RF-15-3515 -
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229109 Permit Number: RF -1-15-35
Scheduled Inspection Date: February 27, 2015 Permit Type: Roof
Inspector: Rodriguez, Jorge Inspection Type: Final Roof
Owner: MARTIN, RONNIE Work Classification: Repair Roof
Job Address: 9717 N MIAMI Avenue
Miami Shores, FL
Project: <NONE>
Phone Number
Parcel Number 1132060130960
Contractor: CUTLER BAY SOLAR SOLUTIONS Phone: (786)457-5958
Bursa
comments
REPAIR EXISTING SYSTEM WITH NEW COLLECTOR ON
ROOF INSPECTOR COMMENTS
False
February 26, 2015 For Inspections please call: (305)762-4949 Page 28 of 28
Inspector Comments
Passed
CREATED AS REINSPECTION FOR INSP-226148.
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 26, 2015 For Inspections please call: (305)762-4949 Page 28 of 28
BUILDING
PERMIT APPLICATION
s
Miami Shores Village JAN Q 7 15
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No. 1
Sub Permit No 1 'S'35
®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 9717 N MIAMI AVE
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#:11-3206-013-0960 Is the Building Historically Designated: Yes NO X
Occupancy Type: Owwo°m" Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ronnie Martin Phone#: 305-206-1860
Address: 9717 N MIAMI AVE
Cit,. Miami Shores State: FL Zip: 33150
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: Cutler Bay Solar Solutions phone#: 786-457-5958
Address: 8301 SW 184 LANE
Cit,: Cutler Baystate: FL Zip: 33157
Qualifier Name: Raul Vergara Phone#: 786-457-5958
State Certification or Registration #: CVC 56957 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: 5 4,000
City: State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: Repair existing system with new collector on roof
Specify colorof color ru Mile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary,'
Double Fee $ .
Bond $
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
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, o 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 Signature
OWNER or AGENT CONTRA OR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
a day of 3g,�vpg,�y , 20 15 by 2 day of �01"Vq"Y 20 by
KAhv%i t M60(h who is personally known to ROVIwho is personally known to
me or who has produced F D L-- as me or who has produced 1 C b L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
c
Sign: Sign:
�UkPrint: e Print: J.t
D 'ble
Seal: :Jeff DiegoSeal:
AAW
t,g
COMMISSION # Ff181160 ��,���,I Jeff Diego
E RES: member 4.2018 ,x = COMMISSION 0 FF181160
www.AARoNNoTARY.com
APPROVED BY L�Z�S Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk