1135 NE 100 St (10)36 74 s A AO ,
MIAMI SHORES VILLA
DEPARTMENT o1 4 4 , 7
Building Inspection Request
Dates 5
Type Insp'n PO
Permit No. B os- 143
Name UX. 1J / ./��)
Address // �J� t `
Company VWt `e
Phone #
Inspection Date C J6 I
Approved ❑
Correction
Re- Insp'n Fee ❑
,4
Ce002.—! ' - %
1135 NE 100 ST
0 4
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
i nspection Number::;,
Inspection Date: 12/06/2005
Inspector: Grande, Claudio
Owner: WENSJOE, THOMAS
Job Address: 1135 NE 100
Project: <NONE>
Contractor:
P7 1 245
Miami Shores Village, FL
Building Department Comments
Tuesday, December 6, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: BP2OO5 -143
Permit Type: Imported Permit
Inspection Type: PAINTING
Work Classification: Paint
Phone Number
Parcel Number
Lot:
PARC2003 -17
Page 1 of 2