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1216 NE 93 St (14)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date - 4 / q Type Insp'n -A .1 _ . ALA Permit No. b a3 l ti Name b 1)1', c. q3_� Address I Company Phone # 30s 21 174 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date' ■) ; j Type Insp'n 1 />> •. J ' � m Permit No. D Name Address 9 Company �� Si, .gyp'") At' Phone # - -)oST• 3 1 Inspection Date Approved. Correction ❑ Re- Insp'n Fee ❑ ELECTRICAL T1'PE Minimum Fee Q"1'V. 1'VPE Dryer QT1 '. "1' 1'1 IT Ctuttet,,;Aaplsaitt. ; • QTY. TV Service Repair Q'fV. A/C Central 1 -3 Ton Fan ' butfet, • • • • • • • Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain QTl' TYPE: Generator QTl T1"I'P Refrigeration, Tons Q•1'1' A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING T1 A/C Condensate QTV'. T1'PI', Drains, Roof QTY T1 Miscellaneous Fixture QTV'. 'I'VIT Soakage Pit OT1'. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WIT} J1,1T EATING RICEIVFJ3 YODR.VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOIJR9•OF CONSTRWCTION ere limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPb'IZr1ES SOALIME DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEII1 DA IQEII BZ''e4QU1AMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/side :alk• • • : • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that;separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional petits required from other governmental agencies. I, the OWNER of the property, have disclosed` all information related to any work at the property performed in the prior twelve months to the Building Official. Further, 1 am fully aware that if the cumulative cost of work to my home or business under this and any other permit.egaals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. • �. M • 1 Signs e of Owner nt Nam worn to and subscribed before me this o y A TATE SEAL: ORIDA, C Signature Notary Pub - State o Florida e rr Angela M Becker ' J My Commission DD150048 • Expires November 15, 2006 Personally know Lyn OR, Produced Identification Type of Identification Produced: • • • • • • • • • • • • • • • • ••• e • MIAMI -DADE • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • 0 • ature of Contractor / 1 alifier Print Name S w o and subscribed before me this • JI i l ,I1■ Signal otary • blic - to e . Flori SEAL: PERMIT APPLICATION Y OF MIAMI -DADE day of 1r Angela M Becker +� My Commission DD150048 1 V"" _ -,dI' Expires November 15, 2008 Personally known OR, Produced Identification Type of Identification Produced: Page 3 • f Alf • • • • • • • • • • • • • • • • • • • • • • • • ' e�,PERMIT APPLICATION • • • • • • • • • • • • • • ••• • • ••• INSTRUCTIONS: Please indicate the type of work being pe er e and q ua n t it y • (jes.) • i n the space provided below. • RECEIVED AND REVIEWED BY: DATE: CONTRACTOR Name cl/ IR /NO CONS -! e License No. Address /Q87 Al E. 1/ 9 T-' (r /V Ales* Av' FL Telephone 305 g ./9f7 Fax 305. en. 77= Qualifier Name SECTION BY DA CE Zoning t ip s . , T .Y a ) Electrical -- _ VAINI 1,dto Mechanical ` ✓j f", f ") Plumbing MAM . I Z.- 0.' Fire t," Foundation Only Public Works mi. Other A4Pd /T /t Structural I I I I I I I VJE41 I M W ©Q Building Official WA/771 1 i,41.. j ' PROPERTY OWNER Name /crier /d e 'l/GiE/i ( s Address X2/4 NF 93 Sr' Home Telephone 305 75/ • c55 4. Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only t," Foundation Only Add'1 Attachment Other A4Pd /T /t ` ' Add'I Detachment Other 'e Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary so_oo • • • ••• • • • • • • • ••• • • • • • • • • • • • • • • • • • ••• • • • • ❑ !k'OdrOF OdVNERSHIP (Attach) •• ••• •• • • • •• • • • • • • • • • • '[a tuts Z I it1GtAl3PROVAL ..: • (S / tewer5• • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ (¢.01 /sq.ft.) ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: ••• $�3 $ L V V (s = x/1000 c 1 x 0.60) $ S v (¢.005 /sq.ft) TOTAL PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) Pot 4'-5 o a .6 .17- 03 1 -z_Nt ---10"1111111,4at eic a4/-cp CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com • •• •• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • • • • ••• • js4aste, Permit No SubsidaFy Nerrnit:No. • • • • • • • • •• • • • • • • ••• ••• • • PERMIT APPLICATION PZ0(, 3 -S/ INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed,j911h4pr:peit Both signatures must be notarized. Please print or type to allow for a more accurate processing of your apilliiattd11 It rdpfip$ tvotle will Be a roofing application must be submit- ted along with this permit application. • • • • • • • • • •• • • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other iv& A/ E. 73 sr Address Folio Number 1'/ 3245 d127 0//9 -Lot Le l" 3 W 2 1+r4 Block Subdivision 5A1/ /vd. PB 41L PG 43 Current Use of Property R SI1 Proposed Use of Property 4://05NT// 41 Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax N/AN/ SHeot FL City State AOD& T/ g 4) escription of Work 3 ! 31 Zip �EN &TNIQ. 9t J Zoning lVEVMA - Linear Feet Square Feet Spa V of Work 3c OOD oe Assessed/Appraised Value Flood Zone Units Floors Bldg Value Base Floor Elev. • oa ENGINEER Name License No. Address Telephone Fax ;os Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2003 -519 Printed: 6/16/2003 Page 1 of 1 Applicant: DONNA GUSTINGER Owner: GUSTINGER DONNA JOB ADDRESS: 1216 NE 93 ST Contractor QUIRINO CONSTRUCTION CO Local Phone: Fees: Description Amount FEE2003 -1931 Building Fee $460.00 FEE2003 -1932 CCF $18.00 FEE2003 -2923 Builders Bond $300.00 FEE2003 -2924 Inpector State Educational Fund $2.50 FEE2003 -2925 Notary Fee $5.00 Total Fees: $785.50 Signed: (INSPECTOR) Contractor's Address: 1987 NE 119 RD Parcel # 1132050270160 Legal Description: BAY LURE PB 44 -63 LOT 3 & W25FT LOT 4 BLK 2 LOT SIZE IRREGULAR Permit Status: APPROVED Permit Expiration: 11/30/2003 Construction Value: $30,000.00 Work: ADDITION OF DEN AND BATHROOM Total Fees: $785.50 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: DATE CLI U FORREDID ACCOUNT PAYMENT BAL. DUE 03 RECEIVED FROM 2O O t7 00 0 • i CASH CHECK MONEY ORDER FROM BY No. ,c4 13 it IS TO $20, a.orns 1182 Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date t Approved Correction Re- Insp'n Fee a3 --S L6 C. 13 30S—, 21)\'` Inspection Date / 3 / / '1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date' j '. �) t , ' Type Insp'n Permit No. -} o. il ,_ n }_ _i - .� 1 I r Name ..�A.. ? Address I'l c)t ' 9 Company I . .../..) U").-AA ) Phone# 30 ° 31 ;— ; Inspection Date 3 ' ' Approved Correction Re-Insp'n Fee l fy Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building ____ . ._.__.. Remodeling f Additii n _ ... Repairs Amount of Permit $_ ..._ _ _ — ' 4 N, ftvrowiew - - -_ _ --. -- (Signed) -__ - -. (Signed) Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oth.•i structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address . -- _ ,!`.:: c" - L-"' ° , -,^ _', 2 '% No _--- -__ - -- _ -- _ -- Street • Registered Architect and /or Engineer a Employing Plumber's Name. Q _ 2 _- � ✓ f , r r.__ ._ ______ __ No..__.. _ _ Street - Location and Legal Description (JLot . -- - •- - -__.. _- - -,_ Block_ Subdivision _- ----- - - -.