ACT-15-1899 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240106 Permit Number: ACT-7-15-1899
Scheduled Inspection Date: October 06, 2015 Permit Type: Awnings/Canopies/Tents
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: HOLT,JAMES Work Classification: New
Job Address:361 NE 97 Street
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1132060135760
Project: <NONE>
Contractor: EL SOL AWNING DESIGN CORP Phone: (305)573-4757
Building Department Comments
RENEWAL OF EXPIRED PERMIT ACT14-2710 Infractio Passed Comments
INSPECTOR COMMENTS False
COMPLETE DOME CANVAS AWNING 5'X 3' COLOR
RUST#4689
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 05,2015 For Inspections please call: (305)762-4949 Page 11 of 39
I
7JU7L2'8'
IVED
��. Miami Shores Village 2015
Building Department BY:
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
BUILDING Master Permit No. 29
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSIONtENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�f CONTRACTOR DRAWINGS
JOB ADDRESS: /�1 I?
City: Miami�Shores County: Miami Dade Zip: `
Folio/Parcel#:�f_hho4Qb -old-'5 woo Is the Building Historically Designated:Yes_1��NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE
OWNER: Name(Fee Simple Titleholder): 1KW'1L65PV%3 LAC Phone#: OgqV—0//6S
Address: 1n
City: /� � State: � Zip: r tJ
Tenant/Lessee Name: ZJVLSI m9kylAa / Phone#: .3
Email: ��11n j �� �y ��✓J�/lff � ���
CONTRACTOR:Company Name: N(/U 'De-s)( Phone#: 3 1 7 3 Ll
Address: /y UJ 71
� � r
City: Lit 1 - � State: F'L Zip: -2, Z�
Qualifier Name: N t p V C-) tAA k c/Q Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
e
Value of Work for this Permit:$ ®®��` Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ) �l� New ❑ Repair/Replace ❑ Demolition
Description of Work: r)IN e_ Jrl - ) Q A W�.t�^1y p -
�2.0
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ G 0
(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 compriamae
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C MMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU WTEW
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$25oo, the applicant nwst
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 commencemejpt 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
—40 NER or AGENT CONTRACTOR
The foregoing instrumen was cknowledged before me this The foregoing instrument was acknowledged before mG this .
day of l 20 by -�yZ`–Q—day of. 20
A0 ZZ who is personally known to !) lli e J�/" '/ / o iVs ppeerssonaIly known to
me or who has produced 9 3 as me or who has produced ^�/� as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: {,
� Q
Sign:n =- ;;;t Sign:
Print: Z _......__
Seal: STATE OF FLORIDA Seal: ►'"Pot
iP Notary public State o/Florida
CaimM FF2"M Joanna M Feliciano
.a
Expires S/UM119 °f^ Expor rnisiiion F 082753
APPROVED BY / Plans Examiner
Structural Review
(RevisedO2/24/2014)
77
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r l �
1sK°mss y� Miami Shores Village f "¢ S tI1sMIitfl �:
10050 N.E.2nd Avenue NE F m ft N
Miami Shores,FL 33138-0000 � y
Phone: (305)795-2204
FKORLDA ,� y ,
Expiration: 01130/2016
Project Address Parcel Number Applicant
361 NE 97 Street 1132060135760
Miami Shores, FL 33138-0000 Block: Lot: BLACKWELL ESTATES LLC
Owner Information Address Phone Cell
BLACKWELL ESTATES LLC
FL
Contractor(s) Phone Cell Phone Valuation: $ 600.00
EL SOL AWNING DESIGN CORP (305)573-4757
..... Total Scl Feet: 00
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: :In Review Final
Date Denied: Foundation
Type of Work: Additional Info: Review Planning
Classification:Residential Color Approved: In Review:In Review Review Building
Code Comments:: Code Approved::In Review
Code Denied: Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# ACT-7-15-56505
$2.00 08/03/2015 Credit Card $ 114.60 $0.00
DCA Fee $2.00
Education Surcharge $0.20
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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 nd zoning. Futhermore, I authorize the above-named contractor to do the work stated.
August 03, 2015
Authorize Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 03, 2015 1