PT-16-1305 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-294974 Permit Number: PT-5-16-1305
Scheduled Inspection Date: March 16, 2018 Permit Type: Paint
Inspector: Naranjo, Ismael Inspection Type: Final
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Owner: JARVIS, PAMELA Work Classification: Addition/Alteration
JoblAddress:489 NE 101 Street m
Miami Shores, FL 33138-2448 Phone Number
Parcel Number 1132060170690
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Infractio Passed Comments '
PAINT INSPECTOR COMMENTS
False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-258825.
Failed
. G
Correction ❑
Needed
b �
Re-Inspection ❑ -
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
{
March 15,2018 For Inspections please call: (305)762-4949 page 11 of 34
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Miami Shores Village7MAY
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Building Department 3 2016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 I --- -- * -Y—
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201y�
PAINT Master Permit Nop_ -- /�G1
PERMIT APPLICATION Sub Permit No.
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JOB ADDRESS: S�
Cit Miam=Shores Count : Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
OWNER: Name(Fee Simple Titleholder): Phone#:
Address: ' /
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email-
CONTRACTOR:Company Name: S 4�F4/- Phone#:�a.�
Address: .�
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Value of Work for this Permit:$ j Qy �// Square/Linear Footage f Work:
Description of Work: - l '�
Application is hereby made o 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 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 Fee$ Notary$
Technology Fee$ Training/Education 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
DIRECTIONS: Please circle corresponding number to appropriate calor-sample.-
Walls: 1 2 3 4
Attach)
Fascia: 1 2 3 4 * !A 1
Drip edge: 1 2 3 4
1.
Soffit: 1 2 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
t!
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors&Jambs: 1 2 3 4
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 that all work will be done in compliance with all
applicable laws ulating onstruction and
7
Signature � Signature
OWNER o65PIT
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�Z day of 20 � by day of 20 by
who is personally known to who is personally known to
me or who has produced 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. Sign:
Print: Print:
Seal: ow Pio Notary Public State of Florida Seal:
rD °; Joanna M Feliciano
y ; � o My commission FF 082753
c�
p1'OF moa Expires 0 111 212 0 1 8
APPROVED BY: Code Official
Historic Preservation Board