DEMO-10-144Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 138766 Permit Number: DEMO -1 -10 -144 1
Inspection Date: March 24, 2010
Inspector: Bruhn, Norman
Owner: PAZ, EMMANUEL
Job Address: 1291 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: F&F CONSTRUCTION SERVICES INC
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number (239)565 -3103
Parcel Number 1132050200050
Phone: (954)454 -1948
Building Department Comments
For Inspections please call: (305)762 -4949
March 24, 2010
Page 1 of 1
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 134484. need to pay invoice.
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
March 24, 2010
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
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Mu
(� OCT 1 9 2009 [i.
BY.
Permit No. r
Master Permit No.
144
1
Permit Type: BUILDING ROOFING.
Owner's Name (Fee Simple Titleholder) ?A-2.-. ``era 11>E-$/ Cc Phone # Z 3 I • $‘5—
— (03
Owner's Address
City State Zip
Tenant/Lessee Name
Email
Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Sr
t C:5 to-z_—
County Miami -Dade
zip 33:3
Is Building Historically Designated YES
NO Flood Zone
Contractor's Company Name 1}- F �p K 5Trt et to. gYu1 C, Phone #
Contractor's Address 24 t1 Pv'1k. �d e�
City Pet �.'X ✓btC( 7 r State I Zip 7 aj o
Qualifier Name 4 i . «C.' S G.oi-k tun) ej� Tel /J Phone # eis'N (4(0 LK, el J
State Certificate or Registration No. Col G. 0 G 0 S 61 Certificate of Competency No.
sit - s-tt — lot`F
Contact Phone E -mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Phone #
Square / Linear Footage Of Work:
['Alteration ['New
�p A_ct&
r4_01(0a101
❑ Repair /Replace
O,)-
❑ Demolition
***** * * * * * * * * * * * * * * * * * * * * * * *� * * * * ** Fees * * * * * * ** ******** * * * * * * ** * * * * * * * * * * * * * * ** **
9
Submittal Fee $ Permit Fee $ ®® • CCF $ lS�v CO /CC $
Notary $
Scanning $ 6 QC Radon $ DPBR $
Double Fee $
Training /Education Fee $ ' 'CQO
Violation date:
Structural Review. $ Total Fee Now Due $
2?3
Technology Fee $
Bond $
See Reverse side -->
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 wild" e approved and a rein s.''ct- will be charged.
Owner or Agent,
Signature
Signature
Contractor
The '.regoing instrument was acknowledged before me this( zfl The foregoing instrument was acknowledged before me this
day of 0 C ,20at,by day of ,20,by
who is personally known to me or who has produced / who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED
LAURA FARLEY
MY COMMISSION # DD 646761
EXPIRES: March 16, 2011
Bonded Thru Budget Notary Services
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
BY (Revised