FW-11-674 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)7564972
Inspection Number: INSP- 170188 Permit Number: FW -4 -11 -674
Scheduled Inspection Date: February 22, 2012
Inspector. Bruhn, Norman
Owner: WOOLIN, RACHEL
Job Address: 489 NE 95 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: F&F CONSTRUCTION SERVICES INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Masonry
Phone Number
Parcel Number 1132060140640
Phone: (954)454 -1948
Building Department Comments
ALUMINUM PICKET FENCE 5' HIGH ON BACK AND SIDE
INCLUDING CONCRETE PIERS
Passe
g/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 158491.
February 21, 2012
For Inspections please call: (305)762 -4949
Page 42 of 52
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
Permit Type: BUILDING ROOFING 0 ( �j
OWNER: Name (Fee Simple Titleholder): 1 U f)� �° ®c ` i Phone #:l 7 _— 67 1
Address:
City: State: Zip:
RECEIVES
FEB 15 2012
BY: 5z4
Permit No. l I1y
Master Permit No.
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: —I E `
City: Miami Shores
County:
Miami Dade
Zip: .7 j 1
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company ame: t + F Co vl 5T 12v eI7tOiA
Address.'
City:
Qualifier Name:
State: E/
V 114 , ski
State Certification or Registration #: ( L 0 4'05;6 91 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Phone #: ?5- iii z7
Phone#:
Zip;3 on g
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: /1." J & a c4
***** **+x***** * *** ********** ****.xm.x***** Fees** ***+x+x*************** * * ** *** *********** **w
Submittal Fee $ ? Permit Fee $ 15 03
Scanning Fee $ J CND Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ Te. W
t
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 FI.FCTRICAL 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 tit i ection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspec ion f be approved and a reinspection fee will be charged.
nw:/
Aki
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this IS The foregoing instrument was acknowledged before me this
day of C►Z-C , 20 12, by 1244e4-46.a_ i61� � j N , day of t , r-�t , 2(�� by
who is personally known to me or who has produced Ji- who ' rson y own to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: `� "'1111iu��t�� %. NOTARY ' 1 LIC:
o
. /d ., ',
Contractor
Sign:
Print:
c' .
N
.n co • LL _
k'
My Commission Expires:
APPROVED BY
Sign:
Print:
My Commiss
c/e. Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR 1 ARCHITECT
Permit N.VWI 1 -17 4
• Owner's Name (Fee �`�t` ca L 1
(ee Simple Title Holder Phone #:
Owner's Address:
City: State : Zip Code:
Job Address (Of where work is being done): 4---6?
City: Miami Shores
Contractor's Company Name
Addres
City: vdt re_ State: `t
Qualifier's Name zvcC < Lt. V-e-e :te_
State: Florida
Zip Code: 33/3
z -� z
E �' � �t/'U CtZ O l� Phone #� � ' 7
Zip Code: CO 9
Lic. Number: 06 O c ('c?
Architect/ Engineer of Record Name: Phone #:
Address:
City: State: Zip Code:
Describe Work: A-1—U rY1 I NUrn,
I hereby certify that the work has been abandoned and/or the contractor /architect is
unable or unwilling to complete the contract. I hold the Building Official and the
ami Shores harmless for all legal involvement.
Signature
Contractor or Architect
The foregoing instrument was aknowledged before me
this Z, da of �-�� , 200 -by
w s personally kno s n to me or who has produced
as indentification.
Signature
owner or Agent
The foregoing instrument was aknowledged before me
this! day of p ' 60 ,20f 2 ;by 0151-- "-)
Wh s personally knowe or who has produced
as indentification.
Notary Public.
Sign:
Seal: