PT-16-3313 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-272630 Permit Number: PT-12-16-3313
Inspection Date: August 18, 2017 Permit Type: Paint
Inspector: Naranjo, Ismael Inspection Type:.Final
Owner: PARIS, KENNY Work Classification: Addition/Alteration
Job Add ress:11004TNW 2 Avenue
Miami Shores, FL 33168- Phone Number
Parcel Number 1121360020240
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection ❑
i
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
August 17, 2017 Page 1 of 1
, a
Miami Shores Village
Building Department Mt 07 016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 �� —– --
INSPECTION LINE PHONE NUMBER:(305)762-4949 5
FFB—C 201L�
PAINT Master Permit No.y) 1
PERMIT APPLICATION Sub Permit No.
JOB ADDRESS: f(O o / /`I 46 /4yc
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the 7;�
His/torically��Designated:Yes NO
OWNER: Name(Fee Simple Titleholder): i; Phone#:����
Address: /, E a 0 e 4 7
City: /"� 4"i�1 State: Zip:
Tenant/Lessee Name: Phone#:
Email: Ace,, <- 4A 4j1 7�l ��•,� ��
CONTRACTOR:Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Value of Work for this Permit:$ --0 L) ` y Square/Linear Footage of Work: 7c(00
Description of Work: AA4f / 0r4.9— i
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$2500,the applicant must promise in good faith that a
copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified
copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued.
In the absence of such posted notice,the inspection will not be approved and on inspection fee will be charged.
Permit Fee$ CCF Fee$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
TOTAL FEE NOW DUE$
rt
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 sampl-STR#6
HR MARQUEE
,
Walls: 1 2 3 4 ZASE:9450'
Attach MANQUEE EXTNSATIN/SATIN ++��
Fascia: 1D 3 4 {CF} H.1 yBMp\EL`I1h`IRq Why
Drip edge: 1 2 3 4 CLRNT CLQ ,LL-,VUL\ ,
7� 0
Soffit: 1 2 3 4 - 384f 356 252 2 __
Flower Bins: 1 2 3 4 5 jGALL•ION��
STR#6322
Shutters: 1 2 3 4 OME DECORA I UKZ;,
Awnings: 1 2 3 4 13ASEr9453
2 MARQUEE EXT'SATIN/SATIN.r .
Chimney: 1 2 3 4 (HDC-AC 26)ZSARSAPARILILA
CLRNT BLS EL'} KXL, ,RL t 1 4
Doors&Jambs: 1 2 3 4 9-!20, 8'-. AK.1,
Garage Doors: 1 2 3 4 - 384i� 160 316 1601212 V
A
Railings: 1 2 3 4 GLLON; NNg/7 01 6.(61)
R#63 ,
3.
Fences: 1 2 3 4 dEHR MARQUEE
94�4"�
BASE:
All Brick: 1 2 3 4 MARQUEE EXT�SATIN/SATIN
{MAN} SW 3455
Stucco Bands: 1 2 3 4 CLRNT CLif' FEL`*
1
Other Stucco 01 ION 1.4 3,
Feature: 1 2 3 4 4.- 84{?1 25!,1!26- 338% ' ,
IGLION �i ibii oi.sl,i
Accessory Bldg: 1 2 3 4 AL
_ , � (
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 regulatin con ruction and zoning.
Signature Signature
OW ER grAGENT YCONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of p., 20 / �, by day of �� 20 1 ( by
geAnci J Phri5 who is personally known to � QQ, r1 1 who is personally known to
me or who has produced L-P420-P420:5742'2Das me or who has produced t✓L ��� �S � s
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: FA� Sign:
Print: FYI bi Print: _ �,�f t-e/C14wo
Seal: ;r'r; IKAFEUCIANO Seal:
MY COMMISSION#FF 938104 I—
a EXPIRES:November 22,2019 Axo
FEiJCIANO
Bonded Thru Notary Public Underxriters :+� MY COMMISSION,#FF 938104
EXPIRES:November 22,2019
APPROVED BY `7 �. e°"dadTh"Nota'yP°bucunderwr;ce,s Code Official
Historic Preservation Board
70