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RF-15-1704 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238623 Permit Number: RF-7-15-1704 Scheduled Inspection Date: July 30, 2015 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Owner: NICHOLS,ALLAN Work Classification: Gutters Job Address: 113 NW 106 Street Miami Shores, FL 33150- Phone Number (305)758-9630 Parcel Number 1121360080310 Project: <NONE> Contractor: GUTTER IT UP! INC Phone: (954)603-1888 Building Department Comments INSTALLATION OF 6" STYLE WHITE GUTTERS AND 3X4 Infractio Passed Comments DOWNSPOUTS INSPECTOR COMMENTS False Inspector Comments Passed 10 Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 29,2015 For Inspections please call: (305)762-4949 Page 17 of 40 PcrrMit 5.1704 Asx°"Es y Miami Shores Village Perri# ype Roof { g� 10050 N.E.2nd Avenue NW Wdrdc�iriCBtiQn:Gutters r• � Miami Shores, FL 33138-0000 Per'm�Stiotus,APPROVE© ; Phone: (305)795-2204 Issue Date 11 412015 Expiration: 01/10/2016 Project Address Parcel Number Applicant 113 NW 106 Street 1121360080310 ALLAN NICHOLS LMami Shores, FL 33150- Block: Lot: -j Owner Information Address Phone Cell ALLAN NICHOLS 113 NW 106 ST (305)758-9630 MIAMI SHORES FL 33150-1247 Contractor(s) Phone Cell Phone LValuation: $ 1,640.00 GUTTER IT UP! INC (954)603-1888 q Feet: 328 Type of Work:Gutters Available Inspections: Additional Info:INSTALLATION OF 6"STYLE WHITE GUTT Inspection Type: Classification:Residential Final Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# RF-7-15-56270 DBPR Fee $2.00 07/14/2015 Check#: 1070 $66.20 $ 50.00 DCA Fee $2.00 Education Surcharge $0.40 07/08/2015 Cash $50.00 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF AV I c ify that a e f going information is accurate and that all work will be done in compliance with all applicable laws regulating construction and g. they r a orize the above-named contractor to do the work stated. July 14, 2015 Arz4-dignature:Owner / Applicant / Contractor / Agent ate BuildDepartment Copy July 14, 2015 1 Miami Shores Village REC T Building p JUL � gDepartment M5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax: (305) 756-8972 :_.. INSPECTION LINE PHONE NUMBER:(305)762-4949 {I FBC 20(x( BUILDING Master Permit No. V-EE' F) I PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS e� t►� JOB ADDRESS: /7 N Ou !C{}--- City: Miami Shores County: _ _ Miami Dade Zip: 33 k5b Folio/Parcel#: I Is the Building Historically Designated:Yes NO �\ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): p l Jj2n Q �S Phone#: :iM-1a5-- 3115 3(10 Address: � \?S NW Ipto SA-fW-� City: n')1(2yY)1 SYlb(irS State: t Irwl& Zip: �3 Tenant/Lessee Name: Phone#: Email: +� �) Cy CONTRACTOR:Company Name: LiAW �k \-A\2 n Phone#: Q-Lob 3 J -$ Address: �� '(Q � Cw\�e- City: �\J'( c State: V Wy0a Zip: ?) 33 ) n Qualifier Name: V�non 7f_1� fe� S2 Phone#: CiSL4'?:�q J-1'0S'7 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: I3/Q Phone#: Address: i�')/A City: State: Zip: Value of Work for this Permit:$ L0LJ(D Square/Linear Footage of Work: 39g 66134-t Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: O-C 10" tL- f-AU�e 11 h4f aUl CY-S and Specify colorr—o((f��color thru tile: /-� Submittal Fee$�J ' CjD Permit Fee$ [00 � CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$6;E I do (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) N Mortgage Lender's Address Ivl I T 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, 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 Signature 4N NER or AGENT CONTRACTOR The foregoing instrume t was acknowledged before me this The foregoing instrument was acknowledged before me this f G ,� lday of l �� 20t' _ by day of 20 1 C by Al ow loll l-S who is personally known to S f who i personall known o me or who has produced RG /��`Z ashe or who has produced as identification an ho did take an oath. identification and who did take an oath. NOTAR IC: NOTARY PUBLIC: Sig / Sign: Print: 4 " (— w/, Print: Seal: Seal: 20 CHASE A. LAL.ANI MY COMM!SS!ON#FF075730 orn��•. P ° - CHERYL RIDHMAN 2oFF,�P. EXPIRES March 31, 2018 '�' Notary Public -SMun it APPROVED BY 11 �I Plans Examiner "�'`'' Zoning Structural Review Clerk (Revised02/24/2014) No. 6613 Gutter it IJP! 4715 Orange Dr,Davie,FL 33314 Phone:866-428-6001 Fax:866-210-3003 "Get your mind in the gutter..." Visit as at:www.GutterItUP.com n Date: G Job Address Name: alp\ n 1 O' Owner's Name. Address: `i W l0(0' S Address: City: (`(1 tc;m Y?!C S FL, Zip: 3.3!S City: FL Zip: Phone: l 17-5 .30(0 aw) 3�-5 3}S �7&� Phone: t 2 C LU Email: L �Na(`D—�(0P-(I 161�i't� 131�t Sales Rep: fe t-lL C [ ]Shingle [Tile [ ]Metal [ ]Flat [ ]Mansard Wood Facia [ ]Stucco Fascia Open Rafters [ C J W Gutter Color: �� Downspout Color.V- ``T— [ ]Install Under Drip o < 11 �py�ad� I�{ w G.ea y crUr � •__. 2 Z I b[c u w Z < �-- i�C1UC1ed o c < Ole, i5 p fb /rite•••• • •••••• •• •••••• •••••• • •••••• C01UPFoot $ Downspout Footage: O Total Footage: 33 g Facia RepaNF tage: ... • . • Service: 04,New Installation [ ]Gutter Repair [ ]Gutter Cleaning [ ]Gutter Removal.•[•j Facia 60AW 0 ••'•' •••••• •• • ••••• Metal: [Aluminum [ ]Copper [ ]Galvanized Steel • • ' • • 00 0 00 • • Gutter Type: [�([K-Style [ ]Half-Round [ ]Box I Size: ( 6" [ ]T' [ ]Custom:: • • • • :000:0 • •••••• Fasteners: [A Spikes [ ]Hangers w/Screws [ ]Timberlocks [ ]Ring Shankvpio. • :••0 0 0 Downspouts: [A 3"x4" [ ]4"x5" [ j 4"Round [ ] Custom Square: •••• • Warranty: ( 5 Years [ ]10 Years [ ]Lifetime [ ] No Warranty Leaf-Guard: [ ]Total Linear Feet: [ ]Splash Blocks: I/WE have read the front and back of the back of the forgoing contract. Cash : $ 1 ,G�—w Customer Signature Credit Card: $ ( . 3 � �— _-- - Total Cost $ Tortay's Dare CUSTOMER'S RIGHT TO CANCEL: This is a home solicitation sale, and if you do not want the goods or Deposit Received: $ service,you the customer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of Balance Due:$ i cancellation form for an explanation of this right. - - AngieFs list Payftl T.WSA J License CC#09-AL-1 4046-X