FW-13-779Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 189386
Permit Number: FW -4 -13 -779
Scheduled Inspection Date: May 02, 2013
Inspector: Bruhn, Norman
Owner: MURRAY, WANDA
Job Address: 725 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ISLAND FENCE OF FLORIDA INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132060142230
Phone: 305 -888 -9090
Building Department Comments
REPAIR 29' WOOD BOARD ON BOARD FENCE 5' HIGH
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.
May 01, 2013
For Inspections please call: (305)762 -4949
Page 11 of 32
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
JOB ADDRESS: rG 2.5 IJ E (e 51
FBC20 dc)
Permit No.
Master Permit No, l "" 1°1
ROOFING
City: Miami Shores County: Miami Dade Zip: 3 3 J 37
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): W) c` & O v ra..j Phone#: ' $`e -22-5 - d t4 J' D
Address: Z Z5 1J e- c, 5 7' j
City: Mt, Annn l S State: F l_- Zip: 3 3 l 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ..5 1,g-v...ae e_.-V\ _ a-4 D '- Phone #:3 '.45?-8.-616) i 6
Address: -t U. , 0 CL e' c-1-4'D a Lc'
City: Pn. A- L O A I State: P t--- Zip: 3 3 1 D
Qualifier Name: Q k C-i o Lo P e.-z-- Phone#: 3 G05 ' g8- $ - mil 6/ 6
State Certification or Registration #: Certificate of Competency #: C D 6 5 0 0 a-tk 7
Contact Phone#: 1 O 5 g gg 1- OSZ) Email Address: 1,S j Ct"C=1, C.(1 51 d re-'1.4 .. C.a an
DESIGNER: Architect/Engineer: Phone#:
dd
Value of Work for this Permit: $ �D D D Square/Linear Footage of Work: 2-61 /
Type of Work: DAddition °Alteration °New epair/Replace °Demolition
`Description of Work: Q
I J01— aei' LA, Oa CA Pj 0 a J.. 6"Y\ Ir
Y\ lb ®a,
Color thru tile:
***** **, x* **** ***** *********** **** * ** * **F ****** * *** * * * ** ***** ** *** ** ** * * ** ** ******* **
.
Submittal Fee $ Permit Fee $ 00° CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
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 t
commenced prior to the issl
construction in this jurisdicti c
WELLS, POOLS, FURNACI
OWNER'S AFFIDAVIT: I
applicable laws regulating co
"WARNING TO
COMMENCEMENT
IMPROVEMENTS
FINANCING, COr
RECORDING YOU
obtain a permit to do the work and installations as indicated. I certify that no work or installation has
Dance of a permit and that all work will be performed to meet the standards of all laws regulating
n. I understand that a separate permit must be secured for FT.FCTRICAL WORK, PLUMBING, SIGNS,
S, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
certify that all the foregoing information is accurate and that all work will be done in compliance with all
struction and zoning.
OWNER: YOUR FAILURE TO RECORD A NOTICE OF
C MAY RESULT IN YOUR PAYING TWICE FOR
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R NOTICE OF COMMENCEMENT."
Notice to Applicant: As a coirydition 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 ofrsuch posted notice, the
inspection will not be approve and a reinspection fee will be charged
Signature
olor Agent
The fore oing i strument was acknowledged before me this I 4O
day of r1 , 20 ,?, b •6-1‘.44a- V r rtl
who is personally known to m or who has produced
As ids tification and who did take an oath.
Sign:
Print
My Commission E
Signature t '
Contractor
The foregoing instrument was acknowledged before me this 16
day of n , 201 by P 1 e,r, l d o L.t3o who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY
Sign:
Print:
u
L 4)1,5'64 c_
My Commiss
EVELYN L PASCAL
MY COMMISSION # DD 940519
EXPIRES: January 2, 2014
Bonded Thru Notary Public Undorxrltero
***** *+ N*+ k****+ M+ k***** *+ k#+ k***+ M*+ k***+ k*w *********+kw****#* +k* ****
„211(./ -70P /
Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 / )(Revised 06/10/2009)(Revised 3/15/09)
*Manzi Shorei
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, & , does hereby attest that the
(property owner)
attached survey, performed by '-11(\ 1
(name of surveyor's company)
is an accurate representation of the existing conditions and
performed on S 24 1 (41 l
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a buildingpermit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
SWORN O AND SUBSCRIBED before me this / 4 day of
Affiant is
personally known to me, produced
as identification:
EVELYN L PASCAL
• MY COMMISSION # DD 940519
• • EXPIRES: January 2, 2014
Bonded Thru Notary Pubiio Undenniters
5&JCLT 2 OF 2
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Miami Sh-� as Village
0
ZONING DEPT
BLDG DEPT
DATE.
SUBJECT IC CCNIPIJ
STATE AN DT DN (
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WI 11-1 ALL FEDERAL
..5LUVc.Y PL414•LI ,5
96TH
Tilow,..5 .1 V. ..y. Nc.
Lb. 16486
AND REGULATIONS 335 PALGRMO MULE CORAL_ C,AeL1..5 FLORDA 33134
(305) 444-7692 DAPC. (954) 779 -5288 LSRAV) (505) 441-6494 FAX
T • NAIL .
DAN. FELD \VORJC
05 -27 -1999
4��.S -9Lf
i�.t.1ri y. t�419�G�3 i # v:^Rv. ni
.,CALL. �„ I I�uzVLy No.
l 99 -1528