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PT-07-1065 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-50281 Permit Number: PT-5-07-1065 Scheduled Inspection Date: July 10, 2015 Permit Type: Paint Inspector: Rodriguez,Jorge Inspection Type: Final Owner: ROSE, ROBERT Work Classification: New Job Address:29 NW 106 Street Miami Shores, FL Phone Number Parcel Number 1121360060220 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT Inspector Comments Passed 49 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 09,2015 For Inspections please call: (305)762-4949 Page 32 of 35 Permit Afo- PT-5-07-1055 �s�jORrys r Miami Shores Villageype-Paint Permit T 10050 N.E.2nd Avenue Worts Classification:New r Miami Shores,FL 33138-0000 Permit Status-A;PPR�VED" " .� Phone: (305)795-2204 , F[ORiDP' - Ape Expiration: '11!2012007 Project Address Parcel Number Applicant 29 NW 106 Street 1121360060220 Miami Shores Village, FL Block: Lot: ROBERT ROSE Owner Information Address Phone Cell ROBERT ROSE 29 NW 106 ST MIAMI SHORES FL 33150-1245 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER j Total Sq Feet: 0 Type of Work:Exterior Available Inspections: Color: PALE SAGEBUSH/GRAND HERON Inspection Type: Additional Info: Final Classification:Residential Color: PALE SAGEBUSH/GRAND HERON—Approved Code Comments:BEHR-WALLS-PALE Color: PALE SAGEBUSH/GRAND HERON—Approved Color: PALE SAGEBUSH/GRAND HERON—Denied Fees Due Amount Total Amt Paid I Amt Due CCF $0.60 -- Education Surcharge $0.20 $0.00 $0.00 Notary Fee $5.00 Permit Fee $60.00 Payment Type: Technology Fee $1.50 Total: $67.30 i. MAY -? ; PAID I j I CIA C1 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 24, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday, May 24, 2007 1 Miami Shores Village 0561Mt Building Department artment i 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. �Tl- 1 •, PERMIT APPLICATION VJ Master Permit No. FBC 2004 MAY 2 4 2007 Permit Type: PAINT PERMIT BY'---06 Owner's Name(Fee Simple Titleholder) F�ObOe+ L'�P( f L1&J�OK .Phone# 305- -1,s8-"I z0G _ Owner's Address 24 NW City State T�A Zip �J 3 Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) L Q mw t aD $t City Miami Shores Villa e County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO_.,�K_ Contractor's Company Name I-Jay-An 0(uo e Phone# Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit$ 10-00 ' Type of Work: ❑Addition/ ❑Alteration/ ❑New/[IRepair/Replace '[ Describe Work:_ III ln Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 YPUR PAYING .TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER dR 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a cer4led copy of the r1corded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. /n the absence of such posted notice,the inspection will not be approved and a reinspection fee will be charged. Permit Fee$ CCF$ Technology Fee: -S Training/Education Fee$ . 2Q Notary$ .CO -Code Enforcement$ Double Fee$ Zoning$ Total Fee Now Due$ G- -Du , See Reverse side i 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 sampk. r Walls: 1 2 3 4 A - - - le: with mane and Fascia: 1 2 3 4 ber. Drip Cap/Drip Edge: 1 2 3 4 Soffit: 1 2 3 4 1 Roof: 1 99 3 4 Flower Bins: 1 2 3 Shutters: 1 4 1 Body:Pale Sagebrush ECC-38-1- -_ Awnings: 1 2 3 4 2 " Chimney: 1 2 3 4 Doors and Door Jams: -1—C2 3 4 Garage Doors: 1 2 3 4 — 2 Tram:Grand Heron ECC-37-21 Railings: 1 —2-3— 4 3 -- Fences: 1 2 3 4 All brick(simulated or regular): 1 2 3 4 3 Stucco Banding: 1 2 3 4 3 accent:Freshwater Marsh ECC-37-30 Any other Stucco Features: 1 2 3 4 — - 4 Accessory Buildings Other: OWNER'S AFFIDAVIT: I certifythat all the foregoing information is accurate and that all work will be done in g g compliance with all applicable laws regulating construction and zoning. Signature Signature Owner or Agent Contractor The forego' instrument was acknowledged before me this L� The foregoing instrument was acknowledged before me this day of GG,20 KI oac—o FVb�—(T, day of ,20_,by , who is known to me or who has producedON4 -5/TUCQ is+personally known to me or who has produced As identifi * nd who did take an oath. as identification and who did take an oath. NOTARY U IC: >. 4 4;0�� NOTARY PUBLIC: Sign: °�° 9� r�N Sign: Print: "i `e'r"MPrint: My Com ssion Expire �yfj�g�QTMy Commission Expires: oo> APPLICATION APPROVED BY: Plans Examiner Preservation Board Code Enforcement (Revised 04/24/07)