__ - - -- --- - - - - -• Street and Number where work is to be performed —No O ( 11 v 1 - VStieet- State work to be performed and purpose of building (By Floors) No. of Stories . ...... .. . Size Septic Tank_ .._ Type of Tank.. _ Feet of Drain Tile ______._ ..__.__. __ - _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ Size of Soakage Pit __ Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby ceriify that he understands and accepts his obliga'ions as n1, employer a 1 :boe under the Florida Workmen s Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and h:, < • .,�. plied with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or . otic.s as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under tins ; -rmit, as are licensed by Miami Shores Village. v > Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ,ppeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ______ __ ........ __ ......... _ . . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat. therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or h.vl materials and /or workmanship. ii1 CLOSETS BATH TUBS SHOWER 6 LAVA. TORIES SINKS SLOP SINKS LAUNDRY Twee UR INALS CATCH BASIN FLOOR DRAIN DnINKING FOUNT•NS TOTAL FIXTURE' CONTR. LIST / / —_ CHECK , ) � a //1j . _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM G POOL CONTR. LIST { CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building ____ . ._.__.. Remodeling f Additii n _ ... Repairs Amount of Permit $_ ..._ _ _ — ' 4 N, ftvrowiew - - -_ _ --. -- (Signed) -__ - -. (Signed) Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oth.•i structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address . -- _ ,!`.:: c" - L-"' ° , -,^ _', 2 '% No _--- -__ - -- _ -- _ -- Street • Registered Architect and /or Engineer a Employing Plumber's Name. Q _ 2 _- � ✓ f , r r.__ ._ ______ __ No..__.. _ _ Street - Location and Legal Description (JLot . -- - •- - -__.. _- - -,_ Block_ Subdivision _- ----- - - -.__ - - -- --- - - - - -• Street and Number where work is to be performed —No O ( 11 v 1 - VStieet- State work to be performed and purpose of building (By Floors) No. of Stories . ...... .. . Size Septic Tank_ .._ Type of Tank.. _ Feet of Drain Tile ______._ ..__.__. __ - _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ Size of Soakage Pit __ Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby ceriify that he understands and accepts his obliga'ions as n1, employer a 1 :boe under the Florida Workmen s Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and h:, < • .,�. plied with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or . otic.s as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under tins ; -rmit, as are licensed by Miami Shores Village. v > Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ,ppeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ______ __ ........ __ ......... _ . . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat. therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or h.vl materials and /or workmanship. ii1 v Disapproved (Signed) s'— MIAMI Sfn1U BUILDING oNsPa'C Date Building In ector Chairman - -- -- - - --- - Member _ Member - Council Approved. NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. PLANNING BOARD Date V IL,LAGE EPA Q7MIENT APPLIICATICH Fo EMOLDIN3 PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliancy and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ._. c4 "u e 1 6 -Te .g No..1' D4 Street f-e- v,. h _ Registered Architect and /or Engineer._ _ __ Name and address of licensed contractor__.. 