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MC-10-582Inspection Number: INSP - 139918 Permit Number: MC -4 -10 -582 Scheduled Inspection Date: August 05, 2010 Inspector: Perez, JanPierre Owner: MAIDBREY, JESSE Job Address: 1130 NE 100 Street Project: <NONE> Miami Shores, FL 33138- Contractor: EDUARDO GARCIA Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number gc-- - to -41 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Kitchen Hood Parcel Number 1132050190440 Phone: (305)456 -2328 T4 t o Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 04, 2010 For Inspections please call: (305)762 -4949 Page 2 of 21 Tenant/Lessee Name Email Y Job Address (where the work is being done) FOLIO / PARCEL # Is Building Historically Designated YES Contact Phone 7 F ° 3 V4, s SI- 9 7 Miami Shores Village 53©3EW Building Department AE➢ `'' =' ��'' ^' g p ► 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BYE Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No " 'c Io --'� `v� PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) $Q � ?�lJ f Phone # _,915 6 -D193 Owner's Address - City State Zip 11,90 #E /061 sr City Miami Shores Village County Zip Contractor's Company Name I:7)u n 0 (-7 f4 12 cfq Phone # Contractor's Address l 0 B s t City /42 - 01- C & ft H State F6, Zip . , © / 3 Qualifier Name D O et al) O 1t Q C . Phone # State Certificate or Registration No. /2/ 66 ) F 9 Certificate yf Competency No. 9 4 /G! 0 0 0 0 kU E -mail 451- .7,7 0 C 0. ( -o .4./ �T Architect/Engineer's Name (if applicable) /V A Phone # Value of Work For this Permit $ 5-49 Square / Linear Footage Of Work: Type of Work: ['Addition ❑ Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ��i 4 oy► ll 2T-114 ******* * * * * * * * * * * * * * ** * * ** * ** * ** * * * * ** F e es * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 1 Training/Education Fee $ 0 ' 2.0 Radon $ 6ky a J DPBR $ a' 00 Violation date: Master Permit Nd. 2C, 10 Phone # NO Flood Zone 7k6- 3ye 7fr6 - 3v6 ° 51 " a CCF $ ( L (r�i I CO /CC $ Technology Fee $ V' Notary $ Scanning $ 3' 0 Double Fee $ Structural Review. $ Total Fee Now Due $ 4 yl/ Bond $ See Reverse side -> - l e le 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 w,! t be approv. an < einspection fee will be charged. Signature Sign: APPROVED BY Owner or Agent The foregoin trument was acknowledged b fore me this 3t day of Ma/ , 20 lO , by Jesve 4Vlaktiov& y who is pe wn to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Print: S(uia buravt My Commission Expires: l01 IVADI SILVIA po . LDURAN C _.:�#D ... y de8 11..ySn M ; ` Foor:da Notary - I.::. "3" C Ca:: +aa CZ" ] ^_9a *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Signature Contractor The foregoing instrument was acknowledged before me this 3( day of VVt us it , 20 10 , by fjoc to(.n 640,4 who is per own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: �uua na Print: e, bur' � SILVIA M. DURNN lnnmsmu a A_ My Commis ion Expit _ t�Y��i Y y G 10/1/2010 to I 1 AO 10 = o °„ " Fiwtda Maly. _ lac 1Y�aaaa..:.zsec:_ _. _+aumeaoaaaaetaen11a Zoning Clerk checked