RC-06-2733Inspection Number: INSP -31652 Permit Number: RC -11 -06 -2733
Scheduled Inspection Date: September 07, 2010
Inspector: Bruhn, Norman
Owner: DYS, ALICE
Job Address: 1700 NE 105 Street 102
Project: <NONE>
Failed
Correction
Needed
September 03, 2010
Miami Shores, FL
Contractor: FAM CONSTRUCTION
Building Department Comments
Passe V;(9 2 770
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Phone Number
Parcel Number 1122300500020
Phone: (305)298 -3216
KITCHEN CABINETS
Page 35 of 35
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
$ Value of Work For this Permit
Describe Work:
(Continued on opposite side)
Type of Work: ❑Additioli EAlteration
Miami Shores Village IlMeMEWM7
NOV 0 6 2006
BY.61
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305 795.2204 Fax: (305) 756.8972
2 ® cam
Job Address (where the work is being done) (4CO
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ____Stag 1? u Q.(1W1 evri.) Phone # r a0c 1 1 40 41 i
Owner's Address 29 35 ')AE I rA `'(' APT Co U,
City IA D H Nk i it, M) State Fk Zip 33 \ La-0
Tenant/Lessee Name Phone #
L
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO X
Contractor's Company Name
Contractor's Address /49/3 e ee) (b J6
Cit / /iv J State f
;(
Qualifier , A-4,174460"2_ A-4,174460"2_ A-4,174460"2_
State Certificate or Registration No. C6 ® /994V Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Permit No. RLQL33
Master Permit No.
(05 cs'i 4 02,
Phone # (3O) ti NO �� 750 - �C��j8,
it
Zip
Square Footage Of Work:
Repair/Replace
* * * * * * * * * * * * * * * * * * ** * * * ** j � *, , * * *** * * * * * * * * *a.,�** *******
nn ^C� eo
Submittal Fee $ Permit Fee $ `✓ fiVV CCF $ � •d�U CO /CC
Notary $ Training/Education Fee $ L AO Technology Fee $ - 5 •15
Scanning $ - 00 Radon $ Zoning Bond $
mle Enos= -_ _-_ =-$ 9 50 00 Structural Plan Review. $
TioutuL PEhhnf -
Total Fee Now Due $ l ( CO . N 0-0 -- c -L 4 SOH . LO
Zip
❑ Demolition
• •
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 9 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 . fie approved and a reinspection fee will be charged
Signature
The foreg
day of ,
wner (Agent
g instrument was ackno ledged be ore me this
,204e ,by
who is personally known to me or who has produced
As identification and who di
NOTARY PUBJ,IC:
Sign:
Print: Z. u e r, A 0 PI
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
g
take an oath.
Notary Public State of Florida
* * ,1Pp * * * * * * *a
My Commission DD443186
or nor Expires 07/12/2009
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signature
i� OF F1.
My Commission Ex/4a:
Contractor
The foregoing instrument was acknowledged before me this
day of 20 P6, by p`K) ft_
who is personally known to me or who has produced
as identification and who did take an oath.
Moraima F andez
Bonded Thru
Atlantic Bonding Co., Inc.
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* ** y, * * * * * * * ** **** '*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
i S
Plans Examiner
Engineer
Zoning
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April 13, 2010
Village of Miami Shores
To whom it may concern,
T, Seth Burgman, residing in The Shores Condominium, apaninent 4102, pulled peimits
but never i.m eu CA)finuniuing yank in elm aim"
Seth Burgman
1700 NE 105 Street
#102
Miami Shores, Fl 33138
(786)278-0417
gmaiEgw3n
APP 1010 g
BY: .
••••••-■•••