RC-13-2714Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207215 Permit Number: RC -12 -13 -2714
Scheduled Inspection Date: February 14, 2014
Inspector: Rodriguez, Jorge
Owner: LAGOMASINO, JUAN
Job Address: 1021 NE 93 Street
Miami Shores, FL
Project: <NONE>
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132050150070
Contractor: FAB INTERIOR & EXTERIOR INC. Phone: (305)751 1447
Comments
POUR NEW CONCRETE SLAB AT INTERIOR AREA
INSPECTOR COMMENTS False
February 13, 2014 For Inspections please call: (305)762 -4949 Page 30 of 33
Inspector Comments
Passed I
1' P
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 13, 2014 For Inspections please call: (305)762 -4949 Page 30 of 33
Miami Shores Village
t bl,I3 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 No.
DEC 0 3 2013
FBC 20
Master Permit No.-Re _ l v Z, 71
Permit Type: BUILDING ROOFING
JOB ADDRESS: i o wa
City: Miami Shores County: Miami Dade Zip: `33 13
Folio/Parcel #: h — S Z ®S — ®15 ® 0
Is the Building Historically Designated: Yes
NO �k Flood Zone:
OWNER: Name (Fee Simple Titleholder): ��� l�j ��� `�� �`� Phone #:_�'� , � _ -per-
Address: If) Z-` hj! !a") fr r
City: Nimt State: Zip: SIB
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: 'F2 UM AX X t LZ Phone #: ° �i c ° �✓
Address: j � a
F
City: d�,� State: Zip:
Qualifier Name: '' �j® i' i jv�� Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Jfi 7,!VfO Email Address: S g pi a
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
- UAddilan
goal
Descrlphon.of Work:%
Submittal Fee
Scanning Fee $
$� Square/Linear Footage of Work: 5
0 tion tt� Po"°' "° ° "'f�ff `° -- GRepair/Replace ODemolition
J Aff A
Color thru tile:
Permit Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $�
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Conpany's Address
City
State
Mortgage-.Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 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 �, Signature
Own or Agent Contractor
The forego' g instrument was acknowledged before me this The foregoin instrument was acknowledged before me this .Z T
day of 20, by O day of 20 6,-by S ,
who now n time who has produced who i personally known to a or w o has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTAR'Y'VUBLIC: _ NOTARY_PUBLIC:
d // _ _ , I-A 1 p
Print:
My
Expires: 0 6 1�' , :o MY COMMISSION #FFO26°
EXPIRES June 11, 2017
!v/ / Plans Examiner
Structural Review
(Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3/15/09 )(Revised 7/10/2007)
Commission Expires:
DESIREE RAMOS
.; COMMISSION #FF02(
EXPIRES June 11,201
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BAY CONTRACTING
Residential Services Division
689 West 26 Street Office: (305) 883 -0572
Hialeah, Florida 33ozo fax: (305) 883'5664
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Miami shores V
Building Department
RECEIPT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PERMIT #: K I � -�l I DATE: 11 0
zo Owner
Architect
Picked up 2 sets of plans and (other)
Address:
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAt
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