RC06-1607NANCY DOWSON (305)757 -0140 ( q - f 2 V
,
Passed �
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 06/15/2006
Inspector: Grande, Claudio
Owner: BURKET, MICHAEL
Job Address: 730 101 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
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 Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060172200
Lot:
Wednesday, June 14, 2006
Page 1 of 2
- T'
FROM : NANCYSTEAM
(Rev. 10/02/03)
RE- OCCUPANCY
APPLICATION
Pax: (305) 756 -8972
Permit No. 0-CC& — GCD7
—°— Loc ID
]Dated 1 CO C`="
Contact Name Oiw\,Lk.\ t) ova z Phone #
Buyer Seller Realtor Company y Name it L� ossvt_�,
13uy P ) K � ve
Property Address
2 mow of
City Miami Shores State Fl
I hereby certify that I understand that the zoning of the property is for single - family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single - family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name
S ignatur
The foregoing instrument was acknowledged before me this 4 3 day of
by (Jt A . fifiv �, , who is personally known to me or who has
produced 14-e/t c/C.Q/LA/uc.
NOTARY PUBLIC:
/
Sign: 6'
Print: � e /a eiq 4, 4c 7 t - i -Ae
My Commission .expires:
Miami Shores Village
Buidin Department
F — c ;. Ficl.,,c:.i, w s l
4 S 1k, ADRIANA l APOAffE
Building Officials Approval: !, o ' ,.,.,...vccu»fNUMBER
ill ^ DD1 38225
9 IO "w GJ'.:MISSION EXPIRES
FAX NO. : 3057516605
Jun. 13 2006 11:38AM P3
Zip -a k z
10050 N,E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
(12 ,2006
as identification and who did take an oath.
s
Re -Occ. $60.00
Notary $S.00
CCF $0.60
Total (0c . GcD
Application is hereby made for tbe approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
pans and specifications must be kept at building during progress of the work.
Owner's Name and Address . B. Cesser
RegisZered Architect and/or Engineer .
Name and address of licensed contractor
Lcca0on and legal description of lot to be built on:
Lot Block Subdivision
IAM I SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
LICATION F TdIJILDING PERMIT
Orkin Exterminating Co., Inc. 1960 2,7. 27th Avc.:icI:1
S.tozat, Jami •
Street and Number where work is to be done T;4)r3r:
Stay wo- o be done and purpose of building (by floors)
Kylon Tent Fumigation Acritet )6 to 48 hours 17 gals
and for no other purpose.
Nev.. BuVding Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 40.0.800 Amount of Permit $
Zone cubage required _Plan Cubage 31
Distance to next nearest building. 15 Ft Z. eg Size of Building Lot
Maximum 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 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w tic to performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)_ '
Date
Date Se_pt..21., , 19
............. No 7 3 0 Street
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
e1,4.
..410
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Befoze me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
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
Disapproved
(Signed)
Building In ector
My Commission Expires
LANNING 3OARD DATE
Chairman Member
Member 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 Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
FOR PERMIT TO FUMIGATE WITH VIKANE
5. If not, what portion?
APPLICATION
4. Is entire building to be fumigated? ; Yes
METHYL BROMIDE ACRITET X
Application No. Date Sept. 21, 1961
1. Location of building to be fumigated 730 N, E. 101st Street Shores, Fla.
2. Name and_.addrecs of owner of premises B. Onager s ramie►
3. Type, .size and construction of building 1 story C B Res,
6, Approximate number of cubic feet of spaice in building or in portion to be
- fumigated_
7. Kind and quanity of fumigant to be used { and manner of application and
length of . fumigation period Acx' tet pc, too hours 17 gals.
8. Distance of neares •ui dung an dtrec on from building to be fumigated
3.5 S't East & "Test
9. In what manner wi 1 vents to exterior of •uilding to be sealed?
Nylon Tent .gation
10,- -Date when fumigation w 1 be egun ime
S
T
'1,
11, It is hereby agreed to station a guard on the premises to be fumig..ced during
the fumigation period and to - post suitable placards at each entrance to the
building bea ring the following words in'letters at least two inches by one
inch in size; "DANGER, THIS BUILDING UWDER FUMIGATION WITH A DEADLY GAS"
12. It is hereby agreed to make such provisions that all openings into the
building may be opened from.the outside after the period of fumigation is
over and to take such other precautions.as may be becessary to insure that
all of the fumigant is removed from thebuilding before anyone is permitted.
to enter.
13. It is hereby agreed to notify the County Health Department when the building
has been prepared for fumigation.
FIRM NAME...ORKIN EXTERMINATING CO., INC.
ADDfiESS....1960 N. W. 27th Avenue
Miami, Florida
Signature of Certif,Yci Pcc t
Control Operator in charge of
this fumigation job..