DEMO-13-2582Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 203075
Scheduled Inspection Date: November 20, 2013
Inspector: Perez, JanPierre
Owner: CACCAMISE, RICHARD
Job Address: 1490 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ALL AIR SOLUTIONS INC
(3-
Permit Number: DEMO -11 -13 -2582
Permit Type: Demolition
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number
1132050350030
Building Department Comments
DEMO FREON REMOVAL 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.
November 19, 2013 For Inspections please call: (305)762 -4949 Page 27 of 40
a 0
Miami Shores Village
Building Department
90050 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
MA N ICA ---
Permit Type: —
JOB ADDRESS: 1490 NE 101 STREET
NOV 14 2013
FBC 20
Permit No. Oamr7 13 _2 17�U,
Master Permit No. DEMa °9-13-21 8&
ROOFING
City: Miami Shores County: Miami Dade gip; 33138
Folio/Parcel #: 11- 3205 - 035 -0030
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): RICHARD J CACCAMISE phone#: 786 -423 -5757
Address: 1490 NE 101 STREET
City: MIAMI SHORES
Tenant/Lessee Name: VACANT
State: FLORIDA Zip: 33138
Dl -A6 N/A
Email: richard.caccamise @raymondjames.com
CONTRACTOR: Company Name: LV\ �k- �) " B yA Ty,-C• Phone#: C154 - e y2' (PYG S
Address: kd 01 tj 6 1%, &-e 4 It 62
City: V--U_" __ , State- Zip:
Qualifier Name: S �z 5an �1 Phone#•
State Certification or Registration #: CAC If l '51 t R Certificate of Competency #:
Contact Phone#: _`A(® - 2Ag - S a t-L Email Address: kea u-yo, (A-4
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ lJ = D_ Square/Linear Footage of Work: 3,059/ACT
Type of Work: ❑Addition DAltemtion ONew ORepair/Replace Aniolition gDescription of Work: 1� D IFIA
ll�
r
Color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ TraininglEducation Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $
0
r Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
I
State
0
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
M'ROVEMENTS 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 he issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of a notice of commencement and construction lien law brochure will be delivered to the person
ff whose property is subject to ttac 11einspectionfee t. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspect* wh' occueven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not beep ed and will be charged
Owner or Agent
The foregoing ins ment was acknowledged fore me this 1 �
day of 20 �5, by I ,
who is personally known to me or who has produced
NOTARY
Sign:
Print'
My
APPROVED BY
As identification and who did take an oath.
JESSICA t3ONZALEZ
Signature
ontraftjr
The foregoing instrument was acknowledged before me this l q-r*
day of sa
0 �, by 1®
who is personally known to me or who has produced �L V L- 5622 - 1%15 - Pidentification and who did take an oath.
1
13tural Review
(Revised 3 /1212012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15109)
a"X"
Sign: 6
Print:
My Commission
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