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RC-12-710Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 172658 Permit Number: RC -4 -12 -710 Scheduled Inspection Date: May 30, 2012 Inspector. Bruhn, Norman Owner: ATEN, BRUCE Job Address: 553 NE 101 Street Miami Shores, FL 33138- Project <NONE> Contractor: ARCO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060171120 Phone: 305 -892 -6507 Building Department Comments CLOSE ROOF FRAMING IN THE GARAGE STORAGE Inspector Comments Passed /// S vV Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 30, 2012 For Inspections please call: (305)762 -4949 Page 15 of 47 412,-7 ? (I'L— L_rl 41741_01,04)), 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 it APR 20 "012 B Y: mo FBC 20 ILO Permit No. 1 t- 1 CO Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 5".` 3 �i o /el . City: Miami Shores County: Miami Dade Folio/Parcel #: J / r S' �2 e' c9 / 7 — // a Is the Building Historically Designated: Yes NO L/ Flood Zone: If/e. Zip: 17/2g OWNER: Name (Fee Simple Titleholder): g le 4.-c. C 4 TPA/ Address: .S`5"7 `l,/. /,/ .f Z City: / Lyz /* ,S°//d /42 r State: �--� Tenant/Lessee Name: Phone #: Phone #:_..? f- 7 .', ' - ?$r" Zip: .12/.1 03 Email: 4- -e A re,../ 3 4 c V ® G e 1'7 CONTRACTOR: Company Name: ;-RC 0 Co, clAir . Co r'E, Phone #: V� j: ��- Address: 26 6 S ` /1 F ) `7, - �� ( e /" �p City: , Vi r` 01.4-4-1 Ce State: FL Zip: `-"'M 1 I J Qualifier Name: L A 3. k,4 %�1.--7 State Certification or Registration #: Qc- -C I cQ Si C3 Certificate of Competency #: Contact Phone #: Email Address: Phone #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $_549 °Alteration Type of Work: °Addition Description of Work: Square/Linear Foots e of Work: °New epair/Replace °Demolition **** * * * ** u * *** *** * * * * * * * * * * * * * * * * * *** Fees******* * * * *** * * * * *** * * * * * * * * * ** * * * * * ** * * * ** 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 $ ' 514, -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 will not be approved and a reinspection fee will be charged. Owner or Agent ontra tor The foregoing instrument was acknowledged before me this The foregoing instrument w• . ackno ledged before me this day of , 20 I 2- , by / S a t ee er. , day of G t` " , 20 I l! by Ms-toy , who is p erso y 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:. --ri .� a Print: My Commission Expires: oixt C slot,. . DU-3675 59-, Ins*: APR 02, LO1 NOTARY PUBLIC: Sign: Print: My Commission Expire C mission0D1Lq3:67453 : MR. 02, 91013 ffif a'&! o.. mt. ********** * * * * *4rlF***ak+YdeaY*nY*** *4e****vYaY**** **** *&********** iPaY***+YvYeteY***************n4******* **Y*******+Y*oY*****it APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) Zoning Clerk a-LO CentiM/43: i 400,y 5>c fv13N • Ltiood lLr?zt o'1.41.Lt-nr14-g • a8 cti.L0 1O-?-777N4-10 loa. oil / ,1-4914/ d • xaD 11',1-674 ci C73 CRIA 14' (4-7 ,LL 1/4,1 PIO s, log 4,1of Vi-Yr7)7 -13 Oj 4a'caf G-otpoe, 54'4-7 'L 1.4-11,L44 r99- " 4Gp rvIV 5 ko-a-12/- ti 174 x raw 41)';444-°' 15)414 ri F 1 r1° 9 J a9 71 wt/ 1'I/ -)e) 114W 'c2,,9 lTv1V ett 5, 1Y-a oy. _tpau :As 2i.2.17zscroil Tanmgm T1 fr z 5-"ao-Jj/ titAJ..? Miami Shores Village APPROVED BY . DATE ZONING DEPT BLDG DEPT i7 /V% L SUBJECT TO COMPUANCE WITH ALL FEDERAL STATE AND =INN RULES AND REGULATIONS