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RF-15-787Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231851 Permit Number: RF -4-15-787 Scheduled inspection Date: April 14, 2015 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Owner: DE PASQUAL, EMILIANO Work Classification: Gutters Job Address: 67 NW 103 Street Miami Shores, FL 33150-1233 Project: <NONE> Contractor: SEAMLESS GUTTER MASTER 3unaing Department comments GUTTER INSTALLATION. Phone Number Parcel Number 1121360131090 INSPECTOR COMMENTS False Phone: (305)817-8814 April 13, 2015 For Inspections please call: (305)762-4949 Page 13 of 26 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 13, 2015 For Inspections please call: (305)762-4949 Page 13 of 26 Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 rroject r%aaress Parcel Number Applicant 67 NW 103 Street 1121360131090 EMILIANO DE PASQUAL Miami Shores, FL 33150-1233 Block: Lot: Owner Information Address Phone Cell EMILIANO DE PASQUAL 67 NW 103 Street MIAMI SHORES FL 33150- 67 NW 103 Street MIAMI SHORES FL 33150 - Contractors) Phone Cell Phone SEAMLESS GUTTER MASTER (305)817-8814 of Work: Gutters ional Info: GUTTER INSTALLATION. ,fcation: Residential ning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Repairs $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 Valuation: $ 680.00 Total Sq Feet: 140 Pay Date Pay Type Amt Paid jDueInvoice # RF -4-15-55098 04/09/2015 Credit Card $64.60 04/07/2015 Check#: 1128 $50.00 Available Inspections: Inspection Type: Final Review Building In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 gpryr(g. Futhermore, I authorize the above-named contractor to do the work stated. 09, 2015 A rized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 09, 2015 1 Miami Shores Village 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING 7AP CER 0 TIM BY: FBC 20Q® 01 Master Permit No. i ` l� — —Au Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade zip: Folio/Parcel#: 1-2 136- ()13- 10, 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder):X,,7­ �" " `° I A_ C6 Address: & ? /-V �"j / ®-? -'`1 City: _ //®a cis ����-�'� State: _Flood Zone: BFE: FFE: CM1UWD p: - q (® ? - Tenant/Lessee Name: Phone#: �� o &I - ©� Email: CONTRACTOR: Company Name: S�� ry,1-e�S 6-7 v44sf Phone#: Address:/ 33 r city: State: Zip: 3 ® r `Z. Qualifier Name: �' �` dp & Phone#: �L ?e4 m 9;�-C? State Certification or Registration M. -All d e-"" Certificate of Competency #: ® c? FSS ®® 23 C? DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ® Square/Linear Footage of Work: ^� Type of Work: ❑ Addition F-1Alteration yy New ❑ Repair/Replace ❑ Demolition Description of Work: 6 v i)&- f c Specify color of color thru tile: Submittal Fee $ m • ()�) Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ 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 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 b�4pproved and a reinspection fee will be charged. Signat re Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 30 day of 1r ZC4 --A 20 5 . by 47- rn i U A mo DZ' , ho is Rso�known to me or who has produced e-rr-)r2PU/—,� ' as identification and who did take an oath NOTARY PUBLIC: Sign: -42 Print: Seal: The foreg tng instrument was acknowledged before me this � i day of /—\ _ , 20 by -EI-S: 33 ;�EL P 1 �=, who is personally known to me or who has produced identification and who did take an oath. o '4 16,, I& NOTARY PUBLIC: Sign: Print: ' Notary Public State of Florida Seal: Sindia Alvarez My Commission FF 158750 oR a Expires 09/03/2018 r - APPROVED BY r✓ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Seamless Gutter Tampa 813-965-7605 Orlando - Polk 407-485-9350 ` Miami -Dade County: 305-817-8814 47 Martin County: 561-255-5293 1313131 Broward County: 954-404-0725 limill www.seamlessguttersfi.com PROPOSAL /CONTRACT SUBMITTED TO: Licensed & Insured Masters, InC. Tampa - Orlando - Polk CC# 139-2483 City, State ����. ,..•- , ,SGS`®,-� ��- WORK TO BE PERFORMED i 2015 / X Miami -Dade: CC# 09BS00239 MIUL+I+,JOWFU 111OLQ11QUV11 LOOM v Broward: 11-AL17275-x °": ° ` palm Beach: 2010-03888 Martin County: MCNS6074 - We have workers compensation. Salesman: 3-11-1-5 ❑ BRONZE Date: WORK TO BE PERFORMED i 2015 / X f &;P % — /rJ l� ' " . �¢'p era MIUL+I+,JOWFU 111OLQ11QUV11 LOOM v ESTIMATE: °": ° GUTTER COLOR ❑ WHITE REAM c!wc, ❑ IVORY ❑ BROWN w ❑ BRONZE ❑ 66RAY •B. GRAY e ...... . ...... C)CLXV COPP���, ❑ 0krAN GkGG iMHL.L -s 0& c ❑ SoVe: •.• . •R..• •• •• .. ...... :0 NSP0 COL05���;. ❑�,�I�� •❑ _REA .••: ..� ZQ h96N D E PT • .+•t ❑ IVORY DROWN r' i ❑ BRONZE ❑ GRAY ` ❑ �9s n,rf ri���rn��i v�au F=Sn��Rr a�n � ❑ L. GRAY D. GRAY ❑ CLAY ❑ COPPER o ❑ GREEN ❑ EGG SHELL 3X4 2X3 NMRK `� ❑4X5 BES PIC IN HT W LL E A Y RI E ES IM TE ❑ CONDUCTOR HEAD TOTAL FOOTAGE YG mrd 50 �qeAL DOWNSPOUT °f- X2"' - 22® 20 YEAR WARRANTY ON MATERIAL GUARANTEE ON LABOR ❑ 2 Yrs. 5 Yrs. Permit: $ Paid By: - TOTAL $�® a Date proposal accepted DEPOSIT.15 — ❑ Cash Authorized Signature BALANCE $ ❑ Credit Card Gient Signature By signing this proposal you accept the terms set forth in this contract. Any changes during or after the project may result additional cost. Unless stated, all gutters are installed with spikes & ferrules. All repairs are put on a 46 week lead time for scheduling. We are not responsible for any damages for example broken tyles or repairs associated with walking on an old or damage roof. As well as if a wall is hollow and it cracks when installing a downspout, also if your furring cracks do to . unexpensive furring we are not responsible. Gutters will be installed under drip edge unless stated otherwise