RF-11-522GUTTERS
Passe`�0/ ,
Inspector Comments
-
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: April 04, 2011
Inspector: Bruhn, Norman
Owner: CAVALLO, NICHOLAS
Job Address: 69 NW 94 Street
Project: <NONE>
Contractor: CRESPO RAIN GUTTERS
Buildinsl Department Comments
April 04, 2011
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
I nspection Number: INSP - 157572 Permit Number: RF -3 -11 -522 I
For Inspections please call: (305)762 -4949
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number
Parcel Number 1131010340110
Phone: (305)781 -2301
Page 1 of 1
JOB ADDRESS:
City:
Folio/Parcel #:
City:
Qualifier Name:
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder):
Address: v`}
City: Ljjj\ CQ 4 j i\i^ 0 P%
Is the Building Historically Designated: Yes
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
ROOFING
\C HOIAS
State: , g�
Tenant/Lessee Name: Phone#:
Email:
�iami Dade
Miami Shores
Value of Work for this Permit: $
Type of Work: DAddition - ❑Allterationn
Description of Work: ( t fl erio
County:
Submittal Fee $rte Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Permit No.
Square/Linear Footage of Work:
❑New ❑Repair/Replace
Zip:
/Oe ~ CCF $ CO /CC $
AMCiTr:r !-
gl MAR 24211 L
BY: �000°oo ® ®_ --
Master Permit No.
Phone #: U s -ri G b
Zip:
NO Flood Zone:
CONTRACTOR: Company Name: $ YLCU cC oo.1\\,. (AtcLA Phone#: ? t - I —23 CIA_
Address: 1_ (-)J
State:
Q \2
State Certification or Registration #: Certificate of Competency #: S aO5
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
0 00
Zip: )4 3
Phone #: 'd s— I Zn OA_
Demolition
******* + x*******+ x* **+ x*+ x*+ x******** ****** Feesa+ x***** ********************** ** x** * * ****+ ***
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me
eg� this
t Y A Z ` , 20 11 , by N ICAO-A3 t!'t"� O
who is personally known to me or who has produced `l-4.--rD
As identification ancoccW61 oath.
NOTARY PUBLIC: .�` ® �.. ° "'77.1(
•
S81
- " °19A I1 S '�\
' ,II I1 funt1tt \� \fie
day of
Sign:
Print:
My Commission Expires:
APPROVED BY J'f
(Revised 07 /10 /07)(Revised 06 /1012009)(Revised 3/15/09)
Signature
Plans Examiner
Structural Review
Sign:
Print:
M
„ a
The foregoing instrument was acknowledged before me this
day of C# k , 20 11, by Oftelos AIbirT C
who is personally known to me or who has produced Fa t
C z/ /O /6' Oas identification and who did take an oath.
NOTARY _'t . C:
RIC RDO A. R
Notary Public - State of Florida 4
.1. My Commission Expires May 15, 2012
Commission # DD 789195
\° .l. • • L Al ._ • sn
Contractor
CA0-CO RoSrral..oS
,,,uwn„ RICARDOA. ROSALES
`soPSiY PUe,C Notary Public - State of Florida
. '_ My Commission Expires May 15, 2012
Bonded Through National Notary Assn. i
,, O'
Zoning
Clerk
F T TO (X)MPI. WITH ALL FEDERAL
STATE AND CDUN TY RULES AND RFGULAt ONS `: