parcel#: 1132050190050 Work Classification: New Block: Lot: Job Address: 1150 103 Street NE Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 0 COAST TO COAST GENERAL (954)920-3900 Yes Total Valuation: $ 3,100.00 Com ments: Re uired Inspections PAINTING EXTIRIOR Final WALLS GREY TRIM WHITE Additional Information Type of Work: Color: Additional Info: Classification:Commercial 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 $2.40 PT-9-06-26100 $64.70 Education Surcharge $0.80 Total: ° Permit Fee $60.00 Technology Fee $1.50 a Total: $64.70 SEP 14 Naft 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 i' Reverend Dr. Marta.Burke 1900 N.E. Florida 33162 Phone:(305)945-35054t Northh Street* Fax:(305)94 6203-Email:fulfordumc@netaero.net to make Jesus Christ known to all,and to stand as an example of faith." Miami Shores Village CII��� g [0 Building Department �r 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fag:(305)756.8972 BUILDING "' �� 1 Permit No._F SEP 0 $ II PERMIT ArrLICATION 2006MVer Permit No. FBC 2004 :Tla KF B Y.-W�1C�__�_ Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) FL J-}- ,06 U.MC Phone# - Jr • QS Owner's Address QO 1,-\E I (jam' Ly,-- �- City&1y1 A AC- State r— Zip Tenant/Lessee Name Phone# Job Address(where the work is being done)_I ( `( N L I C7�!) r d r City Miami Shores Village County Miami-Dade Zip 3 FOLIO/PARCEL# ( I - 3 BO`S — C Is Building Historically Designated YES NO Contractor's Company Name �( I Phone# !�j 5 4+ • �` � "3G}Com' Contractor's Address City �tC�� State_ [—LZiQualifier Name � f �a Phone# State Certificate or Registration No. j22�~ !TC4&G Certificate of Competency No. Architect/Engineer's Name(if applicable) 1- . /jet Phone# l Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ew ❑ Repair/Replace ❑Demolition Describe Work: ; Submittal Fee$ Permit Fee$ © CCF$ - [� CO/CC Notary$ Training/Education Fee$ 6 W Technology Fee$ S Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$_Ce-f4-30 See Reverse 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for.the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20__,by day of ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: D Plans Examiner Engineer Zoning (Revised 07/08/06) FROM :FULFORD UMC FAX NO. :3059456203 Sep. 01 2006 12:54PM P3 Boniiin '•Coiuij�°s Name(if applicable) -------------------N/A------------------------- Bonding(qri p pv!s Address :.,.: State - - — - Zip IVlortgae'Lendec's Namc(if applicable) --------------------N/A--------------------- .; lyCortgagetc' ;s Address State Zip .t ,Appttcatio _is:Be eby made to obtain a permit to do the work and installations as indicated. I Certify that no work or installation ho coiiunenced;;prior".to the issuance.of a permit and that all work will be performed to meet the standards of all laws roeQ,l ins cohAruction;in.W's jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGHTS, VVIJL;LS;POOLS,;FURNACES,BOILERS,MATERS,TANKS.and AIR CONDITIONERS,ETC..... .p"ERI$AFFIDA,VI'I': I certify that all the foregoing Information is accurate and that all work will be done in compliance with all Applicable::p*s,regulating construction and caning. OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOL PAMg.;:,TWICE.:TOR IMPROVEMENTS TO YOUR PROPER'T'Y, Ili YOU INTEND TO OBTAIN FINANCING, :•CONSULT::::::;WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .h.,4.y "i'• Notice=toltpplicantr'As a condition to the issuance of a building permit with an estimated value exceeding$2300, the applicant must prDise,ir .ggvd faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whRre:pToper.y.is;subyeet to attachment. Also, a cerfif copy of the recorded notice of commencement must be posted at the job site. jor,4lie.frsF`r'n�spection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the riyrspctton.will not be appraved and a reinspection fee will be charged .:�- - •`'`" �� GI�,��' . Signature ��i/�!�9�� Owner or Agent Contractor .T'he rament was ac owiedged before me this The foregoing instrument was acknowledged before me this day,of 20 by \ l' � who.:.• `' rsoriali ' to me or who has producedwho 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. ,NOTAIt.�;t"'LIQ NOTARY MBUC: ign. Sign: Pi ttt 'c' ir1. � Print. heNll My.0 16A.M. xpires: e l My Commission Exp' ,, cHERnVANQu3SELQORP 1 n V tib.PNp�;,,� i / y _, .z MY COMMISSION#DD 428319 **f*PIfd4F�t+k+IRf8tI8 �* ♦:' '%0Wr � Bonded Tiw Notary Pub9c Urrckntmtazs > ICAW() 1#PPJ' J_ED BY: Plans Examiner .��•vp�`pub',' � ��"�°; ' Engineer Zoning it0�llt1, • (Rev. mianii Shares Village Paint Golan Approval and Agreement Date owner's Name Owner's Address city state. zip _"�3 l n:Q- — • ' � Y r1 Job Address(where the work.is being done) City Miami Shores Viiia a County Miatxu-Dade• Zipa3l 31 — is Bul.lding Historically Aesiguated YF-S_ NO licable A- -�q � Phone# RQ •s Contractors Company Name(if app } All elements oti the site must be listen and indicate the color to be aimed Walls Fascia Drib Cap/drip Edge_ Soffit FAtta,Rooi+ioiver binsh Color Samples With Numbers Shutters AwningsChimoey Doors and door jams Garage doors ` Railings Fences Decorative M tal Ali brick(simulated or regalar) Stucco banding Any other stucco features Accessory Buildings Other. OWNER'S A)E'k'fDAYT,T: X certify tliat all the foregoing idOmIation is accurate and that all work will be done in•cornpiianee with al . NnUra},iP is%vs re2uLatini~construction and zoning. S ignat e, Owner lzcial Date APPLICATION APPROVED BY: c6c 6138/03