RF-13-2529Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 209592 Permit Number: RF -11 -13 -2529
Scheduled Inspection Date: March 25, 2014 Permit Type: Roof
Inspector: Rodriguez, Jorge
Inspection Type: Final Roof
Owner: GORDON, REED Work Classification: Flat
Job Address: 1271 NE 97 Street
Miami Shores, FL 33138 -2559
Project: <NONE>
Contractor: JUVAL CORPORATION
Isunaing uepartment comments
PHOTOVOLTIC- FLAT ROOF
Phone Number
Parcel Number' 1132050090430
INSPECTOR COMMENTS False
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
March 24, 2014 For Inspections please call: (305)762 -4949 Page 31 of 35
Inspector Comments
Passed
CREATED AS REINSPECTION FOR INSP- 209233. CREATED AS
REINSPECTION FOR INSP- 208915. CREATED AS REINSPECTION FOR
INSP- 208876. CREATED AS REINSPECTION FOR INSP- 202721. No ladde
/ rpermit /
Failed
❑
Must pass electric
Anchors not per code
No ladder/ permit
Correction
Needed
❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
March 24, 2014 For Inspections please call: (305)762 -4949 Page 31 of 35
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
'LA-- Nemlmrt.y I�rS
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESSj2 11 1 10 C q I S
City: T _ Miami Shores
Folio/Parcel #: l 1 - 3 Zo S� —
Is the Building Historically Designated: Yes
24 1014
®ao°a e
FBC 20 I'D
Permit No.
Master Permit No. 6- L — 11 r 1 3 _ zS 2 f5
ROOFING
County: Miami Dade Zip:
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): y'e le 6 AordorJ Phone#:
Address: 17— -1 ( 1U C 01 " %A-
Citr fy1)cam .) SE A, 0 y_ C�:, State: f- Zip: 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: v�
Address: 1900
city: Yy-, 1 GVY,\
Qualifier Name: 1�7 c
1 zip: -3 31 ,s//
Phone#• 3� AA-11-9 W
State Certification or Registration #: 1 3 Certificate of Competency #: _
Contact Phone#: , "/
Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ ':_!:�_ D0 () V Square/Linear Footage of Work:
Type of Work: WAddition
Description of Work:
❑Alteration ❑New
Color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ C>
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
EMPROVEMENTS 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 a eeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law broqhqre will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of coninwiltokent must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issue n e absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this. ILI
day of , 20 /-A%, by A9'9 -D GOAD ® PJ ,
who is personally known to me or who has produced ,V—L-
As identification and who did take an oath.
NOTARY PUBLIC:
My Commission Ex " . •'s ALEXANOM JOSEPH PAVLINEK
:19Y COMMISSION # EE859471
f ,•° EXPIRES December 19 2016
Contractor
The foregoing instrument was acknowledged before me this
day of .20 J , by —,U41A L 06S
who is rsonally kno o me or who has produced
as identification and who did take an oath.
APPROVED BY �—� 02 /(VI Plans Examiner
r3
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
My JOSEPH PAVLINEK
*: MY COMMISSION # EE859471
EXPIRES December 19 2016
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
JANUARY 21, 2014
Permit No: RF 13 -2529
Building Critique Review
Need copy of contract for price
Ismael Naranjo
Building Official
Plan review is not complete, when all Items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.
Miami Shores Village NOV 08203
~ �
Building Department r J_
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No. P_F 43 ° daS 2°•
PERMIT APPLICATION Master Permit NOS/ 03 -2S&
Permit Type: BUILDING
JOB ADDRESS: 1 z n 0 U
City: Miai
Folio/Parcel #: �
Is the Building
OWNER: Name (Fee
City: �NQ
Tenant&zssee Name:
Email:
CONTRACTOR: Company Name:
Address: A 0� `1 It) S W
94
ROOFING
�g
NO Flood Zone:
_ State: T` Zip:
1 AX ) G Phone#: f� Z' 4 Z
City: )N�\ xYY- \ State: l Zip:
Qualifier Name:
State Certification or Registration #:
Contact Phone #:
DESIGNER: Architect/Engineer:
Certificate of Competency #:
1 ,. Z>'0®4F AW
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition `_ ❑Alteration 1 ❑New/ �❑Repair/Replace ❑Demolition
Description of Work: 0� h ym �t ) C. —�6� , &r'
Color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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 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 IV approve pnd a reinspection fee will be charged.
Signature J �,ACOMR 117' Signature
Owner or - /' 1 1 1 1
The foregoing instrument was acknowledged before me this 9
day of A10 y , 20,_1,, by "EM" G®�yA ,
who is personally known to me or who has produced ;V L
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:%'
My Commission Expires:
APPROVED BY
ALEXANOER JOSEPH PAYLINEX
MY COMMISSION ti EES59471
F.XFlRES Dprombet 19 2016
The foregoing instruAsd was acknowledged before me this
day of d,04 , 20 -4a, by <W&OG 4M9 =
who i rsonall own to me or who has produced
Plans Examiner
identification and who did take an oath.
NOTARY PUBLIC:
MY COMMISSION if EE859471
EXPIRES DACpnnher 19 2016'
Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revise3 06 /10/2009)(Revised 3/15/09)