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RC-16-3090 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-271601 Permit Number: RC-11-16-3090 Scheduled Inspection Date: November 23,2016 Permit Type: Residential Construction Inspecto " ISmae( Narah Inspection Type: Final Building Owner: WOOLFOLK,VANDRA Work Classification: Alteration Job Address:1230 NE 102 Street Miami Shores, FL Phone Number Parcel Number 1132050250020 Project: <NONE> Contractor: HOMEOWNER Building Department Comments RE TILE FRONT PORCH AREA INDOOR/OUTDOOR Infractio Passed Comments CERAMIC TILE INSPECTOR COMMENTS False TO REPLACE PERMIT NUMBER RC 15-2497 Inspector Comments Passed Ea- ifln Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 22,2016 For Inspections please call: (305)762-4949 Page 22 of 32 q Miami Shores Village Kaaletlal 10050 N.E.2nd Avenue NE �"t�fltt miff Miami Shores,FL 33138-0000 ' PRC3ui Phone: (305)795-2204 REr Expiration: 05/21/2017 Project Address Parcel Number Applicant 1230 NE 102 Street 1132050250020 VANDRA WOOLFOLK Miami Shores, FL Block: Lot: Owner Information Address Phone Cell VANDRA WOOLFOLK 1230 NE 102 ST MIAMI SHORES FL 33138-2618 Contractor(s) Phone Cell Phone Valuation: $ 1,650.00 HOME OWNER __..: v. w. __:... , w...:.. ......:: Total Sq Feet: 400 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Framing Type of Construction: Occupancy: Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted: Certificate Status: Review Building Certificate Date: Additional Info:RE TILE FRONT PORCH AREA IND( Review Planning Review Electrical Bond Retum: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $1.20 Review Mechanical Invoice# RC-11-16-62036 DBPR Fee $2.00 11/10/2016 Check#:2103 $50.00 $71.20 DCA Fee $2.00 Education Surcharge $0.40 11/22/2016 Credit Card $71.20 $0.00 Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $121.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI : I rtify that Atha foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructs n ng. F theftnoreb Authorize the above-named contractor to do the work stated. November 22, 2016 Authorized Sign e:O er / Applicant / Contractor / Agent Date Building Dep irtment Copy November 22,2016 1 Miami Shores Village 'x of NOV 0 2016 Building Department g; 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20N BUILDING Master Permit No. A(- PERMIT APPLICATION Sub Permit No. )6BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION NEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ( � "� � � � ®�� I City: Miami Shores County: Miami Dade Zip: -33 k Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Con truction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ne#: Address: 6v6- City: State: �y Zip: Tenant/Lessee Name: Phone#:_ Email: CONTRACTOR:Company Name: d A C— OVJtS� Phone#: Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: _ City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Rep it/R 0&0A--G ❑ Demolition Description of Work: ` <Lt-- C !� t/ e Y80A— _ iii I { f /QC,e gimm e t 001T) e 157- 4(4Q-4 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ ® CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ No, $ Technology Fee$ Training/Education Fee$ Q 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 OWNE or AGENT CONTRACTOR The foregoing instrument wa acknowledged before me this The foregoing instrument was acknowledged before me this /® day of AJO 20 by day of 20 by valod17 f oon/alllly known to who is personally known to me or who has produced �l(91'I�Ci V?/�/ra me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign: Print: on tQ11r, - Print: Seal: Seal: MAHARAI K.GONZALEZ MY COMMISSION#GG 044602 '* EXPIRES:November 2,2020 APPROVED BY ` 1 �' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �Id© l •F'o ( K �sfa ll Floe,< -T:1 c 12 3b NE J D2" s-f-- IC "P �,, .} ! /l✓ r/l SEP 3 0 2015 goo. • •, • x, • ••• ••• i :•• 28 / X41 to: "0see • ••• ; r ei.i�{J • m • • 4y 4 •• ••• 0*0 •• • •• 9 Soo VV 1/0