MC-14-1577 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-233747 Permit Number: MC-7-14-1577
Scheduled Inspection Date: May 04, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre Inspection Type: Final
Owner: Work Classification: Addition/Alteration
Job Address:9400 NW 2 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1131010150290
Project: <NONE>
Contractor: JA REPAIR SERVICE INC Phone: (786)229-3352
Building Department Comments
WORK ACCORDING TO MASTER APPROVED PLANS. Infractio Passed Comments
INSPECTOR COMMENTS False
l
\, LV
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-233531. CREATED AS
REINSPECTION FOR INSP-216324. 04/28/2015
no one home
Failed
J
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
May 01,2016 For Inspections please call: (305)762-4949 Page 24 of 41
4
Miami Shores Village
RECFTVFI�i
Building Department
11,, 201
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 [0
BUILDING Master Permit No.RC14-1224
PERMIT APPLICATION Sub Permit No.nL- � - I��
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9400 NW 2 AVE
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: R-1 Load: Construction Type: CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):ELITE HOME PARTNERS Phone#:305-905-6913
Address:2300 WEST 84 ST#602
City: HIALEAH State: FLORIDA Zip: 33016
Tenant/Lessee Name: Phone#:
Email: JDELAFE@TEAMDELAFE.COM
CONTRACTOR:Company Name: c >� � Phone#: 7A, 2- 2—el 335-.),
Address: ) A9W
City: or r ku � D State:
J
Qualifier Named L f fJ f' (n/ ^/ Phone#: 1 P/( 2 2-c? 3
State Certification or Registration#: �i 19J J 2-& c- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$2,500.00 Square/Unear Footage of work:
Type of Work: ❑ Addition M Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work:WORK ACCORDING TO MASTER APPROVED PLANS
Specify color of color thru tile:tztl� r�
Submittal Fee$ Permit Fee$ (� CCF$ r tC) CO/CC$
Scanning Fee$ �r�\ Radon Fee S DBPR$ Notary$_
Technology Fee$ 2 '4 Training/Education Fee$ O -0-11 Double Fee$
Structural Reviews$ Bond$ Q)
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 ATTORN Y BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exc eding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochu a will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commence ent must be posted at the job site
for the frac inspection which occurs seven (7) days after the building permit is issued. In the Bence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature "' �` 1C- Signature
OWNER or AGENT CON ACTOR
The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged beforemethis
—2—�day of 1 20 ,by day of IV 20. 1 �i by
1010 M ""ZJ ersonally kn n to J IT)ys I who is personally known to
me or who has produced as me or who has produced 1fTffras
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:_
Print: Print:
Seal ILENA ROMERO
'?• '`� Notary Public•State of Florida
Seal: ,•::"•°°e'� ILENAROMERO
.• �o
My Comm.E,cpkes Oct 2�1 2017 r: :�? Notary Public-State of Florida
�,�,� CommissbR#FF 066091 ? �.?My Comm.Expires Oct 24.2017
"'.;�E�, � Commission N FF 066091
###### # # #################### ############
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)