PT-09-949 JOL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 116216 Permit Number: PT -6 -09 -949
Scheduled Inspection Date: October 08, 2009 Permit Type: Paint
Inspector: Bruhn, Norman Inspection Type: Final
Owner: , Work Classification: New
Job Address: NW 110 Street
Miami Shores, FL 33168- Phone Number
Parcel Number 1121360030640
Project: <NONE>
Contractor: MAX RIGZ ENTERPRISES INC Phone: (786)846 -4393
Building Department Comments
EXTERIOR WALLS IN NAVAJO WHITE
AMFIB1200
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 07, 2009 For Inspections please call: (305)762 -4949 Page 2 of 12
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Miami Shores Village
Building Department
10050 NE 2 nd 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.
Owneror contractors signs ure
Thank you for your cooperation
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Exp iration: 12106
Project Address Parcel Number Applicant
1 110 Street 1121360030640
Miami Shores, FL 3316$ Block: Lot: DEUTSCHE BANK NATL TRUST
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Owner Information Address Phone Cell
DEUTSCHE BANK NATL TRUST CO TRS3476 STATEVIEW Boulevard
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FT MILL SC 29715 -
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Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
MAX RIGZ ENTERPRISES INC (786) 846 - 4393
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Type of Work: Exterior For Inspections please call:
Color: NAVAJO WHITE (305)7624k949
Additional Info: Available Inspections:
Classification: Residential
Inspection Type:
Color: NAVAJO WHITE _Approved Code Comments: Final
Color: NAVAJO WHITE_Approved_ Color: NAVAJO WHITE
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $ PT-64)9 -35036 $ 63.10 $ 63.10
Education Surcharge $0,40 $ �'��
Permit Fee $60.00
Technology Fee $1.50
Total: $63.10
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.
June 10, 2009
Authorized Signature: Owner t Applicant / Contractor / Agent Date
Building Department Copy
June 10, 2009 1
gflm , ' Miami Shores Village
Building Department
100-50 N.E:.2nd Avenue. Miami Shores, Florida 331
Tel: (305) 795.2209 Fax: (305) 756.8972
BUILDING Permit No. r 0q
PERMIT APPLICATION ED Master Permit No.
FBCV 1 0 8 o n
La.1�
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) "�y .T,,,reJ o� G roup Ti Phone # ,3 0,r 4rlo - SOQD
Owners Address 01066_
City State Zip
Tenant /Lessee Name Phone #
E -MAIL: - -
Job Address (where the work is being done) iV ki j/O Sf
City Miami Shores Villa < _ County Miami -Dade Zip
FOLIO / PARCEL # II — z13b - cc) - 06L
Is Building Historically Designated YES NO 1�
Contractor's Company Name "��'rt� �.�C Phone #
Contractor's Address
City_ 9� ova State Zip " k
Qualities Name 1_ s� Ct...ec Phone # cqe(,, Z 4a Q3
State Certificate or Registration No. \0b Certificate of Competency No. P% S3 1
OWNER BUILDER:
Value of Work For this Permit $ / SC:�O Type of Work: ❑ Addition / ❑ Alteration / E]New / ❑ Repair /Replace
Qiocribe Work:
Application is hel'eby made to obtain a permit to do the wort: and installations as indicated. I certify thatno wort: or installation has commenc prior to the issuance Of a permit
anxl#hat all \cork will be perlornx d to nest the standards of all laws regulatingconstnlction in this jurisdiction. I understand that a separate permit Must he secured kw
Fl&a'TRK'AI. WORK. PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
W RNIN(; TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY. RESULT IN YOUR PAYING TWICE FOR
IMI!ItOVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
Rf i0 RDJNG YOUR NOTICE OF CONIMENCEMENT.'
Notes to .I ppliccmt: As a condition to the issuance gfa building permit with an estimated value exceeding $2500. the gpphcont must pronni.N in gtxxl faitlrtlnat a 6 (?/
nonce gf corumencement and construction lien lair brochure will be delivered to the person whose propert)> is subject to attachment. Also. e( certified copy of The recorded notice
gf uurnrinencenrent must he posted at the job site,for the first inspection which occurs seven (7) days afier the building permit is issued. In the a bsence gf such lxrsted notice. the
ins)*yion wi /l not he approved and a reinspection, fee will be charged.
-,.. >f *�> t at * & *�t�at �: aY ac aY st sY et ie iex�t ak do ie 9r,t �taat �k4r ik at a4,t 9ld: �FFeeS #a4 �t *4;t dr,tar+kat �riF,t seat it tut da 9k dr Ar �ti &�t aY dr a4irair it �t e4 qtr �h it at it at plc �l at
Permit Fee $ f CCF SZ mss Technology Fee: f �
Training /Education Fee $ Notary $ Code Enforcement $
Double Fee S Zoning $ Total Fee Now Due S
See Reverse side -a
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: ►Attach color samples with name and
Fascia: I 2 3 number.
Drip Cap /Drip Edge: I 2 3 i NS t;i
Sothic 1 2
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 4
Doors and Door .lams: 1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4 3
Fences: 1 2 3 4..
All brick (simulated or regular): 1 2 3 4
Stucco Banding: 1 2 3 4
Any other Stucco Features 1 2 3 4 4
Accessory Buildings Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing infonnation is accurate and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
Signature Signature
()oner or A gene Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me his..
day of 'Z) , . 204 r 1- by _ -5l:( pe S 4 A10c day of !/N'P_ .200. by A44& �B '
who is personally known tom ;orzvhc+4 watt �_"� - who is personally known to e or ho h 1c nrn�lnrr•ti "
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" -':': •" " and who d - i ' th. as ident' i t' d who did take an oa g 9 tit-
ST/tTE OG rG o c A.
NOTARY 1'tBL {C L' K /MI/-DA�9 NOTARY PUBLIC
Sign: � c 9 Sign: o
Print: L �4LS7t>° /ci�y� ��' Print: .�
O Co . My Commission lNpires: -5/11A O /1 o dA My Commission Expires: 2 ®l/ ° u .°, tj
ie a;xxat 9r xY$tk+ti wetx *k iF t i:nYx$i: iax eYxdc t is t st icxk.Y�,#�►ar,t *a4 eYk *vitY ax * ie �: eF et it ie i: �r *ek ik * #a4 dr de #nt+t et st h9e$Yx,t 4rkdaY e:xY 4t k'h.F & iaxxie at *irij $.
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APPL{CATiON APPROVE-J) BY: Plans Examiner
Preservation Board
5 .C° Code E.nlbrcement
(Revised 04/24/0