RC-14-2587 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246813 Permit Number: RC-11-14-2587
Scheduled Inspection Date: November 03, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: Alteration
Job Address:93 NW 93 Street
Miami Shores, FL 33150-2232 Phone Number
Parcel Number 1131010340240
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
REPLACE DRYWALL AND TILE. Infractio Passed Comments
INSPECTOR COMMENTS False
10-28-15
This property has multiple permits. The work has been
continuous and there by this permit has not expired.
Inspector Comments
Passed Z�t_ V-I\
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 02,2015 For Inspections please call: (305)762-4949 Page 32 of 50
Miami Shores Village
Building Department -
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 _ F
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 1-0
BUILDING Master Permit No. �
PERMIT APPLICATION Sub Permit No.
°BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Vn I CONTRACTOR DRAWINGS
.3 '
JOB ADDRESS:1q3 S
City: Miami Shores County: Miami Dade Zip: 3 316
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: p FFE:G
OWNER: Name 1rS(FeeSimpleTitleholder): &RC, S% (� Phone#: -77 (o
Address:
City: Yk i -Yrm, SIn t'L:�; State: Z Zip: S-0
Tenant/Lessee
Tenant/Lessee Name: Phone#:
Email:CON
TRACTOR:Company Name: tomc owp'�-7_r� 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:$ 1300 . do Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ e�•Q)
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature - Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ���1s��°, �— ,20 , by day of 20 by
who is personally known to who is personally known to
me or who has produced L UO F�$\-as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PU IC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Sirxlia Alvarez
Seal: Mycommissron FF 158750 Seal:
Lae,
Expires 09/03!2018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)