RC-06-1439Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 07/17/2007
Inspector: Grande, Claudio
Owner: CLIFFORD, PAUL
Job Address: 1285 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ARCO CONSTRUCTION
CC,
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Repair
Block:
Phone Number (305)505 -4122
Parcel Number 1132050220010
Lot:
Phone: 305 - 892 -6507
Building Department Comments
REPAIRS TO PROPERTY WALL
UL 182
Passed
i,/1
r Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, July 16, 2007
Page 1 of 2
Miami Shores Village yQ 10(zgouG .
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
C... '
BUILDIN_ 5 7 �r Permit No ' _e26_Z9___a_9_
PERMIT APPLICATION OCT 2 0 2006 aster Permit No
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple Titleholder)
Owner's Address
City State
Tenant/Lessee Name
3 Y: - v -m - -e
lectrical Plumbing Mechanical Roofing
Zip
Phone #
Phone #
Job Address (where the work is being done) PS- f c!>
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO Xs
Contractor's Company Name
Contractor's Address
City 2/://7/ (2,644 ° State Zip /ci (
Qualifier Name leS- y ! of S e Phone #
State Certificate or Registration N�. Certificate of Competency
No.
41G.�. (11 A IL
Zip
Phone # . 05 ( �5
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace
*, *** ** *, *** **************************Fees******
Submittal Fee $ Permit Fee $
Notary $
Scanning $ Radon $
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Training/Education Fee $
DPBR $
Bond $ Code Enforcement $
Structural Review. $
CCF $ CO /CC
Technology Fee $
Zoning $
Double Fee $
Total Fee Now Due $
See Reverse side --*
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
/6*
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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20by
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:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signa
e foregoing instrument
ntractor
acknowledged before me this
day of , 20 _, by
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:
Plans Examiner
Engineer
Zoning
Miami Shores Village yY S 6 -11 ■ Co J: 31
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle):
71 Permit No. — 1
nob Master Permit No.
Owner's Name (Fee Simple Titleholder)
Owner's Address (2 FS /V r 0 J $
City 1M jot c A k4,fru State ' -
Tenant/Lessee Name /VA
bing Mechanical Roofing
Phone# 365-757 -0.51 3 5
Zip 313 $
Phone # l\r fik
Job Address (where the work is being done) f 7g c=5/
City Miami Shores Village
County Miami -Dade Zip 3,.a f 3 S
Is Building Historically Designated YES NO X
Contractor's Company Name
e 0 evtci. per 6090 Phone # �9' efa
Contractor's Address AI, 6 7
CitydC�ati,, State Zip I j
Qualifier Co) S ? "
State Certificate or Registration No.
0 '7 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Pe
Type of Work: EAddition ❑Alteration ❑New
Describe Work: C ( o j,®„s 1.-taia
Square Footage Of Work:
Repair/Replace El Demolition
Submittal Fee $ Q
Notary $
Scanning $
Code Enforcement $
* * **
Pe i t Fee $
***Fees******************************
012 •
Training/Education Fee $
Radon $
Total Fee Now Due $
CCF $
CO /CC
Technology Fee $
Zoning Bond $
Structural Plan Review. $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Zip
Mortgage Lender's Name (if applicable) t \
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 issued. In the absence of such posted notice, the
inspection will i . . ' approved, and a reinspection fee will be charged.
Signature
Owner or ent
The fore .
day of
oing instrument was ac owledged b^ e�fore me this`
2(1- byc i c l r ,
who is personally known to me or who has produced
LC't As iden . tion and who did ; s oath. as identification and who did take an oath.
Signa
The oregoing instrument w
tor
owledged before me this
day of , 20 _, by
who is personally known to me or who has produced
NOT ' PUB l IC: NO
Sign:
Print:
My . o u 11 'ssion Expires. —1
Lei ;'l13. on # .
NOTARY PUBLIC:
Sign:
Print:
61LIAUMt` MC
My Commission Expires:
****************************************************** ************* *** * * ** * *r* * * ** * * * * * * ** * * * *?k ** * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name
Date
BUILDING CRITIQUE S
0 60 - I Ai
A; do /(,(04/44/ /2.ec p Sip 40, 4,aedr ba
12_ Iv it pnso 4* }g1 419.
*-ctt <(,‘.1-71-7\
) 0 p
{,
Tog „
'02.10.4
Reviewer:
Claudio Grande C.B.O
305-795-2204 Ext 1430
?ui* p&(eV 4- 66-143j
iPtc) SILL GLi Foi p
I Z g j IQ lot 611) -E
S it6s, rt; 9)-Y3 3
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