PT-06-2764 1yoRs y�r Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
rus
Permit
Permit Status:APPROVED
Issue Date: 11/15/2006 Expires: 05/14/2007 Permit Number: PT-11-06-2764
Owner's Name: JULIAN MONTERO one: (305)984-1032
Permit Type: Paint
Parcel#: 1132060170920
Work Classification: New
Block: Lot:
Job Address: 526 103 Street NE Section: PB:
Miami Shores Village, FL 33138-
Contractor(s) Phone Primary Contractor
Total Square Feet: 0
Total Valuation: $ 500.00
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-11-06-26693 $62.30
Education Surcharge $0.20 Total:
Permit Fee $60.00
Technology Fee $1.50
Total: $62.30 2 OP0,01,
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.
C\jApplicantSignature
f@ Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
�•�'��sD�8�3�*i11
Phone: (305)795-2204 Fax: (305)756972
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Inspection Date: 03/20/2007 Permit Type: Paint
Inspector: Grande, Claudio
Inspection Type: Final
Owner: MONTERO, JULIAN Work Classification: New
Job Address: 526 103 Street NE CIL
Miami Shores Village, FL 33138-
Phone Number (305)984-1032
Parcel Number 1132060170920
Project: <NONE>
Block: Lot:
Contractor:
Building Department Comments
EXTERIOR PAINTING
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Monday, March 19, 2007 Page 1 of 2
Receipt
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: PT-11-06-2764 Owner Address:
Invoice Number: PT-11-06-26693 526 103 Street NE
Applicant: JULIAN MONTERO MIAMI SHORES, FL 33138-
Company Name:
Job Address:
526 103 Street NE
Miami Shores Village, FL 33138-
Date Payment Type Check Number Amount Change
Monday, November 20,2006
11/20/2006 Check 6159 $62.30 $0.00
Total Payment: $62.30
Page 1 of 1
Miami Shores Village
Building Department NOV 4 "3406
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
BUILDING X51 P- - Permit Nol�— IIrD)A44
PERMIT AP Master Permit No.
FBC 2004 (7
�J
Permit Typ ui di Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Si mp a Titleholder) D i&f 4 d A.)Lr q 0 t-X6k13ZCa,0 Phone# 30.-4� 3-(37_1
Owner's
0-137_-
Owner's Address_ S_Z b N.ic T-3 5`('
City 1ti1(At-Xt S H-Djc'S State PL- Zip -53%3S
Tenant/Lessee Name Phone# 3,2 S 2
Job Address(where the work is being done) ST
City Miami Shores Villase County . Miami-Dade Zip 3 (3 U
FOLIO/PARCEL#
Is Building Historically Designated YES NO�
Contractor's Company Name K_- (A Phone#
Contractor's Address
City State Zip
Qualifier Name Phone#
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) �(z� Phone#
Value of Work For this Permit$ S 01 r A S,JASquare/Linear Footage Of Work: 2,04*9
f*(tq C,00L olvtAk\
Type of Work: E]Addition ElAlteration ONew
Repair/Replace ❑Demolition
Describe Work: e V.—(Z 14 v0- `PT
ZVO
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$_ 609 t
See Reverse
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 0 Signature_
Owner or Agent Contractor
The fore ing injjs��trument was acknowledged before a this� The foregoing instrument was acknowledged before me this
day o ""Y 20C& b}+�I.3 ka•� day of .20_,by
who is personal known to me or w o 4rdsTfo-truffeci who is personally known to me or who has produced
n an w o ie an oath. as identification and who did take an oath.
N TARY LI NOTARY PUBLIC:
Sign Sign:
ERASMINA E.PINERO pmt;
Print: ( Y°6t� 657
My Commission Expires: a EXPIRES:DEC 06,2009 My Commission Expires:
°" Bonded throu h 1 t S e n n e
APPLICATION APPROVED BY: G S Plans Examiner
r Engineer
Zoning
(Revised 02/08/06)
Miami Shores Village
Paint Color Approval and Agreement
Date 5(13/°&
Owner's Name JVuP,6 Phone# 30S - W-3 ?4��
Owner's Address
City-421A!`1( State zip
Job Address(where the work is being done) SZ LO S-Z
City Miami Shores Village County Miami-Dade zip -3 7 0
Is Building Historically Designated YES NO-
Contractor's Company Name(if applicable) ly�� Phone#
All elle its on the site must be listed and indicate the color to be painted
Walls C)
Fascia ('tel Gtff b0(v
Drip Cap/drip Edge J >/C
Soffit &2I(,1-
RooU
Flower bins 0/4 Attach Color Samples
Shutters N14- With Numbers
Awnings /U 14-
Chimney AQP
Doors and door jams NA-rdxA,_
Garage doors UKc
Railings
Fences
Decorative metal
All brick(simulated or regular) /y G
Stucco banding /V 14
Any other stucco features av 0
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 lays regulating co tru on and zoning.
f
Signature
' Date
i
Owner or Agent
L11' \ oc
APPLICATION APPROVED BY: Date ��
PpZ Official chc 6/18/03