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DS-15-683 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231067 Permit Number: DS-3-15-683 Scheduled Inspection Date: April 03, 2015 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: MIAMI PROPERTY SOLUTIONS LLC, Work Classification: Repair 11AIA IIAI 00l10C0TV CY►1 IITIP►AIC 1 1 P Job Address:38 NW 108 Street Miami Shores, FL 33168- Phone Number (305)807-4045 Parcel Number 1121360110120 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Phone: (305)248-2994 Building Department Comments SIDE WALK REPAIR AS PER FINAL INSPECTION Infractio Passed Comments REQUEST. INSPECTOR COMMENTS False Inspector Comments Passed , Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 03,2015 For Inspections please call: (305)762-4949 Page 19 of 32 Permit No. DS-3-15-683 Miami Shores Village t Permit Type:Driveways/Sidewalks/Slabs r ' 10050 N.E.2nd Avenue NW ' I Work Classification: Repair ortr Miami Shores,FL 33138-0000 Permit Status:APPROVED `F' �' Phone: (305)795 2204 LORIDP Issue Date: 313112015 Expiration: 09/2712015 Project Address Parcel Number Applicant 38 NW 108 Street 1121360110120 MIAMI PROPERTY SOLUTIONS l Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell MIAMI PROPERTY SOLUTIONS LLC 38 NW 108 Street (305)807-4045 MIAMI SHORES FL 33168- 38 NW 108 Street MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 100.00 CITY ROOFING AND CONSTRUCTION (305)248-2994 (305)218-7901 Total Sq Feet: 0 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final Date Denied: Foundation Type of Work:SIDE WALK REPAIR AS PER FINAL INSIDE Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# DS-3-15-54948 DBPR Fee $2.00 03/31/2015 Check#:7727 $ 108.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 co tqr to do the work stated. March 31, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent ate Building Department Copy March 31, 2015 1 3� Miami Shores Village VI. g MAR 2 8 015 . M Building Department ,o 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 2010 BUILDING Master Permit No.' 1�C.1 L - 9ZS PERMIT APPLICATION Sub Permit No.TDS 15 Ce,8 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP p� �� f f p r�1 ( CONTRACTOR DRAWINGS JOB ADDRESS:--3 p �/U) 1 Op —T1 r zee I - d City: Miami Shores t County: Miami Dade Zip: 33/(1p Folio/Parcel#: 11 -213 (o01 1018-0� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:: Flood Zone: c BFE: FFE: C OWNER:Name(Fee Simple Titleholder): /�'l / �f S�/(/ ari7 Phone#: / /� -go �-Jo Address: Pt City: yL( �'ia l ^el��State: � Zip: Tenant/Lessee Name: Phone#: Email: / // �j, CONTRACTOR:Company Name: r�nnJ�ilLi� Cru e6I M V,6;47t6 -Tff,& Phone#: Address: 2-2m SGy City: UL4&w State: Zip: Qualifier Name: Uq d`I o T0,f,� Phone#: State Certification or Registration#: 93(s" Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 9 Repair/Replace ❑ Demolition Description of Work: �Q / 0��'��P j P�'�i 0",V uPs ,'A el1 Specify color of col thru tile: Submittal Fee!"i Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �!J (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 posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. InSTOR f such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature 0 R or AGENT The foregoing instrument was ac, nowledged before me this The foregoing instrument was acknowledged before me this day of 20��.by ?/, day of `�firrrt►.�j 20 4, by lt� who is personally known to L�-f(,Z(`!UUGf.CQ�C/i who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did ake an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Maxine Y Gomez °� Notary Public State of Florida Seal: My Commission EE 839'239 Seal: ;S' Maxine Y Gomez qcn Expires 0940/2016 ,pa My Commission EE 639239 pip Expires 09/30/2016 ******************************** ***** ******************************************************************* APPROVED BY ;d Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)