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1273 NE 95 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date O / /05 Type Insp' n t nCi 1 (-De) Permit No. 12 )P'CIS Name ULAnt 1 ice r J - 1 Address 12 '` Company 92 E-L I Ce:›■ CITE- Phone # (am) (-45 3ze —q04 I Inspection Date C 4 ` O Correction Re- Insp'n Fee Date Job Address 1 IQ' lei • Tax Folio 1 I .2...O(0 14 4-01 0 2. Legal Description 2— L1 S- ( � PIA-- • OAT"' Owner / Lessee / Tenantl - OW, J a-49-- Master Permit # 6 7• Owner's Address 1213 it) E. et c$ ( Phone Contracting Co • tiw 411 1ca7J 89 /Dal c Address F0-649 6eo7 /6 ?3?...66 Qualifier/WO/ ualifier /WO / S C. d4,44 SS4i caa_ — e3 - X Phone S 2- SO3 D State # Municipal. # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING I' FENCE SIGN � Q WORK DESCRIPTION arAtte GECSiSfjA10 VtaIefkintli Square Pt. /® gnatu oe and /or Condo President a /a g T ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE L NOTARY SEAL Not ry as to Owne a Qr v go My ommission Expires. C ? , ` iZ cc2.; :c� � � CC7VIicrTIa,.Oi l ..n... FEES: PERMIT 5 RADON C.C.P. Estimated Cost(value) %/ /S© * * NOTARY APPROVED: Fire Zoning Buildin Mechanical Plumbing * * 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. ry as to Contra or or 'Owner * * ** TOTAL DUE a ( /" Other Electrical Engineering �SNoF� Ott F t�ORIP Inspection Number: INSP -13389 Inspection Date: 06/08/2006 Inspector: Desharnis, George Owner: WALKER, J NEAL Job Address: 1273 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- 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 JUN O E Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: ° Sig, 62 3 Permit Number. DS -3-06 -791 Phone Number (305)758 -2026 Parcel Number 1132060144010 Lot: Wednesday, June 7, 2006 ,>A ACE Page 2 of 2 Passed Inspector Comments l' g .== ,..; 6' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until �SNoF� Ott F t�ORIP Inspection Number: INSP -13389 Inspection Date: 06/08/2006 Inspector: Desharnis, George Owner: WALKER, J NEAL Job Address: 1273 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- 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 JUN O E Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: ° Sig, 62 3 Permit Number. DS -3-06 -791 Phone Number (305)758 -2026 Parcel Number 1132060144010 Lot: Wednesday, June 7, 2006 ,>A ACE Page 2 of 2 Issue Date: 3/30/2006 Owner's Name: J NEAL WALKER Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1273 95 Street NE Miami Shores Village, FL 33138- Comments: PRECAST SLAB WITH GENERATOR Additional Information Building Department File Copy 106, Miami Shores Village Applicant Signature 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/02/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Work: PRECAST SLAB Additional Info: GENERATOR 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 CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $100.00 $3.00 $2.50 $111.30 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -3 -06 -791 Phone: (305)758 -2026 1132060144010 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number DS - 3 - 06 - 24297 Total: Amt Due $111.30 Amt Paid $111.30 $111.30 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. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle); Owner's Name (Fee Simple Titleholder) . , / � , a2 i4.C_Phone # 3 244„ Owner's Address City Tenant/Lessee Name Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Describe Work: Submittal Fee $ Structural Review. $ Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te+4E16 }795.2204F.ax: (305) 756.8972 Permit No. TOE Master Permit No. 1 Cka 5 22 Electrical Plumbing Mechanical Roofing State Zip Phone # Job Address (where the work is being done) 12-73 .117 ei S J'T " City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name A Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Type of Work: ❑Add on ['Alteration Few ❑ pair/Replace ❑ Demolition .14e/ cc)ic.. /us 14- 9 < tv • ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Phone # Square / Linear Footage Of Work: DPBR $ Double Fee $ CCF $ CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -* 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. 9r 10 Sign: Print: My Co mission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Owner or Agent The foregoing instrument was acknowledged before me this h� N. day of nrch 20 apby who is personally known to me or who has produced As identification and who did take an oath. NOTARY P BL C: NOTARY PUBLIC: Mabel Vargas mission 4DD2319V Signature Contractor The foregoing instrument was acknowledged before me this /day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: My Commission Expires: * * * * ** * * * * * * * * * * * * * * * * * ** * * * * * * * * ** *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning