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PT-07-1084 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-50510 Permit Number: PT-5-07-1084 Scheduled Inspection Date: July 10, 2015 Permit Type: Paint Inspector: Rodriguez,Jorge Inspection Type: Final Owner: DURAN, RAFAEL Work Classification: New Job Address:918 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060060080 Project: <NONE> Contractor: HOME OWNER Building Department Comments RE PAINT HOUSE/COLOR ON FILE, SAME COLOR AS BEFORE Inspector Comments Passed 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 34 of 35 Permit MQ ` -"7-1084 Miami Shores Village "Pen -t Tye:Paint 10050 N.E.2nd Avenue ssi Miami Shores,FL 33138-0000IYo CI ` tClCt:( 131N "Pe t Phone: (305)795-2204 Pe1toff Status:APPROVE© F`oR1Dpssue Cats:W2g7 Expiration: Project Address Parcel Number Applicant 918 NE 92 Street 1132060060080 RAFAEL DURAN Miami Shores Village, FL Block: Lot: Owner Information Address Phone Cell RAFAEL DURAN 918 NE 92 ST MIAMI SHORES FL 33138-2911 Contractor(s) Phone Cell Phone _ $ 1,000.00 I Valuation: HOME OWNER J Total Sq Feet: 0 Type of Work:Exterior Available Inspections: Color:MAHONYED/MAHONE RED Inspection Type: Additional Info: Final Classification:Residential Color: MAHONYED/MAHONE RED—Approved Code Comments:HC 115 Color: MAHONYED/MAHONE RED—Approved Color:MAHONYED/MAHONE RED—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 F Permit Fee $60.00 Payment Type: Technology Fee $1.50 Total: $67.30 i aUN PAID I 1 1 0_4 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. May 25, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, May 25, 2007 1 Miami Shores MAY5 200 Village g � ool Building Department artment -' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 09'+BUILDING 05,M Permit No. l PERMIT APPLICATION + Yl'1 Master Permit No. FBC 2004 Permit Type: PAINT PERMIT Owner's Name(Fee Simple Titleholder) t ' AtowPhone# 3a,5� ^ `-q 'S 776 Owner's Address AF_ ezn_ city ill y'�'li J�/ c7 �� zip 3 5- Tenant/Lessee Na�mje� Phone# _'�Z F7�24 E-MAIL: /�`� �— t •ZL�S Job Address(where is being done) l A 6 v CityMiami Shores Villa a Coun Miami-Dade Zip FOLIO/P Is Building Historically Designated YES NO I Contractor's Company Name Phone# Contractor's Address City State ZIP" Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit$ Type of Work: Q , dition/ El Alteration/ ONew/,Repair/Replace Describe Work: /Z-P-, w e aou� 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 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 secur@d 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 YOUR PAYING, TWICE FOR 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$2500,the applicant must promise in good faith that a�Czrded opy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a cer{tifred copy of the notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. /n the absence of such posted notice,the inspection will not be approved and a reinspection fee will be charged. 0 d _ G� Permit Fee$ ' CCF$ C Technology Fee: Training/Education Fee$ Notary$ ` Code Enforcement$ i Double Fee$ Zoning$ Total Fee Now Due$ �' 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: 1 2 3 4 Attach caWr samples with name and Fascia: 2 3 4 Drip Cap p Edge: 1 2 3 4 Soffit: 1 2 3 4 1 Roof: 1 2 3 4 Flower Bins: 1 3 4 3 4 (� 3 4 2 '� ~ \ C' 4 4 S 4 3 4 3 4 4 4 4 A Other: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complia th all applicable laws regulating construction and zoning. Signature Signature 1-1 Owner or Agent Contractor The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20� y ddq of 120_,by , who is pers a ly own to me or who has produced oOs�personally known to me or who has produced As identification and who did taketl as identification and who did take an oath. NOTAR PUB Co �S��1 QWOTARY PUBLIC: Sign: eta Q'� +�`��\ Sign: Print: A' Print: My Comm ion Expires: My Commission Expires: APPLICATION APPROVED BY: j ✓ Plans Examiner I Preservation Board Code Enforcement (Revised 04/24/07)