RC-15-2204 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-272018 Permit Number: RC-8-15-2204
Scheduled Inspection Date: November 30,2016 Permit Type: Residential Construction
Inspector: Naranjo, Ismael Inspection Type: Final Building
Owner: GITTNER,CORY Work Classification: Alteration
Job Address:10208 NE 4 Avenue
Miami Shores, FL Phone Number (305)757-4900
Parcel Number 1132060135101
Project: <NONE>
Contractor: WILCON CO Phone: (786)399-8855
Building Department Comments
NEW TILES IN KITCHEN AND BATHROOM. CABINET Infractio Passed Comments
AND COUNTER TOP IN KITCHEN, REFINISH WOOD INSPECTOR COMMENTS False
FLOORS. NEW IMPACT WINDOWS AND DOORS(14
WINDOWSAND 5 DOORS)
Inspector Comments
Passed El�
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 29,2016 For Inspections please call: (305)762-4949 Page 38 of 40
Permit o„ 6=2204
yxoR s°,i Miami Shores Village Permit 7}gyp "RetWet'ttla ConstructitY n
�. 10050 N.E.2nd Avenue NE
Work Clesslficati A4014flon
Miami Shores,FL 33138-0000.
y Permitstatus.00"D-
Phone: (305)795-2204
ORNA p
Issue,®ate 1 tag/ 01 Expiration: 06/07/2016
Project Address Parcel Number Applicant
10208 NE 4 Avenue 1132060135101
Miami Shores, FL Block: Lot: CORY GITTNER
Owner Information Address Phone Cell
CORY GITTNER 10208 NE 4 Avenue (305)757-4900
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 35,000.00
WILCON CO (786)399-8855 (,
_. Total Sq Feet: 1200
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Fill Cells Columns
Date Denied: Final PE Certification
Type of Construction: Occupancy: 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:NEW TILES IN KITCHEN AND BATH Review Building
Bond Return: Classification:Residential Review BuildingReview Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical
CCF $21.00 Review Structural
DBPR FeeInvoice# RC-8-15-56886 Review Structural
$15.75 08/27/2015 Credit Card $200.00 $1,186.50
DCA Fee $15.75 Review Plumbing
Education Surcharge $7.00 11/09/2015 Check#:1928 $ 1,186.50 $0.00 Review Mechanical
Permit Fee $1,050.00 Review Mechanical
Plan Review Fee(Engineer) $120.00 Review Mechanical
Plan Review Fee(Engineer) $120.00
Scanning Fee $9.00
Technology Fee $28.00
Total: $1,386.50
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 ELECTRjICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDA It: I certi that a I t e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z i) Futhe or , thorize the above-named contractor to do the work stated.
November 09, 2015
Authorized Sign ture:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 09,2015 1
(01 1 61 J Miami Shores Village ? =
1. a Building Department AUG 2 7 2015
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(y
BUILDING Master Permit No. l5- 22®q
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION [:]RENEWAL
r—jPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
i � gg j J AVENTRACTOR DRAWINGS
JOB ADDRESS: I L, O 1\J �� l (a /I J
City: Miami Shores County: Miami Dade zip:
f M l'tot is/w.c leS Y
Folio/Parcel#:L®T v ( hioc k 3? -CneI) I Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): oai G r r r&JrE� Phone#:.3 Q C-75 q— �jf 00
Address: S-5t AIL
City: WAM, st- t-oeyz—s State: zip: 3 313F
Tenant/Lessee Name: T Phone#:
Email: C O rN Py cru of v A
CONTRACTOR:Company Name: ��Cl�� Phone#:
Address: W G -
City: a1-1 r State" �p(er
Zip:
Qualifier Name: Phone#:
State Certification or Registration#: 1!��l Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: - City: 44041 tate: Zip:
Value of Work for this Permit:$ % 47 00 Square/linear Footage of, 'rk:
Type of Work ❑ ,addition "' ] Alteration ❑ New` Repair RgVO 'i Demolition
Desc41 -oflftoFk: '`; � r/!S
o
dz—
Specify color of color thru tile: ,
Submittal Fee$ Permit Fee$'e®L—Q0 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ 0((
TOTAL FEE NOW DUE$ 1 E
(Revised02/24/2014)
5
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 m e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absen a of'such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
_�/W4
OWNER or AGENT TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before this
day of C 20 ZSR by 4k�2 day of�` 20/37 by
who i rso
ersonall nown to -raj/,t� who i enal nown to
me or who r used_ , _ G� G Y as me or who has producedas
ACRS. �,
identificatio artd who did ta%� t.Statt identification a .w� '�Y�d take an oath. "
NO RY PU QC: Comm len+ F N 07 KR-Y PU •
Ay Comm.Expires
3orMbdlbOY P�lon<. ''•.,�.a�"+ v,,, DENA CRUZ v '
Si I
54
Print:
3 11 pry Public-State of Florida Print: My Comm.Explree Apr 7.2019
qv"tom.
on 54
Seal: Apr, .� Apr 7,2019 Seal:
Bawac Jary Assn.
tis c
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
WILCON Com.
GENERAL CONTRACTOR
CONSTRUCTION MANAGEMENT
LICENSED & INSURED
CGC# 1512642
WILLIAM CRUZ DESIE3N-BUILD
9636 NE STH Ave RD. CELL 7815-399-8855
MIAMI SHORES FL, 3313B OFFICE 305-466.99BZ
Date.- WcRuz239HOTMAIL.00M
State Of
County of Dade
Before me this day personally appeared VJ//Jt4tvn who, being duly sworn, deposes and says.-
That he or she will be the only person W01 King on the project at 4_ f l
A�_'
Sworn to or affirmed) and subscribed before me this6L day0 f 2 by�/�� ���
Personally Know
Or produced Identification
i ype of Identification producx-d
prini, type or Stamp of NOW
GENA CRUZ
Notary Public-State of FloridaVIM
C011111118" JP M FF 204543
Qqle. MY EApr 7.2"019
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