PT-15-284 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227913 Permit Number: PT-2-15-284
Scheduled Inspection Date: September 15, 2015 Permit Type: Paint
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: AGUIRRE, DIEGO Work Classification: Addition/Alteration
Job Address:254 NW 92 Street
Miami Shores, FL Phone Number
Parcel Number 1131010331260
Project: <NONE>
Contractor: SAJOR GENERAL CONTRACTOR INC Phone: (786)290-1540
Building Department Comments
PAINT Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector C099ents
Passed Ey PA���
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 14,2015 For Inspections please call: (305)762-4949 Page 3 of 56
Miami Shores Village nC ,-tV
Building Department I FEB 09 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2o-
PAINT
0PAINT Master Permit No. 5 N
PERMIT APPLICATION _ Sub Permit No.
JOB ADDRESS: ? /Y -5
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 113 I ® i z roIs the Building Historically Designated:Yes NO
OWNER:Name(Fee Simple Titleholder): �,C 6 0 4601 & A E Phone#:
Address: _2-s'11 A1W 9Z ,s7
c H/A- H / S`->0/2 SS State: �' Zi
city: N•
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �;A JV CC1-1 CA1t C.0A1 rA"-4C7_VAone#: 6 'Z 0
Address: 1 et 0 -f LA Al 7,1 G .f C e
City.5&PRAIX _464,Ghl State: Zip:_2.3 44r CD
Qualifier Name: �� ��' ® � S ® Phone#:
State Certification or Registration#: Certificate of Competency#:
Value of Work for this Permit:$ (fy j Square/Linear Footage of Work:
Description of Work: ?/W 1,-"7- e�X Tib tZ kL)A-L L
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 secured for ELECTRICAL,PLUMBING,SIGNS,WELLS,POOLS,FURNACES,BOILERS,
HEATERS,TANKS,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$2500,the applicant must promise in good faith that a
copy of the notice of commencement and construction lien low brochure will be delivered to the person whose property is subject to attachment. Also,a certified
copy of the recorded notice of commencement most be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued.
In the absence of such posted notice,the inspection,w11l not be approved and on inspection fee will be charged.
Permit Fee$ CCF Fee$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
TOTAL FEE NOW DUE$
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: in 2 3 4
Fascia: 1 2 3 4 Attach color sample with name and number
Drip edge: 1 2 3 4 1 F T i �M i
Soffit: 1 2 3 4 �l
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney: 2 3 4 2
SA L.5aaA 6-1 IQ G
Doors&Jambs: 1 2 3 4
Garage Doors: 1 2 3 4 _
Railings: 1 2 3 4 _
3.
Fences: 1 2 3 4
All Brick: .1 2 3 4
ss
Stucco Bands: 1 (2,2 3 4
Other Stucco
Feature: 1 3 4 4•
Accessory Bldg: 1 2 3 4
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate be done in compliance with all
applicable laws regulating construction and zoning.
Signature— Signature
O ER or AGENT CONTRACTOR
The fore ping instrume t was acknowledged before nye0is The fore oing i strume t was acknowledged before me this
day of V 20 /, .by The
of 20 .by
I1 F w i R R.E w o i personally known to JM(o'C �® s pers nally known to
me or who has produced �,w 17-0 S,02aQ me or who has produc d as
identification and who did take an oath. identification and who did take an oath.
NOTARY BLIC: NOTARY PUBLIC:
/ e
Sign: //0,-) 0 Sign. -®
Print: G` c Print.
,Wf vue
.4� MY COPAII�S31 010 07 Seal: * * MY COMMISSION#FF 1OW
` * EXPIRES:March 18,2018 �„ EXPIRES:March 18,2018
am�edTWWNWyWVked + ° 6a dTMuBudpNNoNrySxrlE�
APPROVED BY: Code Official
Historic Preservation Board