RF-13-1319Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 193394 Permit Number: RF -6 -13 -1319
Scheduled Inspection Date: June 26, 2013
Inspector: Bruhn, Norman
Owner: GOMEZ - BASSOLS, ISABEL
Job Address: 137 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ABC SEAMLESS RAIN GUTTERS
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number
Parcel Number 1132060133170
Phone: (305)226 -3995
Building Department Comments
INSTALLTION OF 6" K -STYLE WHITE GUTTERS WITH
WHITE DOWNSPOUTS.
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 25, 2013
For Inspections please call: (305)762 -4949
Page 21 of 33
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: Electrical
i
JOB ADDRESS: 13 " / I)
FBC 20 k3
Permit No.
Master Permit No. V-41:- 1 — 31 ci
City: Miami Shores County: Miami Dade Zip: -33 1 37
Folio/Parcel #: t I- 3 6" O 13 " 317O
Is the Building Historically Designated: Yes NO iej Flood Zone:
OWNER: Name (Fee Simple Titleholder): 4 \ QflA& - 13355Dl3Phone #: )81' 30 "'Oes72
Address: / 3 7 P. E 9 c2 .S7
City: 5
Tenant/Lessee Name:
Email: 5�
State: iQ
B 17 1 4)1 A-1 d► / X eats
Zip:3 /c38 2-cr/3
Phone #:
CONTRACTOR: Company Name: /4.t cachti /!;S_j ;;Jo
Address: goq s /o (.l') . /03 57' /3,4 / 99
City:
State:
Qualifier Name: ‘ f- a,e.) 0(2- J../ 1'?D l%
State Certification or Registration #: Le- Dq 6 5 0 0 34 Certificate of Competency #: 0 ?I3500.3(/I
Contact Phone #: �" �� `° PJ Email Address: 4 b ref ;91 U 7 z RS w) 5 f) a COI 4
.6E810-04 Architect/Engineer: Phone #,
Phone #: 3cti J -. 226- 9
Zip: 3 3o/fa
phone: 7 b p C dr/
Valu .of Work for this Permit $ ?IVY Sq!uare/Lmear >Footage of Work://
Type of Work: DAddress DAlteration UNew DRepair/Replace
Description. of Work:
se, io 6@' K
UDemolition
fiaLS
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** Fees************* * * * * * * * * * * *** * * * * * * * * * * * * * * * * **
Submittal Fee $ S(3 . 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 $ a
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded .notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
L�1j'n(lcof 4, i
i ..%•, /i �, �,; ,`, = rI ': ' . °Signature
wner or A • o p tractor'
The foregoing instrument was acknowledged before me this 03
day of j'1r , 20 ,- y) O 67 an-Bsoei
who is personally known to me or who has produced
identifeation and wl:tiid take,aii lath.
The foregoing instrument was acknowledged before me this C 3
," day of . J u I E- , 20 j1 ,ibyy O)2 J, �
:ho - is' personally known to me or who has produced F( og -katz
iFentification and 'who did take an oath.
NOT ' PUBLIC:
Sign:
Print:
My Commission E
:may'''• MILADY C ROIG -CORZO
„R y'rc MY COMMISSION # EE833170
'' d'" EXPIRES September 06.2016
(4407)398 43f53 FbmYlallourySernoccow
pires:
NOTARY PUBLIC: ; 4pr:4 rAg feKp, f.,.�y�-
:10 41i Fop 4
Ii
Sign:
Print:
My Commis
1
si -, I6- -' ORZO
='• ' `' .': MY C I ION # EE833170
EXPIRES September 06, 2018
(407)39$ -0153 Fl�aewm
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APPROVED BY
/3
Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09)
Zoning
Clerk
A
B Seamless
C ain Gutters
Iae.
1 ' 3 St. Bay #44 • Hialeah FL 33
13 h: (305) 226 -3995
8046 t f
' JUN 1 ,1 Z
CUSTOMER:
PERMIT #:
Miami Shores Village
gate.
APPROVED BY
Time:
te NING DEPT
BLDG D�L�uufOm
DATE
EJECT 10 CC IPI.V NCE W111-1 ALL FEDERAL
r`iP r{l2L_S AND REGULATIONS
Phone
13`) ive q 2
ddress:
l� 1 will
361 oZ2
PROPOSAL, CONTRAC
CC# 09BS00361
HITE
DPV,INS
HITE D3., NS
POE
t ■ T 'CO LO
R
111111111
11111111111111111311111=111111111111M
II R I TIIlIUIIRU1 v ❑
0 MUSKET
E BROWN
0 CAMEO
0 EGGSHELL 0 SANDTONE
0 GREEN 0 CLASSIC
0 GRAY CREAM
❑ ALMOND 0 BROWN
0 2x3 0 3x4 0 4x5
�:c •
■
WHITE
0 CONDUCTOR
HEAD
0 OTHER
TOTAL FOOTAGE it' I ` f TOTAL / $ so.
DEPOSIT $ 2-ar X�
BALANCE $ 00-
�
TOTAL DOWNSPOUT
❑ CASH
❑ CHECK
❑ CREDIT CARD
;
ovoks
SALES REP
UKT BON 0 CMO 0 EGHLADOE 0 GEN 0 CASC ORY 0 AMN
TE
❑ ALUMINUM
❑ COPPER
❑ GALVANIZED
❑ STAINLESS STEEL
z V- Or?
5 YEAR GUARANTEE ON LABOR / 20 YEAR GUARANTEE ON MATERIAL
EXCEPT: Damage resulting from accident, misuse. abuse, neglect, or from other than normal and ordinary use of the product.
TERMS OF PAYMENT Payment in full due upon completion. Contracts which state a draw cut off date and payment release date are the only exceptions
and must be signed by representatives of both parties. FINANCE CHARGE. Finance charge in amount of the lesser of 1.5% per month (18% per annum),
or the maximum allowed by law. will be added to all invoices that are 30 days oast due. APPROVAL. No alterations or additional work shall be perforated
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in wrjtiny.We ijre not responsible for damage to roof tiles, shingles, fascia boards.
CLIENT SIGNATURE: DATE:
E -mail: abcraingutters @msn.com
AUTHORIZED SIGNATURE:
Seamless Rain Gutter