PT-17-258 Miami Shores Village
Building Department
10050 NE 2"d Ave NE
Miami Shores, FL 33138
RE: Paint Permit PT-1-17-258
To Whom it May Concern,
Due to cost overuns of replacing our roof&repairs to the carport&backporch,we are unable to paint
the exterior at this time&request that this permit be closed. Please confirm. Thank you.
Bes regards,
Iliam G Hodges
100 NE 108U'Street
Miami Shores, FL 33161 �®
Cell: 305-987-7444
billhodgesre@gmail.com
1 .
I
1
Miami Shores Village RECEIVED
AjGtl�b 1�_ /
Building Department
artment
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit o. PT-1-17-258
PERMIT APPLICATION Master Permit
FBC 20 LIU 119fld
Permit Type:PAINT (1 3 A 13 3 3 8
OWNER:Name(Fee Simple Titleholder):William G Hodges Phone#:305-987-7444
Address:1100 N E 108th St.
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 1100 NE 108th St.
City: Miami Shores County: Miami Dade 1
Folio/Parcel#: 1122320280290
Is the Building Historically Designated:Yes NO X Flood Zone' n/a
CONTRACTOR:Company Name: Home Owner Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
Value of Work for this Permit:$500.00 Square/Linear Footage of Work:
Description of Work: Exterior Paint
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.....
"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$2500,the applicant must promise in good faith that a copy of
the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the
recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued In the absence of
such posted notice,the inspection will not be approved and an inspection fee will be charged.
Permit Fee$ CCF$ Notary$ Training/Education Fee$
Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
DIRECTION
S:Please circle corresponding number to appropriate color sample.
Walls: l 1 ) 2---- 3 4
Attach color sample with name and number
Fascia: 1 2 3 4
Drip edge: 1 3 4
i)
Soffit: 1 2 3 4 -
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4 SW 7014 !
Eider White
Awnings: 1 2 3 4
Chimney: 1 2 3 4 2.
Doors&Jambs• 1 2 3 4 �- k ��
�
Garage Doors: 1 2 4 �ry
4
Railings: 1 2 3 4
3.
Fences: 1 2 3 4 k r a s
All Brick: 1 2 3 4i''°? y
Stucco Bands: 1 2 4 ELVED
Other Stucco
Feature: 1 2 3 4 4•
Accessory Bldg: 1 2 3 4
OWNER'S AFFIDAV I certify that all the foregoing information is accurate and that all work will be done In compliance with all
applicable laws regula 'ngkonstruction and zoning.
Signature Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of MGA .20 IS ,by day of .20 .by
17)2&7 7 who is personally known to ,who is personally known to
me or who has produced LFI l2 6KE—NA-`as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC.' NOTARY PUBLIC:
Sign: 4!�- Sign:
Print: 01ARSAA ti Print:
Seal: Seal:
.0 Pot Notary Public State of Fiorida
Sindia Alvarez
�o� MY cornwassitm FF OWN
j 8pr Explms ogt=2018
APPROVED BY: =��•+�" Qs A4L- %i-ZodeOfftdal
Historic Preservation Board
fpp \\I
� Miami Shores Village
Building Department JA 31 2017
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 _
Tel:(305)795.2204 Fare:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 ��++
BUILDING Permit No. _ zaa
PERMIT APPLICATION ` r tVlaster Permit No.
FBC 20
�J
Permit Type:PAINT `
OWNER:Name(Fee Simple Titleholder):�rL � , �-� Phone#: �7' 7`t4
Address:1/
City: Stater Zip:
TenandLessee Name: / Phone#:
Email: J l[�® ���lr /,��s�!• �'O�!
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes O Flood Zone:
CONTRACTOR:Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
Value of Work for this Permit:$ �_46�7 W SquarelLinear Footage of Work:
Description of Work:
Application is hereby a 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.....
"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$2500,the applicant must promise in good faith that a copy of
the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the
recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued In the absence of
such posted notice,the inspection will not be approved and an inspection fee will be charged
Permit Fee$ CCF$ Notary$ S Trainin lEducation Fee$
Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$
1ob . (�
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: Aww 3 4
Attach color sample with name and number
Fascia: ���4% 3 4
��
Drip edge: 12 3 4 e ,�i( n 4r
Soffit: 3 4
Roof: 1
Flower Bins: 1' 3 4
Shutters: 1 A k 1— 2 3 4f .P
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors&Jambs• 3 4
Garage Doors: 1 14 lea-2 3 4 31� �
Railings: 1 2 3 4 Y f
Fences: 1 2 3 4
All Brick: 1 2 3 4
Stucco Bands: 1 3 4
Other Stucco
Feature: 1 2 3 4
Accessory Bldg: 1 2 3 4
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 re g cons on and zoning.
Signa Signature:
ywacknowledged
Agent Contractor
The foregoing instrume1�1before me thisThe foregoing instrument was acknowledged before me this
day of Cit f 20 , Vy i l`i Q tip • ' OCl GfP p, day of .20_,by ,
who is personally known to me or who has produced who is personally known to me or who has produced
_Dri)t t � C 41VG Q As identification and who did take an oath. as identification and who did take an oath.
NOTARY UBLIC: NOTARY PUBLIC:
Sign: u Sign:
Print: J i Print:
My Commission Expires: My Commission Expires:
aIaakakaAak�akaBakaIsakakak�ak$aakakakaBdaaR:HskakBs&8ea8s3akakdtaAagsk�ekHQaHa9apaRsk sksAHaababab$aakawa: aak$=a$a mn a�flasb�daAaabakak�sbaka&akaksRakHsakskela�aaks&sksIaskshakskaksRNgsksAak
APPROVED BY: Z ` 3 —17 Code Official
Preservation Board
,W Pya•, YANADYPRIETO
`• MY COMMISSION#FF 214031
o€ EXPIRES:March 25,2019
F °'' Bonded Thru Notary Public Underwrhore
MA 2017
SW 7014 256-05 ����
Eider White E®
SW 7017 244-C3
Dorian Gray