RF-15-3027 w
1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248814 Permit Number: RF-12-15-3027
Scheduled Inspection Date: December 21,2015 Permit Type: Roof
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: GERVAIS, MATHIAS Work Classification: Gutters
Job Address:96 NW 92 Street
Miami Shores, FL 33150- Phone Number (786)942-7767
Parcel Number 1131010160070
Project: <NONE>
Contractor: AMENGUAL ELECTRIC INC Phone: (954)410-6364
Building Department Comments
INSTALL NEW RAIN GUTTERS Infractlo 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
December 18,2015 For Inspections please call: (305)762-4949 Page 16 of 51
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Pr, NO, l�F-'�24 5-3027
Miami Shores Village Pettllll�T ?e Roof
10050 N.E.2nd Avenue NW work Classific9fiwl ��
Miami Shores,FL 33138-0000
Phone: (305)795 2204 Pettit Status.
FCORLDA � �
m..:.
esu De1410 Expiration: 06/1192016
Project Address Parcel Number Applicant
96 NW 92 Street 1131010160070 _� ...^ ,_....._..__ _r._... _�.. ._.__w.__�.
IVIATHINS GEF2vAlS
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
96 NW 92 Street � �.. �-.�_�_r.m�. .. .._.� _.�_�_-_� . , ._s�_a__._...�
MATHIAS GERVAIS (786)942-7767
MIAMI SHORES FL 33150-
_
96 NW 92 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone ' $ 1,000 00
AMENGUAL ELECTRIC INC (954)410-6364 Vall uation:
..,.. . . ..... Total Sq Feet: 275
Type of Work:Gutters Available Inspections:
Additional Info:INSTALL NEW RAIN GUTTERS Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
i
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# RF-12-15-57958
DBPR Fee $2.00 12/14/2015 Credit Card $69.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 12/04/2015 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compll ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the prol ar authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, ser,,ants, cr m;;! c I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL wor c.
OWNERS AFFIDAVIT: I certify that all theJ=aoing information is accurate and that all work will be done in corn fliarc. ::i:!, s!; app!!cablc laws regulating
construction and_zoning: Futhermore, authorize a above-named contractor to do the work stated.
/ �"e`d SignatDecer Iber 14, 2015
�Authariure:Owne Applicant / Contractor / Agent date
Building Department Copy
December 14,2015 1
kV9 Miami Shores Village
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Building Department DE o4- 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 1l\6 '
Tel:(305)795-2204 Fax:(305)756-8972 _..T4
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2014
BUILDING Master Permit No. I� 3Z`Z�
PERMIT APPLICATION Sub Permit No.
®BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
F-IPLUMBING ❑ MECHANICAL [:]PUBLICWORKS CHANGE OF ❑CANCELLATION SHOP
(1� 1 CONTRACTOR DRAWINGS
66013 ADDRESS: Ajuj �_ �t^� �� M
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated: NO
Occupancy Type: Load: Construction Type: Flood Zone: FE: F
OWNER:Name(Fee Simple Titleholder): CSP r� S Ph e#:
Address: Sc�.�—�,�- e �-
City: L1-A ;a„�.' 3'6swe.s -t , L State: �-- Zip: I� o
Tenant/Lessee Name: 1Phone#:
Email: Yn r °S �eS 1^Qt' 111J 1 (®r_1%
n / Jar e
CONTRACTOR:Company Name: �ni-e tgt c� r o, '�'t Phone#: fr? ��`92s� PO�/rC)
Address: /ZU-) / 2: -
City: / State: /���- Zip: 3317-(,o
Qualifier
,3/Z-
Qualifier Name: Phone#:(7��) V0 Z--%6 5 Z-
State Certification or Registration#: 0 3 z Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: I City: State: Zip:
Value of Work for this Permit:$ ' 00 Square/Linear Footage of Work: ac?55
Type of Work: ❑ Addition ❑ Alteration 9New g� ❑ Repair/Replace El Demolition
Description of Work: d'7 tom'Lt--%r-e57S
Specify color of color thru tile:
Submittal Fee$�� '� Permit Fee$! CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ •�A�
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ v
(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 no ' , the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT NTRACTO
The foregoing instrument was acknowledged before me this The foregoing instrumen was a owl a before me this
day of 2,O �L 20 IS by G day ,n Ao�f )p�Zyi ,20 1'� by
L 'o �(' Csefoatlj who is personally known to ��OP+ l&`iGkJAL who is personally known to
4
me or who has produced hl!0S ad4k2/5s me or who has produced 1. �(c f' t z— �- I0��
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PU L
Sign: Sign• /n1
Print: Print: 2> Nm� r`�yL4?X2
p, Nota�Y public State of Florida
a:►� Seal: -
Joanna M Feliciano
• . My�wnmission FF 082753
'�?a!►°� FXPirea OvI24018 6po py, NoWY Publib��ta 0�i8f1t��
Sindla AlvsW ��6958
�****ee*��**��*
APPROVED BY ? Y Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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RCD OSAL I WVOICE
8261 Wd 15 C7 Toho 561=771-9565 I
IImbroke Pinez, f;°L 33624Fen. -212=2999
CUSTOMER'S NAME CITY a i• �Q
JOS A®®KESSC®MMUNITY NAME SWf3�CPMMI�tITy.• 0 0 0 0:. �?
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AUTNORtZtNG PERSON EMAILADDRESS •••• •••• • ';
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?E CELL PHONE P-®dWORK Pi/\®RE ,UihBER
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ADDRESS CITY 0 0 0 ,1P ....i.
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BUILDING REVIEW s
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APPROVED DATE
39
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E ,o,CS:GF s SGJOB�� INSTALLERS DAT E MPLETED �
4 SEAMLESS ALUMINUM GUT i ER COLOR INCH ,n' INCH 7 s
pREMOVE GUTTER
� � ���=8®8�i1 > �
I �ltad S�
#ALUMINU.rV9 DOWNSPOUT COLOR SIZESCREEN $ ----------- .......................
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9.Our Ua year 1-ftwo is honoring"Evia mz f " a
�� g '����saror.s..^:�`�®ail,��,JS���a®�a at th,,best prices for quality products and superior vrorltmanship.
2.Fu-01 lWarvan2gy boy,app to 20 yowa from the material manufactures plus premium added warranty of all labor cost for 5 full years. r �i
3.Customer agrees to pay in full at tima of installation or pay late fees of 5%past 7 days plus 90%past 94 days on total invoice. r � 2'l
4.Owner anchor this person authorizing this work hereby agree to personally guarantee payment in full as stated and agree that �r
ONLY T'NE°^v°W4 DETAILED W DEA.Si'k,'?98 ONCLUDE®:AZD MORE WORK OR HATERIALS WILL BE EXTRA.
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Date
Est:PPtiB®Fs Sigrs(s>iaaFe (Auth®ftlng Persons Confirming Signature) g