EL-08-1526Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -92825
Permit Number: EL -8 -08 -1526
Scheduled Inspection Date: June 09, 2010
Inspector: Devaney, Michael
Owner: ALLEGRA, FRAN
Job Address: 1160 NE 98 Street
Project:
Miami Shores, FL 33138-
<NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050180390
Phone: (305)758 -1211
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
INSPECTION ALREADY DONE AND APPROVED PLEASE SIGN.
;72-
June 08, 2010
For Inspections please call: (305)762 -4949
Page 25 of 26
SHORT FORM AGREEMENT
Project Name: Allegra . • d Rajo Residence
Village of Miami Shores
1. Parties:
OWNER:
Fran Allegra and Marybell
1160 NE 98th Street
Miami Shores, FL
General Contractor:
Gulf Building Corp.
633 South Federal Highway, 5th Floor
Ft. Lauderdale, FL 33301
(954) 492 -9191 FAX (954) 492 -9192
Contractor's Representative:
Chip Derrer/ John Scherer
2. Effective this 16th D : y of September, 2009.
3. Scope of Work: Contractor will provide Construction Renovation Services for the Allegra and Rajo Residence as
outlined in Exhibit " If
4. Schedule: The Work
schedule between Co
manner, sequence an
covered under this Agreement shall be completed in accordance with the agreed upon
tractor and Owner as outlined in Exhibit `B ". Contractor agrees to perform the Work in such
timing to fully comply with Owner's schedule.
5. Compensation: The ompensation for this Scope of work shall not exceed $155,000.00 . This estimate will not
be exceeded without c ient approval in writing.
6. Payment Terms or chedule: 10% Deposit Required upon Contract Execution, Then monthly draws will be
submitted 25th of each mo th for work completed, payment is due on the 30th of each month.
7. Taxes: Included
8. Terms and Conditio s: The terms and conditions shown pages 2 through 4 apply to this Agreement and are
incorporated by this eference.
OWNER:
Francis
By:
Rajo
Date:
Page 1 of 4
General Contractor:
Gulf Building Corp.
By: John Scherer
Title: Preside
Date:
giz210-1.
000°
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
Permit Not--\ G6i S'=0
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 20(f)
Permit Type: ELECTRICAL
VMEEVI II:
Ig OCT 1 4 2009
Owner's Name (Fee Simple Titleholder) rTC i� P PG GAR- Phone #
Owner's Address 116 0 j.6 '9 " S
City itidiVAA.1 S 1kQ,6 State Ft Zip 73/3g
3g
1( Tenant/Lessee a
Email
Job Address (where the work
City
Miami Shores
FOLIO / PARCEL #
-C@ div( -tds
Phone #
is being done) 11 (ob .CAE 1 8 k Si
Village County Miami -Dade
Zip 3135
Is Building Historically Desi
Contractor's Company Nam
Contractor Address
City It
Qualifier Name
State Certificate or Registratio
nated YES
NO 9C
Flood Zone
1.64-160-AA U612 t C Phone # 3C6 :1X1911
RE 1 L.4 State
LEMILtA=Tf cis
Contact Phone
No.
Zip
Phone# ��= , -��
Architect/Engineer's Name (i
E -mail
applicable) kke_p_7----
Value of Work For this Per 't $ 46 0O.
Type of Work: ❑Additio *Alteration
Describe Work:
Certificate of Competency No.
ZARA
Phone #
Square / Linear Footage Of Work: 099? •
['New ❑ Repair/Replace ['Demolition
(te&-- Vie( Am) acitt},gn
Submittal Fee $
* x****** ,r * * * *:�,x * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * **r * * * * * * * ** ** *x* *x ** * ** * *
Permit Fee $ 7.5-70'e CCF $ 1.24 CO /CC $
Notary $
Scanning $ 3
Double Fee $
Structural Review. $
Training/Education Fee $ Q AO
Radon $ g •13 DPBR $ 62 `13
Violation date:
Technology Fee $ 1.(60
Bond $
Total Fee Now Due $ VOI. •
See Reverse side -*
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 inspectis which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not I= approved and a re- inspection fee will be charged.
41116W
Signature
Signature
Owner or Agent Contractor
The fore oing instrument was acknowledged be411 e this The foregoing instrument was acknowledged before me this Yol
day of i 'l�Vd�� 20 b�J , by 1 ) C day of ('J , 20 , by � l r' i E' 1 1.�r'1 h
who is personally known to me r who has produced who is personally known to me or who has produced �/ ��
tion and y�ho did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC•
Sign: � 'i.'► 1`'i /'
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
UBLIC -STATE OF FLORID/
F. Gonza ez
175E
Expires: JAN. 02, 201(
Bonded Thru Atlantic Bonding Co., Inc
8171 in 1 ii;!
Sign:
Print:
A 41`
My Commission Ems' ' ,o le
1 O10 �G9
**************************************************** ft tr+1 ** ** * * * * * ** ****
2 /' Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)