6L' 1..7 4 ' / F _ _ i2 . s _ .._.._ n r -- -. Location and legal description of lot to be built on: �� �� F,- w/ 4 Block Z Subdivision._. V' L `� a-� Street and Number where work is to be done b 2 I P.J • f.7 . cI s - dg State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs-. No. of Stories To be constructed of Kind of foundation -. Roof Covering Date_ Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ Amount of Permit plan Cubage Size of Building Lot The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ -- -. _ -. (Signed) 41 ''''''°1 41 40 � - STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- - -- - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Cr/ ' Date iP -O ? Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when su'h re- inspection is made necessary by improper notice for inspection or faulty Chairman Member _ . _ Member - - Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION F Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Addres& /10 - ce/ ,S d - - --. - No../ Registered Architect and /or Engineer _ . /e‹ Name and address of licensed contractor____ ®Os' 1' ' -! ! e yet _ 1• Location and legal. escription of lot to be built on: Lo. s Block Subdivision __ -/ ..._ __ -_ -_ 1C1 ' 77 Street and Number where work is to be done____ . L G� e..,- � - -- State work to be done and purpose of building (by floors)___ _. 0 BUILDING PERMIT 0 Permit No Date_ Disapproved i-i (Signed) ._ _ . __ .__ -- . Building Inspect My Commission Expires Street. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 19‘ C and for no other purpose. New Building Remodeling Addition Repairs_..__..._ No. of Stories To be constructed of Kind of foundation ___________ _ __ __. _ Roof Covering Estimated Total cost of improvements $ . ' ' _ _ Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to._ _.- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubontractors, on work to performed under this permit, as are licensed by Miami Shores Village. Remarks - — — (Signed)j i < STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ted are true. ANNING BOARD DATE Member Member Member ._Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes io this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ® MIAMI SHORES VILLAGE, FLORIDA Date ,14 ' r 19._s,' - ELECTRICAL ❑ PLUMBING ❑ PERMIT NQ 8124 Contractor's 1. r r� ROOFING ❑ License No. Owner of Building '�'r� "" t .. Architect r s c. t ,4 + Contractor or Builder Legal Lot Description Zr) 4 Go Address of • - -- f Building ❑ Work to be performed under this Permit 1 ( r 4 2.. f f ..; � L. • / a i t 1. ••. � �.. 131 i • • Subdi- vision - -- _ -- - -___ -- r Sq. Ft. Value of " Amount of / Project $ II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with ani _ plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans. or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or ers ployeep / / ' Signed:... --� - :`` - (INSPECTOR) BY In consideration of the issuance to me of this permit I a ee to perform the work covered hereunder in compliance with all ordinances and regulation, pertain t reto and in strict conformit with the plans, draw gs, statements or specifications submitted to the proper authorities of Miami Shores Village. In acce i this permit I assume respontl 1 $' for all work one by either, myself, my agent, servant or employee. BY AUTHORITY • 'Inspection Number: INSP -12651 Inspection Date: 03/21/2006 Inspector: Grande, Claudio Owner: GUSTINGER, KURT Job Address: 1216 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Friday, March 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone* (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -2-06 -369 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)751 -5554 Parcel Number 1132050270160 Lot: Page 2 