RC-13-2769Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207584 Permit Number: RC -12 -13 -2769
Scheduled Inspection Date: February 24, 2014 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: , Work Classification: Alteration
Job Address: 70 NE 99 Street
Miami Shores, FL 33138 -
Phone Number (305)970 -4124
Parcel Number 1132060131050
Project: <NONE>
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262 -2964
comments
REMOVE BATHTUB AND RESTORE FLOORING TO ` °'° "'
ORIGINAL CONDITIONS DEMOLISH WOOD SHED INSPECTOR COMMENTS False
February 21, 2014 For Inspections please call: (305)762 -4949 Page 23 of 24
Inspector Comments
Passed 4��Z
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 21, 2014 For Inspections please call: (305)762 -4949 Page 23 of 24
PERMIT #
CONTRACTOR: SA
SUBMITTAL DATE: I l�
ADDRESS: l CAC�
NAME:
RESUBMITAL DATES:
PROJECT TYPE: ti
ZONING
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
( .t®y-3
PLUMBING
NO
MECHANICAL
BLDG
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
V
FBC 201
Permit No.
Master Permit No.�
Permit Type: (BBUILDING�)-- ROOFING
JOB ADDRESS: -40 k*-,,, 10) t ep6r
City: Miami Shores County. Miami Dade Zip: 3'3'
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER:
City:
Titleholder): 16
NO Flood Zone:
w
State: E , Zip:
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: F
Address: AMD % 5 ST
City: ;Tftate: zip: 3310
Qualifier Name: Phone #:
State Certification` orr R/ 2
Registration #: Certificate of Competency #:
Contact Phone #: `6' 62' 7.06%t —Email Address: l!1 rer •
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 4o Square/Linear Footage of Work:
Type of Work:
Description of Work: Of
il� 1 i
Color thru tile:
Demolition
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF
CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 6V��,c/'i
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
promise in good faith that a copy of the notice of commencement and construction lien law broo
whose property is subject to attachment. Also, a certified copy of the recorded notice of commen
for the first inspection which occurs seven (7) days after the building permit is issued. In th
inspection will not be approwed and a reinspection fee will be charged.
f
Signature Signature
!ng $2500, the applicant must
ill be' delivered to the person
must be posted at the job site
�e of such posted notice, the
L_Owner or Agent Contractor
The foregoing instrument was acknowledged before me this I® The foregoing instrument was acknow ged before
� sG0
day of bece r , 20 , by NIi e, J O►FQ1c® day of .20
who is ersonally kno to me or who has produced who is �ykn� to me or who has Tproduced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
APPROVED BY
;�K, ",' MURLY R"ENCO
02 1v �c-1mM138i0 # EE85006
Novembs►08.=6
I
Plans Examiner
Structural Review
NOT71e LIC:
Sign:
Print: Apo
My Commission E W ELM EDITH GIRALDQ ission #EE5327$ mmission Expires arch 22 2015
(Revised 5/2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009 )(Revised 3 /15 /09)(Revised 7/10/2007)
Zoning
Clerk
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