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RC-09-801Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: May 27, 2009 Inspector: Bruhn, Norman Owner: ZIBELLI, AMY Job Address: 920 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: SARABANDA INC. Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060070010 Phone: (305)756 -7622 Building Department Comments May 26, 2009 Page 1 of 1 `. c'": Passed oec s":" i Inspector Comments e,C/ . Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until May 26, 2009 Page 1 of 1 61 krPY. vwt Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores,: Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Roofmg i'©""J �Y 12 2000 RY l� I.�s.o�aaooam��eemo Permit No. � - , OCt- Master Permit No. Owner's Name (Fee Simple Titleholder) P / s be._ /Phone # ?®S 4 C/ T ?15 Owner's Address,20 Ales 915.- .S4 7' City MA-R( s'19-0P state 0® ZIP g3/-3(e' Tenant/Lessee Name Phone # Job Address (where the work is being done) 9.20 , " 9 5 �7 City Miami Shores Village County Miami -Dade Zip 44:)- FOLIO FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name 3/ 9 / /4 h .4A14 A Ai e,, Phone # 3 0 ! 2a -2 2; Contractor's Address �, . � / /eel - ? !4 is t I - . City frii( All e State " Z Zip A, k, State Certificate or Registration No. i 5-0 70 e7 0 Qualifier Name e f Phone # ;0 S Certificate of Competency No. Architect/Engineer's Name (if applicable) -/ ff 9,4( r Phone # ° d/ �7 " 9 ..s""ep®c2 Square / Linear Footage Of Work: ['Alteration ['New Repair/Repiace 0 Demolition esc or •: ,01)\-* / - 7-0 cOy * * * * * * * * * ** Submittal Fee $ ***************************Fees********************* *** * ** * ********* ** ** Permit Fee $ i� CCF $ 8' () Technology Fee $ 2 d Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ See Reverse side -+ 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 comme ' cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. �� !/' Signature -J Signature Owner or Agent Contractor The for oing instrument was acknowl ed before me lhis� The foregoing instrument was acknowledged before me this day of ^ ` , 20 ,,, by Er � day of , 20 _, by who is, personally (known to me or who has produced 1'1 -'1 who is personally known to me or who has produced OP � 4 As idea fication • who did take an oath. as identification and who did take an oath. NOTAR PUBLIC: Sign: BELLER ON # DD 401023 tx iKtS: June 4, 2009 Print: Bonded Thru Budget Notary Services My Commission Expires: My Commission Expires: ***** ******* * *** ***** ********* :******* ************* **: * * *** * * * * **** * * * ** * *:x*** * ** ** * * * * * * ** x********* ** *** APPLICATION APPROVED BY: (Revised 07/10/07) 44Yler Ceol Plans Examiner Engineer Zoning Miami Shores Building Department Miami Shores Village 10050 NE 2nd Avenue Miami Shores, Florida 33138 August 18, 2008 Miami Shores Building Department Re Permit RC -10 -07 -2143 Subject Property 920 NE 95 Street: My wife and I are requesting that our building permit be closed or rescinded based on our decision not to conduct any construction on our property. We had previously requested the permit to perform certain construction work to add additional square feet to the property as well as renovation work. To date we have not performed any construction work or modifications as contemplated by the permit and plans. Please let us know if there is any additional information you would need. We can be reached by cell phone 305 725 0339 or home 305 751 0121. Our forwarding address is now 453 NE 92n1 street, Miami Shores, F133138. Sincerely Tom • e11i