PT-16-2385 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-266087 Permit Number: PT-8-16-2385
Scheduled Inspection Date: March 30, 2018 Permit Type: Paint
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: KRINEY,JOHN & NICOLE Work Classification: New
Job Address: 155 NW 91 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010000220
Project: <NONE>
Contractor: RM&ASSOCIATES CONSULTING INC Phone: (786)348-3903
Building Department Comments
PAINT EXTERIOR Infractio Passed Comments
INSPECTOR COMMENTS False
nspector Comments
Passed �
C �
Failed
Correction ❑
Needed
Ike-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 29,2018 For Inspections please call: (305)762-4949 Page 2 of 39
Permit NO. PT-8-1 f-2385
Miami Shores Village Permit Type:Paint10050 N.E.2nd Avenue NW WorkCtaSS�Catfon:Now
" Miami Shores,FL 33138-0000 Pen
Permit Status:APPROVED
Phone: (305)795-2204
�'toRrvA
Issue Date,g/112016 Expiration: 02/28/2017
Project Address Parcel Number Applicant
155 NW 91 Street 1131010000220
Miami Shores, FL 33150- Block: Lot: JOHN&NICOLE KRINEY.
Owner Information Address Phone Cell
JOHN&NICOLE KRINEY 155 NW 91 Street
MIAMI SHORES FL 33150-
155 NW 91 Street
MIAMI SHORES FL 33150-
Contractors) Phone Cell Phone Valuation: $ 2,500.00
RM&ASSOCIATES CONSULTING INC (786)348-3903
Total Sq Feet: 0
Type of Work:Exterior Available Inspections:
Color: Inspection Type:
Additional Info:PAINT EXTERIOR Final
Classification:Residential
Color:_Approved Code Comments: BEHR-WALLS,DRIP EDGE,SOF
Color:_Approved_ Color:_Denied }
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Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF- $1.80
Education Surcharge $0.60 Invoice# PT-8-16-61113
Notary Fee $5.00 08/25/2016 Credit Card $69.80 $0.00
Permit Fee $60.00
Technology Fee $2.40
Total: $69.80 i
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder incompliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an�dzonind. Futhermore, I authoriz he above-named contractor to do the work stated.
September 01, 2016
Aut Sze nature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
R.
September 01,2016 1
r
Miami Shores Village �A .
xv ;
Building Department 25 2016
Q� C�bT 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �Y:_ _�
Tel:(305)795-2204 Fax:(305)756-8972 —
INSPECTION LINE PHONE NUMBER: (305)762-4949
FBC° 20(� �
PAINT Master Permit No. YT 16— 238.5
PERMIT APPLICATION // Sub Permit No.
JOB ADDRESS: / S N&/ 9/ S-//--'!e-f
City: Miami Shores County: Miami Dade Zip: 3 SD
Folio/Parcel#: / Is the Building Historically Designated:Yes \ NO
OWNER: Name(Fee Simple Titleholder): ✓ ��' uncci7 41 phone#: C s ) tf 0/- y 91 S
Address: / SS ,-w 9/ 6 4-e,
�1,,
City: / ' f A M�' ��i o Xe c J , State: �L Zip: 3-3/S U
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ¢ ��s o� �J Phone#: C3
Address: �yd,d 7 SIA/ /D<<
City: ��'��" State: FL Zip: 3 3! 8 6.
Qualifier Name: �� '� o X,4 R ° Phone#:
State Certification or Registration#: S `� a / Certificate of Competency#:
Value of Work for this Permit:$ 2 f� Square/Linear Footage of Work:
Description of Work: 7f9 o^ - - ,,
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 Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must promise in good faith that a
copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified
copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued.
In the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged.
Permit Fee$ '100 CCF Fee$ 1 . ( 0 Notary$
Technology Fee$ 2 q Training/Education Fee$ 0 , bo Double Fee$ n p
TOTAL FEE NOW DUE$ -1 e OO
i PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
DIRECTIOj. p, se circle corresponding number to appropriate color sample.
Walls: 2 3 4Attach color sample with name and number
Fascia: 2 3 4
Drip edge: 2 3 4
Soffit: 2 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
2.
Chimney: 1 2 3 4
Doors&Jambs: 1 2 3 4
Garage Doors: 1 2 3 4 CLASSY
MQ5-;ly
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 an t all wor will be done i co ph nce ith all
applicable laws regulating construction and zoning.
Signature Signature
OWNER or AGENT CONTRACTOR
Thome foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
GJ day of NUCNo)3 20 16 by '�SA Y\ day of 76r, )CAt{9- 20�, by
. �lC�r1�e U who is personally known to �Y�Cr�—� M .Mhy Y who is personally known to
me or who has produced D Y i V�e rr as me or who has produced Driver hN0A- t-2 as
identification and who did take oath. identification and who did tak n oath.
NOTARY PU LIC: NOTARY P LIC:
Sign: ` Sign:
Print: �{GY�Q)(1� _ Print:
Seal: Seal: YANADYPRIETO
YANADY Pr' ":� _' MY COMMISSION#FF 214031
MY COMMISSIC''+ Pff 21
*= k i EXPIRES:March 25,2019
-xi EXPIRES:March 25,201:+ f. ••
Bonded Thru Note Pt+"�r ir:a=.r;ri:m o h, Bonded Thru Notary Public Underwriters
APPROVED BY: Notary. ti-=;M y.;'
Z4coo Code Official
Historic Preservation Board
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Painter's White
PPU 18-8 u