PT-15-502 Miami Shores Village
Building Department
By
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 h
PAINT Master Permit No. �� --
PERMIT APPLICATION Sub Permit No.
JOB ADDRESS:
--? eX Vic_ 37
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
OWNER:Name(Fee Simple Titleholder):
A
Phone#: ���•��,,�
60
Address'.
City: nt ��' State: (�% Zip: awag
Tenant/Lessee Name: Phone#:
Email: -S� t l «
ONTRACTOR:Company Name. c s Phone#: ' V L 0
ddress' ( PW
,City: State: r_1° zip-2351
Qualifier Name:anc. A.� Phone#:
State Certification or Registration#: Certificate of Competency#: 6 C ®_
Jam.
®Value of Work for this Pen it:$ Square/Linear Footage of Work.near
Description of Work:
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,PLUMBING,SIGNS,WELLS,POOLS,FURNACES,BOILERS,
HEATERS,TANKS,AIR CONDITIONERS,ETC.....
"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 Applkant:As a condition to the Issuance of a building permit with an estimated value exceeding$25tm,the applicant must promise.in goal faith that a
copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a cerdfied
copy of the recorded notice of commencement must be posted at the job site for the"inspection which occurs seven(7)days after the building permit is Issued
in the absence of such pasted notice,the Inspection will not be approved and an inspection fee will be charged.
Permit Fee$ CCF Fee$ Notary$
Technology Fee$ Tralning/Education Fee$ Double Fee$ ga
a
TOTAL FEE NOWDUE$
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted ,
DIRECTIONS:PI a circle corresponding number to appropriate color sample.
Walls. 1 2 3 4
Attach ber
Fascia: 1 3 4
Drip edge: 1 3 4 - _ 38
1.
Soffit: 1 3 4
Flower Bi1 2 3 4 S
ns: W 7686
L
Hinoki
Shutters: 1 2 3 4
Awnings: 1 2 3. 4
2. •`vii� � � �-
Chimney: 1 2 3 4
Doors&Jambs: 1 3 4
f ,.
Garage Doors: 1 2 3' 4. '
Railings: 1 2 3 4
3.
Fences: 1 2 3 4
All Brick: 1 2 3 4
.Stucco Bands: 1 2 3 4
Other Stucco '
Feature: 1 2 3 4
4., _ -
Accessory Bldg: 1 2 3 4 -
OWNER'S AFFIDAVIT: I certify that'all the foregoing Information Is accurate and at all work e'done'in compliance with all
applicable laws regulating construction and zoning:
o�
Signature ' SlgnatuiL/A&�
OW' 164 or AGENTC CTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 by 6 day of L .20 ,by
yUS'r-, aOG?ll-t GLTV:i�lrwho is personally known to JC��D,P,� .who is personally known to'
me or who has'produced 1`��. - LI ;as me or who has produced as
Identification and who did take an oaft identification and who did take an oath.
NOTARY PUBLIC: .40 �i�i,�� NOTARYPUBUC:
'690EL �3'••�J,
WW0 '
Sign• _ = silln•
Print.• Print:
S . . dx?>.• .`� �°"eo� ,loanna ppoB2953
Seal: ',�� p,'��S 9��a `�� Seal: FLA
6th 91 j018
111111 ar �
APPROVED BY: 3�I i,Cale Official
Historic Preservation Board
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 9 Fax; (305)756-8972
11/24/2015
To: Current Owner
823 NE 96 Street
Miami Shores, FL 33138
Permit: PT-3-15-502
Address:823 NE 96 Street Miami Shores FL33138
Date Expired: 9/6/2015
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better,we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance,or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced,or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to refinance or sell this property
Please contact the Building Department,within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
tj/Z0/11
Ismael Naranjo (C60)
Building Director