RC-14-141Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-210136 Permit Number: RC -1-14-141
Scheduled Inspection Date: April 02, 2014 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Owner: ,
Job Address: 131 NW 110 Street
Miami Shores, FL 33168 -
Project: <NONE>
Contractor: APC ENGINEERING ENTERPRISES INC
tsuna
comments
KITCHEN AND 1 BATH RENOVATION
Inspection Type: Final Building
Work Classification: Alteration
Phone Number (305)219-8267
Parcel Number 1121360030540
INSPECTOR COMMENTS False
Phone: (305)219-8267
Inspector Comments
Passed El
CREATED AS REINSPECTION FOR INSP-210086. No access
Failed
i
a
Correction
Needed
Re -Inspection ❑ moi;
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
April 01, 2014 For Inspections please call: (305)762-4949 Page a
Miami Shores Village
Building Department
90050 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 Type:
ILDINa
JOB ADDRESS: `-3 ( N - w - t 101'-- S
Permit No.
FEEC7 2014
BY
FBC 20l a
Master Permit No. I y — 1'A 1
ROOFING
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
we V,
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):%4/ V iNl&Ad 4'i-O.A*one#:
Address:21 S4 W . A u�e__ �--
LL - City: �-L t tA, I W a2 L,% State: 1•�.� Zip: .Ts`',O 16
Tenant/Lessee Name: Phone#:
email:
CONTRACTOR: Company Na Phone#: .3 -OK --2,
Address: _ 7 -,Iso VJ . Auk—
city: C. State: FCI-
Qualifier Name: I X�q U i t Q LA. R (L L1 Phone#:
State Certification or Registration #: C&r— i15 k S"2 Certificate of Competency #:
Contact Phone#: Email Address: da U, Ci 4A,
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ dGY� • w Square/Linear Footage of Work:
Type of Work: ❑Additionnn ss ❑Alteration ❑New Wepair/Replace . UDemolidon
Descriptionof Work:qire- arc m ay@, lC i" r h e n Ca s, /► e �' � h of 41 l 4 Z •e_
r
K -ed'' -ave a (i b,�-Anb, G too * :,a/01-V,les< P /–A/4-1, tue .
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 $
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.
111WARNE'4G 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`
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 20 4, by f' CSG /r�% 262J
who is rson to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
My
APPROVED BY
110040
ais,� ��6res
Signature
Contractor
The foregoing instrument was acknowledged before me this,
day of X y , 20 -LC/, by ,Y� UJd bA9
who is sonall known o me or who has produced
I/A1q
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
identification and who did take an oath.
NOTARY PUBLIC:
My Commission s:
�a aQ��p1e�40
�akaknk�k�kakskHaskakakak'kdwkak�aksk�sksksksk�k�Is#�nk9&ak �:nk��aa
Clerk
DU SMDKFICAABON MONOXIDE DETECTORS.
:ns�l
ANY AND All CLOTH AND RUBBER gl�v) NSULATED CONDUCTORS TO BE REPLACED.
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BATHROOM RECEPTACLE ON 20 AMP CKT
AND G.F.I PROTECTED
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APPROVED t 1 �
ZONING
PLUMBING
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- UiiJECT TO COMPLIANCE WITH ALL FEDERAL,
STATE AND COUNTY RULES AND REGULATIONS
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AND 6.F 1 PROTECTED
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PUT DMI RECEPI
ALL FIXED APPLIANCI
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rECTED RECEPTACLE.
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ON DEDICATED CKTS.
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