PW-13-487Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 187205
Permit Number: PW- 3- 13-487
Scheduled Inspection Date: July 11, 2013
Inspector: Rodriguez, Jorge
Owner: VILLAGE, MIAMI SHORES
Job Address: 10021 NE 2 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: PUBLIC WORKS
Permit Type: Public Works
Inspection Type: Final
Work Classification: Public Works
Phone Number
Parcel Number 1132060134650
Phone: (305)795 -2210
Building Department Comments
REPAIR SIDE RAILING ON 101ST SIDE.
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.
July 11, 2013
For Inspections please call: (305)762 -4949
Page 6 of 32
INSPECTION RECORD
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
POST ON SITE
Permit NO. PW -3 -13 -487
Issue Date: 3/14/2013
Expires: 06/12/2013
INSPECTION REQUESTS: (305)762-4949 or Log on at https:// bldg.miamishoresvillage.com/cap
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
Public Works
Parcel #:1132060134650
Owner's Name: MIAMI SHORES VILLAGE
Job Address: 10021 NE 2 Avenue
Miami Shores, FL
Bond Number:
Owner's Phone:
Total Square Feet: 0
Total Job Valuation: $ 2,000.00
Contractor(s)
PUBLIC WORKS
Phone Primary Contractor
(305)795 -2210 Yes
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY
OR HOLIDAYS.
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
INSPECTION RECORD
STRUCTURAL
INSPECTION
A
Foundation
INSPECTION
DATE
Stemwall
Zoning Final
Slab
ZONING COMMENTS
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss /Rafters
Roof Sheathing
Bucks
Windows /Doors
ELECTRICAL
INSPECTION
DATE
Interior Framing
Temporary Pole
Insulation
30 Day Temporary
Ceiling Grid
Pool Bonding
Drywall
Pool Deck Bonding
Firewall
Pool Wet Niche
Wire Lath
Underground
Pool Steel
Footer Ground
Pool Deck
Slab
Final Pool
Wall Rough
Final Fence
Ceiling Rough
Screen Enclosure
Rough
FINAL
Driveway
Telephone Rough
Driveway Base
Telephone Final
Tin Cap
TV Rough
Roof in Progress
TV Final
Mop in Progress
Cable Rough
Final Roof
Cable Final
MECHANICAL
Shutters Attachment
Intercom Rough
DATE
Shutters
Intercom Final
Rails and Guardrails
Alarm Rough
com•liance
FINAL
Alarm Final
DOCUMENTS
Soil Bearing Cert
Fire Alarm Rough
Soil Treatment Cert
Fire Alarm Final
Floor Elevation Survey
Service Work With
FINAL
ELECTRICAL COMMENTS
Reinf Unit Mas Cert
Pressure Test
Insulation Certificate
Final Hood
Spot Survey
Final Ventilation
Final Survey
Final Pool Heater
Truss Certification
Final Vacuum
STRUCTURAL COMMENTS
FINAL
MECHANICAL
COMMENTS
ZONING
INSPECTION
DATE
INSP
Zoning Final
Rough
ZONING COMMENTS
Water Service
2"d Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook -up
Roof Drains
ELECTRICAL
INSPECTION
DATE
INSP
Temporary Pole
LP Tank
30 Day Temporary
Well ' °
Pool Bonding
Lawn Sprinklers
Pool Deck Bonding
Main Drain
Pool Wet Niche
Pool Piping
Underground
Backflow Preventor
Footer Ground
Interceptor
Slab
Catch Basins
Wall Rough
Condensate Drains
Ceiling Rough
HRS Final
Rough
FINAL
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
MECHANICAL
Intercom Rough
DATE
INSP
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
FINAL
ELECTRICAL COMMENTS
Pressure Test
Final Hood
PLUMBING
INSPECTION
DATE
INSP
Rough
Water Service
2"d Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook -up
Roof Drains
Gas
LP Tank
Well ' °
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
FINAL
PLUMBING COMMENTS
MECHANICAL
INSPECTION
DATE
INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
FINAL
MECHANICAL
COMMENTS
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
Permit Type: BUILDING
2_ Avf
JOB ADDRESS: 002-
FBC 20 16
Permit No. 3 -- �i c
Master Permit No.
ROOFING
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 1 t 0 & \ 1(_L 4i " 3 7
Address: 1 O( SO f :
City: t Carat -- State: ir*-- Zip:33
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: ?L...')C d icre s
Address:
Phone #:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 2t v�0 ' 03 Square/Linear Footage of Work:
Type of Work: ❑Addition °Alteration °New °Repair/Replace °Demolition
Description of Work: 12-6.)F4-1 1 5 J E-- 0- A ■ LA Poi ter\
Or t O 1 , R) R. i
Color thru tile:
* * * * * * ** *4.1 * * * * ** ** * * * * * * * * * * ** 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 $
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: t be ..prf ved and a reinspection fee will be charged.
/1%/
O,/ r or Agent
The foregoing instrument was acknowledged before me this 1 1
day of
who is
Si
Signature
Contractor
1� The foregoing instrument was acknowledged before me this
0 13, by rviC.C.0, , day of ,20,by
me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
ersonally known
NOTARY PUBLIC: niu�si�� NOTARY PUBLIC:
Os.
• • ,. •. n —
As identification and who did take an oath.
Sign:
Print:
My Commission Expires:
APPROVED BY
Sign:
Print:
si=y `''=
,. o • My Commission Expires:
41111111 MO
���..✓ Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /1012009XRevised 3 /15 /09XRevised 7/10/2007)