WS-11-1547Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 RC - 11- 539
Inspection Number: INSP- 180193 Permit Number: WS -8 -11 -1547
Scheduled Inspection Date: October 18, 2012 Permit Type: Windows/Shutters
Inspector: Bruhn, Norman Inspection Type: Final
Owner: FORBES, JOHN Work Classification: Window /Door Replacement
Job Address: 304 NE 99 Street
Miami Shores, FL
Phone Number (305)757 -7750
Parcel Number 1132060135600
Project <NONE>
Contractor: TCS CONTRACTING CORP Phone: (305)756 -8700
comments
6 WINDOWS 3 DOORS
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 179079. CREATED AS
�G REINSPECTION FOR INSP- 163633. Windows must be labeled.
anchors must be set.
windows do not open. Stopped insp.
Failed
Correction ❑
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
October 17, 2012 For Inspections please call: (305)762 -4949
Page 22 of 23
Miami Shores Village
Aug
p
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PRONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20D)
Permit Tw BUILDING ROOFING
Permit No. W
Master Permit No. 1 q
OWNER: Name (Fee SimpTeT io°lder): 'J C> VV r/ _ t _ : I—U* Phone #: �:)U_D'
Address: so a M F !2'2 f
City: VU;Q_ State: rL— Zip: '�323% 3rd
Tenant/Ussee Name:
Email:
JOB ADDRESS: f_/ � F q9
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO L__ Flood Zone:
CONTRACTOR: Company Name: l� 1 C/ l P 1 to ��l A (l y P Phone #:
6i
Address: l �i i"l , c ' �� &
City:
Quali
State Certification or Registration #: Q GS C O 6b 131 Certificate of Competency #: _
Contact Phone#: 3615,76L Email Address: _A" s
DESIGNER: Architect/Engineer: u %1k & kr g' 1'l Phone #:
d6w119h "Wor4ax P � . v (0 Square/Linear Footage of Work:
P14'W,0T�,,,,t7Ad�li'tion, Alteration ❑New ❑Re air/Replace
Zip: 2 _
e�
Submittal Fee $ Permit Fee $ O CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
❑Demolition
TOTAL FEE NOW DUE $ .9
Bonding Company's Name (if applicable)
Bonding Company'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 commence Tent must be sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In absence of s posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature d
Owner or Agent Contractor
The for oin instrument was a be o e e The foregoing instrument was acknowledged before me this
day of , 20 ]1, by day of <_. , 20 �, by ILi ,
who is personally own to me or who has produced who is per na11v no to me or who has produced
As identification and who did take an oath. as i
NOTARY
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
ROGER At®tAtiM6A
notary Pubk - State of FIWO
My Comm. Expires Oct 26. 2014
Commission #E EE 38262
Structural Review Clerk