SENC-08-2042;Jo
Ifri
Inspecticn Datf?: December 18, 2008
Insper:Ic... (3rohn, Norman
Inspection Vorksheet
fAia i Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Owner: BEEKUM, JOHN R VAN
Job Athi-cm;s: 1225 101 Street NE
Miami Shores, FL 33138..
Project:
<NONE>
Contraciry MARCO ALUMINUM
1■1•111=22.7.191rria■ LIOIIIIME1161
Building Department Comments
Permit Type: Screen Enclosures
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132050250060
Block: Lot:
Phone: 305-861-8004
Pci
Failed
Correction
Needf.A
e-inspection
Fee
No Inspections can be scheduled until
re-insp?ei.on tee is paid.
I spector Comments
CC
Wed, December 17, 2008
Page 1 of 1
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
BY:
2 A 'LI
Imo___ -•
Permit NoSte,NCIO 6 �1 �
Master Permit No.
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) c) ht �\ V A EE-E-KtAA Phone # 3 6
Owner's Address '2—
City \AM. 55
Tenant/Lessee Name
State
t8
7s'(78
,4
rig
rill
C^,1
Zip /73t38
Phone #
L1
Job Address (where the work is being done) .CA M
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO �C
Contractor's Company Name
Contractor's Address
City f J , Nl t/un ti State
Qualifier Name his, Q�' A A. 43� .� ���
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ f° i g 1 v
i111 Cr, ft- Adumo- (,till
Phone # • 0 S _ 8 ' ( 1 ' ? (
Zip 33(21 ��
Phone # 51-990 S
Certificate of Competency No. t..7 J ^ G
Type of Work:
Describe Work:
['Addition
Phone #
Square / Linear Footage Of Work: Q • PA 12
['Alteration ['New Repair/Replace
R�t,ot_ Cl:AAAffr --
IR.i4e 2.1e&ti tE.(L Sl Pc.cSL 43
D Demolition
Cif 13 .6*,
* *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * **
submittal Fee $ SO •
Permit Fee $
1 m"
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -÷
CCF $
* * * * * * * * * * * **
Technology Fee $
Zoning $
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 $251 ; , the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will b delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of comme intent st be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. I the abs. ' ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was a nowledged efore . this
ff
day of 10 ONI , 20 0g, by
Signature
The fore :o
ay of
who i personally known to me or who has produc
who personally known to me or who has produced
NO ARY PUBLIC: ti®
evti
0o,' � 1 I / d IC \ �• `1 (1
•
Sign: 1 ,1 . L to :\ •
ng i trument was ackno
by
identification and who did take abvath.
dntification and who did take an oath.
Print:
5 e
My Commission Expires: A•,,•,• G a My Commission Expires: 0�� ",,Coo
***********************************A, �a a • k$ * ** k.k.k�k*** k= k�k# �k�k .kjk�k�k+k�k�k.ksk.k�k�k.k*** N*** k�k�k.k�k** � *%k+k�k�k�k*** *
°qut
91"
�, o��o� tio9ti3
$,00 444, P
APPLICATION APPROVED BY:
(Revised 07/10/07)
,Pe- -i-ciegY
Plans Examiner
Engineer
Zoning
;Iirld lir la
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Perm! t NO. SENC -11-08-20421
Issue Date: Not Issued
Expires:Not issued
Folio Number:1132050250060
Owner's Name: JOHN R VAN BEEKUM
Owner's Phone:
Job Address: 1225 101 Street NE Total Square Feet: 1150.8
Miami Shores, FL 33138-
Total Job Valuation: $ 1,648.00
Contractor(s) Phone Primary Contractor
MARCO ALUMINUM 305-861-8004 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/24/2008 : Yes
Comments:
5632 N.W. 7TH STREET, SUITE 202
i MIAMI, FLORIDA 33128
TELEPHONE: (305) 220-3171
FAX: (305) 554 -7822
iWAYMMEduirywANWNRU ;LNNWf WWW'
rim; r
LAND SURVEYORS
SURVEY NOS %��l `74
SHEET NO OF
SKETCH OF SURVEY Scale 1 "= 2�r
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104-
PERNT #:StAG otc-pozw.
Miami Shores Villa
•
e
APPROVED
ZONING DEPT
BLDG DEPT
BY
D TE
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
4
L111 1 :v.' 2 LI 2M8
BY: --In::::-----: - -----