RF-08-530Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/03/2008
Inspector: Grande, Claudio
Owner: HABERSIN, HELEN
Job Address: 950 96 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: SOUTHEASTERN CONSTRUCTION GROUP
Block:
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - New
Phone Number
Parcel Number 1132060142960
Lot:
Building Department Comments
rEMOVE SMALL FLAT ROOF AT THE BACK OF THE
HOUSE 160 SQF OF FLAT ROOF.
f
Inspector Comments
s212 p .
,
Passed
1
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, April 3, 2008
Page 1 of 2
Miami Shores Village C R Cko ii
Building Department MAP / 5 9 8
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _ _
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit No. f i r 0 8 5 3 1 ) 4.1
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) 1\-t LS N i a-to E(5 t 4 Phone #
Owner's Address 9450 kJ E. 9'6
Cityi State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) q SO 'tilt q 6 S'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # l -52 CD 0 l La 96
Is Building Historically Designated YES NO
Contractor's Company Name S t u kL- a S-t- 12.m u f Phone # `7 (6 P 3 rf • 9 7 c
Contractor's Address 1 `f (O c..P l b 3
City OIL A) L4 OD State Zip 3 3 177 p c� �/
Qualifier Name - 1' / Phone #___7 e6 �'- 3 7 1 �,�
n�
State Certificate or Registratio No. C°C c - t 32. In 3 9 %
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work: /60 5 / T•
Type of Work: ['Addition ['Alteration
Describe Work: !' ' , _ ? 5
l ®'x/6 l (l6®5epe® •9-F 'f % '.aoar.-
IIR—epair/Replace fl Demolition
* * * * * ** * r * * *** * * * * * * * * * * *** * * * * ***** Fees* ************ * ** * ** * * * *** * * * * * * * **x * ** * * ** **
Gv
Submittal Fee $ Permit Fee $ 0------ CCF $ 1 ' CO /CC
Notary $ Training/Education Fee $ 0.40 Technology Fee $ •
A
Scanning $ - l' Radon $ DPBR $
Bond $ Code Enforcement .$ / \Oouble Fee $
Structural Review. $ l p Total Fee Now Due $ 01* • M
Zoning $
See Reverse side —*
Bonding Company's Name (if applicable)
Bonding Company's Address
City e State Zip
Mortgage Lender's Names (if applicable)
Mortgage L ett l &s A' dress'
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
Signature
° Agent eik 4ILI es e A ly KOir Af V Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 20
20 dirby , day of 19 ndti , 20 ®s; by
is personally known e or who has produced whersonally known to me or who has produced
entification and who did take an oath.
day of
As identification and who did take an oath.
NOTAR PUBLIC:
••••11NNN14116
Sign:
JOHN ZYNKO
ounkR, Comm# 000325585
x° 4n Expires 5198/2005
titre (800)432
Florida Notary Azsn ,
M Commission Expires: ' /e" �a3
*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02108/06)
NOTARY PUBLIC:
JOHN ZYNKO
EV Expires 8/1872008 Come 00032$25
�' idoo
"f° : Florida Notary Assn.,
uotloopaemmap00000000.004.00Upoopopau
Sign:
Print:
My Commission Expires:
******************** ** * *** * * * ***** * * * * * * ****** * * ***
01l
Plans Examiner
Engineer
Zoning