DS-11-373Inspection Number: INSP - 156703
Scheduled Inspection Date: April 04, 2011
Inspector: Bruhn, Norman
Owner: BERMUDEZ, PABLO
Job Address: 9700 N MIAMI Avenue
Project: <NONE>
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: GONZALEZ PAVEMENT EQUIPMENT, INC,.
Building Department Comments
April 01, 2011
For Inspections please call: (305)762 -4949
Permit Number: DS -3 -11 -373
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1131010330180
REPLACE EXISTING DRIVEWAY WITH STAMPED
CONCRETE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 11 of 26
- 614kiw CA(/
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder)' lc: Aec, a,( <. " — Phone # jr -- ;� Y i
Owner's Address
City , 5 13.d State
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address i //7 pc
City /., 7 u i Cam =s2.. x State
Qualifier /,(4 , t :
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ❑Addition ❑Alteration
Total Fee Now Due $ /1 S CD
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
700 + ,
County Miami -Dade
NO
r � .
Code Enforcement $ Structural Plan Review. $
Permit No.
Master Permit No.
Zip
Zip
State Certificate or Registration No. Certificate of Competency No.
Phone #
Zip
Square Footage Of Work:
New ❑ Repair /Replace ❑ Demolition
Describe Work:. )p,,;, a' rf'/ ,,r $100 etir±e:r
Submittal Fee $ Permit Fee $ /TO dLi CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
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 such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
The foregoing instrument was acknowledged before me this
day of ff i , 20 1/ , by f b/:' J�ja
who is personally known to me
As id
NOTARY PUBLIC:
Sign:
Print:
Chc 05/13/03
APPLICATION APPROVED BY:
o has produced
cation and who did take an oath.
Signature
no u,
Tres:
eE My Commission EE026993
'40 ,,o* Expires 09/19/2014
Contractor
The foregoing instrument was acknowledged before me this °`
day of +% , 20 l! , by 4 -la:tiiti
who is personally known to me o who has produced
Fr I
NOTARY PUBLIC:
Si
mission
as ide
**
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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Plans Examiner
Engineer
Zoning
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