of 2 Passed , Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until • 'Inspection Number: INSP -12651 Inspection Date: 03/21/2006 Inspector: Grande, Claudio Owner: GUSTINGER, KURT Job Address: 1216 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Friday, March 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone* (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -2-06 -369 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)751 -5554 Parcel Number 1132050270160 Lot: Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i v(0 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name Job Address (where the work is being done) Electrical Phone # Phone # Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition Describe Work: a lteration ['New S /0 Permit No. Master Permit No. 5)t ks Structural Review. $ Total Fee Now Due $ Plumbing Mechanical Roofing (4 �j�1/ % irV 6 + Lhone # State Zip 3g /3 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier Name State Certificate or Registration No 1 ° w t > `� �etency No Value of Work For this Permit $ Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 3 s CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ See Reverse side - • • . P a 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'tliat 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 ill not bled and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument 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. NOTARY PUBLIC: Print: (Revised 02/08/06) My Commission Expires: APPLICATION APPROVED BY: NOTARY PUBLIC: Contractor as identification and who did take an oath. Sign: Print: * ;� * MY COMMISSION t DD 245792 My Commission Expires: uu EXPIRES: October 23, 2007 ********* * * * * * * * * * * * * * * * * * * * * * * * **°g *morfon iti oot * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ** Plans Examiner Engineer Zoning ri F I P i lt7P C- A = z c.. N MIAMI SII0 For Driveivays a before final inspecti approved for refund; must be c or Sid and b I sod an mpleted. - PETCH OF BOUNDARY SURVEY ---,.. SCALE 1"3. , e . • • • • J l ■ 0. : • • C C a Se S ,.. - • • - i 7 -•-•••••••••••■•••• &LT, F4 44,4e4r _ _ - - _ /5 pt.. 12 ie 1,c)ay C EX Ithl146-k, AS-PH A 1-1 - ZS.30' Na. 1 Nr 1.00' 1 tie). 1 Z I (. 75 AS cl_F • • • • cry ••• ••• • • 1 • • • • • • • • • • • • • • • • • • • • • a • Z J: • • J • • • • • • •• J 0 0 143S .1 " k Od 1 .11 9cf • . F P • • • • a 4) 7 :, Z . 1 1 4 1 : : • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • poL.E . , BEARINGS HEREON (IF ANY).ARE REFERRED to AN ASSUMED VALUE OF FOR THE i • 6 : 6 : : : 641 IS IDENTICAL WITH THE PLAT OF RECORD , • • •• • ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY:FAU Arm* nod:IN:NE: 4 E • • • • • • • • • • • Issue Date: 2/16/2006 Owner's Name: KURT GUSTINGER Permit Type: Driveways /Sidewalks /Slabs Work Classification: Addition /Alteration Job Address: 1216 93 Street NE Additional Information Miami Shores Village, FL 33138 Expires: 02/13/2007 Contractor(s) HOME OWNER Phone Primary Contractor Yes Comments: PAVERS DRIVEWAY REVISION 3/16/2006 ADD WLAKWAY ON RIGHT SIDE OF HOUSE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type of Work: PAVERS Additional Info: Bond Return : Classification: Residential 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. Fees Due Bond Type - Owners Bond CCF Education Surcharge Permit Fee Revision Fee Scanning Fee Scanning Fee Submittal Fee Submittal Fee Technology Fee Total: Amount $300.00 $1.80 $0.60 $125.00 $35.00 $3.00 $3.00 ($300.00) ($50.00) $3.20 $121.60 Building Department File Copy Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -2 -06 -369 Phone: (305)751 -5554 1132050270160 Lot: PB: Total Square Feet: 800 Total Valuation: $ 2,100.00 Required Inspections Final Invoice Number DS -2 -06 -23855 DS -3 -06 -24159 Total 9 ek 2 0 PAID CGS 14 , Amt Due $83.60 $38.00 Amt Paid $83.60 agt.CD $83.60 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. LEGAL DESCRIPTION • • • LOT 3 ALI P THE WE Z5 FEET 0F 4497" 4 •• • • • • • . - • • SUBDIVISION: e>t y ACCORDING TOME PLAT THEREOF AS RECORDED IN PLAT BOOK 44 • • • • OF THE PUBLIC RECORDS OF P.A. 17 E.