WS-15-882 C 1L4 -qr
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248819 Permit Number. WS-4-15-882
Scheduled Inspection Date:January 21,2016 Permit Type: Windows/Shutters
Inspector. Rodriguez,Jorge
Inspection Type: Final
Owner. TURK,JAMES AND JANINE Work Classification: Window/Door Replacement
Job Address:1275 NE 94 Street
Miami Shores,FL 33138-2946 Phone Number
Parcel Number 1132050100090
Project: <NONE>
Contractor: SECURE WINDOWS&DOORS Phone: 305-513-0705
Building Department Comments
IMPACT WINDOWS AND DOORS INSTALLATION(6) Infractlo Passed Comments
DOORS AND 40 WINDOWS. INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-246699. CREATED AS
REINSPECTION FOR INSP 246643. CREATED AS REINSPECTION FOR
INSP-232529. Plans and permits missing.
SW No permit card on site
Failed ❑ Front of house flooded
No access
Correction &,/; e, a-;;F�/ ��
Needed 50OIZ
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 20,2016 For Inspections please call: (305)762-4949 Page 16 of 32
61 a(o\+L Miami Shores Village
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. �_A Building Department
JUN, f@ 201
c 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 B
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20 16)
BUILDING Master Permit No. A/_Zz/
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
(]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [—] CHANGE OF ❑CANCELLATION 2,SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �J LT * r Phone#:
Address: li-C
VI -
City: 1rr-- � /Y�`Q MV� rtState: Zip:�� 'S
Tenant/Lessee Name: Phone#:
Email: l /
CONTRACTOR:Company Name/:�[/0° s �2rsrt4 I C... Phone#:
[
Address: f J J 'w 1(/ 7 (A,
City: eA,4( State: r(I Zip: '331 q6
Qualifier Name: Tf, 0 l�, lir�i�'//tdZ(� Phone#: .do'-�
State Certification or Registration#: `---YM"t
.•.r--�l g O Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 0, C2 O Square/Linear Footage of Work:
Type of Work: ❑ Addition
❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:: 4 .
Submittal Fee$ Permit Fee$ D 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.
Signature Signature
OWNER or AGENT CONTRACVR
The foregoing instrument was acknowledged before m this The foregoing instrument was acknowledged before me this
day of \ 1 (J n P ,20 ,by day of 2V--5 .by
k —,who is personally known to E'--re who is personally known to
me or who has produced as me or who has produced f as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
S' Si n
Prin * PAM 04004 Pao
L4, 10i
tary Public State of �a Notary Public S o
Seaanna M FeHc+ano Seal: Joanna M Feliciano
yCommission FF 082753 • My Commissbn FF 082753
xpires01/1212018 w �xpNes01l1Zr1018
************************* ********************************************************************************
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)