RF-16-21 ,g
�ci t� sir of 4
h Miami Shores Village f a_ zti�S1 5
10050 N.E.2nd Avenue NEy
Miami Shores,FL 33138-0000 " e
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Phone: (305)795-2204
OR
Expiration: 07/1112016
Project Address Parcel Number Applicant
1276 NE 94 Street 1132050100090
Miami Shores, FL 33138-2946 Block: Lot: JAMES AND JANINE TURK
Owner Information Address Phone Cell
JAMES AND JANINE TURK 2020 N BAYSHORE Drive
MIAMI FL 33137-
2020 N BAYSHORE Drive
MIAMI FL 33137-
Contractor(s) Phone Cell Phone Valuation: $ 2,648.00
RAIN GUTTERS SOLUTIONS INC (305)270-7779 (786)718-8393
Total Sq Feet: 537
Type of Work:Gutters Available Inspections:
Additional Info:INSTALL RAIN GUTTERS Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee $2 0o Invoice# RF-1-16-58238
DCA Fee $2.00 01/13/2016 Check#:1055 $67.80 $50.00
Education Surcharge $0.60 01/06/2016 Check*1049 $50.00 $0.00
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $117.80
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,DO S,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information i and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na or do the work stated.
January 13,2016
Authorized Signature:Owner / Applicant Date
Building Department Copy
January 13,2016 1
l 1� Miami Shores Village
l -
Building Department JAN 06 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 20/1/fi'`'r
BUILDING Master Permit No.T-,�/e
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP
,�•• 2.Z
CONTRACTOR DRAWINGS
JOB ADDRESS: /VJ'- /7T NGr j/ /(rF7--,
City: Miami Shores Countv: Miami Dade ZiD: 21d?
d
Folio/Parcel#: Is the Building Historically Designated:Yes NO
OccupancyType: Load: Construction Type: Flood Zone: BFE: FFE:
1l�
OWNER:Name(Fee Simple Titleholder): �++s�.f / (/ Phone#:
Address: 9 f So /v • RV V 4�' DQC •
City: 1 2 /y) A!'.T State: Zip:
Tenant/Lessee Name: Phone#:
Email: �C
CONTRACTOR:Company Name: RJ91{, ��/ �i� �o�(� C11� ..Z-/,G Phone#: 305 �2?�'0 ;7-7��
Address: Sc,z-� //7 /.1► Cam
City: 14 -State: Zip:-,? 3 1'r3
Qualifier Name:. f z,e°lr,> Phone#:f:7 ri6 'x'/9-5
State Certification or Registration#: ez,6 '� l S' Certificate of Competency#: 15i3!g'
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 2,6,elf, ®0 Square/Linear Footage of Work: 53-3
Type of Work: ❑ Addition ``❑ Alteration R) New ❑ Repair/Replace ❑ Demolition
Description of Work: I S 7D! y Ile t,,;
Specify color of color thru tile: - r
Submittal Feel$ Permi#Fee CCF$ CO/CC-$'
Scanning Fee-$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ o rDouble Fee$
Structural Reviews$ Bond$ .0
TOTAL FEE NOW DUE$ 6_3
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
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 construction and zoning. ;
"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 attachment. Also,a certified copy of the recorded notice of commencement must be potted 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 a reinspection fee will be charged.
Signature Signature
WNER or AGENT CONTRACTOR
The fore g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 1.6 by day of i�/l ,20 16' by
,:A yMes :rAk k' ,who i rsonally nown to �_J �c/1 U� ,who i personally own to
me or who has produced � �P 41 P� as me or who has produced SV V06,
l 0 MdleSas
identification and who did take an oath. identification and who did take an oath.
NOTARY UBLIC: NOTARY PUBLIC:
(� .. �t D
Print: \V1J'� �l�0�'�, Print: I `O Vol
Seal: Seal:
SWM MORALES SUM MORALES
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. W COW34110H 0 FF923M FFSZ3896
.....
N67 396-0+53 .man
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
OFFICE: 305.270.7779
Raten
JAN 0 0 2015 CELL: 786.718.5393
Www rainguttersolution.com
S 0 L U T 1 O N BY: inguttersolution.j*Rogmail.com
5845 SW 117th av i fl. 33183
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Name � Esti ate to
Address ! S _ Scheduled Date
City - State - Zip Coe30
Referral
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Home Phone Work / Office
❑Lo Gloss White ❑ ❑Almond ❑ ClayMATERIALS
Lmen ❑ ISD,
FHigh Gloss White ❑Eggshell ❑Cream ❑Wicker ❑ Coppertone ❑ Red ❑GALVANIZED
Musket Brown ❑Terratone ❑Royal brown ❑ Sandcastle ❑ Bronze ❑ Green ❑COPPER
❑Pearl Gray ❑ Colonial Gray ❑Blue ❑Black ❑Tuxedo Gray ❑
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GUTTER FEET 352
DOWN SPOUT FEET /90 LEAD HEAD — AMOUNT $2�
TOTAL FEET 3 -3 RAIN CHAINS LESS DEPOSIT $
WARRANTY LABOR , – MATERIAL TOTAL DUE $f_t
In event it becomes necessary for RAIN GUTTERS SOLUTION INC.,to employ theservices of an Atto ey,to effect collection of
the ammount or balance due under this contract,purchaser agrees to pay seller's reasonable atto s and all expenses
incident twt
exe uted and asigned by both parties.This proposal becomes a contra
Signature Rainers Solution, lnc.
Ve Apreciate,your Lusiness, 1