FW-08-2223Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: May 05, 2009
Inspector: Bruhn, Norman
Owner: JOHNSON, KRISTY
Job Address: 357 NE 97 Street
Miami Shores, FL
Project: <NONE>
Contractor: ARCO CONSTRUCTION
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)539 -7249
arcel Number 1132060135750
Phone: 305 - 892 -6507
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 04, 2009
Page 5 of 34
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): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address
City i'f
Tenant/Lessee Name Phone #
State
c-ei '117
96 lb
BY:
Master Permit No.
Roofing
�Q/� J r 3d4l2 i D/ Phone #
Zip /T7
Job Address (where the work is being done) �- 1
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name ? CAS d- Cif Phone
Contractor's Address 16 6 3 dV
City ! U - �" /L_ t( State Zip %
Phone #
# c> 6->'Pc 6� b-
Qualifier Name s / '5 (/(
State Certificate or Registration No. c6-c- /96 5l 63 Certificate of Competency No.
Architect/Engineer's Name (if applicable) 1-.' 4-i �3,� Phone #
Value of Work For this Permit $ 6e7 e® Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration
Describe Work: ��- -r` .
tewr ID Repair/Replace ❑ Demolition
W ) y
all* * * * * * * * * * * * * * * *** * ***** * * * ** *** *Fees* *$ * ***
Pee 50 ' Permit Fee $
Training/Education Fee $ d=
Radon $
Bond $ Code Enf �,; ent
Notary $ 0
Scanning $ 1•)
0a
Structural Review. $
***** : * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ 040 g CO /C -'-'-'-�
Technology Fee $ L. 0
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $ 56* 5C)
See Reverse side -->
JAN 2 2n
IAMI SHORES VILLAGE
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
/9)
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is
for the fir s
inspectio
Signa
The for
day of
e
attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
a reinspection fee will be charged.
nspection which
will not be approved
a
'1
rallter
0
r
or
nt
nt w cknow
,2
t led before nr.
, by (- 5 oil 4- f efr 4 ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Con
The foregoing instrument was
`�ackno +ged before me this
day of D@.O. , 20®d , by S 7 r-cle° Jc/% —"1,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: NOTARY PUBLIC-SZATE E OF ROMA My Commission Expires:
�k�k+ k�k�k�k+ k+ k�k�k�N�k�N�k+k�N�k�k�k�k�k�ksk " '�r miry NOTARY 4 IrwIi(�iT67R.nr <<
�����+��: �NdR+ k�+ kJk�k�k�k= k�k?k�k�k�k�k�k�k�k�k�k�k�k�N�k�k�k�kA��k -k•kt, a�+b'��•'�w�rt� �k�k�k�k�1a
a 3Y .. Ss1o`� # lw4o3i9 THERINE A. DUFFIN
EIu`PIrES: MAIL 07, 2009 COMM1sSlO.y # 80403790
emend d Ihr..k - Bonding �� I !k.., lila. 07, 009.
APPLICATION APPROVED BY:
.� Boded Thru Atlantic stxnmer
(Revised 07/10/07)
Engineer
Zoning
1c$
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Folio Number:1132060135750
Owner's Name: KRISTY JOHNSON
Owner's Phone: (305)539-7249
Job Address: 357 97 Street NE Total Square Feet: 20
Miami Shores Village, FL
Total Job Valuation: $ 1,000.00
....
Contractor(s) Phone Primary Contractor
ARCO CONSTRUCTION 305-892-6507 Yes ..
.....•
••
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Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 1/5/2009 : Yes
Comments:
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EDWARD A. LANDERS, RE.
7850 N.W. 146th St., Suite 509
Miami Lakes, Florida 33016
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PERMIT #:50a5-9c9013
,APPROVED
Miami Shores Village
BY
ZONING DEPT
BLDG DEPT
DATE
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS