PAINT-11-19-2619 Canceled11'Jualln ollu1GJ V 111agC;
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
ENTERED
NOV O 1 2019
BY: 44
BUILDING Permit No. q t h} ' 11-101" a 419
PERMIT APPLICATI(SANCELLEDiaterPermit No.
FBC 20
Permit Type: PAINT / p
OWNER: Name (Fee Simple Titleholder): 2 ` `� Phone#:
Address: 0i0 /1��
City:
Tena
Emai
JOB ADDRESS: I ✓ Z Z /" � �0� r71
City: Miami Shores County: Miami Dade Zip:
Folio/ParceW 2 2? Z — C) LZ - 014 0
Is the Building Historically Designated: Yes NO Flood Zone: �f
CONTRACTOR: Company Name: k _ + Phone#: jW_4*4Z'6415
Address: ST P`F 10
City: iha�
Qualifier Name:
`y1 zip: �3154-
Phone#: 305- 3 i Z — %k1)5
State Certification or Registration #: I G66 T i 1 Certificate of Competency #: 1 g �S �32
Contact Phone#: 3 05 - 3 �2- 6 y }* Email Address: QR,(Z1 f 5 %nA if) fq �" V Akri00 - f OY A
Value of Work for thi
Description of Work:
Z00
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 budding permit with an estimated value exceeding $2500, the applicant must promise in goodfaith 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 certf wd copy of the
recorded notice of cony encemem 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.
sssssssssssssssazzssssxssssssxssssssssxFcesssszssssssxsszxsszzsssssssssssxzzzssssssxsxx
Permit Fee $ CCF $ Notary $ Training/Education Fee $
Technology Fee $ Double Fee $ TOTAL FEE NOW DUE $ 1 A • ()0
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:
Fascia:
Drip edge:
Soffit:
Roof:
Flower Bins:
Shutters:
Awnings:
1 2 3 4
1 2 3 4
u
Chimney: 1 2 3 4
Doors & Jambs-.1 2 3 4
Garage Doors: 1 2 3 4
Railings: 10 3 4
Fences: 1 2 3 4
AD Brick:
Stucco Bands:
Other Stucco
Feature:
Accessory Bldg:
Attach color sample with name and number
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 constru ion and zoning.
Signature: Signature: W�
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 3(( The foregoing instrument was acknowledged before me this3((
day of O Ca V , 201g' , by J E 5S C S %okN L EYL , day of 6 r�x� 20 `l, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. br 1;,q6 t w.e w as identification and who did take an oath.
NOTARY PUBLIC:
ete, Notary Public State of F7o"on
'h Anne Marie Quirino
Sign' My Commiaslon GG 193187
�N IJ E t4 u.l2t i�nermsunzoz�
Print
My Commission Expires: 0 3 ( D-7 I ?--a-
APPROVED BY:
NOTARY PUBLIC:
Sign:
Print: ^-W N %� W%~VP %a
My Commission Expires: O 3 l D"7
Z
State of Florida
Qufrino
on GG 193167
Code Official
Preservation Board
BEHR PRO 5 gal. e600 White Satin Enamel Exterior Paint-PR64005 - The Home Depot
13 Z z
10/17/19, 9:25 AM
BEHR PRO
5 gal. e600 White Satin Enamel Exterior
Paint
n
https://www.homedepot.com/p/BEHR-PRO-5-gal-e600-White-Satin-Enamel-Exterior-Paint-PR64005/205853514 Page 1 of 6
��J
•� r t
BEHR ULTRA 8 oz. #ECC-10-2 Jet Black Matte Interior/Exterior Paint and Primer in One Sample-ECC-10-2U - The Home Depot
10/22/19, 9:33 AM
Colors may vary by screen type
Highlights
:1
# Z
BEHR ULTRA
8 oz. #ECC-10-2 Jet Black Matte
Interior/Exterior Paint and Primer in One
Sample
4L
h/C
https://www.homedepot.com/p/BEHR-ULTRA-8-oz-ECC-10-2-Jet-Black-M...ior-Exterior-Paint-and-Primer-in-One-Sample-ECC-10-2U/202181363 Page 2 of 10