PT-14-561 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209479 PermitNumber: PT-3-14-561
Scheduled Inspection Date: December 30,2015 Permit Type: Paint
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: NEUWEILER,THEODORE Work Classification: Addition/Alteration
Job Address:275 NE 94 Street
Miami Shores, FL 33138- Phone Number (305)754-0200
Parcel Number 1132060133830
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT EXTERIOR WHITE, CALIENTE AND BLACK SATIN Infractio Passed Comments
INSPECTOR COMMENTS False
In to Comments
Passed 3
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
December 29,2015 For Inspections please call: (305)762-4949 Page 1 of 34
Miami Shores Village
3� '� .-A. Building Department
10050 N.E.2nd Avenue Miami Shores Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUIL Permit NP 1
PERMIT,APPLICATION Master Permit No.
FBC 20 (0
Permit Type: PAINT ,
OWNER:Name(Fee Simple Titleholder): ��OtU �/�G�/�1�1� A��'GuzJ�i Pho #: �� ��' /o!�
Address: ®?7.r f Q Ll 5b-e e4j-
City: moi I u� r State: rL Zip: 3313 S
Tenant/Lessee Name: m/A Phyone#:
Email: -- co(1''1 e IAwe ler 0 ao 1. eow >�za—® kl lots/tom ao 1, oi2)4
JOB ADDRESS: A16 q Ll Z�YV eet
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#• _ '1 - 32-6&-613-3130
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: C)W tnPsi✓ Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: . Email Address:
Value of Work for this Permit:$ Square/Linear Footage of Work: off-,��r
Description of Work: G r,
Application is hereby made to obtain a permit to do the work and installations as indicat : IJcertify that no work or installation has r or
to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in tlu
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 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$2500,the applicant must promise in good faith that a copy of
the notice of commencement and construction lien law brochure will be delivered to the person whose property:is subject to adachP nt. Also,a certified copy of the
recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. In the absence of
such posted notice,the inspection will not be approved and an inspection fee will be charged.
Permit Fee$ CCF$ Notary$ Training/Education Fee$
Technology 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:, 1 2 3 4
� Attach color sample with name and number
Fascia: 2 3 4 _-
Drip edge: 1 2 3 4
�) 2 3 4 Ned ore-0-
1. .
Soffit:
Roof: 1 2 3 4-thrtL Qar-4
&�v�s
Flower Bins: (17 2 3 4
Shutters: 1 23 4
2.
Awnings: 1 2 3 4
Chimney: fi) 2 3 4
Doors&Jambs:1 3 4
Garage Doors: 1 n2 3 4
3.
Railings: 1 2 X 4
Fences: 1 2 3 4
All Brick: (D 2 3 4
Stucco Bands: 1 2 3 4
4.
Other Stucco ,
Feature: 1 2 3 4
Accessory Bldg: 1 2 3 4
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating cons ction and zoning.
Signa. Signature:
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of/"C 2 1 '20 f bye -ems®l� ,P—'v'6 l e"`a/day of ,20_,by
who is personally known to me or who has produc who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
P t: Print:
My Commission Nary Public State of Florida
My Commission Expires:
Joanna M Fepdano
R�Pf
Expires
y Commission FF 082753
APPROVED BY:
�a (ice Code Official
Preservation Board