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
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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
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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
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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
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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
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