RC-12-1750Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 178721 Permit Number: RC -9 -12 -1750
Scheduled Inspection Date: September 24, 2012
Inspector: Bruhn, Norman
Owner: PENKWITT, PATRIK
Job Address: 520 GRAND CONCOURSE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: JOSEPH S. ROBBIO INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060171430
Phone: (954)663 -6743
Building Department Comments
SKIM STUCCO OVER EXISTING
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
September 21, 2012
For Inspections please call: (305)762 -4949
Page 23 of 31
4
Miami Shores Village
Building Department
SEP
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) P-C1 I Zi MO
PERMIT APPLICATION Master Permit No. RC -11 -1500
FBC 20
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): Patrick Penkwitt Phone#:
Address: 500 Grand Concourse
City: Miami Shores State: Florida Zip:
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 520 Grand Concourse
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: Joseph S. Robbio, Inc Phone#: 954 -663 -6743
Address: 9400 S. Meadows Circle
City: Miramar
Qualifier Name: Joseph S. Robbio
State Certification or Registration #: CBC 059462 Certificate of Competency #:
Contact Phone#: 954 663 -6743 Email Address: josephsrobbioinc@aol.com
DESIGNER: Architect t; a Phone#:
Value k for Per t 4k2,000 Square/Linear Footage of Work:
iriWe
I'escri
State: Florida zip_ 33025
Phone#: 954-663 -6743
1800 sq. ft.
*********** *******. Rik+ Rik ************+NCR* ees**** AA******* ****** *************************
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 $ I 10* 2-0
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 FT.F,CTRICAL 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 co •A rded notice of commencement must be posted at the job site
for the first inspection which occurs seven 7 r' ; i . tha ain� . rmit is issued In the absence of such posted notice, the
inspection will not be approved , ,,, % tron j ' �bEgx4e cl Zp15
�µY, ce • om 'Expires $c" 28910
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NOTARY PUBLIC-
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My Commission Expires:
APPROVED BY
T h e for -'3" i , ' I N
day of
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Structural Review
(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC: -
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