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PT-17-267 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-275825 Permit Number: PT-2-17-267 Scheduled Inspection Date: October 05, 2017 Permit Type: Paint Inspector: Naranjo, Ismael Inspection Type: Final Owner: BORJA PEREZ,TERESA VEREZ Work Classification: Addition/Alteration CQTCK1Qr%k1 AAIr% Job Address: 1290 NE 96 Street Miami Shores, FL Phone Number (305)758-2615 Parcel Number 4132060143850 Project: <NONE> Contractor: LONDON PAINTING CONTRACTORS Phone:,(786)295-2090 Building Department Comments PAINT Infractio Passed Comments INSPECTOR COMMENTS False I Inspector Comments Passed E� Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. i October 04,2017 For Inspections please call: (305)762-4949 Page 2 of 28 Permit No: PT-2-17=267 sKO1 s L,� Miami Shores Village * Petmit Type:Paint 10050 N.E.2nd Avenue NE � ' Work Ciassifrcatidn:Addition/Alteration Miami Shores,FL 33138-0000 Phone: (305)795-2204 Permit Status:APPROVED FGORIDp` Issue Date:2/712017 Expiration: 08/06/2017 Project Address Parcel Number Applicant 1290 NE 96 Street 1132060143850 Miami Shores, FL Block: Lot: TERESA VEREZ ESTENSON ANI Owner Information Address Phone Cell TERESA VEREZ ESTENSON AND 1290 NE 96 ST (305)758-2615 --- ----- MIAMI SHORES FL 33138-2573 Contractor(s) Phone Cell Phone Valuation: $ 3,500.00 LONDON PAINTING CONTRACTORS (786)295-2090 Total Sq Feet: 3490 Type of Work:Exterior Available Inspections: Color: Inspection Type: Additional Info: Final Classification:Residential Color:—Approved Code Comments:Walls-Fascia-Benjamin Moore-Sir Color:—Approved_ Color:—Denied Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# PT-2-17-62798 Education Surcharge $0.80 02/01/2017 Credit Card $71.40 $0.00 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $3.20 Total: $71.40 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI : I certify th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction zo i . F o , authorize the above-named contractor to do the work stated. February 07, 2017 Aut orized ignature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 07, 2017 1 x� Miami Shores Village 7Y- Tel: CEIVED '" )CNy Building DepartmentB 12017 'l `C 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 i BUILDING Permit No. —i - l�A - ZCo-- PERMIT APPLICATION Master Permit No. FBC 20 Permit Type:PAINT OWNER:Name(Fee Simple Titleholder):Tf7 �r Address: 1210 L �p �r1'1 City:_0(!-Cm iLJ State: 0 t Zip: 97�I Tenant/Lessee Name: Phone#: Email: i wz:t,I 0-M M • (Iyl�h JOB ADDRESS: I?� 0 (p ST1� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: —'U%— — O Is the Building Historically Designated: Yes O Flood Zone: CONTRACTOR:Company Name: L &OtV 6 Jf_1&�I, (QEt�gA(_fT� Phone#: 7&191)•!,010 Address: 47 �n Trr City: AM Stater Zip: Qualifier Name: Phone#: State Certification or Registration#: I/VQ9"✓"✓�� Certificate of Competency#: Contact Phone#: Email Address: Value of Work for this Permit:$ 1'7tC�o O Square/Linear Footage of Work: Description of Work: t2l 'aOT M_r 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 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 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. /n the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged. Permit Fee$ CCF$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ PAINT 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 sample. Walls: 1 2 3 4 Fascia: 1 2 3 4 Attach color sample with name and number Drip edge: 1 2 3 4 n Soffit: 1 2 3 4 Roof: 1 2 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 simply white 2143-70 Awnings: 1 2 3 4 - - Chimney: 1 2 3 4 Doors&Jambs:1 2 3 4 Garage Doors: 1 2 3 4 3. Railings: 1 2 3 4 Fences: 1 2 3 4 All Brick: 1 2 3 4 gray owl 2137-60 Stucco Bands: 1 n 3 4 Other Stucco 4. 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 regu al ing construction and zoning. Signature: Signature: Owner or Agent Contractor Sr The foregoing instrument was acknowledged before me thissvif ,� The foregoing instrument was acknowledged before me this day of�,20�4by_TY(�a \1 �S 'ul L� day o CL 20 LL,by O, who is personally known to me or who has produced VCP 2Z-A0—who is personally known to me or who has produced _=t 0 -g45—0 As identification and who did take an oath. as identificatio and who did take an oath. NOTARY PLIC: NOTARY PUBLIC: " MAHARAI K.GONZ7ALE e°•�Y P� 'a MY COMMISSION#GSign: 4si °r P 0 Public underwriters Print: •.'rF o? Print: Bonded Thru Notary My Commission Expires: My Commission Expires:00 VV( 14 aal N ZZ� C�T APPROVED BY: .-- Z 3 �? Code Official ;, o Preservation Bo a - - - Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAYLBT C 3750750 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES ' LONDON PAINTING RENEWAL SEPTEMBER 30, 2017 CONTRACTORS INC 3915985 947 NW N RIVER DR Must be displayed at place of business { MIAMI,FL 33136 Pursuant to County Code + Chapter SA-ArL 9 6 10 31 OWNER t BEC.TYPE OF BUSINESS 1 PAYMENT RECEIVED LONDON PAINTING CONTRACTORS 188 SPECIALTY BUILOtNG BY tax COLLECTOR _INC r CONTRACTOR I rfn FFRNANnn rAMARRn PRF.+ M- - 45.00 09/08/2016 l Worker(s) �1 1 ��� CREDITCARD-16-051932 : Ttls Leeal Bwinass Tu Rees sa een5nyl i0 h paymeal of the Local Bnsifte"Tac The Receipt is sat•Beam r r "r Porton or a cettikstioa of the bolters quatificads1%to do easiness.Halder map coayly with any ooreratseetai Pi or nenpoyonino l regulatory lows and regnt»monts which apply to dw busloess. _j p elm k The RECEIPT N0.abovemost be displace so all commercial vehicles'-Miand-DadeCoda Sae to-M 4?AME911111 L J' For owe folerraadoa,vbh .� WWWAIIIIIII11916821aMORectof3 W r,