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PT-10-1070Scheduled Inspection Date: July 15, 2010 Inspector: Bruhn, Norman Owner: LEANZA, DANIEL Job Address: 10401 NE 2 Avenue Miami Shores, FL 33138 -2058 Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments July 14, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 145950 Permit Number: PT -6 -10 -1070 For Inspections please call: (305)762 -4949 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1121360130550 Phone: (305)878 -3971 PAINT EXTERIOR OF THE HOUSE Passed 17.} Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments cL Page 10 of 21 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $1.20 $0.40 $60.00 $1.60 $63.20 Building Department Copy Parcel Number 10401 NE 2 Avenue Miami Shores, FL 33138 -2058 1121360130550 Block: Lot: DANIEL LEANZA 1 10401 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) NHTC CORPORATION Phone (305)878 -3971 CeII Phone Type of Work: Exterior Color. Additional Info: Classification: Residential Color. _Approved Color. _Approved_ Code Comments: WALLS - LT. YELLOW / FASCIA, S Color: _Denied Authorized Signature: Owner / Applicant / Contractor / Agent Pay Date Pay Type Invoice # PT -6 -10 -38171 06/16/2010 Cash Amt Paid Amt Due $ 63.20 $ 0.00 Applicant Valuation: Total Sq Feet: $ 1,200.00 0 1 Available Inspections: Inspection Type: Final 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 regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. June 16, 2010 Date Expiration: 01/0112999 June 16, 2010 1 PRODucsR Tammy Insurance Agency 9821 S.W. 40th Street Miami, FL 33185 Phone (305)485.3999 INSURED NHTC Corporation 6295 SW 165 PL Miami, FL 33193 COVERAGES THE POLICIES OF INSURANCE LISTED HAVE SEEN 1 ANY REQUIREMENT, TERM OR CONDITION OF ANY MAY PERTAIN. THE INSURANCE AFFORDED BY TM POLICIES. AGGREGATE LINTS SI -1oWN MAY HAVE .L TYPE OF INSURANCE GENERAL LIABILITY cor my ERCCIU„ GENERAL LIABILITY ❑ ❑ cuuvis MADE © OccUR ❑ 0 GEN'L AGGREGATE WET APPLIES PER: 0 POLICY ❑ PROJECT ❑ LoC AUTOMOBILE LUl81LITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ 0 SCHEDULED AUTOS ❑ HIRED AUTOS D NON OWNED AUTos 0 �.D a OTHER GARAGE LIABILITY ❑ ANY AUTO 0 EXCESS / UMBRELLA LIABILI'T'Y ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE O RETENTION 5 WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR! PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? (Mandatory In NH) If I stoN Indira CERTIFICATE HOLDER Miami Shores Village 10050 MIamI Shores, FL 53100 Fax: 305. 759.8972 ACORD 25 (2009/01) UP Fa11�(305)4853944 1 001342 CERTIRCATE OF LIABILITY INSURANCE r DATE (MM!DD/YY) 06/16/10 This CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PoL,ICIES BELOW. INSURERS AFFORDING COVERAGE INSURER At Atlantic Casualty Insurance Co INSURER H: INSURER 0: INSURER Ds INSURER E: SUED TO THE INSURED NAMED ABOVE FoR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ONTRACT OR OTHER DOCUMENT Wfl H RESPECT TO WHICH This CERTIFICATE MAY BE ISSUED OR POLJCJES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH EEN RCDUCCD DY PAID CLAIMS. POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MMlDD DATE MIND 02/05!2010 DESCRIPTION OF OPERATIONS / LOCATIONS / VEIICI�S / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS General Contractor CANCELLATION 02/05/2011 AUTHORIZED REPRESENTAT JESSICA HECHAVARRIA ® 19882 Tha OR LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea oc tirrence) MW EXP (Any one person) PERsoNAL. 8 ADV INJURY GENERAL AGGREGATE PRODUCTS - cOMP/OP AGG COMBINED SINGLE LIMIT (Ea accment) BODILY INJURY (Per paw) B ODILY INJURY (Per accident) PROPERTY DAMAGE (Per accidents AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY EACH OCCURRENCE AGGREGATE AGG NAIC 1'1 1,000,000 50,000 1,000 1,000,000 1,000,000 1,00a,000 ❑ T i T c ❑ am. E.L EACH ACCIDENT E.L. DISEASE - EA EN►PLOYEE H.L. DISEASE - POLICY LIMIT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPtRAT1oN DATE THEREOF, THE Mum INSURER WILL 1_NDr AAVOR To MAl . 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUR - ITS AGENTS OR REPRESENTATIVES. 09 A .