RF-17-2121Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Issue Date: 8122/2017
Permit NO. RF -8-17-2121
Permit Type: Roof
Work Classification: Gutters
Permit Status: APPROVED
Expiration: 02/18/2018
Parcel Number
Applicant
149 NE 105 Street
Miami Shores, FL 33138-2032
1121360050130
Block: Lot:
THOMAS SUMMERS
Owner Information
Address
Phone
Cell
THOMAS SUMMERS
149 NE 105 Street
MIAMI SHORES FL 33138-
(305)803-0551
149 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
RAIN GUTTERS SOLUTIONS INC (305)270-7779 (786)718-8393
Valuation:
Total Sq Feet:
$ 950.00
231
Type of Work: Gutters
Additional Info: RAIN GUTTERS
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Repairs
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$5.00
$100.00
$9.00
$0.80
$119.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # RF -8-17-64954
08/22/2017 Credit Card $ 119.60 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Building
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, PLUM j;� , MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I cert
construction and zoning. Fut
II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above-named contractor to do the work stated.
August 22, 2017
Authorized Signa re: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
August 22, 2017 1
BUILDING
PERMIT APPLICATION
❑BUILDING , ❑ ELECTRIC
['PLUMBING ❑ MECHANICAL
JOB ADDRESS: 149 NE 105 ST
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
PUBLIC WORKS
FBC 20 l�044
f
Master Permit No -Az 212 I
Sub Permit No.
0 REVISION 0 EXTENSION
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
❑ RENEWAL
0 SHOP
DRAWINGS
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
, Is the Building Historically Designated: Yes NO
Occupancy Type:, Load: - Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Tom Summers Phone#:
Address:149 ne 105 st
City: Miami Shores 'State: FL zip: 33138
Tenant/Lessee Name: Phone#:
Email: thsummersjr@gmail.com
-r:
CONTRACTOR: Company Name: Rain Gutters Solution
Address: 18980 SW 186 ST Suite #45
Phone#: 3052707779
"w
City: Miami State: FL '�' Zip: 33157
Qualifier Name: Jesus Pulido
State Certification or Registration #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
7465445
Phone#: 7867185393
Certificate of Competency #: 15BS00114
Value of Work for this Permit: $ 950
Type of Work: 0 Addition )
Description of Work: f 4v1
Alteration
State: Zip:
Square/Linear Footage of Work: 231
0 New 0 Repair/Replace ❑ Demolition
Specify col
Submittal Fee $
Scanning Fee $
of ealOr thrU till: „ r.
000
#8Q 13 rR'e"'`Permit Fee `$ 'w
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF$ •CO/CC$
DBPR $
Notary $ a
Double Fee $
Bond $
TOTAL FEE NOW DUE $ l ';o
r
Bonding Compny'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 FAILURETO 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
NER or AGENT
The foregoing instrument was acknowledged before me this
l day of -UG V CT , 20 f; , by
�I (pIv1A44 SU M M who is personally known to
me or who has produced—ft—�� L N'
identification and who did take an oath.
NOTARY P IC:
Sign:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
} rolstT Pw
).ul
?ofoP
Notary Public State of Florida
Sindia Alvarez
My Commission FF 156750
Expires 09/03/2018
Signature
CONTRACTOR
Thefooregoing instrument was acknowledged before me this
X16 day of U �j� , 20' l , by
3 MQfVQ� 0 Il & , who is personally known to
me or who has produced -40 JD , as
identification and who did take an oath.
NOTARY BLIC:
►��!!�1
Sign: /t♦. 3 � � I� � �
11ri
Print: s'b fpor
tt
Seal:
evrc
t. CRAM* MOMIEIIRaAa'eELLO
Notarlr Public • State of Mikis
My Comm. ExpIM Oct 20, 2017
Commission IFF 064817 '
******* **********s*
Plans Examiner
Structural Review
Zoning
Clerk
Rain Guaers
SOLUTION
10q -60 tA $A -;02-S-
1,1 5' i(-)6- JOS— 7--
Add, ss
v e'S
City; - State - Zjp. Code
Home Phone
9 -�Lo Gloss White ❑ Linen ❑ Almond
El High Gloss White 0 Eggshell ❑ Cream
0 Musket Brown 0 Terratone 0 Royal brown
0 Colonial Gray ❑ Blue "14/
fr
0 Pearl Gray
OFFICE: 305.270.7779
CELL: 786.718.5393
www.rainguttersolution.com
rainguttersolution jp®a gmail.com
10890 SW 186 St Unit 45. Miami, FL 33157
Licensed & Jnsured
• • •
•••
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Estimate Date
00:7,700
Scheduled Date
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Referral
•
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•'•
• •
••
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Work / Office
0 Ivory 0 Clay
❑ Wicker 0 Coppertone 0 Red
0 Sandcastle 0 Bronze 0 Green
0 Black 3 .0 Tuxedo Gray 0 Dark Gray
• •
• •
• • •
•• •
▪ ••MATERIALS .
. .
En GALVANIZED
0 COPPER
0 ALIMINIUM
•
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Pitis %.3 AAA
GUTTER FEET / u R GUARD i� • '
DOWN SPOUT FEET 1p 0
LEAD HEAD
TOTAL FEET 3 / RAIN CHAINS
WARRANTY LABOR MATERIAL
LESS DEPOSIT $
TOTAL DUE $
In event it becomes necessary for RAIN GUTTERS SOLUTION INC., to employ theservices of an Attorney, to effect
the ammount or balance due under this contract, purchaser agrees to pay seller's reasonable attorney's fees and all
incident thereto. When executed and asigned by both parties. This proposal becomes a • • tract.
collection of
expenses
Customer's Signature Ram Gutte
%e 4 reciate your I usiness 1
Solution, Inc.
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Pitis %.3 AAA
GUTTER FEET / u R GUARD i� • '
DOWN SPOUT FEET 1p 0
LEAD HEAD
TOTAL FEET 3 / RAIN CHAINS
WARRANTY LABOR MATERIAL
LESS DEPOSIT $
TOTAL DUE $
In event it becomes necessary for RAIN GUTTERS SOLUTION INC., to employ theservices of an Attorney, to effect
the ammount or balance due under this contract, purchaser agrees to pay seller's reasonable attorney's fees and all
incident thereto. When executed and asigned by both parties. This proposal becomes a • • tract.
collection of
expenses
Customer's Signature Ram Gutte
%e 4 reciate your I usiness 1
Solution, Inc.