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PT-09-1938 qpp R� � Miami Shores Village° y 10050 N.E. 2nd Avenue Miami Shores, FL 33138-00003 a ° y Phone: (305)795 -2204 u_s r ' Expiration: 06f241201 Project Address Parcel Number Applicant 357 92 Street 1132060136390 RONALD LEE RODRIGUEZ Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell RONALD LEE RODRIGUEZ 357 92 Street MIAMI SHORES FL 33138 -3133 Contractor(s) Phone Cell Phone Valuation: $ 2, 400.00 COMPLETE HOME PAINTING BY MICt 305 - 895 -1368 (305)215 -0016 Total Sq Feet: 0 Type of Work: Exterior For inspections please call: Color: putty tones and deep brown (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color: putty tones and deep brown Approved Code Comments: BEN MOORE - WALLS, GARAGE Final Color: putty tones and deep brown Approved_ Color: putty tones and deep brown—Denied Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ PT-1 1-09-36481 $ 64.80 $ 64.80 $ 0.00 Education Surcharge $0.60 Notary Fee $0.00 Check #: 6108 Permit Fee $60.00 PT -12 -09 -36618 $ 0.00 $ 0.00 $ 0.00 Scanning Fee $0.00 Technology Fee $2.40 Total: $64.80 In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in stria 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 December 10, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 10, 2009 1 1112S1c Miami Shores Village g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT ,2 ? ,,/ Qwner's Name (Fee Simple Titleholder) ft A /�K1r ��kC 2— Phone # Owner's Address S_ ? tic- ? 2__ Sf C y ,/11/ Qe iN/ ,S 4 (ltJ State jr -L Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 3)7 A14— 4 ?2 „S y City Miami Shores Village County Miami -Dade Zip 3 3 13,a FOLIO / PARCEL # Is Building Historically Designated O*R V NO Contractor's Company Name Pf 4& 7 ` �' /hone# l ouJ Contractor's Address V? City /11 / a of Stat e � Qualifier Name /_ � 7�_ / y!l 4PU l� X r–e_ Phone # State Certificate or Registration No. Certificate of Competency No. Z2 D DD OWNER BUILDER: Y .0 Value of Work For this Permit $ Q0 Type of Work: ❑ Addition / ❑ Alteration / New / ❑ Repair/Replace Describe Work: C J.; tt7 4 �x e! A g f e? D ,! / Application is hereby made to obtain a pennit to do the work and Qstallations 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 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 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 ofsuch posted notice, the inspection will not be approved and a reinspection fee will be charged. 4� > Permit Fee $ // CCF $ f Technology Fee: Training /Education Fee $ .60 Notary $ ( Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ .lr +� See Reverse side PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Dire0ioirsff 1Tftse circle corresponding number to appropriate color san er IV Wa 1 2 4 Fascia: 1 2 3 2 4 Drip Cap /Drip Edge: i t 2 3 0 M 4 Soffit 1 2 ©_ 4 Roof. 1 2 N 3 4 ` Flower Bins: _1 2 W "1 3 4 Shutters: 1 2 ' 3 4 Awnings: 3 4 Chimney: 1 2 3 4 Doors and Door Jams:-1-2 © 4 Garage Doors 1 2 0)' 60 4 a Railings: — 2 3� l 4 IE Fences: 1{Z ""` 1 P 3 All brick (simulated or regular):_ 2 3 4 Stucco Banding: 1 2 N # t — 4 Any other Stucco Features:_ 2 3 4 4 Accessory Buildin in e r Other: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate anu titan compliance with all applicable laws regulating construction and zoning. Si nature Z ' Si nature � Owner or Agent Contractor The foregoing instrument was acknowledged before me this The fore ng instrument / wa aacknowl ged before m his day of Z7 , 20 "T , by /r�e• /C-yell�� `'fi —cla of ca by who is personally known to me or who has produced who i personally known r� me or who has produced 14 As identification and who did take an oath. as identificaf 4n a who 'd take an og � ' �`5 NOTARY PUBLIC: NOTA F t ° ~?�� Sign: �� i Sign:' � / Print: 11- 46- Print: re CZ My Commission E Qiis: Y p Michael Iwas M Commission Ex pires: Commission RDD 0 * 'Explat"S' C Inc. 9 an tic Bonding APPLICATION APPROVED BY: Plans Examiner Preservation Board 6 Code Enforcement (Revised 04/24/07) 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- 129996 Permit Number: PT -11 -09 -1938 Scheduled Inspection Date: March 09, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: RODRIGUEZ, RONALD LEE Work Classification: New Job Address: 357 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060136390 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments Paint tan and brown Historic Home ? Inspector Comments Passec�`�� ✓ _ �, �� Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 8 of 34 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129996 Permit Number: PT -11 -09 -1938 Scheduled Inspection Date: March 09, 2010 Permit Type: Paint Inspector: Bruhn, Norman . Inspection Type: Final Owner: RODRIGUEZ, RONALD LEE Work Classification: New Job Address: 357 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060136390 Project: <NONE> Contractor: COMPLETE HOME PAINTING BY MIC HAEL Phone: 305 -895 -1368 Building Department Comments Paint tan and brown Historic Home Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 8 of 34