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RC-11-377 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 170182 Permit Number: RC -3 -11 -377 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: Addition /Alteration Phone Number Parcel Number 1132060140640 Phone: (954)454 -1948 Building Department Comments PORCH ENCLOSURE AND WINDOWS AND DOORS REPLACEMENT Passe Failed ed-.),) Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 164515. CREATED AS REINSPECTION FOR INSP- 156730. ec--- February 21, 2012 For Inspections please call: (305)762-4949 Page 37 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 RECEIVED FEB 15 2012 BUILDING Permit No. 1C-- t 1 —3 -74 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING Ii` OWNER: Name (Fee Simple Titleholder) ? Q 4 1 - 0 0 ` phone#71 819 —5079 Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: it ` ` City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes Zip: NO Flood Zone: r"�F �© te1 Phone #: ›G' ""5 C ' i 11 Z7 CONTRACTOR: Company Name: �� \`� � �``�'l Address: 2- Co City: �..1 V! (0 e (C State: v 1 Zip: Qualifier Name: 1- 17-7- 1 Phone #: State Certification or Registration #: C 6 C. 0bQ 5 9'9 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: DAddition OAlteration ONew OR air/Replace ODemolition Description of Work: C t° r°4- 2 e `1,/ ****+x+x*****+x******* ** x * ***** ***** * ***** Fees * **+ + ax+************ *** ******+x ****** ******** ** Submittal Fee $ Permit Fee $ 15 G7 CCF $ CO /CC $ Scanning Fee $ 3.0° Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ "76r. C2 4 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. 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 wilbrzatbe approved and a reinspection fee will be charged. Signature Owner or Agent c The foregoin instrument was acknowledged before me this ® S _ day of , 20 172,-by c�-- day of d , 20by who is personally known to me or who has produced etJlp As identification and who `cti\�/foath. NOTARY PUBLIC: ��`‘� ..... .01;12 , X," 4749 sue-- Signature_ Contractor The foregoing instrument was acknowledged before me this Sign: Print: My Commission Expires: who is own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission APPROVED BY a710r./'101- Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 aate�,,.... CHANGE OF CONTRACTOR 1 ARCHITECT Permit N.YC> I.1 —S Owner's Name (Fee Simple Title Holder): Owner's Address: City: W Phone #: State : Zip Code: Job Address (Of where work is being done): 4 s l �, Is. City: Miami Shores State: Florida Zip Code: 13'S'r Contractor's Company Name: ' C(cTi(J ��L Phone #: �L1.S C2 I q2% Address: Z C., c/ (C (A. d City: ' 6 •(, i Ste: �'�� Zip Code: 37 beg Qualifier's Name : 5 � Number: © ' 9 rC � 1 � � f h Lic. Number. (GO Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: 9.312e41 E [ t,C. c312--,FZ, I hereby certify that the work has been abandoned andlor the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Mi - mi Shores harmless for all legal involvement. Signature own =r or Agent The foregoing instrument was aknowledged before me this°1 day of FR8 .20 a;by 4cu� �° LA-1)14 Who is me or who has produced ``` otttti01,1 jdentification. i Notary Public: Sign: Seal: Signature Contractor or Architect The foregoing instrum t was aknowledged before me this 21 day of r- ' , 2Ortay w to me or who has produced as indentification.