CC-13-1192rrn
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 192475
Permit Number: CC -5 -13 -1192
Scheduled Inspection Date: June 25, 2013
Inspector: Bruhn, Norman
Owner: VILLAGE, MIAMI SHORES
Job Address: 10000 BISCAYNE Boulevard
Miami Shores, FL
Project: <NONE>
Contractor: ARCO CONSTRUCTION
Permit Type: Commercial Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132050200010
Phone: 305 -892 -6507
Building Department Comments
RESTORE CORAL ROCK WALL (CORNER OF 101 AND 6
AVE)
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 12 of 30
BUILDING
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) 7624949
FBC �� fL2
Permit No.0
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING
JOB ADDRESS: 29,9 0 66C.. h /
ROOFING
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
one#:
OWNER: Name (Fee Simple Titleholder):_Plid-tt i (J
Address:
City: State:
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: r �� col", Phone #:��65 Q `
Address: i ? ��' JV JO "
City: H State: C Zip: ---<- S'
Qualifier Name: % .S 1 e ir).S e Vl , Phone#:
State Certification or Registration � ( /C S-1 " -, Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 24(c ® Square/Linear Footage of Work:
Type of Work: °Addition °Alteration °New ►' epair/Replace °Demolition
Description of Work: R14. y 7%0 p llei/ (fii2f
Color thru tile:
* * * * * * * * *s***** * * *s * ** * ** * ** ****** * * * **F * * r*** a*** ***• * * * * * ** * **** * * * * **** *** * ***
Submittal Fee $ Permit Fee $ to,"b 6 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 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 FI,FCTRICAL 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 proved and a reinspection fee will be charged.
Signature
The forego : instrument was a' • owledged
Owner or Agent
by
wh. ' +nally'known to or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissio Expires:
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s• ,e _- G ( g 12.8810 gonde TnaoqnNatonalNotary
ssn.
NOTAR
Sign.
Print:
My Commission
me or who has produced
as identification and who did take an oath.
PUBLIC:
%s�el��os
1/ rl.,
i� to of F
lorid a
• .= M%R 2201
5
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1' Bond edintoogh alwna
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* * * * * * * * * * * * * * * * * * * * * * * * * * ** 1************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
�J
APPROVED BY 3j5efJ Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10t2009)(Revised 3/15/09)
Zoning
Clerk
134-
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1"---ZrECIVIT'D
MAY 3 0 2013
13y.
CITY
COPY