DEMO-14-1145 FI _
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 _
e
Inspection Number: INSP-213478 Permit Number: DEMO-6-14-1145
Scheduled Inspection Date: February 02, 2015 Permit Type: Demolition
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: JOSE MARTINEZ TRUSTEE INC.,ALEX Work Classification: Mechanical
0 OwOnn TOC
Job Address:525 NW 111 Street
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 3021360210720
Project: <NONE>
Contractor: CANE AIR CONDITIONING AND INSTALLATION, INC. Phone: 305-266-7800
Building Department Comments
DEMOLISH ILLEGAL CONSTRUCTION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed ,
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 30,2015 For Inspections please call: (305)762-4949 Page 1 of 31
Miami Shores Village tel ' '
JUN 0 3 014
Building Department
if, 7",-
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 -
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
�c FBC 20
BUILDING Master Permit No. N(�� 114 —1 11.1 LI
PERMIT APPLICATION Sub Permit No. d
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING M MECHANICAL ❑PUBLICWORKS ❑ CHANGE CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: .23
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): C. Phone#: 3 I_2,zSDJ
Address: '�2� r1 W 1 1 1 ST
City: 1 4 -LoM-St. State: - Zip: .Ya'I-a'EN
Tenant/Lessee Name: Phone#:
Email: v !GC>'C-J `VI f d
Z92�
CONTRACTOR:Company Name: ��� Phone#:
Address: �� `
City: _State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER::eArchitect/Engineer: <:! � 6 Phone#:
`�(
Address: 4;�iOG CAcy')94> S.4E�glo c-j;i' City: Gam. 6C6State: 4�r_ . Zip: 2),_261
Value of Work for this Permit:$ 1 1 C404C> Square/Linear Footage of Work: 9n_C___ .
Type of Work: F-1Addition F-1Alteration1:1New ❑ Repair/Replace Demolition
Description of Work: M'345-6Y�d:;)C—C!&"*4 /
SO color of color th ru li te:
Submittal Fee$ Permit Fee$ V CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ . G®
IN
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 ELECTRICAL WORK, PLUMBING,SIGNS,WELLS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS and 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 inspec.' rc i occurs s 7)days after the building permit is issued. In the absence of such posted notice, the inspection will not
be a ed a a reinspection fee be charged.
Signat, r Signature
O or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
da of fr 20 "l b \ n G�l.y da of ='� 20 d b ��- 6 C
Y � Y Iry � Y Y�_/�"' �
who is personally kno�to me or who has produced fwhos personally known t me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY P B
Sign: Sign: en d--� A
Print: ►r2 Print:
.�•��:�"Pis MDRES CRUZ
My Commission Expires: g°+° `� M Commission Ex it •+ 1
'� Notary Public-State of Florida Y p ,e� CR�UIRYP
'J My Comm.Expires Sap 21,2015 C K><+Il FF018629
ES:
Commission EE 132342 EXPIRMayr 26,2017
Rf, No+ fim Nary Puiae Wft Mh.
APPROVED BY " Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)