FW-09-1805Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP- 128409
Permit Number: FW -11 -09 -1805
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: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132050180390
Phone: (954)492 -9191
Building Department Comments
10 FEET OF NEW FENCE AT NORTH EAST
Passe //
Inspector Comments
�l-
{a
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
December 08, 2010
Page 1 of 1
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
FBC20
Permit No.
Master Permit No.
INuv. u 2009
BY:
Permit Type: BUILDING ROOFING.
Owner's Name (Fee Simple Titleholder)'fQgj(L( fre, coca,* Phone #
Owner's Address 11 600 46' �S t`
City t t V M. t S Ask to, State F.
Zip
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done)
City Miami Shores Villa • e County ,Miami -Dade
FOLIO / PARCEL #
Itf'd Aft 994 sr
Zip 33 3GG
Is Building Historically Designated YES NO,
Contractor's Company Name 6OL_P • t.- 01406 Phone #
Contractor's Address 3 3 S few G (.
City Ft L? J to tin4A2Gf State f 1 Zip
Qualifier Name J 6 L. ki Sc. 14'(2. Phone #
State Certificate or Registration No. CGe 15j % i $' Certificate of Competency No.
Flood Zone
1 Su sr
33,01
Contact Phone ?..0 E -mail
Architect/Engineer's Name (if applicable) ga,,,Z" CAA. Phone #
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration
tt New ❑ Repai /Replace
hL
Describe Work:
Square / Linear Footage Of Work:
❑Dena'
emolition
************************** * * * * * * * * * * ** * * es * * * * * * * * * * * **
Submittal Fee $ •.- Permit Fee $ VlJ ^ 00 CCF $
Notary $ S .0 Training/Education Fee $ 0'110
Scanning $ 3 00 Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 1�.(
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
CO /CC .$
Technology Fee $ 0-80
Bond $
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 'or ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITI3NERS, 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.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contractor
The for, going ' tram -nt was ackngq'1e ged be ore me this
day o 200%b
rsonally known to me or -who has produced
lnnification and who did take an oath.
who is
o 1
TAR PUBLIC:
Sign: Sign:
1
RV
Print: Print: pci8 C c .TV.'� x+923
OpTPi 4 01u : 1. 2:3►
My Commission Expires: My Commission Expires: i r, ' � �'��5Y2. 8' 11''G' 1.0ffew°‘ TO
ao ..
9�-
APPROVED BY
/r/`- 710�e, • Plans Examiner Zoning
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk checked