RC-10-1729 (2)v
"•• 9
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 170191 Permit Number: RC -9 -10 -1729
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: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060140640
Phone: (954)454 -1948
Building Department Comments
REPLACE KITCHEN CABINETS AND DRYWALL REPAIR
IN 2 BEDROOMS CEILINGS
WORK EXCEEDS PERMIT NB 3 -2 -11
Passeda, c2..j.r;
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- 161072.
February 21, 2012
For Inspections please call: (305)762 -4949
Page 45 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 � //
OWNER: Name (Fee Simple Titleholder): �' sJ I, 1 1 Phone#:7g(v- �'7q -5074
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
ROOFING
RECEIVED
FEB 15 2012
Permit No. c o 9 1729
Master Permit No.
JOB ADDRESS: `'Ir F II N
City: Miami Shores
County: Miami Dade
Zip: 33P, e
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: Ft F C® - ' 1 wv� `� Phone #: 3 's z z P.1'4 Z 7
Address: 7440 % poi
k ii 3°C)61
a
City: Pe k �� k. f r �c_ State: 1 Zip: 7
Qualifier Name: - Lam- F1 Phone#:
State Certification or Registration #: C C 0 5 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ _ Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration
Description of Work: C Lam. e 0
❑New
(0 A
❑Repair/Replace
❑Demolition
**** ***** *******+ x*******a :************* Fees * * ******+x********** **** *** *** * * * * * ** *******
Submittal Fee $
Scanning Fee $ 3 -
Notary $
Double Fee $
Permit Fee $ 15.03 CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $ Zc. uD
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 A}'t'DAVIT: 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 tts. ction which—o- seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspecti, nnwwl n :e approved and a re ection fee will be charged.
511,
Signat 1
Owner or Agent `�,
The foregoing instrument was acknowledged before me this l�
day of �11'�''.e.�, 20 Qby F (1 Lt ,
who is personally known to me or who has produced CLA
As identification and who dWttaifd'df le .
.•.
o= '
NOTARY PUBLIC:
Sign:
Print:
Contractor
The foregoingJJs ment was acknowledged before me this
day of O ? , 20 by
who ify known to me or who has produced
as identification and who did take an oath.
NOTARY 1UBLIC:
My Commission Expires:
Sign:
Print:
My Co
* * * ** ** * * * * * * *** ** * * * * * ** * * *** ************************************* * * * * * * * * * * **** * * * * * ** * * * * * * * * ** * * * ** ***
APPROVED BY
/r Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Miami Shores Vivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N. I O f C1
Owner's Name (Fee Simple Title Holder): nn.c-Ati_ r Phone #:
Owner's Address:
City: State : Zip Code:
c
Job Address (Of where work is being done):
City: Miami Shores State: Florida Zip Code: 3
Contractor's Company Name: `F c-1--(/11C.1—(C-1A._ Phone #: 3S C --S `—t 4 Z7
Addr 2 Co (7 cp,J jC
City: ra(c 1 State: +- Z • Coder q
Qualifier's Name : f'" ? (C ((A (C Lic. Number:
RP
0 c.69'
Architect/ Engineer of Record Name: Phone #:
Address:
City: State: Zip Code:
Describe Work: A MTC -A rte. CA- e)
I hereby certify that the work has been abandoned and/or the contractorlarchitect is
unable or unwilling to complete the contract. I hold the Building Official and the
'iami Shores harmless for all legal involvement.
Signatur ` Signature
owner or Agent Contractor or Architect
The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me
this 24 day of i�,2�2,by o3L4�
Who is p sandy nw oto a or who has produced
NowIt1uIutiskpentification.
Notary Public:
Sign:
Seal:
odd ........
/ /s / /�� ► ► ►11
2?.by
own to me or who has produced
as indentification.