= • • • • • LOCATION SKETCH • • • • •••, SCALE 1 160' V 0 O 52 Z. 2 DATE OF THE FIELD SURVEY 21 FOR: 0 STii. . , J08 NUMBER Z 5 • DRAWN Br 4 • F.B. NO. 7 CHECKED BY": E —. • 100 2 REVISION DATE: SURVEYOR'S NOTES: . , LEGAL CESCRIPRON WAS FURNISHED BY OJENT. : NO uNDERGROuND IN6TALLAT1ONS OR IMPROVEMENTS HAVE WEN LOCATED. EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACHmENTs OTHER THAN THOSE SHOWN ExAMINATIONCF THE ABSTRACT OF ITTLE WA1J. NAVE TO RE MADE TO DETERMINE RECORDED pASTRumENT. F ANY AFFECTING TM PROPERTY . I . FENCE ONNERpep Sy VISUAL HEARS ONLY (IF ANY). LECIAL OWNERSHIP NCR DETERMINED. LEGAL DESCRIPTION SUBJECT To ANY oarcoaxx, uwwicook PESTRICTIONS, MsevanoNs OR EASEMENTS Of RECORDS. Cr. =CENTER uNE "loft an UNE Rew NRcHT-OFNILAY CL F. KHAN INK FENCE .ALICIOCEN FENCE RES. *TESIOEPCE T. P. •POLIMO IRON PIPE S.A.B NSET REWAR C.a. NO BEARING mEAS NWASASIED s+& ..ser NAL & OeC F afOl.40 %AA. ABEWEVIATIONS OF ANY �. =CLEAR ENC. =ENCROACHMENT NOoNCRETE 81.0OC STRUCTURE COW- =CONCRETE =OLLALETER DALE NTORAIPUOE wornawce WAD'. &LP. =SET PACN PIPE F.O.X. =faro DRILL HOLE •Ast CONCLTIONITKI UNIT REC. =MOOR= Ficlo .rouNO NAL & DISC F.C.AL .1.04040 CUT NAL APPUED) MOP CON F.$. EMIT. F.R.S. &O.K. CALC. Es. RAO =UTILITY EASEMENT =au WANT. &raw/AGE EA9At mmoNL•AENT LINE =PROPERTY COWER =FIRE THORANT af-AllalENT =FOUND REWAR =SET ofou. mime scia.curno wrispal SPIRE .RADIAL =Kum (1111•TYPIC5T. --- y A . • • • • • • • • • - 1 7 • • • • • • • • • • • • a.N• 1 '2-1 • riC • gzi ( ., M. E f. tfiAt '9HCLe Ft- • £:5 DA 17 1::)* kerezAL E..46,41K , Koer r vie1.0.117 4 1Z1 PA . ATTOK Li& 7 7 1,0 (,)2.6,,,Ic F'-"' dc. SURVEY CERTIFY.TO : THE ATTACHED SKETCH OF BOUNDARY SUFNEy OF THE AB0Vi DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. riE 4t,/»1k E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET • MIAMI, FLORIDA 33175 PHONE: (305) 552-7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 ERNESTO BELT • PROFESSIONAL SURYTOR & 'MAPPER NO. 4815 STATE OF FLORIDA DATE: NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE ORIGINAL RAISED SEAL AND SIONATTRE OF A FLORIDA LICENSED SURVEYOR AND MAPPER. S '<ETCH OF BOUNDARY SURVEY • SCALE t " = ZD Va? t� 25 - 4i °i'4 r j( *" -'1'. 75.4 • • • •• • • • • • • • • • • • • N N 4'50 G L . e 3or C c '} FE .� L9.413 u1 • • • ••• ... • • ..... • • • • •• • • • • • • • • • • • • • • • IF *fir • • IP • 3 Fv i ' kcY ' Pccd I ; �1 bal H&ATEL • • ar CLF x r x /0000 FIP L �� `N � /� Lo T Z3 `lik3 o� S ° .i P OuJEf` POLE BEARINGS HEREON OF ANY) .ARE REFERRED irO AN ASSUMED VALUE OF `� FOR THE — I SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD ACCORDING TO THE N.F.1.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: A E LEGAL DESCRIPTION LOT 0 4 . 4 D THE SUBDIVISION: 13.6 y LVZE ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK • OF THE PUBLIC RECORDS OF PI D E LOCATION SKETCH •' • SCALE 1 "= 16 0 17Es • •J0 • FOR: _'>iel os - rit. 1 G-40- 1Z (G ('1.E. 