FENCE1048 NE 99 STREET
RICK/954- 214 -5381 LEFT MESSAGE
IN VOICEMAIL
Passed
Inspector Comments
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Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
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until
nspection Number: INSP -1559
Inspection Date: 12/07/2005
Inspector: Grande, Claudio
Owner: None, None
Job Address: 1048 99 ST
Project: <NONE>
Miami Shores Village, FL
Contractor: US BRICK I& BLOCK SYSTEMS
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 - 8972
Block:
Permit Number: 8P2005 -1262
Permit Type: Imported Permit
Inspection Type: Foundation
Work Classification: <NONE>
Phone Number
Parcel Number 1132050180180
Lot:
Phone: 954- 792 -0076
Wednesday, December 7, 2005
Page 1 of 2
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby utnde for the approval of the detailed statement or me plans and specifications herewith submitted for the build
in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding Divisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at buil ing during progress of the work.
Owner's Name and Address .
Date......_......._.. _......L� ....2.1:-.......... ,19.137
No...1.0 i'g._.. Street E 22 rS
Registered Architect and /or Engineer ,,,,. .” TO IftIMTIVIlt,
,, .
Name and address of licensed contractor C k a-s ce ►.1. .e...JN'.. -:a- .. CO 2.c.E .r.../- 97..3 -3 / eL$E! I
Location and legal description of lot to be built on:
Lot AA��
Street and Number where work is to be done...... . Plh 11Ic 2.2. _ 57-'1.- . ___ =Q ._ _.....__
State work to be done and purpose of building (by floors) —TO LZZS tQ..J/ /� �g_. __,!'i,.3.h.._.._
.0 h a / PI /! .4 k..... n ce. w 3 ..,21±1.g& .. w J.l k.. e.S -.... -7 qj c. 4.1.e.
Block 1 . 7 7 Subdivision...... Se- c 3
and for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
700 caf
Estimate Total cost of improvements $
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss.
Amount of Permit $. Q. sC
Zone cubage required plan Cubage
Distance .to next nearest building. Size of Building Lot
Mfaxunum 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 5066, Compiled General Laws of Florida, Perm anent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contra s or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for in pectin the site of the wo k such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s � •'�i � • work to be . rformed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks . (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.. Date �° >7 - 8 J Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Bu lding Inspector
Date
to me well known,
Notary Public, State of Florida
My Commission Expires _....» ..._. _ . _
PLANNING BOARD DATE
Chairnan Member
\Icrnber Member
Member .. .. Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the PI.rnnir,;; Ilu.rrd.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
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