RF-16-1063 Permit leo. RF-4-16-10 3
Miami Shores Village ■ Permit Type
10050 N.E.2nd Avenue NEPer1/1 a6 Classllfcattrrrr;Gutters
Miami Shores,FL 33138-0000 e it 1 PftpVE
Phone: (305)795-2204
R1DA .4125/2016 Expiration:Daft
Project Address Parcel Number Applicant
LM'iaLmo
1 Street 1131010190080 ta
VILBRUN LALANNE
res, FL 33138- Block: Lot:
Owner Information Address Phone Cell
VILBRUN LALANNE 190 NE 91 Street (305)757-8841
MIAMI SHORES FL 33138-2810
Contractor(s) Phone Cell Phone Valuation: $ 1,100.00
RAIN GUTTERS SOLUTIONS INC (305)270-7779 (786)718-8393
__......,.._.. Total Sq Feet: 314
Type of Work:Gutters Available Inspections:
Additional Info:RAM GUTTERS INSTALLATION ALL AROUND Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# RF-4-16-59476
DBPR Fee $2.00
DCA Fee $2.00 04/20/2016 Credit Card $50.00 $71.20
Education Surcharge $0.40 04/25/2016 Check#: 1119 $71.20 $0.00
Notary Fee $5.00
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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 informatio ur d that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above na ed c r t7(d
o the work stated.
April 25, 2016
Authorized Signature:Owner / Applicant ntractor / Agent Date
Building Department Copy
April 25,2016 1
RECIF
Miami Shores Village
�- g A R 20 2010
i
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 I q
BUILDING Master Permit No.a
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
C NTRACTOR DRAWINGS
JOB ADDRESS: a I9
City: Miami Shores County: Miami Dade Zip: gal
I
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): YI Oc�, '� Phone#:
Address:: 4 F, q I
�7
City: R(GG.M ( L.['r� State: f-- L Zip:
Tenant/Lessee Name: Phone#:
Email: / t�
CONTRACTOR:Company Name: th (o ! Phone#:
Address: L APX /u�-
City: I f / State: Zip: 3V-23
Qualifier Name: .,—C`J(J� cUfI`� Phone#: �9K ?l g-.5 3 ?
State Certification or Registration#: '7 6 S Certificate of Competency#: 14313 S 6901 Y
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 00 Square/Linear Footage of Work: 3,/7
Type of Work: ❑ Addition ❑ Alteration New/ l 1❑ Repair/Replace El Demolition
�
Description of Work: 8 4y" (. lz &e(i' Y9 T!1/ld/(041 A// /1&,,ti 6A SQ
Specify color of color thru tile: I 1
Submittal Fee$ Permit Fee$ CCF$ 1' z o CO/CC$
°
Scanning Fee$ � //W Radon Fee$ 'nye � DBPR$ G Nota ry$
Technology Fee$ " (E)3 Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUETILXO
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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 f1!!!
the notice of commencement and construction lien law brochure will be delivered to the person
whose property-isent. Al , certified copy of-the-recarded notice of commencement must be posted-at fhe jo�ite
for the first inspes seve (7 days after the building permit is issued. in the absence of such posted notice, the
inspection will not rei spe 'ion fee willbe charged.Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
day oI f n P - 20 `� by GL d y f �'��`-\` 20 (b by
(o'B
� IRVN 1#Il (`�c ,who is personally known to -XS\'U ) C to�i-®ersonally known to
me or who has produced l L ��N as me or who has producedTCLI)R) "IL L-I CEI 9 s
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PU IC:
Sign: Sign:
Print: Print:
Seal:
tsar Poe Notary P"Wic State of Florida 5'jo °1c, Y°Nota7=A1varez ida
Sindia Alvarez ^ SindoAy Commission FF 156750 ^� p PAy C009103120 18 SOF Expir
APPROVED BY C Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
OFFICE: 305.270.7779
CELL: 786.718.5393
RainGu ers www.rainguttersolution.com
S O U TQ (y
rainguttersolutionp@gmail.com
5845 SW 117th av,mimW fl. 33183
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Lo Gloss White ❑Linen ❑Almondr ❑ Ivory El Clay MATERIALS
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❑High Gloss White [:1 Eggshell 1:1 Cream- ❑Wicker ❑ Coppertone ❑ Red ❑GALVANIZED
❑Musket Brown ❑Terratone "❑Royal brown ❑ Sandcastle ❑ Bronze ❑ Green ❑COPPER
❑Pearl Gray ❑ Colonial Gray ❑Biue ❑_Black ❑ Tuxedo Gray ❑ Dark Gray I f R&IMINIUM
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GUTTER FEETN11)�1�, nJnn'�Ifl.
DOWNSPOUT FEET LEAD HEAD
AMOUNT $
TOTAL FEET '` '� RAIN CHAINS LESS DEPOSIT $
WARRANTY LABOR p'�/ MATERIAL `f ` TOTAL DUE $
In event it becomes n cess for�k]N GUTTERS SOLUTION INC.,to employ theservices of an Attorney,to effect collection of
the ammount or bal ce,due under this ontract,purchaser agrees to pay seller's reasonable attorney's fees and all expenses
incident theret . er��'executed�and asi ed by both parties.This proposal becomes a contract.
Cus omer's Signature , A.� Rain Gutters Solution, Inc.
e t reciate our business !