965 NE 92 St (12)I I -
I
i f:
Passed 11
1' s
Inspector Comments
M
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -22202 Permit Number: WS -6 -06 -1769
Inspection Date: 07/13/2006
Inspector: Grande, Claudio
Owner: LENZ, JOSE
Job Address: 965 92 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
Building Department Comments
Wednesday, July 12, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Windows /Shutters
°JL 1 3 Inspection Type: Doors
Work Classification: Door Replacement
Block:
Phone Number
Parcel Number 1132060060040
Lot:
Page 1 of 2
Permit Number: WS -6 -06 -1769
Invoice Number: WS -6 -06 -25398
Applicant: JOSE LENZ
Company Name:
Owner Address:
965 NE 92 ST
MIAMI SHORES, FL 33138
Job Address:
965 92 Street NE
Miami Shores Village, FL 33138-
Date
Friday, June 30, 2006
06/30/2006 Credit Card
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
Amount
$121.30
Change
$0.00
Total Payment: $121.30
Page 1 of 1
Issue Date: 6/29/2006
Owner's Name: JOSE LENZ
Permit Type: Windows /Shutters
Work Classification: Door Replacement
Job Address: 965 92 Street NE
Contractor(s)
Miami Shores Village, FL 33138-
Comments:
INSTALL 1 DOOR FRONT ENTRANCE
Additional Information
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Notary Fee $5.00
Permit Fee $110.00
Scanning Fee $3.00
Technology Surcharge $2.50
Total: $121.30
Building Department File Copy
i 5E C . ) LL -
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/26/2006
Phone Primary Contractor
Type of Work:
Additional Info:
No of Openings: 1
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.
Permit Status: APPROVED
Permit Number: WS -6 -06 -1769
Phone:
Parcel #: 1132060060040
Block: Lot:
Section: PB:
Total Square Feet:
Total Valuation: $ 1,000.00
Re . uired Ins • ections
0
Invoice Number
WS - 6 - 06 - 25398
Total:
Amt Due
$121.30
UN 3 0 p„ p
Amt Paid
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.