PT-10-772Inspection Number: INSP- 142204 Permit Number: PT -5 -10 -772
Scheduled Inspection Date: June 07, 2010
Inspector: Rodriguez, Jorge
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
June 04, 2010
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 Type: Paint
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135880
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 9 of 24
Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
,
301 NE 96 Street
Miami Shores, FL 33138-
1132060135880
Block: Lot:
JUAN & SUSAN RODRIGUEZ
Address
Parcel Number
JUAN & SUSAN RODRIGUEZ
301 NE 93 Street
MIAMI SHORES FL 33138 -2717
I
Contractor(s)
HOME OWNER
Phone
Cell Phone
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$60.00
$0.80
$66.60
Authorized Signature: Owner / Applicant / Contractor / Agent
Type of Work: Exterior
Color.
Additional Info: PAINT
Classification: Residential
Color: Approved
Color. Approved_
,
Code Comments: BEHR - WALLS, SOFFIT, FLOWEF
Color. _Denied
Building Department Copy
Phone
,
Pay Date Pay Type Amt Paid Amt Due
Invoice # PT -5 -10 -37767
05/04/2010 Credit Card $ 66.60 $ 0.00
Applicant
Cell
Valuation:
Total Sq Feet:
$ 1,000.00
0
1
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.
May 11, 2010
Date
May 11, 2010 1
5Is ivo
L�
BUILDING
PERMIT APPLICATION
FBC 2004
MOthlY31)
10050 N.E.2nd Avenue. Miami Shores, Florida 331 38
Tel: (305) 795.2204 Fax: (305) 756.8972 BY.
Permit No.
Master Permit No. PM0 n 7 2
i
Miami Shores Village
Building Department
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder), Q • I e u ,Z- Phone # 1E10 47 5 ".({,//
D
Owner's Address —mod 940 /
City I� tale Zip `15/30
Tenant/Lessee Name Phone Phone # n
E - MAIL: ig__� 'rr.'i"" �ia i `e /1
Job Address (where the work is being done) U r - Aid
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Zil3
Contractor's Company Name 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 $
Describe Work: (/ A fg
a.vxd
cIatin R/6 Z
00 Type of W rlc: ❑ Addition / ❑ Alteration / ['New / ❑ Repair /Replace
•
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 alt work wilt he performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must he secured for
ELEC'TRICAI. 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 FOH
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 $2500. the applicant must promise in 'Qoodfaith that a copy of the
notice or commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certilied copy of the recorded n
of commencement must he posted at the job site for the_ first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the
inspection will not he approved and a re inspection fee will he charged.
xxzxxxx ww*.x xZ xxxxxxnYxxxxxxn4eY****xxx x$Fees****kirde4e****xaYoYa:xxx txxxxxxxxxxx xxxxxxxxxxxxx
Permit Fee $ CCF $ Technology Fee:
Training /Education Fee $ Notary $ Code Enforcement
Double Fee $ Zoning $ Total Fee Now �O Due $ 40 AO
See Reverse side -,
Garage Doors:
Railings:
Fences:
NOTARY PU
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:
Fascia: I A 3 4
Drip Cap /Drip Ed e'
Soffit:
Roof:
Flower Bins:
Shutters:
Awnings:
Chimney:
Doors and Door Jams:
All brick (simulated or regular):
Stucco Banding:
Any other Stucco Features: n1 //t 2 3
Accessory Buildings, Other:
My Commission Expires:
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. - -- - '°
Owner or Agent 41, Contractor
The foregoing instrument was acknowledged before me this' 4 The foregoing instrument was acknowledged before me this
'day of . 241. by WSA•N' pp,, ��
' day of . 20 . by
who is personally known to me or who has produced F'`.t who is personally known to me or who has produced
As identification and o �itttul 1 i 1 1u t 1 M h. as identification and who did take an oath.
_ ..,cites" . ' 7,„ NOTARY PUBLIC:
Sign: i 491012012 Sign:
Print: . wtal , tlak\A „. • _ Print:
xx*x*xz *** *******a: *xx otxxxxxxxxxx / f/ IrE 6f, Sdr r a uz'kxxx4e kaz **�exx'k*****xx4xxa4
t
**,,fm.
11 11 11 1IItiO 0
4
My Commission Expires:
Attach color samples with name and
number.
R41 vQyvo1¢,
2 Thshoork 4/O-
(4e_
3
Signature
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
•
Code Enforcement
(Revised 04/24.10";
Havire)
4-tILA4 61-/ 0-
2'-6'
/ 75,7122‘ , e',A-K A' le Y-",4 Wtc'} &re- 7 4) //`'
Vy 6-% e 7 1 e dre /3 fr / 277 , 6217--- 2
4/2 ,e2 p
ye/ ,14 A e_ „
/ "
N e_
0,,/ e"/
6t7-
G 4c
E t44 - 1 . 1
kw
_ vekcepoJwits.
"
KIT HEN \
10'-6'
1-11A-tAtct
\\w 410E -3 nn
Rejuvenate
410E -1"
Frostwork
301 1■1610g-
leyt 410E