RC-13-2393Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756-8972
Inspection Number: INSP- 212971 Permit Number: RC -10 -13 -2393
Scheduled Inspection Date: May 27, 2014
Inspector: Rodriguez, Jorge
Owner: ROGERS, SHAUN D & NADINE M DAVE
Job Address: 121 NE 100 Street
Miami Shores, FL
Project: <NONE>
Contractor: CRR GENERAL CONTRACTORS INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)756 -7345
Parcel Number 1132060132040
Phone: (305)710 -7861
Building Department Comments
REPALCE DRYWALL AND KTICHEN CABINETS TOPS
AND SINK
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.
May 23, 2014
For Inspections please call: (305)762 -4949
Page 16 of 22
PERMIT # Rt e____ 3'T3
CONTRACTOR: C A2_( _ c Jt J2AL 60-)\51-.
SUBMITTAL DATE: O 1 ,1 15
ADDRESS: I 9I 1ft---• I001/431
NAME:
RESUBMITAL DATES:
PROJECT TYPE: 1-6,,,T(t-Q Yt' (2..6.4.1044-60-.1
ZONING
FIRE
STRUC
IMPACT FEES
7%—
ELECTRICAL 0.44? f"*.
HRSIDERM
Ca -7,..2.--/S
PLUMBING
NOC
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
FBC 20
Permit No.
Master Permit No. 2-G1 3 313
Permit Type: BUILDING ROOFING , pa O? r�
OWNER: Name (Fee Simple Titleholder): Swot // Pi' 7e era Phone#: AW � /Dv f
Address: Of 1//67D0.5
®
City: %W44i4 trGe#41r State: /fie-
Tenant/Lessee Name: Phone#:
Email:
Zip: ,/36Po
JOB ADDRESS: /01/ 1 F6 /6t5/4
City: Miami Shores County:
Folio/Parcel #: "3,1040/3020 t
Miami Dade
Zip: 33/38'-
Is the Building Historically Designated: Yes NO X
CONTRACTOR: Comp. Name: CR r°9,
Address:
City: Mir"? f /j�
Qualifier Name: / / %Q°`i�' (�' &��gd lZ
State Certification or Registration #:
Contact Phone#:..��`® Z'6 / Email Address:
DESIGNER: Architect/Engineer:
Flood Zone:
State:
Value of Work for this Permit: $
Type of Work: ❑Addition
Description of Work:
Zip: 31/90
Phone#: i 'p% ' 6 (
Certificate of Competency #:
J e 2_ (0 CeP 6C CI
Phone#:
,i9e90 ex)
❑Alteration
Square/Linear Footage of Work: A90 ";('
Repair/Replace ODemolition
❑New
tviuc 7b,„7
t
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 $.22 2 00
Bonding Company's Name (if applicable) /t)/r/
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) 'WA
Mortgage Lender's Address
City State 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 At'r'l )AVIT: 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is sub• ; o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection ich o ' cur seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no rove' a a reinspection fee will be charged.
Signature
4,1)...
wner or Ag ' Contractor —
The foregoing instrument was acknowledged before me this 2.- The foregoing instrument was acknowledged before me this 1�
day of , 20! 3, by i) e' ` - r-S , day of Oet– , 201 �, by M2 Y.. 9-0 A.7111\taVe2. ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
a ,. • 8y6 ELENA MARK
S t * MY COMMISSION # EE 163,9931
n� �l 1�'I ' ExriRts: February 28, 2018
Print: �"noP`O Bonded Thar Budget Nuy 6�rloao
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
NOTARY PUBLIC:
Sig
Print: Ele hc---'(\f")
My Commission Expires:
ter p °`.c ELENA MARK
MY COMMIS$(QN 9 EE 1.63931
EXPIRES: February 26, 2016
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Plans Examiner Zoning
Structural Review Clerk
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ADD SMUKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
TT PIED
OOT222013
CITY
COPY
N0' 'IRECE?TACLE:
2 MI FROM 0,E1 PROTECTED PUT RECIPTActi UNDER SINK.
ALL FIXED APPLIANCES 014 DEDICATED CKfS.
•
Miami Shores Village
GRASS
SITE PLAN
ti
LEGAL .LOT UT AND EAST 10 111= OP LOT EIAQ IA
AMEND PLAT 07 IOW MHO= .I.
ACODRD1ND 10 PLAY MEW IE
PH 10. P T0. KWIC EIOOHD9 OP IEAIE -DADS COMM
SUBJECT O CCMPI.IANCE Wf f -I ALL FEDERAL
STATE AN- er.IJN f rtLL_S AND REGULATIONS
Z_
I
La
OATS
MOT
A -I
Existing Outlet 0
Sink Sink
Existing
Dishwasher
0 Existing Outlet
Replace cabinets and tops
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER New Floor Tile
INSULATED CONDUCTORS TO BE REPLACED.
Existing
Refrigerator
Existing
Range
n
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.E I PROTECTED RECEPTACLE.
F DM RECEPTACLE-UNDER-S141€
ALL FIXED APPLIANCES ON DEDICATED CKTS.
viol pue %euigeo eoeidea
co
0
0