PT-09-1903Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
c lion :'
Parcel Number
Expiration: 05/16/2010
Applicant
PROVED
10090 12 Avenue
Miami Shores, FL 33138-
1132050190380
Block: Lot:
CLAUDIO & MARIA RODRIGUEZ
CLAUDIO & MARIA RODRIGUEZ
335 NE 101 ST
MIAMI SHORES FL 33138
305/216 -2224
Contractor(s) Phone CeII Phone
MIAMI SKYLINE CONSTRUCTION COF (305)899 -9696 (305)216 -2224
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color. _Approved
Color. _Approved_
Code Comments: SHERWIN WILLIAMS - WALLS - R
Color: _Denied
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.00
$0.80
$66.60
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Invoice # Total Amt Paid Amt Due
PT -11 -09 -36439 $ 66.60 $ 66.60 $ 0.00
Check* 16970
Valuation:
Total Sq Feet:
$ 1,00
0
Date
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 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 17, 2009
November 17, 2009 1
emuud,w- it/i 7 Miami Shores Village s r
Ouilding Department hv 6 4! '9
0050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 (� °° ° ° " °
Permit No. V O 9 6
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type: PAINT. PERMITG
Owner's Name (l=ee Simple Titleholder) r 1 V 2r Phone # S . Z ( Z 2. •
Owner's Address L 0 I v L 2 Z U ,
City Vt_SLJOC e- S State 4 ' Zip 3 31 (' .
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 3 .
FOLIO / PARCEL#
Is Building Historically Designated YES
NO
Contractor's Company Name S � k i l , e , Coe., 5 Phone # i S — 2 1t. - Z 2. ?— 4
Contractor's Address
Cit , State 1 l Zip > 3 (
Qualifier Name 0 2‘0A t ® r j Phone # 39 5 — Z ( ( v
State Certificate or Registration No. C. C. a S. - 4-.O 1- Sertificate of Competency No.
OWNER BUILDER:
Value of Work For this Permit $ ` Type of Work: ❑ Addition / ❑ Alteration / [New / ❑ Repair/Replace
Describe Work: Z
Master Permit No.
Phone #
1® ®°i D N E L2 z.ve._,
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. I understand that a separate pemmt must he secured for
El.l•X'TRICAI. WORK. PLUMBING, SIGNS, WELI.,S. POOLS, FURNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING: TWICE FOP
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 L condition to the issuance of a building permit with an estimated value exceeding $2500. the applicant must promise in good faith Mai a c
: I py of the
notice of commencement and construction lien law brochil re will be delivered to the person whose property is subject to attachment. Also. a certified copy oldie recorded notice
of must 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.
xxwz>x...w* 4 *=**ww ****ww.wwww******�•r ees ****xoYic9Y**** * *******ic**ww.. a: icx r***wwxxxxx4ic
Permit Fee $ "t'A /'Oij ICCF $ Technology Fee: 41140
Training /Educatio,p Fee $ - 0' (/��l Notary $ ' Code Enforcement $ •
Double Fee $ - Zoning l$ Total Fee Now Due $ (o(Q.`IOO
See Reverse side -�
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Soffit:
Roof:
Flower Bins:
Shutters:
Chimney:
Fences:
NOTARY
Sign:
Print:
Drip Cap /Drip Edge:
Awnings: 1
My Commission Expires:
Rai l in <gs: I
Doors and Door Janis:
Garage Doors: 1
2
All brick (simulated or regular):
Stucco 'Banding: 1'
Any other Stucco Features:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
1 3
2
Accessory Buildings Other:
Owner or Agent
The forea ing instrument as a c �vledged ief e me
day of . 20 by
who is poi_ially known to me or who has produced
As identitica why did take an oath.
3
3
4
4
3 4
3 4
3 4
3 4
3 4
3' 4
3 4
3 4
3 4
OWNER'S AFFIDAVIT: 1 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.
Contractor
The oregoing instrument was acknowledged before me this
Af t ! .I .20 •. by
personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
NOTARY D l
;f ?J
s + ¢'T' �3, 2011 My Commission Expires:
** * *********xokxxxww** **. wxxxx9ixxxxx, ir4**: 11 : 4e�F9exxd: iex:zxux******** nk4r4evY*vr' ilr********* t4r ****ataY********* ********ic
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
Attach color samples with name and
number.
Code Entbrcement
SW 6155
Rice Grain
SW 6385
Dover White
(Revised 04/24/0;
Inspection Number: I NSP- 129454
Scheduled Inspection Date: March 18, 2010
Inspector: Bruhn, Norman
Owner: RODRIGUEZ, CLAUDIO & MARIA
Job Address: 10090 NE 12 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MIAMI SKYLINE CONSTRUCTION CORP
Building Department Comments
PRESUURE CLEAN AND PAINT EXTERIOR OF THE
HOUSE
Passed 410
Failed
Correction
Needed
Re- Inspection
Fee
March 17, 2010
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Number: P . . -11 -09 -1903
ermit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number 305/216 -2224
Parcel Number 1132050190380
Phone: (305)899 -9696
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