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PT-10-254 Miami Shores Village Y 3 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 F " Phone: (305)795- 2204�� evtt .- Expiration: 21/201 Project Address Parcel Number Applicant 38 108 Street 1121360110120 JAIME GROSS TRS Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell JAIME GROSS TRS 4080 WOODRIDGE Road COCONUT GROVE FL 33133 - Contractor(s) Phone Cell Phone Valuation: $ 1 ,000.00 ELTEC CONSTRUCTION IN & INVESTI (305)6941080 (386)855 -2029 Total Sq Feet: 0 Type of Work: Exterior For Inspections please call: Color: (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color. Approved Code Comments: BEHR - WALLS - CANYON VIEW E Final Color: Approved_ Color: _Denied Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $0.60 PT -2 -10 -37079 Education Surcharge $0.20 $61.60 $61.60 $0.00 Permit Fee $60.00 Technology Fee $0 Check #: 5104 Total: $61.60 Building Department Copy February 22, 2010 2 Miami Shores Village r �S Building Department T R, 10050 N.6.2nd Avenue. Miami Shores, Florida 33138 Tel.: (305) 79 Fax: (305) 756.8972 BUILDING Permit N PERMIT APPLICATION Master Permit No. FBCOM Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) a. i �+/h`SS Phone # C Owner's Address \ �� v _ City M \ate% �"� State � \ Zip , � Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) O t City v^ Miami Shores Villa <ge (( County Miami -Dade Zip FOLIO / PARCEL Is Building Historically Designated YES NO 1Z� Contractor's Company Na E �1 G L C0aAkS kckt n Phone # 3��7 - �1��' ZO 2-9 Contractor's Address LA b Q 1\1 I \Ikl ` k T i t' City i 0.1'dt i State Zip 3 1 9 Qualifier Name E lyaA Th i 1 az Phone # 3() - 69 4 � M) State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Per $ 300 Type of Work: El Addition / ❑ Alteration / ❑New / F1 Repair /Replace Describe Work: T ii nAtyig Application is hereby made to obtain a permit to do the work and installations 2s indicated. I certify that no work or installation has commenced prior to the issuance of a pemtit and that all w(m will be perl'orn ed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must (. secured fix' E1.1- :CTRICAl WORK. PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC..... "WARNING TO OWNER: YOUR FAILURE. TO RECORD A NOTICE OF COMMF,NCEMENT MAY RESULT IN YOUR PAYING: TWICE FOR IMPROVEMENTS TO YOUR PROPER'T'Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE- RECORDING NOTICE OF CONIMf NCEMENT." Notice to. I pplicani: As a condition to the issuance of a building pertnit with an estimated value exceeding '$2500. flit applicant nnrsi promise in good faith that a copy of the notice of conuuencentent and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also. a certified copy gf the recorded police gl•coninie ncentew must he /nested at the job ,rile for lbe firs! inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the inspc cnon will not he approved and a reinspection fee will be charged.. Permit Fee $ CCF $ O'Vl Technology Fee: D'10 Training /Education Fee $ Notary S Code Enforcement $ Double Fee S Zoning $ Total Fee Now Due S See Reverse side -� 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: - 2 4 Attach color samples with name and Fascia: I 2 3 4 Drip Cap /Drip Edge: 1 3 4 t / - 2 Soffit: I 2 3 4 t � y X Roof 1 2 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings 1 2 3 4 2' Chimney: 1 2 3 4 Doors and Door.lants: 1 2 3 4 Garage Doors: 1 2 3 4 3 1 Body: Canyon View ECC -20 -1 Railings: 1 2 3 4 3 2 Trim: Ranch Acres ECC -20 -2u Fences: I 2 3 4 � 3 Accent: Hickory Grove ECC -20_3 All brick (sinurlated or regular): 1 2 3 4 Stucco Banding: l 2 3 4 Any ocher Stucco Features: 1 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 a plicable laws regulating construction and zoning. Signature Signature (? ner or Agent Contractor The fitregoing tent was acknowledged before me this The foregoing insttvment was acknowledged before �iis i S day of _A!� • 20 C by 30.7x me &r OSS — day of _ . 20C_�_. by �C-\ �( C who is personally known to me or who has produced C, Gbh who is personally known to me or who has produced identification and who did take an oath. _as iden ication and who did take an oath. NOTARY PU13Lkt`„': 1 d ' NOTARY PUBL1V: � Sign: a� K Sign: ei. J. D. MACK MY COMMISSION Y DD 551755 * MY COMMSSSO0 #M51755 Print _. � 'f M * * Print: _ w�i�ce. r , J une 7,2010 4oe --- �r�_�_•� �ra27 - r 2a 10 'a � Bonded Thru 84et Notary Services My Commission t:xpires: 9 jF F �o�`` Elms IThruBudgetNotaryServices My Commission Expires: rFOFF1 APPLICATION APPROVED BY: PCans Examiner Preservation Board Code Enforcement (Revised 04/24/0 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 135890 Permit Number: PT- 2- 10-254 Scheduled Inspection Date: March 08, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: GROSS TRS, JAIME Work Classification: New Job Address: 38 NW 108 Street Miami Shores, FL 33168- Phone Number Parcel Number 1121360110120 Project: <NONE> Contractor: ELTEC CONSTRUCTION IN & INVEST Phone: (305)694 -1080 Building Department Comments PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed Failed Correction a Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 05, 2010 For Inspections please call: (305)762 -4949 Page 15 of 30 r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 135890 Permit Number: PT -2 -10 -254 Scheduled Inspection Date: March 08, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: GROSS TRS, JAIME Work Classification: New Job Address: 38 NW 108 Street Miami Shores, FL 33168- Phone Number Parcel Number 1121360110120 Project: <NONE> Contractor: ELTEC CONSTRUCTION IN & INVEST Phone: (305)694 -1080 Building Department Comments PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed EJ Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 05, 2010 For Inspections please call: (305)762 -4949 Page 16 of 30