94 NE 99 St (3)Inspection Date: 01/12/2006
Inspector: Grande, Claudio
Owner: PARDINO, ANA
Job Address: 94 99 Avenue -NE 014 IJG t 9 S+
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, January 11, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060131040
Lot:
Page 2 of 2
17/
Passed
° '
Inspector Comments ,
01,04- / � , c�o V `'47 4
,c,,. Jul.
Failed
Correction
Needed
Re- lnspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 01/12/2006
Inspector: Grande, Claudio
Owner: PARDINO, ANA
Job Address: 94 99 Avenue -NE 014 IJG t 9 S+
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Wednesday, January 11, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060131040
Lot:
Page 2 of 2
,
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 - L- 4' Job Address 44 N E T9 S"►nFer Tax Folio
Legal Description LoT s
Owner / Lessee / Tenant O iA-'t t Master Permit # 3 6867
Owner's Address C.0 AVtl F . e, A,� RtBec c A '= . ES - t Phone � � 9 � V 4 y 4
Contracting Co. 5 EL P Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL
WORK DESCRIPTION( ADO 4 IN' c4trwL.wK F•E.„,ce
r- z
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * *
FEES: PERMIT 3 RADON C.C.F. f
APPROVED: Fire
Zoning Buildin
Mechanical
�lb diS 4ME4,6G -o PLAT p F M ■Aw( SFd ciL . S EcTO U Ada.
PLUMBING MECHANICAL ROOFING CPAVI FENC1 SIGN
1.0 /TOP RA it, 36 ; A EA6U PART 6P otp P6A .
�J fit) AU. " Po 0240 C- 04C QC1 - E S OE WALK TnbM GlaartkCk € r To RCA fE0cG- GM*
Square Ft. Estimated Cost(value) S
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.
Notary as
My C
Signature of Contractor or Owner- Builder
Date:
fao
to Contractor or Owner- Builder
OTARY SEAL
• Ue �i SANDRA M MONTIEL
COtIIN NUMBER
* CC4Q
� � MY COMMISSION .EXP.
FAO AUG 17 1998
Is
* **
Other
Electrical
Plumbing Engineering