FW-12-1678Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 178290 Permit Number: FW -9 -12 -1678
Scheduled Inspection Date: November 06, 2012
Inspector: Bruhn, Norman
Owner: COHEN, JAMES
Job Address: 253 NE 104 Street
Miami Shores, FL
Project: <NONE>
Contractor: FINETECH INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1121360130590
Phone: (305)267 -3785
Building Department Comments
REPLACEMENT OF WOOD FENCE ON THE BACK YARD
Inspector Comments
Passe /���1
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 05, 2012
For Inspections please call: (305)762 -4949
Page 9 of 34
PERMIT # T� l 12- Rol b
CONTRACTOR: YIe \VC)
SUBMITTAL DATE: I ! i c i 2
ADDRESS: x-5-5 14t, 1044
NAME: ' 1 IYV r%60
RESUBMITAL DATES:
PROJECT TYPE:
ZONING'
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
MECHANICAL
BLD
9:7 t.
0- - -
Miami Shores Village
Building Department
90050 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
Permit Type: BUILDING
Permit No.
Master Permit No.
RECEIV
SEP 1 Q2012
BY:
FBC12(91,1 (els
ROOFING
JOB ADDRESS: a53
City: Miami Shores County: Miami Dade Zip: 3 313 5
Folio/Parcel #: i 1— j D 3 LD D 305 0
Is the Building Historically Designated: Yes ( Flood Zone: k3 0
OWNER: Name (Fee Simple Titleholder): Cot I (3 (2)D YV O 30 Phone #: 7 o La - S-1-11p. I Li! It
Address: (355 06' ^I Di �1
City: lj t Dirmc E Y► D r- 3 State: Zip: 33 13 B
Tenant/Lessee Name: n t Phone #: ( 1
Email: 1Thk>o r(o D () _ kO7 r tit-; I .
CONTRACTOR: Company Name:
✓► e to cis, IT,�.►c
Phone #:
Address: g /02 SW /4011- 5r
'3o5-Z67- 37''Z..
City: % liti mr State: rt. Zip: 3 31 y
Qualifier Name: LW 5 Sd'CtAJG Mel. Phone #: 3 05 ° Z4. 7'3/ 8 Z. -
State Certification or Registration #: C G c 1 5 L 375,6 Certificate of Competency #:
Contact Phone #: Email Address: fs 4ot IP to iec L . Us
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ I , p OD Square/Linear Footage of Work: LP'
Type of Work: ❑Addition ❑IAlteration ❑New kRepair ' eplace DDemolition
Description of Work: V, P.P L DCP f'vekr 4 L 1 ,e n e_s
Color thru tile:
Submittal Fee $ Permit Fee $ /(16 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ 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
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 th enc ' of such posted notice, the
inspection will not be appro and a veittspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of
,20 to; by LiX/05 infia,0522
who is personally known to me or who has produced f ithaiS
`f _ 5 aggaan,l,14 didxaki a mi h.
NOTARY PUBL4C0' °°e
'a 1,'�!Sy ♦ v?
Sign: 4 ''� ; °s.
Print:
JORGE R. SEE
Notary Public - State of Florida
My Comm. Expires Dec 26, 2013
Commission # DD944371
My Commission Expires: /0/� 0.19/3
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of 20 , 20 4( 2,by Luis ‘44-'c h e ,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLI
Sign:
Print:
My Comm
* * ** * * * * * * * * * * * * * * * * ** ******* *********>x*****a: * *>: **** ************************' . * ******* * ** ** * * * **** * ****
APPROVED BY
Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
7 /� g
Clerk
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1121360130590
Owner's Name: JAMES COHEN
Job Address: 253 104 Street
Miami Shores, FL
Owner's Phone:
Total Square Feet: 0
Total Job Valuation: $ 1,900.00
Contractor(s)
FINETECH INC
Phone
(305)267 -3785
Primary Contractor
Yes
i
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 9/12/2012 : Yes
Comments:
777 N.W. 72nd AVENUE SURE 30•
MIA* FLORIDA 33128
TELEPHONE: (309) 263.0400
PAX. (305) 262-0401
CRAYON BY: R.S.
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