RC-12-2220Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 189824 Permit Number: RC -11 -12 -2220
Scheduled Inspection Date: April 24, 2013
Inspector: Bruhn, Norman
Owner: AQUILINO, NANCY
Job Address: 9148 N MIAMI Avenue
Miami Shores, FL
Project: <NONE>
Contractor: ESR FLORIDA CONSTRUCTION INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1131010140010
Phone: (305)812 -2716
Building Department Comments
ALL EXTERIOR AREAS STUCCO
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 23, 2013
For Inspections please call: (305)762 -4949
Page 30 of 43
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:
L JOB ADDRESS:
BUILDING
9/1/S Hevt ,'n,, ;«' %e--
City: Miami Shores
Folio/Parcel #: / 1-3/0 --- Dig f D /t?
County:
NOV21VIZ
2
FBC 20
Permit No.
Master Permit No. 12-C-1a— O
ROOFING
Miami Dade
Zip: 3'3/6V
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Ln t' -y ige t..P1 tiu> Phone #: 3 ®S 7 X7 oa o?
Address: ??Pig /?'4 /17,474-0
City: /A AP/re, s State:
Zip: 33 /(.5Z7
Tenant/Lessee Name: Phone #:
Email:.Slodeg 4. 42
Arrst
CONTRACT pan ..e: g-c �' � )J� Phone#: 3bi 7) g —a ?J(,
Address: Cy�rb. ,• .. I b y7 Z-
Zip: 3 V9/
d iQi VA � �, J CadCa Phone#:
State Certification or Registration #: 'Cj Ca D 56 a Certificate of Competency #: —
Contact Phone: 30 6) Email
�^ A Phone#: �U� r�g/ t —444
DESIGNER: Architect/Engineer: .1.-P I*
Value of Work for this Permit: $ / %f 5'
Type of Work: DAdditi °Alteration
Description of Work:
' t)
Square/Linear Footage of Work:
°New C epair/R place
A 41111
°Demolition
Color thru tile:
Submittal Fee ,'., Permit Fee $ D Q Q 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOIT FRS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ff ! / i % ,0
Owner or Agent
The foregoing instrument was acknowledged before me this
day of Na4646 , 20 la, by io..nC1.� Ptt tiKo ,
.J
who is personally known to me or who has produced Y
Licerce, As identification and who did take an oath.
•
Signature
r
Contractor
The foregoing instrumen was acknowledged before me this
day of iv 2011, by
• who is personally known to me or who has produced FL.
1 oath.
NOTARY PUB ° ° °JO P:H�RRF ®'�.
11,::;;;0\ON Etc;•,..
My Commission Expires:
LL /2O
a All, a s -a A a
* * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
Ttt.SON A ROORIGUEZ
Notary Pt • State of Florida
Commission • EE 180873
Sign:
Print:
My Commission Expires:
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
. St, Vo aondea oa:•• k
p�q 1pU$ iC� s•� to%
* * * ** *+x****** * * * *** * * *** * **** * * * ****** *+six ***
Zoning
Clerk
IA 0003/0006
SMITH SEPTIC TANKS
3052454323
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(R,511)cw-u c� RV�
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PERMIT #: /~
----0-
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
A7 1
BLDG DEPT
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SUBJECT "1 o CD/WW1:NCE WM-I ALL FEDERAL.
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