RC-09-179Inspection Number: INSP - 150843
Scheduled Inspection Date: September 07, 2010
Inspector: Bruhn, Norman
Owner: BENAVIDES, JORGE
Job Address: 1700 NE 105 Street 409
Miami Shores, FL 33138-
Project: <NONE>
Contractor: FAM CONSTRUCTION
Building Department Comments
PassecVd9
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
LAMINATED WOOD FLOOR FOR THE CONDO
September 03, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: RC -2 -09 -179
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122300500660
Phone: (305)298 -3216
Page 30 of 35
Fom
\c •
BUILDING
PERMIT APPLICATION _ IR
Esc 2004
Value of Work For this Permit $ ( 1. to 0
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
T • 756.8972
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) :at- ci3g Phone #
Owner's Address (lQDf k )T CO ir
City C.m . 6 00 2 3 State FICA Zip O3 I
Tenant/Lessee Name Phone #
Job Address (where the work is being done) I ne_ T) 045 409_
City Miami Shores Village County Miami -Dade
Permit No. 1 k V 1.
Master Permit No.
Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name f A (vi C Phone # 30- 2 9, 32 /6
Contractor's Address . r5 0 2.. 5. I fly
City //j/ .4 / State � Zip 3 3 /Q 3
Qualifier Name 'r-'& ELM/ to A 04 l> 0/ P & 7. Phone # 3 6 5 2'77 /
State Certificate or Registration No. C. 6 c 0 199962 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work: 0 0 S r
Type of Work: [[Addition ` ❑Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: LA -444 M6..I _ `iJ ®® Vstvoir 1,ditet 4.1 i1.e e,
**** *** *** ******** ************ * * * ** *** F ees * *** * **** x***** ********* * ***** * * **** *** * * * **
Submittal Fee $‘ Permit Fee $ / ®0�� CCF $ ) .90 CO /CC
14- itary $ Training/Education Fee $ 0 AO Technology Fee $ S�"-Cp
Scannin $ (o �(00 Radon $
o±bnd $ Code Enforcement $
DPBR$ Zoning $
-GO
Structural Review. $ To - ee Now Due $ 1(00,-(00
ouble Fee $
See Reverse side —)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Signature — "LW cc 3Cha+>
Owner or Agent
NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA
Marcela Gomez
Commission # DD494274
Expires: NOV. 28, 2009 Sig
- AtlantiFBond;ng Co.. Inc.
Print: ClecalL0 c 2 Print: t
APPLICATION APPROVED BY:
(Revised 07/10/07)
As identification and who did take an oath.
Signature ' .` ;414. •.') 9 ,
•
d,„
Contractor - I
NOTARY PUBL
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.
The foregoing instrument was acknowledged before me this ' The foregoing instrument was acknowledged before e this
day oaC - i_l, NCR bay CI OU1c . ,
who is personally known to me or who has produced (..
day of,2a1)VQ(k , 20O by eRi)1Ifl 1)
who is personally known to me or who has produced — 1
as identification and +h,4J�oath.
NOTARY PUBLIC ,.;,
Marcela Gomez
Commission # DD494274
Exp''` NOV 28, 2009
Bonding Co., Inc.
My Commission Expires: I , � - 2'Z.)GJ My Commission Expires: I e 22 2
Plans Examiner
Engineer
Zoning
- AC her)
AC a . o�
e tg21
040 /05
4, Wei
4 4'4a ®t
,t?
k
iL t s 4 .e wow V
s �J AI a~'`" %N,�
iamt S r
APPROVE (�, „ BY
ZONING DEPT
DATE
BLDG DEPT
SUBJECT TO DANCE MTH Ail. FEDEM.
STATE AND COUNTY RULES AND REGULATIONS
1700 NORTHEAST 105TH STREET ON BISCAYNE BAY • MIAMI SHORES, FLORIDA 33138 • PHONE (305) 893-6741
To Whom It May Conern:
Permission has been granted to
THE SHORES
CONDOMINIUM APARTMENTS
Date:
Sincerely:
Bd. of Direct +r
for the pur ose of
. 7e a ,47- 44- A -6 27-7 t 7 t 5,_ 1