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RC-16-1495 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-259969 Permit Number: RC-5-16-1495 Scheduled Inspection Date:July 14,2016 Permit Type: Residential Construction Inspector. Mesa,Michel Inspection Type: Final Owner: STEFAN,HELEN Work Classification: Solar Job Address:54 NW 92 Street Miami Shores,FL Phone Number 3051756-0222 Parcel Number 1131010170190 Project: <NONE> Contractor. CUTLER BAY SOLAR SOLUTIONS Phone: (786)457-5958 Building Department Comments INSTALLING SOLAR PANELS TO THE ROOF Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed , a Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid 6 July 13,2016 For Inspections please call: (305)762-4949 Page 7 of 29 s im u a s � Miami Shores Villageli`t1 10050 N.E.2nd Avenue NW � � 11 "h Miami Shores,FL 33138-0000 �• n 60veb Phone: (305)795 2204 x �E' �' .....: 612216 Expiration: 12119/2016 Project Address Parcel Number Applicant 54 NW 92 Street 1131010170190 Miami Shores, FL Block: Lot: HELEN STEFAN Owner Information Address Phone Cell HELEN STEFAN 54 NW 92 ST. 3051756-0222 MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 9,800.00 CUTLER BAY SOLAR SOLUTIONS (786)457-5958 ._...w.. ....._.. ._..._.._ ...... ._.___ _..__ __.... Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Review Building Type of Construction:INSTALLING SOLAR PANELS TO T Occupancy:Single Family Roof in Progress Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted:Yes Certificate Status: Certificate Date: Additional Info: Bond Return: Classification:Residential Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 Invoice# RC-5-16-59982 DBPR Fee $4.41 06/22/2016 Credit Card $271.82 $50.00 DCA Fee $4.41 Education Surcharge $2.00 05/31/2016 Credit Card $50.00 $0.00 Permit Fee $294.00 Scanning Fee $3.00 Technology Fee $8.00 Total: $321.82 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,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati is a r e nd that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na d on r ct r o'do the work stated. June 22,2016 Authorized Signature:Owner / Applicant / ontractor / Agent Date Building Department Copy June 22,2016 1 Miami Shores Village ACEI VED Building Department MAY g 1 01� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 B�: 7 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2W'q BUILDING Master Permit No. �� PERMIT APPLICATION sub Permit NORC_I G — 149"5 OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP 54 CONTRACTOR DRAWINGS JOB ADDRESS:-82nw 92 st City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#:11-3101-017-0190 Is the Building Historically Designated:Yes NO X Occupancy Type: home Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Helen Stefan Phone#:305-807-7337 Address:82 NW 92 st City: Miami Shores State: Florida Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Cutler Bay Solar Solutions Phone#: 786-457-5958 Address: 8301 SW 184 LANE City: Cutler Bay State: FL Zip: 33157 Qualifier Name: Raul Vergara Phone#: 786-457-5958 State Certification or Registration#: CVC 56957 Certificate of Competency#: DESIGNER:Architect/Engineer: Juan Rodriguez-Jomolca Phone#: 786-486-9099 Address:625 SW 82 ave City: Miami State: FI Zip: 33144 Value of Work for this Permit:$9,800.00 Square/Linear Footage of Work: Type of Work: ❑ Addition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: installing solar panels to the roof Specify color of color thru tile: Submittal Fee$ •C9_0 Permit Fee$ '4-- 06 CCF$ �' CO/CC$ Scanning Fee$ Radon Fee$ '-4 DBPR$ • r4' Notary$ Technology Fee$ Training/Education Fee$ W Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ QL 9 2— (Revised02/24/2014) r -- 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 instru Int was acknowledged before me this �i&d day of cl t 20 b ,by day of I (1 20 by k�l' ' �U✓l_ who its personally known to G( %1 who is personally known to me or who has produced as me or who has produced L , as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: C ' Print. 1 °` c Pring �T`t r�, 'C i% Seal: ,,,.q��'¢�,, Jeff Diego Seal: VI 0919 Jeff Diego COMMISSION # FF181160 �� = � COMMISSION # FF181160 EXPIRES:December O�ARY.COM �' �Fti��\�� IM4Afirr �.....,st n.../,�, nn• APPROVED BY Plans Examiner �P Zoning Structural Review Clerk (Revised02/24/2014)