PT-09-476 Miami
Shores es Villa e "`
10050 N.E. 2nd Ave nue •.;:�` . �.;F.
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Miami Shores, E�
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Project Address Parcel Number Applicant
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68 92 Street 1131010170170
MARIO ALMANZA
Miami Shores, FL Block: Lot:
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Owner Information Address Phone Cell
REINALDO GONZALEZ 68 NW 92 ST
MIAMI SHORES FL 33150 -2227
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Contractor(s) Phone Cell Phone ;Valuation: k. $ 1,000 .00 X .
HOMEOWNER
............................................. ............................... ;
........................................................... ............................... ;Total Sq Feet: 0
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Type of Work: Exterior Available Inspections:
Color: Inspection Type:
Additional Info: Final
Classification: Residential
Color: _Approved Code Comments: BEN MOORE - WALLS, FASCIA, FE
Color: _Approved_ Color: _Denied
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF x•60 09-
PT- 3- 34350 $ 67.30 $ 67.30
Education Surcharge $0.20
$ Q
Notary Fee 00 Check #: 3364
Permit Fee $60,00
Technology Fee $1.50
Total: $67.30
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.
March 26, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 26, 2009 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSPA 09639 Permit Number: PT -3 -09 -476
Scheduled Inspection Date: August 31, 2009 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: GONZALEZ, REINALDO Work Classification: New
Job Address: 68 NW 92 Street
Miami Shores, FL Phone Number
Parcel Number 113101017017
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Passed
_ ' 7d
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re4nspection fee is paid.
Aisnita+ Ia )nno For Inspections please call: (305)762 -4949 o�Me, _f an
` Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 109639 Permit Number: PT -3 -09 -476
Scheduled Inspection Date: August 31, 2009 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: GONZALEZ, REINALDO Work Classification: New
Job Address: 68 NW 92 Street
Miami Shores, FL Phone Number
Parcel Number 113101017017
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR OF THE HOUSE
Inspector Comments
Passed El
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
For Inspections please call: (305)762 -4949 D ^f in
Adftl
Miami Shores Village
�op Y,
Building Department 9
10050 NE 2 Ave
Miami, F133138
(305)795 -2204 (ph); (305)756 -8972 (fax)
ATTENTION
YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION
FROM THE BUILDING DEPARTMENT.
This permit is valid for 180 days. If it is not finalized during this period of
time, the permit will expire, and it will require payment of a renewal fee to
reinstate it and to be able to call final inspection to close the permit.
PLEASE, WHEN FINISH YOUR PAINTING; CALL THE BUILDING
DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL
INSPECTION IN ORDER TO CLOSE YOUR PERMIT.
Alt
er or contra or's Sig e
Thank you for your cooperation
Miami Shores Village
MAR 2 5 2009
Budding Department
10050 N.E.2nd Avenue. Miami Shores, f lorida 33138 BY - - - -- : sa .......
Tel: (305) 795.2209 Fax: (305) 7.56.8972
BUILDING Permit No. - LP
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type PAINT PERMIT
Owner's Name (Fee Simple Titleholder) k �AIY 00 G r�O — 05 - 2 - 05 - 2
Owner's Address 6 9' �Zo,
City State Zip
Tenan Lessee Name Phone #
—M IL:
Job Address (where the work is being done) C /U—W, 9.?
City — Miami Shores Villa ge County Miami -Dade Zip - 35.1 - n
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name _ Phone #
Contractor's Address
City_ State Zip
QualifierName Phone #
State Certificate or Registration No. Certificate of Competency No.
OWNER BUILDER:
Value of Work For this Permit $ Type of Work: ❑ Addition / ❑ Alteration / ONew 1 0 Re it /Replace
e e- ..
Describe Work:
Application is hereby made to ottain a pennit to do the work and installations indicated. I certify thatno work or installation has commenced prior to the isstowe ora 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 be severed ii.)r
EUC'T'RICAI. WORK. 1'I1)MBING, SIGNS, WEI..I.,S. POOLS, FURNACES. BOILERS. BEATERS, TANKS and AIR CONDITIONERS, ETC.....
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES1,11,11' ,IN YOIIR PAYING: TWICE FOR
IMPROVEMENTS T'O YOUR I'ROPERT'V. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Appl ic.•ant: As a condition to the issuance of a building permit with an estimated value exceeding'$25M. the applicant must promise in goo,� faith that a Coln° o ?f'thc'
notice gf connnencement and construction lien laiv brochure will be delivered to the person whose property is S ubject to atfachrneni. Also, a certified copy gf the recorded notice
gf commencement 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 riot he approved and a re inspection fee will be charged:
Permit Fee $ "' CCF $ 060 Technology Fee:
Training/Education Fee $_fI. Notary $ a _ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $ \ ��
MAR 2 5 PAID See Reverse side
o
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: 2L 2 3 4 Attach color sam 1es with na me and
Fascia: I 2 ; 4
Drip Cap /Drip Edge: 1 2 3 4
Soffit: 1 2 3 4
Roof: l 2 4 " i l a 4
Flower Bins: 1 2 4 -
Shutters: 1 2 4
Awnings: 1 2 4 2
Chimney: I 2 3 4
Doors and Door .lams 1 2 3 4
Garage Doors: I 2 3 4
Railings: l 2 3 4 3
Fences: I 2 3 4
All brick (simulated or regular) l 3 : 4
Stucco Banding: 1 2 3 4
Any other Stucco Features: l 2 3 4 4
Accessory Buildings Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with all applicable la regulating construction and Zoning.
Signature Signature
Owner or gent ` Contractor
The tier n ins anent was arc owledge t 'or is 5 ^ The foregoing instrument was acknowledged before me this
day o 2 by a of . 20 _ . by
0 �+�+�'� ARY PUBLIC:
Sign: 4 �,c+ Sign:
Print: Print
i � O .•''..+..
My Commission [Expires: My Commission Expires:
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APPLICATION APPROVE) BY: Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/0