RC-14-292Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216453 Permit Number: RC -2-14-292
Scheduled Inspection Date: July 24, 2014 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: BECERRA, JACQUELINE Work Classification: Alteration
Job Address: 401 NE 94 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132060140480
Project: <NONE>
Contractor: ORONI INC Phone: (305)685-0412
Isuilaing Department Comments
BATHROOM REMODEL
INSPECTOR COMMENTS False
July 23, 2014 For Inspections please call: (305)762-4949 Page 34 of 34
Inspector Comments
Passed'
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 23, 2014 For Inspections please call: (305)762-4949 Page 34 of 34
'* f
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
RB
FBC 20
BUILDING Permit No. /A
PERMIT APPLICATION Master Permit No��%
Permit Type: BUILDING ROOFING
JOB ADDRESS: tj` \`V16 R.8 Sk-(eeQ-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: it — �? QLo — n�q — CSO
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): �C OAPE rw_W►P-r0-- Phone#:
Address:_ q6\ 1\E CH -5. � -
City: a t atm i sbi'e-_�t State: 1=1.17i Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: (�' r'y),; . =no Phone#: k%15-&412
Address: 1 K® `til t a�_ (eo cr- --
City: i1. �-k ,'r-1 M,% State: t- i c>krL Zip: 3311oa
Qualifier Name: n Aa t_405.icx'�' Phone#:
State Certification or Registration #: Cr�C' X251 La EH. Certificate of Competency #: _
Contact Phone#: 9776 $$®( Email Address:
DESIGNER: Architect/Engineer: Phone#:
J
Value of Work for this Permit: $ ¢ �— Square/Linear Footage of Work:
Type of Work: ❑Aldi^ ❑Alteration ❑New ❑Repair/Replace ., ❑Demolition
Description, of Work:
Color thru tile:
Submittal Fee $t -->o Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Notary $
Radon Fee $
Training/Education Fee $
DBPR $ Bond
Technology Fee $
Double Fee $ Structural Review $
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
J d
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 isrbeapprt attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the forst inspe LJ
s seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no Ked�,a reinspec or fee will be charged.
wnee °or Agent
The foregoing instruent was acknowledged before me this
day of 0 A, by a—uAy- p 01-- ,
who is person ly known to me or who has produced 9A
As identification and who did take an oath.
NOTARY
Print'
My Commission Expires:
COb1MMON 9 BBb7"
Signature
Contractor
The foregoing instrument was acknowledged before me this�
day of — , 20 V- , by nc�L�o►1esiQs
who sEr::S:0:na1Iy Knownito me or who has produced
identification and who did take an oath.
NOTARY
Sign:
Print: REBECA M. PASTRANI
�i4„d _ ---- 07.2017
My Commission Expires
APPROVED BY 2 t PI Examiner xaminer 7amng
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
'Woo
WAMI HOR VILLAGE
—'7rPROVED DA CE
RUCTURAL
"'LE0RICAL
I "LUMBING I I I
b',,-C-HANICAL
' URJECT TO COMPUANCE WITH ALL FEDEKU ' 94 ST
`,YF AND CO'UNTY RULES AMO REGULATIONS;
otlar Im QAt
minim 1 s ONtl
.Do dWV OZ NO noVid-nN WOO&►I
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OF
A RECORDED COPY UST�E POSTED ON E JOB SITE M TIME OFCOMMENCEMENT INSPECTION
PERMIT NO. TAX FOLIO NO. Rkm 52OU ®01L1 "Q` OR Bk 29041 is 3274; (Ips)
RECORDED 02/24/2014 11:20:41
HARVEY RUVINY CLERK OF COURT
STATE OF FLORIDA: MIAMI -DARE CtOUNTYp FLORIDA
COUNTY OF MIAMI-DADE: LAST PAGE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: AI at � Skc
2. Description of improvement: "2tl "ytQ -ha kul Eaufflr inn
3. Owners) name and address: laftmLny 9-A , ° >" W—49a,
w,
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: 0 r(' 5r� Z' � � ��"; �-' °�����'1� � c� a %qckci ULA; ta Qc
5. Surety: (Payment bond required by owner from contra ti
�AT�pp�� bF FL6ID/►, (X1f1NTY OF OA®E �N�Co�A�11,"
Name and address:
Amount of bond $ so/nal filed ,n this office on day of
6. Lender's name and address: F , AD 20
UV CL and County Courts q� V. GO° vA W"
7. Persons within the state of Florida designated by Ow r vVI
currents mao cou ed as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expirationdate9ffhi4 Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different (date is i6ecifie.81,_
Signature of ne
Print Owners Nam
Prepared by
Sworn to and ubscribed before me thisrte'' day of �a , 20.
Address w l ; WL_P'T ..F
Notary Publics I' -= �' `�' I 1 81111. --'4s
Print Notary's Name e' e
My commission expires:
123.01-52 PAGE 4 SM
MY cowssioN o EavW4