PT-09-1928 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 129875 Permit Number: PT -11 -09 -1928
Scheduled Inspection Date: April 29, 2010 Permit Type: Paint
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: CABRERA LUIS Work Classification: New
Job Address: 9488 NW 2 Avenue
Miami Shores, FL 33138- Phone Number 305 - 756 -4240
Parcel Number 1131010150320
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PRESUURE CLEAN AND PAINT EXTERIOR OF THE
HOUSE
Inspector Comments
Passed jm�_
Failed
Correction ❑
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 28, 2010 For Inspections please call: (305)762 -4949 Page 5 of 22
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Miami Shores Village r
10050 N.E. 2nd Avenue �,
Miami Shores, FL 33138- 0000
Phone: (305)795 -2204 y w
Expiration: O5f2412010
Project Address Parcel Number Applicant
9488 2 Avenue 1131010150320
Miami Shores, FL 33138- Block: Lot: LUIS CABRERA
Owner Information Address Phone Cell
LUIS CABRERA 9488 2 Avenue 305 -756 -4240
MIAMI SHORES FL 33150 -1204
Contractor(s) Phone Cell Phone valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 0
Type of Work: Exterior For Inspections please call:
Color: (305)762 -4949
Additional Info: Available Inspections:
Classification: Residential Inspection Type:
Color: Approved Code Comments: RALPH LAUREN - WALLS, FASCI Final
Color. Approved_ Color. _Denied
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $0.80 PT -11 -09 -36468 $ 66.60 $ 66.60 $ 0.00
Education Surcharge $0.20
Notary Fee $5
Check #: 1492
Permit Fee $80.00
Scanning Fee $0.00
Technology Fee $0.80
Total: $66.60
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.
November 25, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 25, 2009 1
(o Miami Shores Village 71
C� r�ov v 2009
Building Department
10(I5ON.ti.2nd Avenue• Miami Shores, Florida 33139 '°"
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No.
'ERMIT APPLICATION Master P ermit No.
1;� it Type: PAINT PERNIT
Qwner's Name (f=ee Si m le Tit Phone # r �) - ��►rp�
Owner' Address
.City & a State Zip !_S�
Tenant Lessee Nam �-n Phone #
E- M A I L: -- - /- --
Job Address (where the work is being done) ( t1� -P ez
City _ ^ Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name t02,14&1, Phone #
Contractor's Address
City_ _ State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER: '
Value of Work For this Permit S Type of Work: O Addition/ O Alteration ! ONew XRepair/Replace
Describe Work: `
Application is hereby made to ol.tain a permit to L the work aixl installations as indicated. I certify that no work or installation has commenced prior to dte issuance ora permit
and that all work will be perrormed to meet the standards ol'all laws regulatingeonstruction in this iurisdiction. I understand that a separate,permi( must be secured 14
E1.1-17RICAI. WORD. PIA.)M ING, SIGNS. WELLS_ POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS PTC .,.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN "YOVRi PAYING: TWICE FOR
IMPROVEMENTS '1'0 YOUR PROPuRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT`WITtl YOUR LENDEECf)R AN ATTORNEY BEFORE
RECORDING YOUR NO'T'ICE OF COMMENCEMENT."
Notice to Applicant: .1.c a condition to the issuance ol'a building permit with an estimated value exceeding $250. the applicanl road promise in goad.larah that a colnv of ih<
notice of cornmencement 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
gf commencernew must he posted at the job site for the first inspection which occurs seven (z) days after the building perneit is issued. In the absence of such posted notice. the
inspc clion mill not be approved and a reinspection fee will he charged
Permit Fee $ An - U CCF $ �'l(JlJ Technology Fee: V•�►�
Training /Education Fee $ Q •t� Notary.$ Code Enforcement$
Double Fee $ Zoning $ Total Fee Now Due.$ 'l1l
See Reverse side -a
PANT 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: Vf 1 2 w- 4 Attach color samples with name a�
Fascia: 1 2 ; 4
Di 1) Ca L clime: I 2 -- ' 4 t `� rvt.z
P t
re
Soffit 2 3 i
Roof I 2 3 4 .
Flower E3ins: 1 2 3 4 `
�t
Shutters: 1 2 3 4
Awnings I 2
Chimney: I 2 3 4
Doors and Door Jams: I 2 3
Garage Doors: 1 2 3 4
Railings: 1 2 3 4 3
Fences: 1 2 3 4
All brick (simulated Or re <Ouiar 1 2 3 4
Stucco Banding: l 2 3 4
Any ether Stucco Features: 1 2 3 4 4
Accessory Buildings Other:
OWNER'S. AF IT: -I certify iat all the foregoing information is accurate and.that all work will be done in
cornplia with all applic, le la regulating construction and zoning.
Signatu , tgnature
Owner or gent Contractor
The tirreau ing i strtunent wa • 6 • •nowledg I before •te is � The foregoing instrument was acknowledged before me this
day of 20 by ay of 20 _. by
W ho is •rsonally n to me or vv has produce ho is personally known to me or who has produced
-at' n <ind w did take an oath. identification and who did take an oath.
NOTA PI1 O1'ARY PUBLIC:
Sign:
"L c..
Print: - C•4�'oCa "nnt:
` pP�� M Commission Expires:
My Commission Expires: ° , �',�RO Y f
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y
APPLIC' "I'iON APPROVE
D BY: Plans Examiner
Preservation Hoard
Code f:ntorcement
(Revised 04/24/0",