RC-14-1807Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227323 Permit Number: RC -8-14-1807
Scheduled Inspection Date: January 29, 2015 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Owner: COSENTINO, GABRIEL
Job Address: 9300 BISCAYNE Boulevard
Miami Shores, FL 33138 -
Project: <NONE>
Inspection Type: Final
Work Classification: Repair
Phone Number (305)962-1893
Parcel Number 1132060141640
Contractor: STABLE ROCK CONSTRUCTION CORP Phone: (786)877-2796
t3ulllalnq uegartment comments
5/8 CEILING DRYWALL AND INSULATION TO BE ' -----
REPLACED. -- -
INSPECTOR COMMENTS False
January 28, 2015 For Inspections please call: (305)762-4949 Page 36 of 39
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 28, 2015 For Inspections please call: (305)762-4949 Page 36 of 39
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department ALfG'19 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 �,i L
INSPECTION LINE PHONE NUMBER: 305) 762-4949
FBC 201
Master Permit No.t (* *' 7 ) \ ! a) �
Sub Permit No.
❑v UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Al 3DD P (S C!!LA/N CE %A 4- V 17
city: Miami Shores County: Miami Dade Zip: 3'3 i 5g
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): l7A-b,►.L / CO 5,P-- 1 / V1 O Phone#:
Address: g3ao %3 ��c�A-✓.�F �l c��
City: #�-A State: r— — zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ��f' �_ Phone#:� `.j 77�2�5�
Address: 32x6 ro (Ito s fi,-e- -47/
City: AA Chy- I A�QeA-G� State: `fit-- Zip:
Qualifier Name: �llb�aw,'L A J-414,7- Phone#: 754- 1172-2754,
State Certification or Registration #:C %'n� �SZ V7 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/LinearFF000ttage of Work:: ,-
Elr
Type of Work: Addition ❑ Alteration ❑ New Igrcepair/Replace ❑ Demolition
Description of Work: 6/ 6 Cee. Gc�g CY/�1 � �-^� l6f SzJ &4'j .4
Specify color of ccolo�r tthru tile: (�
Submittal Fee $_k, )—,; �.t�J Permit Fee $ � i'"r J CCF $ CO/CC $
Scanning Fee $
Technology Fee $,
Structural Reviews $
(Revised02/24/2014)
Radon Fee $ _
Train Ing/Ed ucation Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ t�—
•,1
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 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.
Signatu _ Signature
_-7TZ711-,,-1
OOWNER or AGENT CONTRA TOR
The foregoing instrument was acknowledged before me this
11L
day of 20 ! I by
4a- Z j�'t c� who is personally known to
me or who has produced gaef r(9 as
identification and who did take an oa .
NOTARY PUBLIC:
Print: CX C4;!Z 17�
Seal: 00
mam
w00
F AI
;l1.26
Dow 19h
APPROVED BY �9""
FT
(Revised02/24/2014)
The foregoing instrument was acknowledged before me this
day of 120 /7, by
Oke/ k -).Z z-. who is personally known to
me or who has producedp� /6 �&,,U-% as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
Seal:
**********************
Plans Examiner _
Structural Review
111► - OMMIXI
W= AUG 81.2016
BoaAedlA 411ts mm
Zoning
Clerk
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