` T ► iT- name and I PORATION. All rights reserved. o are registered marks of ACORD I.J:Jio ctiosEo BUILDING PERMIT APPLICATION FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) Dori Q- \ L. e ct ct Phone # Owner's Address t 0 423 0 M 2. A u City M- c Gt tAAA s Vv C re State P to vt d q Zip 3313 c' Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Villa e FOLIO /PARCEL# O t- zi - 3Cv -o(3- O5 so Is Building Historically Designated YES /" 6 3". .. C) /6 6 f I City "/ 1 State "7 Zip - Qualifier Name � /'2 -�' iY o� ✓ . _ Phone # State Certificate or Registration No. rat C rso V02 Certificate of Competency No. Contractor's Company Name Contractor's Address OWNER BUILDER: Value of Work For this Permit $ 4200/ i 0 Describe Work: ,/ °ice o'er Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 9.14 (305) 795.2204 fora (305) 756.8972 Permit No. County Miami -Dade NO Type of Work: ❑ Addition / ❑ Alteration / ❑New / IfirRepair/Replace Master Permit No. t i0 -i010 Zip Phone # C� e-S €t ? i C1 mod' r jr0 11 9 7triq BY: ..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. l understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WF.T,LS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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 a reinspection fee will be charged. ***************************************p x * *** **** * *** * * ** * *** * *** r * * * *, * * ** ** r**** Permit Fee $ CCF $ Technology Fee: Training/Education Fee $ Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side -� Signature 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: C 1 I 2 3 4 Fascia: 1) 2 3 4 Drip Cap/Drip Edge: 1 2 3 4 Soffit: (1) 2 3 4 Roof: 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 and Door Jams: 1 2 3 4 Garage Doors: 1 2 3 4 Railings: 1 2 3 4 Fences: 1 2 3 4 All brick (simulated or regular): 1 2 Stucco Banding: 1 2 3 Any other Stucco Features: 1 2 3 Accessory Buildings Other: APPLICATION APPROVED BY: Pc L,,W Signature NOTARY , PUBLIC: l Sign: - Print: C1 a."c t r, r C B e ,` ,�j, �� t,�A QOMEZ ARANOO I My Commission Expires: . COMMISSION # 0092270? EXPIRES September 27, 2013 Attach color samples with name and number. OWNER'S Ali lb 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. f `' I 0 1 Owner or germs` Contractor The foregoing instrument was acknowledged before me this 31 The foregoing instrument was acknowledged before me this day of , 20 / c , by 4u u IY1 k s � day of 744n e , 20 /O, by who is personally known to me or who has produced nri ve Y who is perso As identification and who did take an oath. HENRY JR ALRERTD MY COMMISSIONS Dbs9699s ES. Sept. 19, 2010 Florida Notary 8arvtoaoom me or who has produced D1,-- dentificatio o did take an oath. (407 )3460153 dt$ r9e drtktk7kik4 :tYtY:@4'9k4kde***x*ww ww Fla iletIlIM - ' - '".** Y9Ydl7kfbd:****k dnYd: vkkdrdt: Y+ Y9Y*tk7k7YdWT11P4r ****7t'irdrdkdnirir &ikir9t &*** Plans Examiner I Preservation Board ' i ,4• ! I � Code Enforcement (Revised 04/24/07) POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That I, DANIEL LEANZA hereinafter referred to as PRINCIPAL, in the County of DADE State of Florida, being of sound mind, does appoint, AURELIO 0 QUINTERO identified with a Florida Driver License No Q 536 -014- 56 -011 -0 whose address is 9672 Pines Blvd Pembroke Pines Florida 33025 as my true and lawful attorney -in -fact. In the principal's name, and for the principal's use and benefit, said attorney -in fact is authorized hereby to execute any and all documents i ncluding but not limited to contract and any other documents necessary to purchase the following described property: 10401 NE Avenue Miami Shore F133138 Giving and grating unto AURELIO 0 QUINTERO full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes as I might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that AURELIO 0 QUINTERO shall lawfully do cause to be by virtue hereof. In witness whereof, I have hereunto set my hand and seal this 20 day of December 2009. L PRINCIPAL 10401 NE 2 Ave Miami Shore F133138 State of Florida County of Dade � Acce ted b : 0 0 P Y AURELIO O QUINTO At�t - act BEFORE ME, the undersigned authority, on this 20 day of December, 2009, personally appeared DANIEL LEANZA to me well known to be the person described in and who signed the foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed.