RC-11-128Inspection Number: INSP - 156705 Permit Number: RC -1 -11 -128
Scheduled Inspection Date: March 21, 2011
Inspector: Bruhn, Norman
Owner: BELLINSON, JENNIFER
Job Address: 9205 NE 4 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ORONI INC
Building Department Comments
REPAIR DRYWALL DAMAGE CAUSED BY MOLD
REMOVAL
Passed�� c�i j/ �
T
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
March 18, 2011
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 Building
Work Classification: Alteration
Phone Number
Parcel Number 1132060140230
Phone: (305)685 -0412
Page 30 of 37
I nspection 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
Protect Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
9205 NE 4 Avenue
Miami Shores, FL 33138-
1132060140230
Block: Lot:
JENNIFER BELLINSON
Contractor(s)
ORONI INC
Phone Cell Phone
(305)685 -0412
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$100.00
$3.00
$0.80
$108.60
Address
Parcel Number
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
January 28, 2011
Phone
JENNIFER BELLINSON
9205 NE 4 Avenue
MIAMI SHORES FL 33138 -0000
1
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction:
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
, Bond Retum :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC -1 -11 -39898
01/28/2011 Credit Card $ 108.60 $ 0.00
Applicant
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.
January 28, 2011
Date
Cell
Available Inspections:
1
BUILDING
PERMIT APPLICATION
FBC 2004
Job Address (where the work is being done)
Contractor's Company Name _Ott [ l Ju(r
Type of Work: ['Addition
Describe Work:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
DAlteration
Is Building Historically Designated YES NO
❑New
w1
Repair/Replace
AAo
Structural Review. $ Total Fee Now Due $
JAN 2 5 1011
...
Permit No. gC))
Master Permit No.
64 1. /i'
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) APIY1 ti Gf , /Sa 1 dPhone #
Owner's Address -/ 0 C NE i"(JT
Cityl"U / SI S St to Zip 731 ' G
Tenant/Lessee Name N� Phone #
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # 1137-C & 42) Z-10
Phone# (7
Contractor's Address Z '- s.. ) - G i
City ∎ M '4 State Zip . "316.g -
Qualifier
Named �S
(k / Phone #
State Certificate or Registration No aC 1 2_571 -,.1 Certificate of Competency No. Q'Rt O
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 760 Square / Linear Footage Of Work:
Demolition
4
aza
********* * * * * * * ** * * * * * * * * * * ** * * * * * * *: F * * *** * * * * * * * *** ** ** * * * ** *** **a*
Submittal Fee $ Permit Fee $ / e v CCF $
Notary $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
CO /CC
Training/Education Fee $ Technology Fee $
Zoning $
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 not be approved and a reinspection fee will be charged.
Signature 4 " Signature
er or Agent
NOTARY PUBLIC:
t
Sign:
Print:
My Commission Expires:
[1 tlffit5��1;y';
;g aAdva
so . srootigsui
APPLICATION APPROVED BY: + !�;
(Revised 07/10/07)
NOTARY PUBLIC:
axon o
Sign:
Print:
My Commission Expires:
Contractor
The foregoing instrume was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20 ,by day of ,20_,by
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. as identification and who did take an oath.
Plans Examiner
Engineer
Zoning
qzoc
t-flk
� 1( elIf >�
''k
,_\,,
X
-
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
1 Miami Shores VIII;
A8
.
1 APPROVED
!ZONING DEPT
1d30 Kfl8I
qzoc
t-flk
� 1( elIf >