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DS-11-1979Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 �1 -lr7r Inspection Number: INSP - 179663 Permit Number: DS -10 -11 -1979 Scheduled Inspection Date: October 10, 2012 Inspector: Bruhn, Norman Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9007 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: INTEGRAL SOLUTIONS GROUP CO Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)779 -8040 Parcel Number 1132060110070 Phone: (786)402 -1140 Building Department Comments DUMPSTER CONCRETE PAD Infractio Passed Comments INSPECTOR COMMENTS False Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 167343. CREATED AS REINSPECTION FOR INSP- 167035. CREATED AS REINSPECTION FOR INSP- 166874. CREATED AS REINSPECTION FOR INSP- 165861. NO PLANS /NO PERMIT posted Work not complete. Remove all forms and repair asphalt. Work not complete. Remove all forms and repair asphalt. NB October 09, 2012 For Inspections please call: (305)762 -4949 Page 43 of 46 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 Permit No. OCT 252011 31( Master Permit No. Permit Type: BUILDING ROOFING 4 OWNER: Name (Fee Simple Title older): 51�c; (� S U c4/14-' ' ^��'� 1' Phone #: �S- ��c1 04 Address: 3b S� It16) City: fin 1 C r Y\ 1 5S State: I•" Tenant/Lessee Name: Phone #: Email: i V JOB ADDRESS: `i ©cf-I a. , S („ecv A'r' el k..) CA City: Miami Shores County. Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes Zip: NO Flood Zone: CONTRACTOR: Company Name: ( r-j (CA, -S(11 'D1' �'..� G Phone #: 1 %kp - 4 02- r, 1 1 4 Address: 1 t t► % 0 N E i 1e, -t City: N' Z+ h YIC1 I (iv-re 1 State: C `r i ,, ,, 17 , zip: 1 .� 402 1 1 4 0 Qualifier Name: V e c7 b r- er.� V 1 �4L..) Phone #: State Certification or Registration #: 1 .5 ®mot 4 '�. d Contact Phone #: 1 Email Address: 401.- -(140 of Compe ncy #: 1 DESIGNER: Architect/Engineer: ? kcAf fir, ��;P. Phone #: <0 Value of Work for this Permit: $ (fY 400 S "uare/Linea oo .. ge of Work: Type of Work: Addition ❑Alte tion ❑¢ f' ' epair/Replace -17 ❑Demolition' Description of Work: ®O i`n t . i.R/ E. **tit** *********************************Fee Submittal Fee $ Permit Fee $ ASS cv 3 CCF $ CO /CC $ DBPR $ Bond $ Scanning Fee $ Radon Fee $ 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 a chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the r 'ns#ection which occ even (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil .', t be approved anni a r.; ' ection fee will be charged. Signature l Owner or Agent The foregoing instrument was acknowledged before me thi day of ,20I.\,by who is personally known to me or who has produc As identification and who di NOTARY PUBLIC: Sign. My Commission Expires: a' � 1 l{ ********** **** * * ** ** **o * * * * * **** * *** * * * ** Signature ntractor The foregoing instrument was : cknowledged before me this �, — day of tO , 20 (l , byV tC 1�+'. � who is personally known to me or who has produced P..-A )!u C� as identification and who did take an oath. NOTARY PUBLIC• Sign: • aoi 100 �� Print: _ ' OI i9fld ANION _= My Commission Expires: = '. Zi QZ /gQ /EQ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)