PT-16-1809`sxoREs r,�
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
�LORt�A
Phone: (305)795-2204
Peet No. PT-6-16-1809
Permit Type: Paint
' � Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 7/1/2016 1 Expiration: 12/28/2016
Project Address Parcel Number Anolicant
9730 NE 5 Avenue Road 1132060171470 _
Miami Shores, FL Block: Lot: JOHN & MARIE PERIKLES
Owner Information Address Phone Cell
JOHN & MARIE PERIKLES 9730 NE 5 Avenue Road (786)236-0254
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
LEADING EDGE CONTRACTOR SERV (786)406-2488
of Work: Exterior
itional Info:
fication: Residential
_Approved
_Approved_
Fees Due
Amount
CCF
$2.40
Education Surcharge
$0.60
Permit Fee
$60.00
Technology Fee
$3.20
Total:
$66.40
Valuation: $ 4,000.00
Total Sq Feet: 4500
Code Comments: SHERWIN WILLIAMS - WALLS, C1
Color: Denied
Pay Date Pay Type Amt Paid Amt Due
Invoice # PT-6-16-60386
06/29/2016 Credit Card $ 66.40 $ 0.00
Available Inspections:
Inspection Type:
Final
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 certify the all thregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi n ning. Futhermore, I au-ttKirize the above -named contractor to do the work stated.
July 01, 2016
Signature: Owner k Applicant / Contractor / Agent
Building Department Copy
July 01, 2016 1
0
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
PAINT
PERMIT APPLICATION
JOB ADDRESS: q7 3v OC C; Ave 'RC(
�Ufi 2
FBC 200,
Master Permit No. F.,,iC - G 1 5J 13`13
Sub Permit No. fT— b - 66 -l�o9
City: Miami Shores County: Miami Dade Zip: 3 1 3�
Folio/Parcel#: Is the Building Historically Designated: Yes NO
OWNER: Name (Fee Simple Titleholder): TO h nn Qrl k f Ps gale �Pf IKftlPhone#: `7�Sio ` 0�310 "D�S(4
Address: q7 30 tic 1-3"e- • ZC4
City: ; a vvt .t g O re- S State: Zip: 33 f 3M
Tenant/Lessee Name: Phone#: 78 & - a 3 (o -- 0,2 5q
Email: VV)QV ICE v 1 Vies, a GW1aAL • cZ)m
CONTRACTOR: Company Name: L Q ct J%, k
Address: &Aar
City
Qualifier Name:
Phone#: 72 / 1 4 NO z t fl
—Zip:
_n 3 jo I y-
e#: -14 YOb 2q%
State Certification or Registration #: �1L L �, Certificate of Competency #:
4, ao(D � w of-+ fv1A1, ajs
Value of Work for this Permit: $ quare/Linear Footage of Work_
Japaft
State:
m4al
Description of Work: Ip�,c(�i" py_�,&_ 0-�- �%1
y�oo Sg�FI-
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
'Zcommenced 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 $
Technology Fee $
CCF Fee $
Training/Education Fee $
Notary $
Double Fee $
TOTAL FEE NOW DUE $
wr
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
0
DIRECTIONS: Please circle corresponding number to appropriate color sample.
Walls: 1
2
3
4
Fascia: 1
(2 J
3
4
Drip edge: 1
2
4
Soffit: 1
40
3
4
Flower Bins: 1
2
3 fA
4
Shutters: 1
2
4
Awnings: 1
2
3
4
Chimney: (1 ,
2
3
4
Doors & Jambs: 1
2 A)
/ 4 3
4
Garage Doors: 1 2 N / H3 4
Railings: 1 2 3 4
Fences: 1 2 3 4
All Brick: 1 2 3 4
v
Stucco Bands: 1 2 /y/A 3 4
Other Stucco /
Feature: ( 1 [ 2 3 4
Accessory Bldg: 1 2 %yI,4 3 4
Attach color sample with name and number
3. ' W V DC<..,
cw
loa
►9
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable la s regulating construc ' an41A,d zoning.
C9--�
Signature 4KSignature
OWNER or AGENT
The foregoing instrum nt was acknowledged before me this
d f k..Li 20 by
1
�� wh personally known to
me or Vho has produced as
nd who did take an oath.
NOTARY PU
Prim Lit"J''VN- l/L1
Seal: LORETfA COMES
W COMMISSION #M 616"
EXPIRES: MAR 21, 2016
Bonded through let Sate Insurance
APPROVED BY:
CONTRACTOR
The foregoing instrument was acknowledged before me this
c261i-M day of 20 � , by
b`erto _Ornle SS who is personally known to
me or who has produced L f i Vy- r LI of Vl Sg as
, " a
identificatio and o did to
NOTARY P LIC:
Sign:
Print:
r `Q
Seal:
: '""i
YANADYPRIETO
'
MY COMMISSION N FF 214031
y'•
EXPIRES: March 25, 2019
41361
H FL `..
Bonded Thru Notary Public Underwriters
Code Official
Preservation Board
..
4
L
I
SW 7551
2sa-c�
7551 SW 154-c7
Greek Willa
Greek Villa
,
Light reflective value: 84 (light)
valo, d<.er!«raooa ee lo, as r.!„�)
Complementary colors
Colorercpmplementa,i..s
r
SW 9764 Illusn, Green
-
SW 9778In the Navy
SHERMN-W)Ll7AM5.
-
Sherwin-williamscom 1800-4SHERWIN
lc 2015 The Sherwin-Williams
Company
Samples approximate the aflusl pain) color.
las mueslrasse ap,o.,man alcgb.ealde 4pinfu.a.
6505-12742 CS 10/15
Illilit�!i��I,71�li�,li�II�I�I°h1�I�1IIIII�II�I��I
SW 6106 204-Cl
Kilim Beige
Light reflective value! 57 (light)
SW 6106
✓ lo,d<,,fWfa,,iad<1u: 57(clao)
204-C7
Klfli'n
Complementary colors
Beige
cones 4omcleme,raios
SW 6)05 Divine White
SW 6708 Latte
5 W 6249 Storm Cloud
IA
• I
SHERMN-MELIAM5.
Ish—imwilliams.com
1-800-4SHERWIN
@2015 The Sherwin-Williams Company
- Samples appro.imale the acrual paint
I
!as m„earu x sp+p.imen ,l r do. ,e,l a w pnrn,a.
-
6505-09847 CS 10/15
IIIC:IIi!III'°:If71f..°Il;llIT11.,111lillll
i
I
SW 9102 203-C2
Quin0a
I
Light reflective value: 49 (light)
Valor de rel/ecrancia de tut 49'daro)
Complementary colors
Colorer comdementa,los
5W 6716 Navajo White
SW 9089 Llama Wool
SW 9726 Honed Soapstone
e
( SHERW7N-14WUMW
SW 9102
QUinOd
C I.J-CC
iherwin-williamscom 1-800-4SHERWIN
,
i92015 The Sherwin-W,
,,,Company
Samvle:npp,ovimale 1ne ac<ual winr mlo..
far mu as
se apnamm�almlarea/de la pinfua.
6505-09789 CS 1f0/15
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