DEMO-11-2282Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 167535 Permit Number: DEMO -12 -11 -2282
Scheduled Inspection Date: May 24, 2012
Inspector: Bruhn, Norman
Owner: EVERETT, HENRY
Job Address: 9600 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ARCO CONSTRUCTION
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number (727)461 -4370
Parcel Number 1132060132510
Phone: 305 -892 -6507
Building Department Comments
REMOVAL OF PARTITION ELECTRIC METER ROOM
Passed
Failed
e')(l-ti_
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
c L
May 23, 2012
For Inspections please call: (305)762 -4949
Page 3 of 33
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
B ILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING �.,
OWNER: Name (Fee Simple Titleholder): ;le hi jet e e s /�. V ' Phone# �4
Address: l 8 9 %,p tr'a, 1.
City: (/ a -Ge tL,,' ,g42 « State: ,Y.
7TVED
DEC 0$2011
Permit No. o 1 1
1.
Master Permit No.
-I-99ge' 7f
Zip: _3 3 7; J
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: C%2) 9 e- 94 cr, 5 7% • z ° �-7,-,4' ,4-'".'
City: Miami Shores County: Miami Dade Zip: 33/3g
Folio/Parcel #:
Is the Building Historically Designated: Yes NO °"-- Flood Zone:
CONTRACTOR: Company Name: 4T e
Address: /4a <` 7 , e , / 3
City: a At/ °'6Z merit
Qualifier Name:
State Certification or Registration #:
Contact Phone #: g ®� g'
DESIGNER: Architect/Engineer:
-� a- 75 "1-eee c h 'ci -' L (4hone #:
p2 /eaeci
tate: Zip: 3 3/! /
S c,. ) Phone #: ,3 se s' a �•�
Certificate of Competency #: C_ / Co j / 6
Value of Work for this Permit: $
Type of Work: DAddition ❑Alteration
mail Address:
r�-
Phone #:
Square/Linear Footage of Work:
❑New ❑Repair/Replace
el a volition
Descriptioof Work:
********* * ****** * *+x ****** * * * * *** * *** *** Fees********* ***** *+ x***m+x+��x** * * * *** ****** * *** *m*
Submittal Fee $ )
Permit Fee $
Scanning Fee $ Radon Fee $
Oo°
CCF $ CO /CC $
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
A /74
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 will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of L.l? . , 20 IL, by £1 3 EJC T1
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
APPROVED BY
11./ViDe.
Sandra fl Hart
Commission ill DI875
: APR. 02, E013
MU MO= rulsssv;8d! CO_ PP'
Signature
Con
The foregoing instrument was ac owl i ged before —me this
DEL- day of 1 ,20 1(,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
i
Ii
`l filBa C-srATEOFFY.Oi;21lki
Sandra D. Hart
commission D
Expires: .AP i' !
atffc
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Zoning
Clerk
:133s3
s,awaAans
ma arm cna .11:44
_
• CCIWPI ./ANCE MG/ ALL FEDE• 4.;
uN ritLFS AND REGULA770/k
giOsk6T747,irprill
„PI-J-1,1777Z
0 8 2011
:0N3071
44L6
Pr-
• • • 4:••:
.vaarcria vyvni 'alma Pu2 '2'N 9S98-0096 :ssagaav jumdcradr
sP-1000N ofIcind atil 10 '01. 89v4:1 310011 pop400a./ 7094ralll leId *In c:41
mppou apea ;tatty( 30
Stri9•1°°3‘1 ARO mums sza011S mv .10 .61 313°19 m 9tna g •C 'e
MaGEHMEril"-m
4L'=-iviras AaAafIS dO HaLaxs ci(dr ivL