DS-15-78 VL lq -3717
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229067 Permit Number: DS-1-15-78
Scheduled Inspection Date: March 02,2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: PALMISANO,INGRID&ERIC Work Classification: New
Job Address:1035 NE 96 Street
Miami Shores, FL Phone Number
Parcel Number 1132060143730
Project: <NONE>
Contractor: PARSONS GENERAL CONTRACTORS,INC. Phone: (305)281-3480
Building Department Comments
DRIVEWAY Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
PassedCREATED AS REINSPECTION FOR INSP-228433. CREATED AS
CK REINSPECTION FOR INSP-226473. GRASS BETWEEN DRIVEWAY WILL
BE PLACED AFTER THE HOUSE IS COMPLETED BY THE OWNER FOR
Landscaping
Failed Remove forms and install sodComplete project must be finished
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 27,2015 For Inspections please call: (305)762.4949 Page 16 of 27
Miami Shores Village - �M
Building Department JAM 13 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY.
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 o
BUILDING `F,1vr'_-WAY Master Permit No. �G Al q
PERMIT APPLICATION Sub Permit No.05 16--
r-1
6--❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: :j1
City Miami Shores County: Miami Dade Zip: 5.5134
Folio/Parcel#: is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): /A14;IL117 W I A�! Phone#: 30S 7" X IR5
Address: 10-35' All, 9i S
City: 141#A41 -5)�Of4.5 State: �L, Zip: 3130"
Tenant/Lessee Name: n` Phone#:
Email: f 41—A416&L, '_7— A41A1 L�rJ �1�197.
CONTRACTOR:Company Name: P4?_50A1!5 (yGi Ilee- Phone#: 3,95 / 3gso
Address: f19,�'® 5�✓ 9e► ���
City: � G����� State: f%f/ Zip: 1315-7
Qualifier Name: &%yrA)? �< 1� t2��/✓� Phone#:
State Certification or Registration#: CG C 05_11,351� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
_ Address: City: State: Zip:
ANue of Work for_this krr hl$" (� ware/Linear Footage of Work:16
Type of Work: ❑ Additlon ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description}of Work:
.s., m? ire ae S r fi}�R '•-�-'�' .. r
Spedjf loc of 614prthAl ti�i�16;'
Submittal Fee$ L° ' Pgi�rriit $ "'IS` M2 CCF
Scanning Fee$ 4 Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ y
(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 on 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 rzx—� Signature J'�lk
OWNER or AGENT CONTRACTOR
The foregoing instrum aF 'r4c, o ledged before me this The foregoing instrument was acknowledged before me this
days N ° 0 by ? day of.�,' t//�i� 7 ,20 i _,by
/^/4 A/D C&I-AWWO who is personally known to AA& / - -PM69✓S ,who is personally known to
me or who has produced as me or who has produced a&
identification and who did take an oath. identification and who did tak n
Notary Public State of Florida
NOTARY PUBLIC: NOTARY PUBLIC: c a My C�mMiy�EE 201086
a Expires owwo16
Sign Sign•
Print:. �lr �% MIZI FLEr/I Print: � U�ft7y
Seal: Notary Putdk State of Florida Seal:
•
Robert Murphy
My Cornroission EE 201066 E' F
Expires 05/2212018 401
eex**axe*s**se*air x**aaaasaaaxa*ssa's a * s4>�' *exeea*
100"
lJ �f
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)