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PT-06-2477 Miami Shores Village Rdo a. 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status: APPROVED Issue Date: 10/3/2006 Expires: 04/01/2007 Permit Number: PT-10-06-2477 Owner's Name: MALEKSULTAN KANJI Phone: Permit Type: Paint Parcel M. 1132060170860 Work Classification: New Block: Lot: Job Address: 588 103 Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 1,000.00 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-10-06-26309 $67.30 $67.30 Education Surcharge $0.20 Total: $67.30 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 ID Total: $67.30 isL�� PA 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 Inspection Worksheet Miami Shores Village u 1 , 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)756-8972 ::.: .:. . :...............................::.::.::.;:.;:.;:.;:.;;:.::.::.:::.;:.;:.;:.;;:.;::.::.:::.;:.::.:;:.::.::.;:.::.;::.:::.;;:.. :..::.;.. :. ::::::::::::::::....:.................................................................................................................................................................................. ............................................................................... Inspection Date: 12/13/2006 Permit Type: Paint Inspector: Grande, Claudio Inspection Type: Final ® 1 4 T`0 p yP Owner: KANJI, MALEKSULTAN Work Classification: New Job Address: 588 103 Street NE c Miami Shores Village, FL Phone Number Parcel Number 1132060170860 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments It Inspector Comments Passed Failed E]_ Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Tuesday, December 12, 2006 Page 1 of 2 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Bill To MALEKSULTAN KANJI Invoice Number: PT-12-06-26906 588 NE 103 ST Invoice Date: December 04,2006 MIAMI, FL 33138-2458 Permit Number: PT-10-06-2477 Return to: Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Pennit Type: Paint 1 Work Massificaitlow Now Date Fee Name Fee Type Fee Amount 12/04/2006 Revision Fee Calculated $35.00 12/04/2006 Scanning Fee Calculated $3.00 Total Fees Due: $38.00 Old Monday, December 4, 2006 Miami Shores Village Building D rt epa ment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305)756.8972 Irv- BUILDING Permit Nol"I � PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) g P,XA K R` IQ Phone# 3 0 Owner's Address S: N, 'T ( o S1 City. �M t w o State / e, Zip 3 3 1 3 9 Tenant/Lessee Name Phone# Job Address(where the work is being done) City Miami Shores Villase County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name Phone# Contractor's Address City �kuState Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: -> 4-, 1 YaY'C�t��eYY�C:�YYYaYYSY'eikY�e7Y�tY&'taY�t'Y*k�YYaY*YtY'esk�eFPPS*�ek�e�e:e:�Y�e�e�::F*Y&Y�ie*Y�e�F:F�Y*�'eYu' kYYY�eaFtY�tYuYYa1rY'e�e Submittal Fee$ Permit Fee$ —� 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 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 /Vk 1J-, Signature Owner or Agent Contractor The foregoing instrument was acknowledged before my a this Z The foregoing instrument acknowledged before me this day of 2( a by�Q d I b I"� day of .20_,b who is personally known to me or who has produced K5 - `who is personally known to me or who h roduced 41— - As identification and who did take an oath. as identification and who e an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign. Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner U, Engineer Zoning (Revised 02/08/06) Miami Shores Village Paint Color Approval and Agreement Date: Owner's Name: a A 0 IZAk �� to 'It' ,J t Phone#: � '0 Job Address(where the work is being done): 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: M- 1 j O %4 I V° " `1' ? l Fascia: mia Attach color Samples Drip Cap/Drip Edge: with numbers Soffit: PAIA Roof: Flower Bins:_ Shutters:_ lnl 11 Awnings: A ilA Chimney: ,� 1� Doors and Door Jams: W 1^ '}"t- A rw 6 'e '� �-0 Garage Doors: Uj L% 41 Railings: AX Fences: w b© cj '4' Decorative Metal: All brick(simulated or regular): e f n O Stucco Banding: C Any other Stucco Features: 4 Accessory Buildings: Q P 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. Signature: Date: Owner or Agent A=14 APPLICATION APPROVED BY: Date: P&Z"OF I AL **MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION** Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fag:(305)756.8972 BUILDING � � ���1� aster Permit No. VTO�-� �PERMIT APPLIC N ®�� ® � X006� p Permit No. FBC 2004 - By- Permit Type(cir e): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Sim der) j4� {�l,J �C 1� 31, IP Phone# ® r �^ -�-' Owner's Address S$ /Q ' G , 10 3 r aQ St City q2 L M State L Zip Tenant/I.essee Name Phone# '3 c Job Address(where the work is being done) 9'34- /U /o 5 t 1- city Miami Shores Village County Miami-Dade Zip 3 1 3 FOLIO/PARCEL# Is Building Historically Designated YES NO_ Contractor's Company Name QW()GV— _ Phone# Contractor's Address CityState 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$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ew ❑ Repair/Replace ❑Demolition Describe Work:_ n�'^'L 1A_ Submittal Fee$ Permit Fee$ 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 Reverse side—4 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 OA4^ r Signature KV�ASignature Owner or Agent Contractor The foregoing instrument was owledged before me thi The foregoing instrument was acknowledged before me this day of Ck,20C7�by (j81 A �'� gday 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 w y d8te an oath. as identification and who did take an oath. a* NOTARY LIC: ��s d onomis,iraii; f i�31� �E NOTARY PUBLIC: _oQ=Expires:Jul 13,20W ;o?:a^ BondedThru 0 Sign: g2 Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: f �/� Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village Paint Color Approval and Agreement Date: Owner's Name: Phone#: Job Address(where the work is being done): C� Iaa>S�-- 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: l r C to Lo e d n t Fascia: C o 0 Y Attach color Samples Drip Cap/Drip Edge: with numbers Soffit: C. � -- ,r I S � 1,Y'C-0— Roof- Flower -RoofFlower Bins: Shutters: C' IV-c-Awl— l �/ Awnings: 3 Chimney: Doors and Door Jams: c T- n-; Garage Doors: Y e DLA.— 6D Railings: Fences: Decorative Metal: All brick(simulated or regular): Stucco Banding: Any other Stucco Feat s: Accessory Build' s: 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. Signature,;!' Date: 6 Owner or Agent / APPLICATION APPROVED BY: Date: P&/Z O ILIAL **MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION**