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DS-13-790Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 191377 Permit Number: DS -4 -13 -790 Scheduled Inspection Date: June 20, 2013 Inspector: Rodriguez, Jorge Owner: GIL, CRISTOBAL Job Address: 9050 NE 8 Avenue Miami Shores, FL 33138 -3283 Project: <NONE> Contractor: REGOSA ENGINEERING SERVICES INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060110020 Phone: (305)812 -3425 Building Department Comments OVERLAY OF ASPHALT IN PARKING AREA Infractlo Passed Comments INSPECTOR COMMENTS False Passed 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- 189493. NOT READY. JR June 20, 2013 For Inspections please call: (305)762-4949 Page 8 of 40 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER:- (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: oesv --9 D 277 F al/ e FBC20 is Permit No. Master Permit No. S -_ ROOFING City: Miami Shores / County:. Miami Dade Zip: Folio/Parcel #: // Va06 "O OO ' Is the Building Historically Designated: Yes NO Flood Zone: 'e/Q $ OWNER: Name yttr�l�0 n _ ,. ,_ I n _ 74-g5-74-7-1 p(Fee Simple Titleholder): Address: lid ,0 ` �it% �,� e City: l a it P7 5 State: tY� �� Zip: / ea 9 Tenant/1 essee Name: Phone#: Email: CONTRACTOR: Company Nance: 0 os �,ha neriq ? a C,Q Phone#: Address: /nc , 1/451134e C4— ,C (.6t1- @_ a co: iii �...��et.h State: �0 Q ualifi° (5 6 7 er, Name: A.: _ y ® ' -Sfate Certification or Registration #: Contact Phone#: DESIGNER: Architect/Engineer: -_.. 'ione#: �n. --�// Certificate of C'o m "7C� .2€2.-2/16y Email Address: C'.©`/ Gti '' iC t�/ � ' U I zip: ��fD mpetency #: Phone#: Value of Work for this Permit: $ OP " Square/Linear Footage of Work: �. ' 6 Type of Work: OAdditioq ❑Alteration, ONew PP air/Replce ODemohtion` "" Description of Work: .191, er Ia y asp l ! aj ( -. in / )10' (/j" C�J Color thru tile: c, -t- Fee 'M"' o Submittal Fee $ t Permit Fee $ J5 9 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ ******** ** * * * * * * * * * ** ** ** * * * *** *** ** * *** TOTAL FEE NOW DUE $ I tj' 3O Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /`6&r/PSC9 Mortgage Lender's Address ( athawk,A. L.CGfiG i4e /6 City a41 (*a State P l zip 83 l 3e/ 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 F.LF,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 exceed promise in good faith that a copy of the notice of commencement and construction lien law brochure whose property is subject to attachment. Also, a certified copy of the recorded notice of commencem for the first ins on which occurs seven (7) days after the building permit is issued. In the inspection will f. a approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was ac owledged before meAis 21 The foregoing ins 's 13 v i day of L/ul,r1. , 20 , by L L day of own to me or who has produced As identification and who did take an oath. Signature 00, the applicant must elivered to the person e posted at the job site such posted notice, the ontractor _, ged before me, by 03 to me or who has produced as identification and who did take an oath. who is personal y NOTARY PUI1 IC: Sign: Print: My Commission Expires: (0.4- 024-ko, LUZ EDITH. GIRALDO Commission #EE53278 My Commission Expires March 22, 2015 NOTARY P 1l C: Sign: Print: My Commission Exp' LUZ EDITH GIRALDO MY COMMISSION # 111E.53278 EXPIRES: March 22, 2015 ARY R. Notary Discount Ass= CO. *********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Kevised b7 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) s , * * * * * * * * * * * * * * ** / 3 Zoning Clerk Miami Shores Viiiage Building Department RECEIPT PERMIT #: p ,ter 3 ° 9 Cj 2 DATE: Avp-1 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o Contractor Owner o Architect C0(24--(--Cril Picked up 2 sets of plans and (other) c� Address: q& Co- q ® (to ??0(,/,(5 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: O L3 PERMIT CLERK INITIAL: Parcel Owner Report , Parcel Number: 1132060110020 9050 NE 8 Avenue Miami Shores FL 33138 -3283 Tax ID: 1132060110020 Owner Information CRISTOBAL GIL Phone: Current Owner: Yes Company: VERONA APARTMENTS MGMT Related Permits 40 Yr ReCertification 40 Yr ReCertification Garage Sale Imported Permit Imported Permit Paint Residential Construction Permit Number RCRT -6 -07 -1250 RCRT -3- 09-436 GS -7 -07 -1386 177 BP2002 -722 PT -4 -13 -691 BP2005 -236 Application Date Expiration Date Status 06/15/2007 01/01/2999 CLOSED 03/19/2009 01/01/2999 CANCELLED 07/03/2007 01/01/2999 CLOSED 04/08/2003 01/01/2999 CLOSED 04/10/2002 01/01/2999 CLOSED 04/08/2013 10/06/2013 APPROVED 02/18/2005 02/18/2006 APPLIED Related Code Cases Ordinance Violation Ordinance Violation Case Number Case Status CASE -2 -11 -8148 Case Closed CASE -8 -10 -7585 Case Closed Case Date 02/10/2011 08/26/2010 Compliance Date 3/18/2011 10/20/2010 Wednesday, April 17, 2013 Page 1 of 1