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PAINT-18-3502Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1345 NE 105TH ST, Miami Shores, FL 33138 Contacts Parcel Number 1122320270080 Permit No.: PAINT -11 -18-3502 Permit Type.- Paint Work Classification: Paint Permit Status: Approved Expiration: 05/20/2019 1345 NE 105 STREET LLC Owner EAGLE GENERAL CONSTRUCTION Contractor 271 NE 101 ST, MIAMI SHORES, FL 331382134 SERVICES LLC RYAN ROMAN 16693 GOLFVIEW DR, WESTON, FL 33326 Business: 7547794737 eaglegc@yahoo.com Description: PAINT Valuation: $ 500.00 Inspection Requests: GLAD YELLOW SW 6694 305-762-4449 CEILING BRIGHT WHITE SW7007 Total Sq Feet: 0.00 Fees Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee (Manual) $100.00 Scanning Fee $9.00 Total: $113.80 Payments Date Paid Amt Paid Total Fees $113.80 Credit Card 03/29/2019 $113.80 Amount Due: $0.00 Building Department Copy 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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws 4regulaticoq�s�truction and zoning. Futhermore, I autphorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date March 29, 2019 Page 2 of 2 Miami Shores Village ov o 018 Building Department BY: 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: �S..�LVI :i 10 S FBC 20 P e ""' Master Permit No. I? r -� 1 Sub Permit No. I o _3S07, City: Miami ShoreJ2 County: Miami Dade Zip: Folio/Parcel#: L .Z —0 O s the Building Historically Designated: Yes NO y� OWNER: Name (Fee Simple Titleholder): Phone#: 30S(c,C ; 77 Address: �4E (D I City: State Tenant/L ssee Name: Email: C4�i 5 a©). o Zip:��. Phone#: CONTRACTOR: Company Name: C44 a/eJ 1,VWq lkAt /I t W�, LIL�- Phone#: -? !!C f 1 Address: 11� 0 j— 1/1 cam/ P/ u, City:yyA State: � Zip: 1i 3`3em-I" Qualifier Name: V��— nnl�,�``Uyt�n Phone#: C6State Certification or Registration #: �) ` ( v �q ` Certificate of Competency #: _ Value of Work for this Permit: $ Square/Linear Footage of Work: Description of Work: 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: Asa 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 $ 1 SW 6141 206-cl Softer Tan � I SW 6141 206-C7 Softer Tan ........... . ............................................. .........._........................ Light reflective value: 60 (light) Valor de rellectancia de Luz: 60 (claro) Complementary colors Colores complementarios SW 6140 Moderate White SW 7012 Creamy SW 7546 Prairie Grass i, 5HERW/N-WaL1AMs. sherwin-williams.a!­ :-800-4SHERWIN ©2015 The Sherwin-Williams Company Samples approximate the actual paint color. Las muestras se aproximan al color real de la pintura. 6505-09987 CS10/15 IIIII IIIII IIIII II 1�l IIIII �EI 1111111111111 IN SW 7005 255-Cl Pure White Z SW 7005 255-Cl Pure White Light reflective value: 84 (light) Valor de reflectancia de luz: 84 (daro) Complementary colors Colores complementarios SW 7668 March Wind ' 282-C3 SW 9754 Perle Noir 226-C7 xSHERW/N-WILLIAMS 1, et; sherwin-williams.com 1-800-4SHERWIN O2015 The Sherwin-Williams Company Samples approximate the actual paint color. Las ro a tras se aproximan al color real de la pint- 6505-12817 CS 1/17 III HII HiI 1111111111.111 �11111111$11111IN 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: "12 3 4 Fascia: 3 4 Drip edge: 1 2 3 4 Soffit: 1 2 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 Chimney: 1 2 3 4 Doors & Jambs: 1 2 3 4 Garage Doors: 1 2 3 4 Railings: 1 2 3 4 Fences: 1 2 3 4 All Brick: 1 2 3 4 Stucco Bands: 1 2 3 4 Other Stucco Feature: 1 2 3 4 Accessory Bldg: 1 2 3 4 OWNER'S AFFIDAVIT: I certify that all the foi applicable laws regulating construction and zon Signature OWNER or AGENT Attach color sample with name and number 1. "o( J 0 I L O (/kP) — � Id L t-\A 2. -c- w �A k-6 01 4 ng information is accurate and that all work will be done in compliance with all Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of IV20 by day of 20 \ by who is personally known to who is personally known to me or who has produced�� N as me o who has produced �'ny as identification and who did take an oath. NOTARY PUBLIC: Sign �►� Az.�. Print: ( , Seal: .-- - - - - - - SINDIA ALVAREZ MY COMMISSION # GG 238273 EXPIRES: September 3, 2022 APPROVED BY: identification and who did take an oath. NOTARY PUBLIC: Sign: Print: j Seal: MICHAELANANIAN Notary Public - State of Florida Commission # GG 175654 My Comm. Expires May 5, 2022 Bonded lhrouah Nalinnal Nni—A— I Code Official Historic Preservation Board