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121 NE 100 St (2)FINAL FOR REAR DOOR REPLACEMENT V) Passed t / Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Numbe trmit Num er: RC- 3- 06-657 Inspection Date: 09/13/2006 Inspector: Grande, Claudio Owner: Job Address: Project: Contractor: ROGERS, SHAUN 121 100 Street NE Miami Shores Village, FL <NONE> HOME OWNER Building Department Comments Tuesday, September 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 14 RECO Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number (305)244 -0535 Parcel Number 1132060132040 Lot: Page 2 of 2 Attachment of rear doors OK. Passed Inspector Comments v Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number:(N 26044 Permit Number: RC -3 -06 -657 Inspection Date: 09/0612006 Inspector: Grande, Claudio Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Project: <NONE> Miami Shores Village, FL Contractor: HOME OWNER Building Department Comments Wednesday, September 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 0 6 RECD Block: Permit Type: Residential Construction Inspection Type: Doors Work Classification: Repair Phone Number (305)244 -0535 Parcel Number 1132060132040 Lot: Page 1 of 2 Attachment of front doors OK. Pending inspections of rear doors. 8/7/06 CG Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 08107/2006 Inspector: Grande, Claudio Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER in - De Comments Monday, August 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: IN X2161 Permit Number: RC -3 -06 -657 AUG 0 8 REC'O Block: Permit Type: Residential Construction Inspection Type: Doors Work Classification: Repair Phone Number (305)244 -0535 Parcel Number 1132060132040 Lot: Page 1 of 2 ' . ' . . . . ... . . ... .. . . . . Itts):Je.ictl• Inspection Date: 07/26/2006 Inspector: Grande, Claudio Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, July 25, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 JUL 2 6 RECO Permit Type: Residential Construction Inspection Type: Window and Door Buck Work Classification: Repair Block: Phone Number (305)244-0535 Parcel Number 1132060132040 Lot: Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until ' . ' . . . . ... . . ... .. . . . . Itts):Je.ictl• Inspection Date: 07/26/2006 Inspector: Grande, Claudio Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, July 25, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 JUL 2 6 RECO Permit Type: Residential Construction Inspection Type: Window and Door Buck Work Classification: Repair Block: Phone Number (305)244-0535 Parcel Number 1132060132040 Lot: Page 2 of 2 Inspection Number: IN Inspection Date: 0412712006 Inspector: Grande, Claudio Project: <NONE> Thursday, April 27, 2006 1 Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Miami Shores Village, FL Contractor: HOME OWNER 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: ermit Number: RC -3 -06 -657 Permit Type: Residential Construction Inspection Type: Fill Cells Columns Work Classification: Repair Phone Number (305)244 -0535 Parcel Number 1132060132040 Lot: Page 2 of 2 f Y Passed Inspector Comments f Dloyz ,,____,6,42, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: IN Inspection Date: 0412712006 Inspector: Grande, Claudio Project: <NONE> Thursday, April 27, 2006 1 Owner: ROGERS, SHAUN Job Address: 121 100 Street NE Miami Shores Village, FL Contractor: HOME OWNER 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: ermit Number: RC -3 -06 -657 Permit Type: Residential Construction Inspection Type: Fill Cells Columns Work Classification: Repair Phone Number (305)244 -0535 Parcel Number 1132060132040 Lot: Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Tenant/Lessee Name 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: ( E ! 1 6.8972 MED AR 1 2tia6 Electrical Plumbing Owner's Name (Fee Simple Titleholder) 5Q/ U - Rb5 E/ 5 Phone # Owner's Address / 2./ N = • / (JQ ST: City Si" $W0t5,5 State FL. Job Address (where the work is being done) 12_ ) It/. = • / O O C• FOLIO / PARCEL # Architect/Engineer's Name (if applicable) 00 Value of Work For this Permit $ / 500 Type of Work: ❑Addition Describe Work: =5 7 - ci7Q Miami Shores Village trisA.nG 41t-2 slot Building Department Permit No.2CCD — (:)-51 aster Permit No. Zip 33/38 Phone # City Miami Shores Village County Miami -Dade Zip 33/ 3 8 Is Building Historically Designated YES V NO - 44C_M c L l`l Contractor's Company Name Phone 305. - 2 '/ '- 053, - Contractor's Address giali �� City A404011101193100Cfri State fak• Zip �-• Qualifier Name D. 049-,a..5... 6 Phone # 305- .2V' • 0535 State Certificate or Registration No. 6 8$ DO 30 Certificate of Competency No. Phone # Mechanical Roofing Square / Linear Footage Of Work: ❑Alteration "New Repair/Replace El Demolition c R / woo") 1700,E v`1 - 7 �S / 74,c, 4.4 Zbc)4--.? S S ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * *,� * * * * * * * * * * * * * * * * * * * * * ** ** * ** 1. �1Q'�/JLtvF,. ce f Z /- �5 -' �8' ?� Submittal Fee $ Permit Fee $ i CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -* OG 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 will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this__ day of ,20,by day of ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print: My Commission Expires: ****** If; ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** Contractor Plans Examiner Engineer Zoning .074VNE11.1 ppbcabIc law Issue Date: 4/11/2006 Owner's Name: SHAUN ROGERS Permit Type: Residential Construction Work Classification: Repair Job Address: 121 100 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: RESTORATION OF ORIGINAL WOOD DOOR AND FRAMES (FRONT AND REAR DOOR AND SIDELITES) Additional Information Miami Shores Village, FL Type of Construction: REPAIRS Stories: NA Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: 3/14/2006 Occupancy: Single Family Exterior: NA Rear Setback: NA Right Setback: NA Bathrooms: NA Certificate Status: NA Additional Info: NA In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Miscellaneous Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $100.00 $6.00 $6.25 $263.85 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/14/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RC -3 -06 -657 Phone: (305)244 -0535 1132060132040 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,500.00 Required Inspections Final Invoice Number RC - 4 - 06 - 24443 Total: APR 13 PAID 0._ Amt Due $263.85 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 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