FW-11-374Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 156706 Permit Number: FW -3 -11 -374
Scheduled Inspection Date: August 18, 2011
Inspector: Bruhn, Norman
Owner: SEDMAKOV, KRASSIMIR
Job Address: 17 NW 107 Street
Miami Shores, FL 33168 -4306
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1121360070470
Building Department Comments
INSTALL CHAIN LINK FENCE FOR DOG IN BACKYARD
Passed
414
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 17, 2011
For Inspections please call: (305)762 -4949
Page 5 of 46
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
fit a-
Permit No. rLi 1 -37L-1
Master Permit No.
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder): K %t� 551)71 I ( �C ����}�n 4A'D i� Phone #: 8'° Z i 0 o ( 0
Address: f� 4/W /O '7� _5'$ J -
City: M 1 [SJYni -5 � (2 S State: F G// n Sri Gt U� Zip: 3 3 / 6 k
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: (7 Any ! D S`%Tree,t
City: Miami Shores County:
Miami Dade
Zip: 3/6,9
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO
Flood Zone:
CONTRACTOR: Company Name: 1 " Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Square/Linear Footage of Work:
(61.31
Type of Work: ❑Address ❑Alteration // ❑New ❑Repair/Replace / ❑Demolition
//
Description of Work: I5 c /Win (m K c Jtrr Q in bet t/rCl r f
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
* * ** * * * * ** * * ** ** * * * *** ** * * ** * * * ** * *** ** Fees************* ** * * * * * * ** * * * *** *** * * ** * * ** * * **
Submittal Fee $ to Permit Fee $ / 0 "a CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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. Al s, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w <'ch occurs sev [7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n be a..r +ved and a r sp•ction fee will be charged.
Signature ■if /, , Signature
ner or Agen Contractor
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
day of
who is personally known to me or who has produced D who is personally known to me or who has produced
�14-144120 IA, by j'<1741 -YU(. t1lA day of , 20 _, by
As identification and who did take an oath.
NOTARY PUBLIC.
Sign:
Print: C t I. `p6 01
My Commission Expires:
APPROVED BY
(\,\ \\S •
�: sa1V...Ny-
■ft.4►r.Pr
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
"it tit 100
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/1 5/09)(rev6/4/1 0)
Plans Examiner
Structural Review
l . // Zoning
Clerk
tl
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. FW -3 -11 -374
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1121360070470
Owner's Name: KRASSIMIR SEDMAKOV
Job Address: 17 107 Street
Owner's Phone:
Total Square Feet: 67
Miami Shores, FL 33168 -4306 Total Job Valuation: $ 800.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 3/4/2011: Yes
Comments:
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PROPERTY ADDRESS: 17 NW 107 STREET MIAMI SHORES, Honda 33168
SURVEY NUMBER: 1005.1309
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St lf 3,11 CT TO COMP' IANCE WITH ALL FEDERAL
AND COI IN IV RUI ES AND REGULATIONS
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FIELD WORK DATE: 5/20/2010 REVISI N DATE(S): (rev 1 5/22/201.01
FL 1005.1309
BOUNDARY SURVEY
MAMIDADE COUNTY
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