PAINT-03-22-825Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PAINT-03-22-825
Permit Type: Paint
Work Classification: Paint
Permit Status: Approved
Issue Date:04/07/2022 Expiration:10/07/2022
Location Address Parcel Number
9400�NE ZND-AVE, Miami Shores, FL 33138 1132060132780
Contacts
MSVC LLC Owner R G PAINTING INC Contractor
2310 Hollywood BLVD, Hollywood, FL 33020 RENE GONZALEZ
Business: 7862910702 R.GPAINTING37@GMAIL.COM
Mobile: 7862910702
Ins ection Requests:
Description: EXTERIOR PAINT ENTIRE BUILDING 9400 - 9488 Valuation: $ 15,800.00 -
Total Sol Feet: 0.00 �3 m `.1= 5 tW. o `
Fees
Amount
Education Surcharge
$3.20
Permit Fee (Manual)
$474.00
Technology Fee (Manual)
$11.85
Total:
$489.05
Payments Date Paid Amt Paid
Total Fees $489.05
Check# 1514 04/07/2022 $489.05
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.
#%VIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
ucti and zoning. Fu�t rmore, I authorize the ab a named contractor to do the work stated.
�/OJ ,Lana \1lr�n7n�ro'2 �Ui-n� - ZO
/ Applicant / Contractor / Agent
Date
April 07, 2022 Page 2 of 2
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
(�
FBC 20
PAINT Master Permit No.FA(0r 03-22-9ZS
PERMIT A�P(PLICATIOC,N Sub Permit No.
JOB ADDRESS: l`r/rJG ldO F`(E
_... _.._.... _. _
Folio/Parcel#: Is the Building Historically Designated: Yes NO
OWNER: Name (Fee Simple Titleholder) : MZ—i\fi L_LC. Phone#:lam
II II �.,
City: 44CI _t c % '- O OL r _ State: _ Zip:
Tenant/Lessee Name: (� �/� Phone#:
Email: N1dtl.— C-00
N1SVC,�jGO(� G
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name:
State Certification or Registration #:
-Ab6_;i�)Ic�oa
F I Zip: 3 I
of Competency #:
Value of Work for this Permit: $ / S- 910 J P Square/Linear Footage of Work:
Description of Work: ea;�tjT 8�
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: 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 $
PAINT COLOR APPROVAL AND AGREEMENT
"'I- ' ' All elements on the site must be listed and indicate the color to be painted
DIRECTIONS: Please circle corresponding number to appropriate color sample.
S, LA-'
Walls: 1
2 2c0(o
3
4
Fascia: 1
2
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
Attach color sample with name and number
1.
gas-C2
5W 7506
2. Loggia
3.
4.
OWNER'S AFFIDAVIT certi that all the foregoing information is accurate and at all ork i I b one in compliance with all
applicable laws regu ing con tion and zoning.
Signature Signature
Ro AGENT ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing strument was acknowledged before me this
t2 L day of I" lAQZ H 20 L Z by Z� day of 'M� `Ak-CH 20 22 by
-56'AYL 54LA42, . who is personally knower o VON15 �1D&O tC�2 . who is persopal1gloawn to
me or who has r d ed as me or who has r d ced as
P P
identification an w o did take an oath. identification an w o did take an oath.
NOTARY
Jesus Fernando Monrabal
My Commission HH 113136
Expires 06n9/2025
APPROVED BY:
NOTARY P
Seal: an-,F Expires 06/19/2025
Code Official
Preservation Board
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE"
D. COPY OF WORKERS COMPENSATION INSURANCE"
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE'
E. COPY OF WORKERS COMPENSATION INSURANCE'
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
'YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
............... ...//!78.`.fi�..........................................
BUSINESS NAME: fi n` m.�.... �.� YI L
BUSINESS ADDRESS: �� r� �j^� f�S Ur e p CITY STATEI ZIP
BUSINESS PHOON((EE�:rrgb1 9 i 0 � FAX NUMBER
(I b( )
CELL PHONE )uG I (040 9 QUALIFIER'S NAME: vt `Cr C o yl C C-
QUALIFIER'S LIC NUMBER: I I 1500(A'1-114
�CU� 1 � . G(Pa}nfir,I I�( /. ca.4-,
CTQB
Construction Trades Qualifying Board
cI NESS CERTIFICATE OF COMPETENCY
11 BS00434
RGINC
D.B.A.:
GOiZ&ENE A
Is certified under the provisions of Chapter 10 of Miami -Dade County