FW-14-2230Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-221399 Permit Number: FW -10-14-2230
Inspection Date: October 17, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: MANSBACH, KAY Work Classification: Wire Fence
Job Address: 699 NE 92 Street
Miami Shores, FL Phone Number
Parcel Number 1132060141560
Project: <NONE>
Contractor: HOME OWNER
Building Deaartment Comments
WIRE FENCE (TO CLOSE PERMIT BP -2005-478)
Infractio Passed Comments
INSPECTOR COMMENTS True
Inspector Comments
Passed;.1'
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
October 17, 2014 Page 1 of 1
1
Miami Shores Village
Building Department
ocTZo14
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
s.
Tel: (305) 795-2204 Fax: (305) 756 -8972
--
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 200
BUILDING
Master Permit No.
PERMIT APPLICATION
Sub Permit No.
'(BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION
❑RENEWAL
❑PLUMBING ❑ MECHANICAL
❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
,
JOBADDRESS: �/�V 4 e
ys)
2 i d 406AL 6 -
City: Miami Shores
County Miami Dade zip:
Folio/Parcel#: .//— 33,: d `L5& 0 Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder): /;: 4 Phone#: '-2 %.5
Address: 'd� zz'/
a
City: Al? > f/a 91 State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: I^'� �� Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit: $ ' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration [1 New F-1 Repair/Replace F-1Demolition
j
Description of Work: 1 g 6�.k� - (7-) 01—O &C T'k-,�_-±M Q � S ` ' 4 2
s
Specify color of color thru tile:
Submittal Fee $ 3 - Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ i
Structural Reviews $ Bond $ I��
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 low 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 a -^
G A
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of L P_A-s , 20 /4/ , by
�-f\ ^ e L,"ii= �� 4 o is personal nown to
me or o has produced as
identification and who did take o�i0 ?� ISABELFEKWEZ
NOTARY PUBLIC: * • my COMMISSION 9 FF 049609
EXPIRES: August 28, 2017
� ��'�°ac���e BondedmruB�tNoterYsavkes
Sign:
Print-7LI46-01 Fav-tjAk)Ae"z
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: Seal:
as
07 1
W
APPROVED BY L l Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)