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PT-17-1616 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-284691 Permit Number: PT-6-17-1616 Scheduled Inspection Date: September 01, 2017 Permit Type: Paint Inspector: Naranjo, Ismael Inspection Type: Final Owner: BRUCE,JON&KIMBERLY Work Classification: Addition/Alteration Job Address: 1113 NE 98 Street Miami Shores, FL 33138-2507 Phone Number Parcel Number 1132050180260 Project: <NONE> Contractor: SLUYTER CONSTRUCTION Phone: (970)379-9730 Building Department Comments PAINT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed �� t Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 01,2017 For Inspections please call: (305)762-4949 Page 3 of 16 Permit NO. PT-6-17-1616 Miami Shores Village Permit Type: Paint 10050 N.E.2nd Avenue NE Work Clasafficatfon:Addition/Afteration Miami Shores,FL 33138-0000 Per 'I't Permit Status:APPROVED Phone: (305)795-2204 0 I ssue Dat e:716/2017 Expiration: 01/0212018 Project Address Parcel Number Applicant 1113 NE 98 Street 1132050180260 Miami Shores, FL 33138-2507 Block: Lot: JON&KIMBERLY BRUCE i Owner Information Address Phone Cell N&KIMBERLY BRUCE 1113 NE 98 Street MIAMI SHORES FL 33138-2507 Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 SLUYTER CONSTRUCTION (970)379-9730 Total Sq Feet: 0 Type of Work:Exterior Available Inspections: Color: Inspection Type: Add,itional Info: Final Classification:Residential Color:—Approved Code Comments:BEHR CASUAL KHAKI N300-3 WA Color:—Approved_ Color:_Denied Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PT-6-17-64356 Education Surcharge $0.40 06/20/2017 Credit Card $68.20 $0.00 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.60 Total: $68.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I&rtify that a tion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. t rmore,I med contractor to do the work stated. I ME" July 06, 2017 AuthorIz6—dSignaturj#'.-q0nd—r / AppiI&Y Contractor / Agent Date k—-1 Building Department Copy July 06, 2017 Miami Shores Village Building Department g o 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING Permit No.? I I PERMIT APPLICATION Master Permit No. FBC 20 Permit Type:PAINT OWNER:Name(Fee Simple Titleholder):Jori & Kimberly Bruce Phone#:305-758-1221 Address: 1113 NE 98th ST city: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1113 N E 98th ST City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR:Company Name: Sluyter Construction Phone#: 970-379-9730 Address:/ D.3 7 Nr/ 1 O-Z S City: I: � iA M; L 62CS State: Zip: Qualifier Name: i r e_�e _ cl�( Phone#: State Certification or Registration#: C/i G 3 Certificate of Competency#: Contact Phone#: Email Address: Value of Work for this Permit:$ D tV Square/Linear Footage of Work: Description of Work: P 1 11--r x— :sT c ar 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 regula[mg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and 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 f 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$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ PAINT DOLOR APPROVAL ANI)A(TREjE+'MENT All elements on the site must be listed and indicate the color to be painted i DIRECTIONS: Please circle corresponding number to appropriate color sample. Walls: ( 1 1 2 3 4 � ' tach color sample with name and number Fascia: 1 n 3 4 Drip edge: 1 3 4 (' 1. Soffit: 1 2 3 4 Roof: 1 2 3 4 I I Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 2. _ Awnings: 1 2 3 4 Chimney: 1 22 3 4 t Doors&Jambs:1 ( Z 1 3 4 I Ir Garage Doors: 1 2 3 4 Railings: 1 2 3 4 I ' Fences: 1 2 3 4 All Brick: 1 2 3 4 4 Stucco Bands: 1 2 3 4 Other Stucco 4. ' P t Feature: 1 2 3 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 regulating construction and zoning. s, i Signature: Signature: _ 'Ac t caner or Agent Contr or The fo �ing ins Iment was ac owledged before me this R The foregoing instrument was acknowledged before me this �( day o ,I 20 L by /n 4,e [3�uG� day of ,20_L,by 6" SL V 1 I I� who'. personally known tome or who has prod ed who is pe nally_ o me or who has produced A , As identification and who did take an oath. as identification �1 who did take an oath. r �Na Hill/ NOTARY P �IC: 4,4—,e NOTARY PUBLIC• ��...... f��zii� 1 AMBER M.COXMY COMMISSION 0 FF 076165EEXPIRES:December 12,2017sawed Thru Mowry Pubbe Undmrtea Sign: ws, ff �I :��Print: /N• Print: My Commissi n Expires: 207 My Commission Exp rt ••..„,;:��'•��`�` APPROVED BY: Code Official f t Preservation Board r r r Ca3ual Khaki N300-3m ----------- It fi ter"3s W cyj t'O