PT-09-1828Protect Address
Owner Information
RAUL GONZALEZ
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
9101 NE 2 AVE
MIAMI FL 33138 -2803
Parcel Number
Phone
(305)375 -3783
Expiration: 05/05/2010
Applicant
Cell
Valuation:
Total Sq Feet:
Type of Work:
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color. _Approved_
Code Comments:
Color. _Denied
Fees Due
Permit Fee
Scanning Fee
Total:
Amount
$60.00
$3.00
$63.00
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Invoice # Total Amt Paid Amt Due
PT -11 -09 -36312 $ 63.00 $ 63.00 $ 0.00
Check #: 7968
November 06, 2009
Date
$ 0.0
0
For Inspections please call:
(305)762 -4949
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 infoirnation 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 06, 2009 1
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
Permit Type: PAINT PERMIT ,3o5 -- 75 7 7 Lo
or
Owner's Name (Fee Simple Titleholder) ar) 13L1 I r Phone ti i5 "75 1 - S5 4 (J
Owner's Address qI 0 1 r)E �-/�� (
Cit X11ant � (- )Or.e, s State Zip 33) 3
Tenant/Lessee Name
E -MAIL: i bu 1 f f9 apcphawm . Col
Job Address (where the work is being done) , c amjz a .s
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
OWNER BUILDER:
10050 N.E.2nd Avenue. Miami Shores, Florida 33I 38
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. ?T — r1 - oq , 828
Sap Paini-
Master Permit No.
Phone #
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No.
Phone #
Certificate of Competency No.
Value of Work For this Permit $ Type of Work: 11 Addition / ❑ Alteration / [New / ❑ Repair /Replace
Describe Work: PC 4 `I eA t-F-Gk C)Ir 0 YY)
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 he performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must he secured for
ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS. FURNACES. BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORG
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice 10 Applicant: As a condition to the issuance of a huilding permit with an estimated value exceeding $ 2500. the applicant must promise in good jaith that a copy oldie
notice of commencement and construction lien Iona brochure will be delivered to the person whose properly is subject to attachment. Also. a certified copy of the recorded notice
of commencement Hurst he 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 he approved and a reinspection, fee will be charged.
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8
Permit Fee $ � � � ' U CCF $ Technology Fee:
TraininglEducation Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due
See Reverse side -
Directions: Please
Doors and Door Jams:
Garage Delos:
Railings:
Fences:
NOTA ®'IIBL C:
Sign:
Print:
My Commission Expires:
All brick (simulated or regular):
StuccO Banding:
Any other Stucco Features:
Accessory Buildings
Signature 4APII
RBI
rr�' ►nrn ► rnn��nrrnn
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
circle corresponding number to appropriate color sample.
Walls: 0 2
Fascia: 2 3 4
Drip Cap /Drip Edge: 1 2 ; 4
Soffit: 1
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
4
2 3 4
2 3 4
4
3
3
Other:
' , uez Print:
�c MY COMMISSION # DD907577 My Commission Expires:
% o 1 l dF EXPIRES August 29, 2013
8
I I I I 11' ►' Icn
Attach color samples with name and
number.
_ V �
STR #6343
BEHR
raAsE
PRENVEIL 1S E)G
ACM }Custo'm Cb
T
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.
Signature
owner or Agent Contractor
The foregoing instrument was acknowl 4. ed before me this 4 The foregoing instrument was acknowledged before me this
day of WO iftiliber 20 q. by $h oC k. ?) U t-fr day or - 20 . by
who is personally known to ire or who has produced who is personally known to me or who has produced
As identification arid who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Inspection Number: INSP - 128619
Scheduled Inspection Date: April 06, 2010
Inspector: Bruhn, Norman
Owner: GONZALEZ, RAUL
Job Address: 9101 NE 2 Avenue
Project <NONE>
Contractor:
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
( r C
April 05, 2010
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: PT -11 -09 -1828
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)375 -3783
Parcel Number 1132060133430
Page 6 of 25
Inspection Number: INSP - 128619
Scheduled Inspection Date: April 06, 2010
Inspector: Bruhn, Norman
Owner: GONZALEZ, RAUL
Job Address: 9101 NE 2 Avenue
Project: <NONE>
Contractor:
Miami Shores, FL
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: PT -11 -09 -1828
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (305)375 -3783
Parcel Number 1132060133430
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 05, 2010
For Inspections please call: (305)762 - 4949
Page 6 of 25