'dL IPL R D' /"EDEY...L eitsi KOET -GcJS r,j)G&.. , NEL.ARJD .1, PQ . J JOB NUMBER O Z 5 l • DRAWN BY: f- •G ' F.B. NO. 7 S — Z3 CHECKED B'}': E � ' • DATE OF THE FIELD SURVEY 2 -1-0 2 REVISION DATE: SURVEYOR NOTES: LEGAL DESCRIPTION WAS FURNISHED BY CLIENT. NO WOERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED. EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACMO/ENTS OTHER THAN THO6E SHOWN EXAMNATICAVOF THE ABSTRACT OF TITLE WILL NAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENT. F ANY AFFECTING TINS PROPERTY . � FENCE OWNERSHIP MEANS ANS OMY OF ANY). LEGAL OWNERSHIP NO4 DETERMINED. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATION, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. (t. MVW C.LF. W.F. RES. F.I.P. SR2 C.B. MEALS sN&D .CENTER UVE .PRaDPERTY UIE =CHAN LBW FENCE •MRGOpEN FENCE I ESWENCE dO?D SC M PPE ANSET RE-BAR =04ORD BEAR NG .iEA11UR ED -SET MAL & DOC =FOUND NAA ABBREVIATIONS OF ANY a BLEAR ENC. =ENCROACHMENT CALS. =CONCRtTE BLOCK STRUCTURE CONC. .CONCRETE d O.DLMETER O.M.E. =MANAGE MAINTENANCE EAIMT. WY. .SET IRON PIPE F.D.N. =POUND Oiii MOLE A/C .RJR CONDMONNO GMT REC. =REGORGED •11.1,D •PORNO NAIL 1 DISC F.GA., =POUND CUT FMB. APPUeo) ILE. W.M.E. I tiL PROP. COR F.N. EASEL F.R.S. SOIL GLC. F.S. RAD MUTLm EASEMENT =MMLYWT. 5011 WaE &SIC - 4OmmENT LINE ...PROPERTY CORNER =RAE HYDRANT .EASEMENT =FOUND RE•IlAR =SET DRILL HOLE =CALCULATED =FOLIO SAKE =R DAL =Ru) (TYP).TYP+ci& .. • • • .. .. .. • ..•..... • • • • • • •. • . 47 ii& Y . I 7 T SURVEY CERTIFY TO : THE ATTACHED SKETCH OF BOUNOARY SURVEH OF THE ABOVE DESCRIBED PROPERTY IS A TR EAND'C ORRECT REPRES O \ A FIELD SURVEY MADE UNDER WTY DIRECTION AND MEETS THE MINIMUM TECHNICAL ETAN AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17 - FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAMI, FLORIDA 33175 PHONE: (305) 552 -7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 ERNESTO BELT PROFESSIONAL SURV & 'MAPPER N0. 4U5 STATE OF FLORIDA • DATE: ;Z =/ - NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE ORIGINAL RAISED SEAL AND SIONATIRE OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ri- w • Z e R= 25 L?!- r IVAIILKI. SHED a T®v0 '©' refund; must b C F'<ETCH OF BOUNDARY SURVEY SCALE 1". ZD ' • • • • • • ••• • , • • • CSC PooL _N F/ P YeP N N 1} O to W vI GT Sc o and Asod an 0 .,Q r,LE ._ r (b 2000 ; m 1 N' 1/00 - t cLF i CrYP) i J3 i; 9rORY e ' Pra. Fao. 1 zI( &LT p'AJEMe , �s PG IzV &VAy 1s 75 As TILE 00.00 Lor Z.3 Fbb Uac Of ••• • • • • • •• • • • Ib4O •• • • • I"; l / J _ POLE • • • • • • • ••• • 3 AI ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: A E ••• 0 � 435 14 .?5 • • •• • • • • • • • • • • • • • • • •• •, • •' F/ P /Q 035 BEARINGS HEREON OF ANY) .ARE REFERRED TO AN ASSUMED VALUE OF FOR THE SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD i inspection Number: INSP -9608 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: GUSTINGER, KURT Job Address: 1216 93 Street NE Project: <NONE> Thursday, March 9, 2006 Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: DS -2-06 -369 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)751 -5554 Parcel Number 1132050270160 Lot: Page 1 of 2 6 i-re-) A F12.4.„.e..g ( Ich2.4.1/43 Passed Inspect r Comments 74e.,C0 , s .0V S / 2114--42e-j.64S A--k.. �, 1.1,0--ze 6-6 - I reve-69 ,/ 516 , i 1 ,1- -.S 1 Faile Correction Needed ®, T (AidQ Rjaa � � o r D ail ' r y-06441 Re-Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: INSP -9608 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: GUSTINGER, KURT Job Address: 1216 93 Street NE Project: <NONE> Thursday, March 9, 2006 Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: DS -2-06 -369 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)751 -5554 Parcel Number 1132050270160 Lot: Page 1 of 2