FW-11-637Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 158263
Scheduled Inspection Date: September 29, 2011
Inspector: Bruhn, Norman
Owner: SCHOOL INC, MIAMI COUNTRY DAY
Job Address: 107 ST AND 6 AVE STREET
IIIADDA\ /CMCAIT
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: NOURY CONSTRUCTION CO
Permit Number: FW -4 -11 -637
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number (305)759 -2843
Parcel NiiMMROVEMENT PROJECT
Phone: (954)227 -0138
Building Department Comments
NEW FENCE CHAIN LINK AT 107 ST IMPROVEMENT
PassedW / W l
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
September 28, 2011
For Inspections please call: (305)762 -4949
Page 1 of 14
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
ipj1L'87M ,
APR 1 1 2011
B Y: - - --
Permit No. r.,0 11— c05-4.
Master Permit No.
Permit Type: BUILDING I
OWNER: Name (Fee Simple Titleholder): /Ul caw- i C..C10-"N `er Jc4Phone #: J 5 9 7? 9 O3
r
Address: (QO ( /l; 101fL S '1—
City: M Va K,... State: !T' Zip: ?j 3
l'
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: / &6( /6 Sire .e.+
City:
Folio/Parcel #:
kt,)/ro ke.
Miami Shores County: Miami Dade Zip:
Is the Building Historically Designated: Yes NO Flood Zone:
rNOo
CONTRACTOR: Company Name: IVOu-A- 7 6:31^5' -f c.+ —ticv- ce-0 Phone #:
Address: 9 Ce Coo L-J %L Pal S ¢p ?d y
City: es„r'c.A. ,,��,// 1 /� S ,,�� // State: FL- Zip: 3 3�oS
Qualifier Name: / 7IG 6f4 to / J(. 2y Phone #: 951 . 217. 0/ S?
State Certification or Registration #: CGG /5-of /0/ Certificate of Competency #:
Contact Phone #: q,/. 2 76 . �a 7 S Email Address: 00117 C /ouy Loyt S iv+ec - -ka • Coo
DESIGNER: Architect/Engineer: /4 M44 y - #d2N
Phone #: 305 673.2025'
x'51 — 22?-01 ?8
Value of Work for this Permit: $
Type of Work: ❑Address
Description of Work: C.2•-S
d29coo. °
❑Alteration
Square/Linear Footage of Work: i, Zoo / lc
New ❑Repair/Replace ❑Demolition
v�, - / 67 f �` S ro,4-
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
* * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * *** * * * * * * * * * * * * * * * * **
Submittal Fee $ �• . Atir- Permit Fee $ -4/� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 V2.1 . 00
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
01-
Mortgage Lender's Name (if applicable) )A'
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 �.
0w�br or Agent
The foregoing instrument was ac owledged before me this
day of C. , 20// , by Jo r'' /W ea'
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commis
s
' C -STATE OF FLORIDA
•ellie L. Fulford
Commission #DD850330
�'o•,.,...° Expires: FEB. 28, 2013 • Expires: FEB. 28 2013
* * * * * * + * ** x i ill ** * * * * * * * * * * * **** ** * * * * * * * * * * * *****mod mtofC di fN'i�"Ci➢;1 ** * * * * * * **
Plans Examiner Zoning
Signature
Contractor
The foregoing instrument was acknowledged before me this/
.��t"
day of RC , 20/ / , by t 6I j'FL ( W .Li
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: Died( (1 4 �/'
Print: i e ` r ld ) f
My Commislli c EIC -STATE OF FLORIDA
• " Shellie L. Fulford
Commission #DD850330
APPROVED BY
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10)
Miami
COUNTRY DAY SCHOOL
April 4, 2011
Miami Shores Village
Building Department
RE: 601 NE 107th Street, Miami, FL 33161
To Whom It May Concern:
Mr. John Davies, Head of School, is an authorized signer on behalf of the
corporation, Miami Country Day School, Inc., owner of the above addressed
property.
Sincerely,
Anne Paulk, President
Board of Trustees
Miami Country Day School, Inc.
NOTARY PUBLIC-STATE OF FLORIDA
0' Shellie L. Fulford
Commission #DD850330
1%..,.,1 Expires: FEB. 28, 2013
BOND1 D TUC ATLANTIC BONDING CO., INC.
601 Northeast 107 Street I Miami, Florida 33161 1 305.759.2843 I Fax 305.759.4871 I www.miamicountryday.org Every Student. Every Day.