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DS-11-591Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 157945 Permit Number: DS -4 -11 -591 Scheduled Inspection Date: May 06, 2011 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: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (239)565 -3103 Parcel Number 1132050200050 Phone: (954)454 -1948 Building Department Comments WALKWAY AND DRIVEWAY AS PER APPROVED PLANS. PAVER DRIVEWAY Passed5,--75E6z_ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 05, 2011 For Inspections please call: (305)762 -4949 Page 8 of 10 Miami Shores Village Building Department s APR 0 5 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 No. Master Permit No. /01 12-17 Perim ype: BUILDIN ROOFING OWNER: Name (Fee Simple Titleholder): -rPk`L Phone #: 2 3ti - 5 (0S - 3 103 Address: City: State: Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: `Ze \ l"� t Q� r t, City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: Zip: 33 c3 CONTRACTOR: Company Name: Ft C Gte r Vett O 1✓ Phone #: 3 OS S 7-5-1 �'Z-7 Address: 'ZAP t `/ 6� °-1 4 City: re,,J2._ lo.` 4 %.-0 I'M i� t< State: . , Zip: Qualifier Name: S'"'t ■c.. -N V,...4%.4-e.. V--- Phone #: State Certification or Registration #: C G D % 0 4 Certificate of Competency #: Contact Phone #: DSO 9ZS7 1-V71 Email Address: DESIGNER: Architect/Engineer: Phone#: 33001 Value of Work for this Permit: Type of Work: ❑Addition Description of Work: $ �! e•oo Square/Linear Footage of Work: UAlteration ❑New ❑Repair/Replace ❑Demolition . ` AN - D raw '--c -e ***: x******m ***************a: *x:******x *** Fees************+x*********** ***** *+x************* J Submittal Fee $ Permit Fee $ °© 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. 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 wile approved and a reinspec i fee will be charged. Signature Owner or A The foregoing instrument was acknowledged before me this° day of`� , 20 G/ , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Lc& (J I/ My Commission Expires: Signature '°�-- Contractor The foregoing instrumentas acknowledged before me this day of 1- 320 I 'P, by wh pers . own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio * *** **************m **********mm *x:****+ x********* *** ********************** ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 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. DS -4 -11 -591 Psi is Dri°vewaj ;fir fr �.arkassiastian: Issue Date: Not Issued Expires:NOt Issued Folio Number:1132050200050 Owner's Name: EMMANUEL PAZ Job Address: 1291 102 Street Miami Shores, FL 33138- Owner's Phone: (239)565 -3103 Total Square Feet: 500 Total Job Valuation: $ 3,000.00 Contractor(s) F &F CONSTRUCTION SERVICES INC Phone Primary Contractor (954)454 -1948 Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/5/2011: Yes Comments: