PAINT-02-22-441Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
1200 NE 105TH ST, Miami Shores, FL 33138
Contacts .
Village Del Mar c/o Regatt Owner
Management
Village Del Mar
1200 NE 105 ST, MIAMI SHORES, FL 33138
Issue Date: 04/25/2022
Permit NO.: PAINT-02-22-441
Permit Type: Paint
Work Classification: Paint
Permit Status: Approved
Expiration: 10/25/2022
INC.
MARIO GONZALEZ
9811 NW 1 AVE, MIAMI SHORES, FL 33150
Business: 3057856720 gonzalezpaintingR@att.net
Mobile: 3059704977
Other: 7862360135
Description: Painting the 2 buildings on the north side of Valuation: $ 44,000.00
the street.
Total Sq Feet: 0.00
Fees
Amount
CCF
$26.40
Education Surcharge
$8.80
Permit Fee (Manual)
$1,320.00
Scanning Fee
$9.00
Technology Fee (Manual)
$33,00
Total:
$1,397.20
Building Department Copy
Ins ection Re 9uests:
101M -I IN
Payments
Date Paid Amt Paid
Total Fees
$1,397.20
Credit Card
04/20/2022 $1,397.20
Amount Due:
$0.00
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
regul ti nstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorize*
uthorize - nature- wn / A plicant / Contractor / Agent Date
April , 2022 j Page 2 of 2
Miami Shores Village
D
Building Department
LBy
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
PAINT
2 1 Cr Master Permit No.�i� %
PERMIT APPLICATION
Sub Permit No.
�cL
JOB ADDRESS:
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO /
�17��r
v
OWNER: Name (Fee Simple Titleholder):
Phone#:
Address::
City:"\� t
State: ^ Zip:
Tenant/Lessee Name: �+--�
Phone#:;�or�
Email:4. a
CONTRACTOR: Company Name:
it,Phone#: 30-r — 9 70 - 0 / %
Address: 70 6 5,;), �
,
[L'10
City: Yl/i40
-State: f (o/j Zip: 33013
Qualifier Name: I/ 4161 D (l p/1?i
-X-- Phone#:970 W7
State Certification or Registration #:
Certificate of Competency #: 9 S 00�09
Value of Work for this Permit: $41%d quay /Linear Footage of Work: LO Dn D
�'
Description of Work: �X iGil�o/ p i (4U4e
Application is hereby made to obtain a permit to do the yvjrk and installations as inolkated. 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: 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 low 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 $ I t �% • W CCF Fee $ Z —I Notary $ Q�
TecechnoloVFee $ 33 • CA Training/Education Fee $ Double Fee $ A
TOTAL FEE NOW DUE $ I J 3<,:, , ZO
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: �] 2 3 4
Attach rnlnr sample with name and number
Fascia: IT 3 4 m
V
Drip edge: 1 3 4 I ry
Soffit: 1 3 4
Flower Bins: 1
2
3
4
Shutters: 1
2
3
4
s
Awnings: 1
2
3
4
0 i\
Chimney: 1
2
3
4
E
Doors & Jambs: 1
2
3
4
3 0
Garage Doors: 1
2
3
4
Railings: 1
2
3
4
U
Fences: 1
2
3
4
All Brick:
1
2 3
4
Stucco Bands:
1
3
4
Other Stucco
v
N
Feature:
1
2 3
4
w
m
Accessory Bldg:
1
2 3
4
a
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 construction and zoning.
I61M�
Signature a4a A su VA MPU Signature
OWNER or AGENT V CONTRAXTOV
The foregoing instrument was acknowledged before me this
/�* day of 6LI 20 c,9A by
n . who is personally known to
me or who h produce / /lt Ya/S 1i CBn SPi as
identificati nd who did take an oath.
NOTARY PUBLIC:
SUSAN M MAKrINEZ
Seal:?; `F? Notary Public • State of Florida
Commission # GG 301372
My Comm. Expires Jun #, 2023
Bonded through National Notary Assn.
APPROVED BY:
The foregoing instrument was acknowledged before me this
ld*)IA day of 20 d 3— , by
who is personalty k' wn to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
as
Print: U +9G. 'z
4ar'du'.••..: SUSAN M MAKrINEZ
Seal: (y4. K' Notary Public • State of Florida
y' Commission # GG 301372
My Comm. Expires Jun 6, 2023
•� Banded through National Notary Assr.
�21 Code Official
Preservation Board
Local Business Tax Receipt
Miami —Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
3369105
BUSINESS NAME/LOCATION
GONZALEZ PAINTING &
WATERPROOFING INC
15493 SW 42ND LN
MIAMI, FL 33185-4537
OWNER
GONZALEZ PAINTING &
WATERPROOFING INC
Worker(s) F
RECEIPT NO.
RENEWAL
3511848
EXPIRES
SEPTEMBER 30, 2022
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - An. 9 & 10
SEC. TYPE OF BUSINESS
PAYMENT
196 SPECIALTY BUILDING BY TAX COLLLECTOER
CONTRACTOR 82.50 10/13/2021
956S00109 0206-22-000141
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a conification of the holders qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec ra-276.
MIAM1,== For more information, visit H7iw.mi,m dade oovRnxcollector
Municipal Contractor's Tax Receipt
Miami —Dade County, State of Florida
—THIS IS NOT A BILL —DO NOT PAY
CC NO: 95BSOO109
BUSINESS NAME/LOCATION
GONZALEZ PAINTING &
WATERPROOFING INC
15493 SW 42ND LN
MIAMI, FL 33185-4537
mcJ
RECEIPT NO. EXPIRES
7699824 SEPTEMBER 30, 2022
Pursuant to County Code
Sec 10-24
OWNER TYPE OF BUSINESS
GONZALEZ PAINTING & SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
WATERPROOFING INC BY TAX COLLECTOR
175.00 10/13/2021
0206-22-000141
This receipt is not valid in the following Municipalities: Aventura, Doral, Hialeah, Key Biscayne,
Miami Gardens, Miami lakes, Palmetto Bay, Pinecrest, Sunny Isles Beach, Town of Cutler Bay.
MIAH
MIA For more information, visit www m'am'dad /t II t