RC-15-2488 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250441 Permit Number: RC-9-15-2488
Scheduled Inspection Date: January 07, 2016 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final Building
Owner: SANCHEZ,VAL Work Classification: Alteration
Job Address:101 NW 102 Street
Miami Shores, FL 33150- Phone Number (305)962-9175
Parcel Number 1131010220050
Project: <NONE>
Contractor: VAL SANCHEZ, LLC Phone: (305)962-9175
Building Department Comments
REPLACE EXISTING KITCHEN CABINETS, RELOCATE 1 Infractio Passed Comments
TOILET AND VANITY IN ONE EXISTING BATH. NEW INSPECTOR COMMENTS False
EXTERIOR LANDINGS REQUIRED FOR NEW EXTERIOR
DOORS.
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 06,2016 For Inspections please call: (305)762-4949 Page 29 of 34
�eHoaes t� Miami Shores Village t � it �� fl1 $Dt1:
10050 N.E.2nd Avenue NW S Worke )
Miami Shores,FL 33138-0000
. Permit States'AFxF� q
Phone: (305)795-2204 .;,
f40R1DA is
i u at�� Expiration: 06/07/2016
Project Address Parcel Number Applicant
101 NW 102 Street 1131010220050
Miami Shores, FL 33150- Block: Lot: VAL SANCHEZ,LLC
Owner Information Address Phone Cell
VAL SANCHEZ, LLC 3125 SW 80 Avenue (305)962-9175
MIAMI FL 33150-
3125 SW 80 Avenue
MIAMI FL 33150-
Contractor(s) Phone Cell Phone
VAL SANCHEZ, LLC (305)962-9175 Valuation: $ 30,000.00
Total Sq Feet: 800
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Fill Cells Columns
Date Denied: Final PE Certification
Type of Construction:REPLACE EXISTING KITCHEN CAB Occupancy:Single Family Window Door Attachment
Stories: Exterior: Framing
Front Setback: Rear Setback: Insulation
Left Setback: Right Setback: Drywall Screw
Bedrooms: Bathrooms: Window and Door Buck
Plans Submitted:Yes Certificate Status: Review Planning
Certificate Date: Additional Info: Review Mechanical
Bond Return: Classification:Residential Review PlumbingReview Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing
Review Building
CCF $13.50
DBPR Fee $13.50 Invoice# RC-9-15-57260 Review Building
DCA Fee $13.50 09/30/2015 Credit Card $50.00 $1,174.00 Review Electrical
Education Surcharge $3.00 12/10/2015 Credit Card $ 1,174.00 $0.00 Review Electrical
Permit Fee $900.00 Review Electrical
Plan Review Fee(Engineer) $120.00 Review Structural
Plan Review Fee(Engineer) $120.00 Review Structural
Scanning Fee $9.00 Review Structural
Technology Fee $24.00
Total: $1,224.00
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,drawin tatements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work either self, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHAN L DOWS,DOO ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all th reg ' g infation is curate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore on t v -na contractor to do the work stated.
December 10, 2015
Authorized Signature: Applicant / Contractor / Agent Date
Building Department Copy,
December 10,2015 1
• Miami Shores Village
g ��EP • � ���15
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (�-A
BUILDING Master Permit No. 4 Bcs
PER IT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
r-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 16/ ou c.C-) /60,
City: Miami Shores County: Miami Dade Zip: 31310
Folio/Parcel#: �� 16 10 2 2 ®® S ® Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
1
OWNER:Name(Fee Simple Titleholder): Phone#: 0®'S--�'CZ "` TI-7&—
Address:
City: State:r� Zip: 3«rte
Tenant/Lessee Name: Phone#:
Email: f � �Z--C �/�L.C��-C CLQ �foC
Il
CONTRACTOR:Company Name: V [ t Phone#: [h7
Address: y O to
City: /`tel d+PW 1 QTc"` State: ( Zip: c33 /37 -9Qualifier Name: �Z �"C Phone#: � 6 s `��2" l l�S
State Certification or Registration#: 1672 )S ertificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: t State: Zip:
e
Value of Work for this Permit:$ ® ®®®o Square/Linear Footage of Work: i'yel�m
Type of Work: 1:1Addition 9111teration ElNe fw ❑ Repair/Replace E] Demolition
Description of Work: Nee' � -4-/A 6j 01OL6 l/U -S ke ®'
�� e �e �` N srs raga b 4&et;! ,e
keo:Lfieel0l
Specify calor 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 ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatu Signature
OW R or AGENT CONTRACT
The foregoiing instrument was acknowledged before me this The
I.ffoor oIng instrument was acknowledged before me this
day of 20�by day o� 20 If ,by
Clk10W �G2>te 01i 4p ,who is personally known to 0 � t1t Z who is personally known to
me or who has produced DL ozwz/o me or who has produced CT 5-60Z 77-.5T-0
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Notary Public State of r io�laa r�
Seal: Elizabeth Yelin { Seal: 0.. 0 ,=Pubficte tate of FloridaMy Commission FF 063553 j ? inova Expires 10/16!2017 � FF 063558or s+ 017
APPROVED BY I I ) Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014) J
LLIO-V