RC-10-694I nspection Number: INSP - 142207
Permit Number: RC -4 -10 -694
Inspection Date: May 04, 2010
Inspector: Bruhn, Norman
Owner. NIELSON, ANGELA
Job Address: 9302 NW 2 Court
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADVANCED DESIGN & CONSTRUCTION CORP
Building Department Comments
May 04, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1131010150090
Phone: (954)394 -6260
Page 1 of 1
Passed015---
Inspector Comments
ec_
J
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
I nspection Number: INSP - 142207
Permit Number: RC -4 -10 -694
Inspection Date: May 04, 2010
Inspector: Bruhn, Norman
Owner. NIELSON, ANGELA
Job Address: 9302 NW 2 Court
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADVANCED DESIGN & CONSTRUCTION CORP
Building Department Comments
May 04, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1131010150090
Phone: (954)394 -6260
Page 1 of 1
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Project Address
9302 NW 2 Court
Miami Shores, FL 33138-
1131010150090
Block: Lot:
ANGELA NIELSON
Owner Information
Address
Parcel Number
9302 NW 2 Court
MIAMI SHORES FL 33150 -2213
Contractor(s) Phone Cell Phone
ADVANCED DESIGN & CONSTRUCTIC (954)394-6260 (954)367 -6895
Phone
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: REPAIR REAR STAIRS
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
Bond Retum :
Occupancy:
Exterior.
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$50.00
($50.00)
$0.80
$104.60
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 30, 2010
Amt Paid Amt Due
Pay Date Pay Type
Invoice # RC -4 -10 -37666
04/30/2010 Check #: 2556 $ 104.60 $ 0.00
Expiration: 10 /26/2010
Applicant
Cell
Available Inspections:
Inspection Type:
Final PE Certification
Shutter Final
Window Door Attachment
Tie Beam
Slab
Termite Letter
Framing
Insulation
Drywall Screw
Shutter Attachment
Window and Door Buck
Ceiling Grid
Fill Cells Columns
Declaration of Use
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.
April 30, 2010
Date
1
\#`1/440
Oki
BUILDING
PERMIT APPLICATION
FBC 20
Owner's Address a (AL/ #\1
Tenant/Lessee Name
Email NT 72,7 ® /7ot, C
Job Address (where the work is being done) 1302- ou tAi
City Miami Shores Village County Miami -Dade
FOLIO /PARCEL# / / - 3I / C3o9
Is Building Historically Designated YES (.N
A V A V)ed Dtgs h ehs�Phone #
Contractor' Address /t2 t. h 1111 tyre $ '
City 1I State .
Contractor's Company Name 0
Qualifier Name
Contact Phone 9%g-39V-6260
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Submittal Fee $ _ -2. Permit Fee $
Notary $ Training/Education Fee $ ®- 2.0
Scanning $ 3 • W
Double Fee $
Structural Review. $
Radon $
Miami Shores Village
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
['Alteration
•//
E -mail
lZ-toppi. A von 'TA 5
/
DPBR $
Violation date:
Permit No.
Master Permit No.
Permit Type; BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) C A5 >'C- Phone #
Fed erd1 /4&6tv)
cit goe A RA-7-0N State Pc— � � zip 33 /
Phone #
2,a c -
Zip 3 2- 0
Phone #
State Certificate or Registration No. (fa 1509 7c 4 Certificate of Competency No.
/V 7' 72- 70 Ict .
Phone #
Square / Linear Footage Of Work:
ONew Repair/Re, lace
* ****** * * * * *** * * * * * * * * *** * * *** * * * * * * * * * Fees * * * * * * * * ** * * * * * * * ** * ** * ** ** * *** * * * * * * * ***
CCF $ V '(oO
Total Fee Now Due $
Bond $
Flood Zone
BY:..
?-c-■o
Zip
95/ 4V 62,o
❑ Demolition
CO /CC $
Technology Fee $ O •�
i199dak)
See Reverse side -4
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 ELECTRICAL WORK, PLUMBING , SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. In the absence of such posted notice, the
inspection will rot be a oved an4a reinspection fee will be charged.
Signature e VA/AC Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 2 2 The foregoing ins
day of AP)- ,20 ,by 6\) \C1C ZKP`NCti
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: A Y ,S5
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
'F Notary Public State offkals
Anyssa Rawet
MY Commission DD595$91
°'a 1res09/17/2010
Plans Examiner
Engineer
Sign:
Print:
Contractor
ent was acknowledged before me this 2 -
day of NPR ! (_ , 201gi, by VS ( 1 C 1 !NW' C
as identification and who did take an oath.
NOTARY PUBLIC:
My Commiss . n s: Notary Public State of Florida
Anyssa Rawet
. � My Commission D0595591
or a Expires 09/17/2010
*** ****** ****** ************ *****www. 'X' Iv ... ****
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LEGAL DESCRJPTION:
1 BLOCK 2 "O'DELL MANORS"
omsr, AccovING TO THE T
THEREOF
CORD D IN PLAT BOOK 41_, P 57 PUBLIC
DS MIAMI-DADE COUNTY, FL Reit
PROPERTY ADDRESS:
9302 NW 2N0 CT MIAMI FL 33150
CERTIFIED TO:
SURVEYORS NOTES:
I -OWNERSHIP 13 suozer 70 optmoro 0. ' 801
2-EXAMINATION OF THE ABSTRACT Or ITTLE Will
HAVE TO BE MADE TO DETERMthe RECORDED
ablRuctENTS, 82' ANY AFFECTING MIS PROPERTY
3-NO UNDERGROUND IMPROVEMENTS WERE LOCATED
4-EL681TIONS ARE REFERRED 70 NATIONAL GEODETIC
VERTICAL DATUM OF 1929 (uNLESS ASSUMED).
6-7HERE MAY 8£ ADDITIONAL RESTRICTIONS NOT SHOWN
IN THIS SURVEY nicr AMY BE FOUND IN THE COUNTY
PUBLIC RECORDS
6-LEGAL 0E308887708 AWARDED 02 CLIENT
7-UNLESS OTHEMWS£ NOTED RECORDED AND MEASURED
DATA ARE IN SUBSTANTIAL AGREEMENTS.
8-13E086 ANY CO8STRUCT7ON WE SET BACKS
must RE CHECKED
9- IRIS SURVEY 15 FOR USE AS PER REQUEST
AND NOT FOR ANY owe? IxoNPOSE.
10-f ZONE_ X PANEL 0302
Ir- °Art or
STRAP I 1 -.3701 -015-0090
CARIBBEAN REALTY SUPPORT SERVICES. INC.
LB 7360
JOB # 1 DR 4 With G.L. REV: it.F.X.
mlua DADE/MONROE BROWARD
(306) 889-1100 (954) 435-0220
FAX (305) 880-2900 FAX (954) 438-7E72
MARTIN/ST. LUCIE/INDIAN RIVER
(772) 398-6533
FAX (770) 390-653t
PALM REACH
(561 ) 741-4260
(561) 741-4E59
restroAsr OPERATIONS
COLLIER/LEE (239) 549-5811/FAX: (239) 549-5611
TOU FREE STATE WIDE 1-666-201 -CNC
WWW.CAROMIRANREALTYSUPPORIICOM
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