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DEMO-08-1524
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CA 190 nspection Number: INSP -92810 Permit Number: DEMO -8 -08 -1524 Inspection Date: December 09, 2010 Inspector. Bruhn, Norman Owner: ALLEGRA, FRAN Job Address: 1160 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: GULF BUILDING CORP Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132050180390 Phone: (954)492 -9191 Building Department Comments DEMO Passe ,12/16'-fe Inspector Comments A/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until December 09, 2010 For Inspections please call: (305)762 -4949 Page 1 of 1 Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 1 `Co® it€ City Pt (per l S i(04,er State f'( Zip 3 t 3B Tenant/Lessee Name Phone # D4/140(41) &4 Roofing 9 li A(1/ 9 -r (rf,o_ Phone # ge4 STET ate.; {G. 79f -T-g OCT 1 L 2009 RYA -� Permit No. D J` 0 D 1 Zi- Master Permit No. Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # I) 60 f It q1 Creerr County Miami -Dade Zip Is Building Historically Designated YES NO ) Contractor's Company Name 6U L e ► Lt 1 e.16 Cut P Phone # Tfi - 447.1r3 f Contractor's Address e t 0 1 3 S. ff L Q 4 C f-f /6 H 1.1.44• City LA:0 p6f 0A- G State ( Zip 33 3 i) / Qualifier Name j 0 I-0 J sG 144'(_0( Phone # State Certificate or Registration No. ( & L 1517/rg q Certificate of Competency No. Architect/En ;' u - ame (if applicable) L',a Pi'["-' (fi24 Phone # �j - Value of Wo "h4, r this Permit $ j; 00 4:2 quare / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ['New Describe Work: b .6440 GAS fC.PAASt152 /'psi Aereoam / /b'ak., f �T ❑ Repair/Replace ❑ Demolition A &DBea A4 ADD .,400$4 6 /vezei leo o , /WO alt l f)e?/ 444> ******** * ** * *** ** * *** * * * * *** * *** * * *** ** Fees*** *** *** * ** * *** r**** ** * * ** * ********* * * * * *** pv Q Submittal Fee $ _�� Permit Fee $ ,���%�- CCF $ 0.2.0 Scanning $ 5' Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 5144100 See Reverse side -+ Notary $ Training/Education Fee $ 4 Technology Fee $ o')7(aee' Zoning $ • 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 b and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of e•i�'lrA{,2oOq ,by or (e.1 P_ AE���� r who has produced identification and who did take an oath. Contractor G� The foregoing instrument was acknowledged before me this Z/ day of 20, by who is Qersonally known to me or who has produced as identification and who did take an oath. NOTARY ' LUC-STATE OF FL©RIDE. F. Gonzalez thrall 's °, t I • c: • 75€ Expires: JAN. 02, 2010 My Commission Expires: © 10?1 o APPLICATION APPROVED BY: (Revised 07 /10/07) NOTARY PUBLIC: Sign: Print: My Commission Expires: IAA ELIANA ANDER IN MY COMMISSION # DD309993 -YP" S: Jemmy 23.2010 , tAssce.Co. ZOI0 Plans Examiner Engineer Zoning