MC-14-344Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-207687 Permit Number: MC -2-14-344
Scheduled Inspection Date: December 10, 2014
Inspector: Perez, JanPierre
Owner: ADLER, MARC AND LEANNA CRISTINA
Job Address: 374 NE 95 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1132060136060
Contractor: SANSONE CORPORATION Phone: 954428-8919
Building Department Comments
RELOCATE 2 UNITS F&I 1 NEW UNIT Infractio Passed Comments
INSPECTOR COMMENTS False
(;Z
December 09, 2014 For Inspections please call: (305)762-4949 Page 2 of 43
Inspector Comments
Passed 161
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 09, 2014 For Inspections please call: (305)762-4949 Page 2 of 43
Miami Shores Village
Building Department FEB 2 4 20%
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 $�:
INSPECTION'S PHONE NUMBER: (3057 762.4949
FBC 20
BUILDING Permit No. H L / �' Z.21
PERMIT APPLICATION Master Permit Ivo.
Permit Type: MECHANICAL
JOB ADDRESS: -! -7 k� S
City: Miami Shores County: r L� Miami Dade Zip: 13 W
Folio/Parcel#:
Is the Building Historically Designat :Yes NO Flood Zone:
OWNER: Name (Fee Simple
City: Ta 4 004 State: 1 Zip: 3 31
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SCL ®L�.t A I C, Phone#:
Address; ct JZ
City: `l --C V .e, C • State: Zip:
Qualifier Name: -5 c<; _e— Phone#:
State Certification or Registration #:
Contact Phone#: Email Address:
of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $6 &CQO Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Kalpcg-LP �`Z� i3 tet -t �`70"116=
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
s
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.
"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 nd a reinspection fee will be charged.
Signature Signature
Own nt Contractor
The foregoing instrument was acknpwledged before me this The foregoing instpsym t ways acknowledgepd�bef re me this
day of 0, by e �o' day of 20 `f , by ��'t`RGL
who is 4"2
own to me or who has produced who is y known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
40�
Sign: r
Print: 1... CAu vck,
My Commission Expires:
APPROVED BY
MY COMMISSION # EES3276
EXPIRES: March 16, 2015
V FL Ndmy Disc a Asm Cu.
Plans Examiner
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission -------- LAURAFAR EY
MY COMMISSION # M53276
EXPIRES: March 16, 2015
14.M3 WARY nNduyDb mtAswc,0).
Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)