PAINT-06-23-1520Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9713 NE 2ND AVE, Miami Shores, FL33138 1132060134220
Contacts
Permit NO.: PAINT-06-23-1520
Permit Type: Paint
Work Classification: Paint
Permit Status: Applied
Issue Date: Expiration:12/11/2023
Odamise LLC Owner OCEANVIEW BUILDING GROUP Contractor
9300 N BAYSHORE DRIVE, MIAMI, FL 33168 ANDERSON DOS SANTOS
1825 NW NW CORPORATE BLVD 110, BOCA RATON, FL 33431
Business: 9549805308 anderson@oceanviewbuild.com
Description: PAINT EXTERIOR WALL AND SOFFIT FOR 9715 Valuation: $ 1,200.00
Total Sq Feet: 0.00
Fees
Amount
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee (Manual)
$100.00
Technology Fee (Manual)
$10.00
Total:
$115.80
Payments
Date Paid Amt Paid
Total Fees
$115.80
Credit Card
06/21/2023 $115.80
Amount Due:
$0.00
t gIg
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 AFFIDAVP I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constrru zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
June 21, 2023 Page 2 of 2
Miami Shores Village
�nT1�
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
JUN 14 2023
4 1.
FBC 20
PAINT Master Permit Noj2?
PERMIT APPLICATION �j Sub Permit No.
JOB ADDRESS: 1 T` J 7 I •-' —� �� �e� u �' o
City: Miami Shores Count v Miami Dade Zip:
Folio/Parcel#: 11 " J 2.0 (.C)1 3 L+ 22• Is the Building Historically Designated: Yes NO Sr
OWNER: Name (Fee Simple Titleholder):At-A LL:!l- ya ZJr. LA l2_ Sphone#: 305 4 :4' 5 - 3 0 4 a
Address.930p -b Q- •
city: r-Atc.^'t1 ! iAAo2E5 State: EL. Zip: d3138
Tenant/Lessee Name:11AE beW-ML TCQM /SA2Eb 1-iELFA-I-S,LU one#: (11-4- 81iS' 1o�5�f
Email:
A a & EDPLsE1�
CONTRACTOR: Company Name: OCEAaJ IE`�% �U t �� t a G Phone#:
Address: N W COP, P O e.la-rE ALVD , SQ 1 ?C 1 1 D
City: 3UC-14- 2 raTD nl State: GG Zip: 33 y 3
Qualifier Name: Rf1(jEQSO� SOS SAr.I'rOS Phone#:95y-goo -53Dg
State Certification or Registration #: C GC iSs 28 ix Certificate of Competency #:
(kn)P S fLSo#Jd�O c 5 A&)) ' 6 V,) ( i l.-11l, . c.o Vtk
Value of Work for this Permit: $ �t 2(CY/) Square/Linear Footage of Work: _
Description of Work:$'NT G✓FkL A*-b SOTtTA.7
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 on 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 thejob site for the first inspection which occurs seven (7) days offer 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 $ CCF Fee $
Technology Fee $ Training/Education Fee $
Notary $
Double Fee $
TOTAL FEE NOW DUE $ ( 1.51 IbC)
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:
Fascia:
Drip edge: 1 2 3 4
Soffit: l jl 2 3 4
Flower Bins:
Shutters:
Awnings:
Chimney: 1 2 3 4
Doors & Jambs: 1 f 3 4
Garage Doors:
1
2
3 4
Railings:
1
2
3 4
Fences:
1
2
3. 4
All Brick: 1
Stucco Bands: 1
Other Stucco
Feature:
Accessory Bldg:
Attach color sample with name and number
0
n
Supead
2 OC m Benjamin Moore OC
3.
i
4.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all
applicable laws regula constZI
d\zzoninng.Signature vv Signature
NERorAGENT
done in compliance with all
CONTRACTOR
The foregoing instrument was acknowledged before me this The regoing instrument was acknowledged before me this
5{r` day of 20 23 by day of N l 20 2 Z by
TAngQJ dQ L0 RQSOI who is personally known to A# Ac2Sav bos 4AiL os , who is personally known to
me or who has produced as me or who has produced O(A 25 3 - OD }-W - a! s-0
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: 217e Z.�--, I1�
Print: M1 l e P Porn GI r-N o Print: k( A;IV4 t/ 0
...... �Bo; MBena Romano r •
Seal: 0.Seal: + * CommisstonaHH27327T
'x: Comm.:HH232865
>n•: a Expires: April 10,2026 QC�o�° Expl Odober$,2028
°�" NotaryPublic- StateofFlorida
APPROVED BY: �'P�3 Code Official
Preservation Board
6/14/23. 2:29 PM Detail by Entity Name
DivlsioN OF CORPORATIONS
fut vfst ltd i aff v1 ric a sue. iuhr
pgnartment of State / Division of Corporations / Saarch Records / Sgarch by Entity Name /
Detail by Entity Name
Florida Limited Liability Company
ODAMISE, LLC
fhng Information
Document Number
FEIIEIN Number
Date Filed
State
Status
Last Event
Event Date Filed
Principal Address
9300 N. BAYSHORE DR.
MIAMI SHORES, FL 33138
Mailing Address
9300 N. BAYSHORE DR.
MIAMI SHORES, FL 33138
L05000049861
20-2873888
05/13/2005
FL
ACTIVE
REINSTATEMENT
10/15/2009
Rggi r gent Name & Address
DE LA ROSA, TANYA
9300 N. BAYSHORE DR.
MIAMI SHORES, FL 33138
Authorized Person(Q)Detail
Name & Address
Title MGR
DE LA ROSA, TANYA
9300 N. BAYSHORE DR.
MIAMI SHORES, FL 33138
r i1Tit1.'F I • • .
Report Year
Filed Date
2021
01 /21 /2021
2022
03/02/2022
2023
01 /23/2023
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