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RF-13-1025Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 191226 Permit Number: RF -5 -13 -1025 Scheduled Inspection Date: June 12, 2013 Inspector: Rodriguez, Jorge Owner: Job Address: 359 NE 104 Street Miami Shores, FL Project: <NONE> Contractor: ABC SEAMLESS RAIN GUTTERS Permit Type: Roof Inspection Type: Final Work Classification: Gutters Phone Number Parcel Number 1121360130130 Phone: (305)226 -3995 Building Department Comments INSTALL GUTTERS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 11, 2013 For Inspections please call: (305)762 -4949 Page 15 of 38 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 2010 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): C o-1 � � ? Phone #: � � Permit No. /2, (3-102:5 Master Permit No. 3o s-- - 3S1- 28Y9 Address: 3 tV / 0(/ S7" City: ,& OT .S /2 3 State: Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 3 L 0 A* / 0 Y - 7 7 City: Miami Shores County: Miami Dade Folio/Parcel #: Zip: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: AC-. Address: C?-) 2- Pk/ / j'I L City: 7ap t s Qualifier Name: oil- 4 - A111.40 NO Flood Zone: S€ayN, Lw 1241/4,► State: t �. 60 Phone "30S) 226 -3gR1— Zip: 33 o T g Phone #: ; 2_'4/6 --6/4-1 State Certification or-Registration #: Certificate of Competency #: (5 .c0 0 36/ Contact Phone #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ h y Z Square/Linear Footage of Work: ! Email Address: Type of Work: DAddress UAlteration UNew Description of Work: E. ❑Repair/Replace ❑Demolition COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** ,*** ********** * * ************ * ** Fees************* *** ***** ****** ** ****** **** ** *** Permit Fee $ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ TOTAL FEE NOW DUE $�'1 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. Signature Signature 4rtiriS�I' er or Agent Contractor The foregoing instrument was acknowledged before me this �� The foregoin instrument was acknowledged before me thiss� day of M74-"(1, 20j 3, by �� / ° � i2 5% f , 20 13 by ('f ())o1, ,�msss c who is personally known to me or who has produced who is pe ,ona.,.y >•s own to me or who has produced As identi cation and who did take an oath. ' _' dentification and who did take an oath. N t TAR PUBLIC: NOTARY PUBLIC: ouwlti/p.i Sign: \‘``\ to Sign: Print: .5 .•z\�es .• % . Print: 4. **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4 * * *4 * * * *W ig *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /* 1�STHE�,.``. Plans Examiner Zoning My Commission Expires: �� r ra�✓81llOS to of Florida p23.2015 Commission # • E.E. (dotary Assn. My Commission APPROVED BY Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Parcel Owner Report Parcel Number: 1121360130130 359 NE 104 Street Miami Shores FL Tax ID: 1121360130130 Owner Information Phone: Current Owner: Yes Company: CARLOS PEREZ - STABLE &W & Related Permits Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Mechanical - Residential Residential Construction Roof Permit Number BP2003 -1497 BP2003 -161 EL2003 -96 BP2003 -863 BP2005 -449 EL2003 -127 MC- 1 -10 -94 RC -5 -12 -906 RF -11 -12 -2148 Application Date 09/15/2003 01/30/2003 04/15/2003 05/28/2003 03/29/2005 05/20/2003 01/20/2010 05/21/2012 11/13/2012 Expiration Date 01/01/2999 01/01/2999 01/01/2999 03/09/2004 11/06/2005 01/01/2999 01/01/2999 11/06/2013 01/01/2999 Status CLOSED CLOSED CLOSED EXPIRED °�� EXPIRED °6 CLOSED CLOSED APPROVED CANCELLED Related Code Cases Case Number Case Status Case Date Compliance Date Friday, May 10, 2013 Page 1 of 1 1 5 0 s 6 ZONING DEPT BLDG DEPT w 0 STATE ANv CC fPi i? RULES AND REGULATIONS 3S "/ Nt /NSA. c4rNef g - Phan t 1 CITY co "f0„tc•ivj Pe Ad RECE 1 MAY 1 201 Y: sot *'l �,