RC-15-2632 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246757 Permit Number: RC-10-15-2632
Scheduled Inspection Date: October 28, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: JIMENEZ,JESUS Work Classification: Alteration
Job Address:41 NW 106 Street
Miami Shores, FL Phone Number
Parcel Number 1121360060210
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
RENEWAL OF EXPIRED PERMIT BP2004-1255 Infractio Passed Comments
INSPECTOR COMMENTS False
REPLACEMENT OF KITCHEN CABINETS
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-246743. NO ACCESS
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 28,2015 For Inspections please call: (305)762-4949 page 52 of 53
`yNOREs h Miami Shores Village y; _ � �� I itrllGtiEE't�
10050 N.E.2nd Avenue NW � t��S �;'f�t
Miami Shores, FL 33138-0000 `
Phone: (305)795-2204 ` � � '�
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fitoxtuP
Expiration: 04/23/2016
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Project Address Parcel Number Applicant
41 NW 106 Street 1121360060210
Miami Shores, FL Block: Lot: JESUS JIMENEZ
Owner Information Address Phone Cell
JESUS JIMENEZ 41 NW 106 Street
MIAMI FL 33150-1245
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HOME OWNER
_. _ _..... Total Sq Feet: 00
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review Window Door Attachment
Date Denied: Framing
Type of Construction: RENEWAL OF EXPIRED PERMIT B Occupancy:Single Family Insulation
Stories: Exterior: Drywall Screw
Front Setback: Rear Setback: Final PE Certification
Left Setback: Right Setback: Window and Door Buck
Bedrooms: Bathrooms: Fill Cells Columns
Plans Submitted: Certificate Status: Review Building
Certificate Date: Additional Info: Review Planning
Review Electrical
Bond Return: Classification:Residential Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural
CCF $1.20 Review Mechanical
DBPR Fee Invoice# RC-10-15-57449$2.00 10/26/2015 Credit Card $66.20 $50.00
DCA Fee $2.00
Education Surcharge $0.40 10/16/2015 Credit Card $50.00 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
require for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNE VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction Futhermore, I authorize the above-named contractor to do the work stated.
October 26, 2015
Author i e:Owner / Applicant / Contractor / Agent ate
i Building D artment Copy
October 26,2015 1
Miami Shores Village
1 5 BuildingDepartment OCT 16 2015
p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 L
BUILDING Master Permit No.f�,
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CO TRACTOR DRAWINGS
/r142C
JOB ADDRESS: V
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NOy
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
�° s ao3
OWNER: Name(Fee Simple Titleholder): Phone#:
Address:
City: f 14 1*
State: t Zip:
Tenant/Lessee
,Name: Phone#:
Email: V ) �
CONTRACTOR:Company Name: v �y) Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ . �0� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ AlterationNew ❑ Repair/Replace ❑ Demolition
Description of Work: e n P'l U12
Tew= at 452
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$
(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.
c
Signature Signature
O or AG NT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of oa4 ,20 ZC ' , by day of , 20 by
j T,�DQ/7 who is personally known to 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 did take an oath.
NOTARY P NOTARY PUBLIC:
Si Sign:
rint: Print:
Notary Pu
Seal: p'' !Danns M Feliciano Seal:
ro01
401'i122018082753
Plans Examiner Zoning
APPROVED BY 2
I
Structural Review Clerk
(Revised02/24/2014)
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ill dimensions& Size desinnatinnE HF I{}1iq is an r�riginal d�slgn and must' FAA Scale 1',^"= 1' Dw a i W..
liven ars.subject to verifiration on inot he released or cooled unless � Designer
ora site and adjustment to fit 0b HOME DEPOT ,-pp I JESUS JIMENEi_FRAI`JCUI9 pESJAfdC
I 1 a licable fee has heert )aid or job 11IV51
miditions order placed
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,ven ari subject to verificat+on on }'F
HOME DEPOT he telcased or cOpYNd unipgs 1F' l,:JIMFFdEZI� Uesianer
b site and atljustment to Fit jnh applicable fee has bLen raid()rob'
ar,dition�, F ! rRANCOGS DESJAkt)ItJ
order placed. { WaNlC:Lint,# 1
able 00000-000-006 9i:91 NOV90 ZIII'