RF-08-1198Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 07/29/2008
Inspector: Grande, Claudio
Owner: CAMP, JOHN
Job Address: 1050 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Block:
Contractor: RAIN AWAY RAIN CONTROL
JUL 3 1 "ta
CI moo
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number (305)530 -0050
Parcel Number 1132060143520
Lot:
Phone: 305 - 216 -7560
Building Department Comments
GUTTERS
b�
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Monday, July 28, 2008
Page 2of2
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):
Owner's Name (Fee S'
Owner's Address 1 pp
City f oo l Sires State 9.-- Zip ` S )_ J8
Tenant/Lessee Name Phone #
Permit No.
Master Permit No.
Electrical Plumbing
FECMUTEN
JUL 0 1 2308
BY. -
X
Mechanical Roofing
older) '1n Com? Phone # t' 5718
S e-
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
I '1E' 910 -tre
County . Miami -Dade
Zip 6
Is Building Historically Designated YES
NO
Contractor's Company Named n r-th.tr). Cc 1 ,61 Phone # (.j ,) $ .
Contractor's Address \AJ e
City M l orY.N1 State FL-- Zip 2$.5'i 2--549
Qualifier Name f'' V Phone #L
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
am
eWk,, L—{
Describe Work:
Phone #
Square / Linear Footage Of Work:
['Alteration
New ❑ Repair/Replace
❑ Demolition
Submittal Fee $
Fee $ / ®b 6�'"--
Permit
Notary $ Training/Education Fee $
Scanning $ Radon $
Bond $ Code Enforcement $
Structural Review. $
CCF$
COICC
Technology Fee $
DPBR $
Double Fee $
Zoning $
Total Fee Now Due $
See Reverse side -*
who is personally known to m�
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 issue n the absence of such posted notice, the
inspection will no be approved and ' inspection fee will be charged.
Signature(
The for
day of
Owner or Age
trument was ac
, 20 W, by X
who 's personally known to me or who has produced
identification and who did take an oath.
NO ARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature
� —v
Contractor
The foregoing instrument was acknowledged before me this 13
day of , 20®7, by�rr t. cc,
or who has produced
as identification. and who did take an oath.
NOTARY PUBLIC:
171101.11M1011111•10111011 YASCO •
CFRIMit MOMS
Expires MEOW
&MOW isupo
Print:
My Commission Expires: 1 c(2O1 p
** ***** * * * ** ** *** *** * * * * **** '� _;y ' * *ter ******* ** *art ** *tit***
APPLICATION APPROVED BY:
(Revised 02/08/06)
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
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mail @rainaway net
www, ra i
Fro- CE-TWIT.-3
.y4 2208
BY:
Licensed & Insured
Professional Installation
luzitina 4,441102 *ASK.
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CUSTOMER
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ADDRESS
CITY-STATE -ZIP CODE
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HOME PHONE
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We propose to furnish the following material and labor necessary for the work specified below:
Gutters ErAirnond •
,a ' 9 Downspouts Ft. I '1 Imond
Total Footage Ft.
❑Cream ❑ White ❑ Brown ❑Linen ❑ Ivory ❑ Green El Other
DCream ❑ White ❑ Brown ❑Linen ❑ Ivory E Green ❑ Other
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WARRANTY: Labor
5 yrs.
Material
20 yrs.
EXCEPT: Damage resulting from accident, misuse, abuse, neglect, or from other than normal and ordinary Amount
use of product.
T�
NOTE: Due to the possibility of escalating material price, these prices are subject to change. invoices
are due when rendered. Any balance over 30 days old will incur a service charge of 1.5% per month, ° Subtotal
Less Deposit
Total
In event it becomes necessary for Rain Away Gutters, Inc., to employ the services of an attorney, to
effect collection of the amount or balance due, under this contract, purchaser agrees to pay seller's
reasonable attomey's fees and all expenses incident thereto.
When executed and signed by both parties, this Proposal becomes a contract.
CUSTOMER
AGENT
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CARLTON FIELDS /M1. NI
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