DS-07-430Inspection Date: 08/28/2007
Inspector: Grande, Claudio
Owner: BOCKNER, DAVID
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Job Address: 1199 99 Street NE
Miami Shores Village, FL
Project: <NONE>
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition/Alteration
Block:
Contractor: STYLE HOMES FLOORING & DRYWALL CORP.
Phone Number
Parcel Number 1132050180010
Lot:
Phone: (786)290-0507
Building Department Comments
INSTALL TILE IN THE BACKYARD
AII i 2 8 arg
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Monday, August 27, 2007
Page 1 of 2
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit NoSYS 411. 41)
PERMIT APPLICATIO 0 6 Alt Master Permit No.
FBC 2004 -ams
Electrical Plumbing Mechanical Roofing
Permit Type (circl
• Building
Owner's Name (Fee Simple it e older) .0 A v,Q Phone # 7 (Pe S/41 cF4''V
Owner's Address /1 /Lit' �' 9741
s°
City /•-.1 I A7 / ,s-Jcl,/ st o3/ye
Zip Y �-'
Tenant/Lessee
Job Address (where the work is being done)
City Miami Shores Village
County Miami -Dade Zip
FOLIO / PARCEL # // -3 a .5 - e/ -° 00/'.0 ' 1 jth.)l' •
Is Building Historically Designated YES No_____"
Contractor's Company Name '�?
le 1 /JM g, 6Z/»24/WA1 Phone # (i) 696 -O3v
Contractor's Address —/65750-1/ a cj i c i.✓s ,we p2 Z
City ■ QJAtditd y( State
Qualifier Name / 4/s C/(:`,. eir
State Certificate or Registration No. Certificate of Competency No.
Zip 331,64o
Phone # &86,)&010-6.5--0?_
Architect/Engineer's Name -(i€ applicable)
Phone #
Value of "'
a e f Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: DAdditign DAlteration
Describe Work: <-1.�C
ew^ Repair/Replace El Demolition
* *************** *** ** ** * * **** * * *** * * ** Fees * * *, * **** * * * * ** ** * * ********* * * * *** ** * *** * **
Submittal Fee $ Permit Fee $ /() b� _ CCF $ t 80 CEO / /CC
Notary $ 6 Training/Education Fee $ i t�J� -� Technology Fee $ 2 •50
Scanning $ Radon $ DPBR $ Zoning $
Bond $ ' 3JI.J Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side -*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mor eikenderrt Namslif 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 ' YOUR POW yRTY, r;YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER taiR• Ali `ATPO °e ' YtE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an .estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be del e ered to the person
whose property is subject to attachment Also a certified copy of the recorded notice of comment nt must be • •sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In abs -nce of s posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged bef.- e me this 41/
day of
20 07 , by
h is personally known to me o who has produced
As identification and who did . take an oath.
)(NOT '7 P t LIC:
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signature
Contractor
�p
The foregoing instrument w�aps�acknowledg.. before me this 13
day of AA , 20 CJ 1' , by Lois *firtrut
who is personally known to me or who has produced I
—Phiderl 41(. as identification and who did take an oath.
NOTARY PUBLIC:
2r6I0' FBLIC4TATE OF FORMA
lA• �� ssron D41 48
Expires: MAY 13, 2
Bonded -flora Atlantic Bonding C
Sign:
Print:
200
My Commission Ex`+ ,ROB
******************** * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
fgg
�� w• cac
ri 7E:
r
OD
EY
K. I7
-1s
• I �p∎ • • ■ ••*SAS' • =S •••130'
• • ••• • •
•
• to ..IG. 11% • •
• •
• pcimoN • NAAP
• 41CANLE : 1 =SO4'
• • SKETCH OF SURVEY
• • • •
6URVElo of Lot, •1•,• Block 1Q6,1 •of "REVISED PLAT OF TRACTS
VJI; 7••178C, 17.9A, 179B,•am,• 180A, & N 1/2 180C, OF
REVISED PLAT OF MIAMI swans, SECTION 8 ", according to
1414 *Pat th@Pej ecord@i'f? Piat Book 43 at Page 69 of
the Public Seconds of Dade•Giounty, Florida, being
cited inWaillage•$f Miami Shores.
• a
ORDER NO. 627100•• DATE: July 18, 1979
F.B. 226A, P. 48, 49 SCALE: As shown
J
8a.dd
°JJ-
WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY
of the above described property is true and correct to
thst of our-knowledge and belief as recently sur-
ve lat our direction.
.c-TOUSSAINT & ASSOCIATES INC.
LAND SURVEYORS
126 Street, North Miami, Florida
.
Pres.
war• C. G: . e
d Land Surveyor No. 1683
State of Florida
Surveyor s Not -
Elevations shown-refer-to National Vertical Datum of 1929
(formerly known as U.S.C. & G.S. Datum, Mean Sea Level)
oN DATA
la ROAD 9.0S'
atoeWAt_te. et-ay. g,55
0012e. et.rv. 11.64