FW-15-2140 V Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-244610 Permit Number: FW-8-15-2140
Scheduled Inspection Date: October 01, 2015 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: SUB LLC, SRP TRS Work Classification: Wire Fence
Job Address: 10540 NE 2 Place
Miami Shores, FL 33138-
Phone Number (954)671-1400
Parcel Number 1122310130540
Project: <NONE>
Contractor: AMENGUAL ELECTRIC INC
Building Department Comments
REPLACE FENCE, WOODEN FENCE IS BROKEN, Infractio Passed Comments
CHANGING TO CHAIN LINK(GREEN) INSPECTOR COMMENTS False
3C Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 30,2015 For Inspections please call: (305)762-4949 Page 32 of 32
*sN°SES Miami Shores Village y N
10050 N.E.2nd Avenue NE
n
Miami Shores,FL 33138-0000
A6 Phone: (305)795-2204 � X�' � 3 �� a M ;
r zgExpiration: 02/21/2016.'
Project Address Parcel Number Applicant
10540 NE 2 Place 1122310130540
SRP TRS SUB LLC
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
SRP TRS SUB LLC FL (954)671-1400
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
AMENGUAL ELECTRIC INC Total Sq Feet: 60
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved: : Final
Date Denied: Foundation
Type of Construction:Wire Fence Additional Info:REPLACE FENCE,WOODEN FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# FW-8-15-56810
DBPR Fee $2.00
DCA Fee $2.00 08/21/2015 Check*002136 $50.00 $64.60
Education Surcharge $0.20 08/25/2015 Check#:6720 $64.60 $0.00
Permit Fee-Wire&Wood $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 and zoning. Futhermore,I authorize the above-named contractor to do the work stated.
August 25, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 25,2015 1
Miami Shores Village
Building Department '�� � i 201
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY -
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. FIL' - IIS- 2 4 4o
BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS gCOANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10S110 �\ C &C�- VL
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: `� ZZ 3 I d( -3,OL LA U Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Sub ) L C Phone#: DI Zy?�' 5s I (�
Address: 2-10r, t,LJ 2cA-
City: 7F-1 • State: t=L Zip: X330 C1
Tenant/Lessee Name: Phone#:
Email:
i
CONTRACTOR:Company Name: / 4 Phone#.
3�,�1 itJ til /rL G�e� �
Address:
City: M !-rf P-1 SZip: le- 4C
Qualifier Name: 06 �Q 4r� tat Phone#: 9FY(4/0-6.:�KJr
State Certification or Registration#: C G e-- Q 0,Y701 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ %,c)00'- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: A *t, -S"-ey-,ce -lmr,c er. -s�lleYl C,- S -V-w�a 1c-e•1
A-C�) C s' �
Specify color of colors t4ru tile:
Submittal Fee c P r 1 00 '
$ emit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ ` D
(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 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
OW or AGENT CO OR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of e 20 K by f, 7 day of C 20 IJ— by
n)N rsonallyknownto AP�cr Gard. Ycc,. ,`,L who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did1(407) 981,
4�!L>wtO�BAU
MY COMAOb70l11iF I"45
NOTARY PUBLIC: NOTARY PUBLIC: EXPIRES MAY 4,2018
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Sign: Sign:
Print: Print:
Seal: State o1 Flor da Seal:
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APPROVED BY � f� Plans Examiner <S Zoning
Structural Review Clerk
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BOUNDARYSURVEY
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CLIENT:SRP TRS Slat LLC �A1LL
PROPERTY ADDRESS:10M NE 2 PL M(AW SNORES FL 79171
LEGAL DESCRIPTION:
LOT 4 AND THE SOUTH}OF LOT 5,BLOCK 14,FIRST ADDITION TO PASADENA PARK SUBDIVISION,ACCORDING TO THE
PIAT THEREOF AS RECORDED IN PLAT BOOK S•PAGE 12,OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY,FLORIDA
ELEVATION INFORMATION:
B.M.USED N-517 ELEVATIONS 10.54(NGVD 1929)LOCATED NE 104 ST-29'SOUTH OF CIL LOT IV-LpT T
BASED ONTHEFLOOD INSURANCERATE MAP OFT ME FEDERAL EMERGENCY MANAGEMENTAGENCY DATED OR U7T =y yl
REVISED ON 01.11.2009 THEHEREIN DESCRIBED PROPERTYIS SITUATED WITHINZONEX BASEFLOOD ELEVATION WA C]1•
COMMUNITY 120152 PANEL NUIIIBER 0720 SUFFIX L EFFECTIVE PANEL DATE 09-11-2001 a
C✓B?7HgD TO:SRP TRS SUB LLCZ
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