OL-07-275Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
................. .................. ........
Inspection Date: 02/20/2007
Inspector: Grande, Claudio
Owner: CORP, FIRST STATES MGMT
Job Address: 209 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
.................. .. ....... ........ ..... •
Permit Type: Occupational License
Inspection Type: OCCUPATIONAL LIC INSP
Work Classification: New
Block:
Phone Number (813)229-8545
Parcel Number 1132060133920
Lot:
Building Department Comments
Thursday, February 15, 2007
Page 1 of 1
FEB 2 2 2007
Passed
/7-0 D7r-
Inspector Comments
1.,-
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Thursday, February 15, 2007
Page 1 of 1
Miami Shores Village
Building Department
IMCIERTalt
1 5 2007 ID
BY: --- - - - - --
OCCUPATIONAL LICENSE
CO SAFETY INSPECTION
APPLICATION
10050 N.E. 2 °d Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. )L J 215
.....
Per Village Ordinance 14 -32, the purpose of obtaining a Certificate of Occupancy /Safety Inspections is to
ensure your safety and to ensure that previous tenants have not changed the original structure in violation of
Fire Safety and the Florida Building Code.
Building Owner's Name) /2CeS U J /ci i /p t LC Phone # 2 — cL90 —'/
Owners Address �dci l
Cityfl h 6r wt 1 <k ore
971 re-et
State - Zip 33)-g
Ccf1'05 R tVZro
Business Owner's Name Phone # 9&Y-3L/3- K-7') L
Business Name v) -17e / (! y I1&.. ���, C2(i'[Ce„5
Address
City Miami Shores State Florida
5-49) tie d� G
Folio:
Suite 4/
Zip
..?3/3e
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.
BUSINESS OWNE'
The forego ttrrame t ac o - , efore me`fhis day of Qv , 20 01 ,
by , who is personally known to me or who has produced as
identification and who did take an oath.
Sign:
Print:
My C mmission Expi
1■11, Mabel Va.Yg
s e``; = Commission#f)D 3!
xpires:Ju! 13,200.x:
F3 or; ded fhrt.
�y:a.oric bonding Co.. Inc
'FEB 15 PAID
Building Officials Approval:
(Rev. 07/25/06)