BP-05-909Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 02/28/2008
Inspector: Grande, Claudio
Owner: ARENAS, JORGE
Job Address: 623 97 Street NE
Miami Shores, FL 33138 -2470
Project: <NONE>
Contractor: ARENAS CONSTRUCTION
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060171870
Lot:
Phone: 305 - 759-4438
Building Department Comments
REPLACE KIT CABINETS
ilp at
��
Passed
Inspector Comments
CC
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, February 27, 2008
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDINGa n'
PERMIT APPLICATION JUR 1 6 2
FBC 2001
Permit Type (circle):
Permit No. aS
Master Permit No.
Electrical Plumbing Mechanical Roofing
.Sib CAC POEM\Y-
Owner's Name (Fee Simple Titleholder) (4' ,% fd Phone # (ep/ 159 ® 3
Zip 33 oy
Owner's Address rA
City -. ( State V
Tenant/Lessee Name
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name J (J c O t
Contractor's Address b a , ex -1 ST
City t. N‘sim. siokOcieS State
Qualifier A
Phone #
Zip
cz)a).0 —%v3
Zip 33 C°3V
State Certificate or Registration No. Gam, 1. `1 k Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit 2W \ -OO
Phone #
Square Footage Of Work:
Type of Work: ['Addition DAlteration ['New eZi Repair/Replace
[I Demolition
Describe Work: slGckpccc \e rec
*** *** ** * * * * * ** *** * * * * * ** *** Fees ** , * * * * * ** * * * * * * * * * ** ** * *****
Submittal Fee $ Permit Fee $ / 0 0 i • CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address A!
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 ' nspection wh • occurs seven (7) days after the building permit is issued. In they .'bsence of such posted notice, the
inspection w I not be ppr :d and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
Signature
Contractor
The foregoing instrument was acknowledged before me, this 17 '
day of , 20 _ by day of
who is personally own t . me or who has produced who is pe
identification and who did e an oath.
NOTAR P ' : LIC: "�b csaa 9Bt\ NOTARY PUBLI
Sign:n, �^12 y)
0by
e or who has ":"'. duced
ification and who did take an oath.
Print:
My Comm', ion Expires:
* * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * **
Sign:
Print:
My C • mmission Expi
* * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * **
'4�C• F
AF c .
u`; i 3,'2 07
P.lantieBanding o-
*********************************************** * * * * * * ** * ** * * * * * ** * *** *** * * ** **
APPLICATION APPROVED BY:
Chc 05/13/03
* * * * * * * * * **
Plans Examiner
Engineer
Zoning
----- 42" •• 30'
• i
143"
54"
71- -
— 36"
36" ------
00
•
• • •
•••0
•
•
0000
• 1 • 'IV'
• •
•• •••ts,
• • • CC1
• • iok_.
oee,
•
%Oats
• •
fis
• ...I•
•• 14,
•
All dimensions size designations given are
subject to verification on _job site and
adjuStmcnt to fit job conditions.
IArenasTina06142005dc3.kit
This is an original design and must not be Designed: 6/15/2005
released or copied unless applicable fee has Printed: 61 5/2305
been paid or job order placed.
• ID
Drawing . : 1.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 6/22/2005
Building Permit
Permit Number: BP2005 -909
Page 1 of 1
Applicant: M BRONWYN
Owner: BRONWYN M
JOB ADDRESS: 623 NE 97 ST
Contractor ARENAS CONSTRUCTION
Local Phone: 305 - 759-4438
Parcel # 1132060171870
Contractor's Address: 623 NE 97 ST
Legal Description: MIAMI SHORES SEC 4 AMD PB 15-14 LOT 15 & W1/2 LOT 16 BLK 101 LOT SIZE
Fees: Description Amount
FEE2005 -8596 Building Fee $100.00
FEE2005 -8597 CCF $1.20
FEE2005 -8598 Training and Education Fee $0.40
FEE2005 -8599 Technology Fee $2.50
FEE2005 -8600 Scanning Fee $3.00
FEE2005 -8603 Notary Fee $5.00
Total Fees: $112.10
Permit Status: APPROVED Permit Expiration: 12/13/2005 Construction Value: $1,200.00
Work: REPLACE KIT CABINETS
Signed:
(INSPECTOR)
Total Fees: $112.10
Total Receipts: $0.00
V:)
� �
eoA.
T'
4. PAID
s
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: