DS-07-2489 (2)` ire,,. s %j
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
06•X503
Inspection Date: 04/28/2008
Inspector: Grande, Claudio
Owner: DAVIS, JEFFREY AND YASMIN
Job Address: 9275 BAYSHORE Drive N
Miami Shores Village, FL 33138 -2304
Project: <NONE>
Contractor: RRC DEVELOPMENT COMPANY
f � b3.N„✓X r:
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number (305)577 -3777
Parcel Number 1132050270570
Lot:
Phone: (305)598 -8761
Building Department Comments
CONCRETE DRIVEWAY
Passed f
Inspector Comments
CREATED AS REINSPECTION FOR INSP 69979. Sod not completed.
4/8/08 CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, April 24, 2008
Page 2 of 2
VAR k
BUILDING
PERMIT APPLICATIO
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. VS —Lk
Master Permit No.
Permit Type (circle): / uildin Electrical Plumbing Mechanical Roofing
= ffwner's Name (Fee Simple Titleholder) a.,, Ce__ R • D ,,o .5 Phone # 30 5 5773777
Owner's Address 9 44.7 5 P1/4) . 8 s c_ D r i
City 111 i ate`- 6 11-ez re_ -s State f -L-. -- Zip '33 l 3 S
Tenant/Lessee Name NI 0 ire Phone # NJ I A
Address- (where the work is being done) 1'7 5 IV- 8 3 r� I r Q v c
City Miami Shores Village County Miami -Dade" Lire__
33 t 3 if
FOLIO / PARCEL # \ — 3 ?-- 05 o 7 0 5 7
Is Building Historically Designated YES NO
Contractor's Company Name a, , C . 'D) . eO n^ � Phone # 1g(,- 2 P8, �'0.
Contractor's Address c V 3C- S, t/. 2e flf1 e d %l-
City , 'f / ,; rya J State t Zip SS/V9
) 64;/1 c JZ. cZ ea
State Certificate or Registration o. C 4 av 9,5'c 1/
Qualifier Name
Phone #
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 5 00 - �' 0
Type of Work: ❑Addition ❑Alteration
Describe Work:
Square / Linear Footage Of Work: /112)1c
❑ Repair/Replace ❑ Demolition
******** * * * * ** ** * * * ** ** **** ** * * *** * ** ** Fees************* ** * * * * * ** ** * * * * * * * ***** ** *** ***
1 �v D'-/- . CCF $ S'?
Notary $ Training/Education Fee $ 1. & Technology Fee $
Scanning XJ
g $ $ � • Radon $ DPBR $
Bond $ 0 1104 Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 4015..
See Reverse side —+
Submittal Fee $ Permit Fee $
CO /CC
Zoning $
Bonding Company's N (if applicable)
Bonding Company's Ad a ress
City
State Zip
'Mortgage Lender's N. (if applicable) 0
Mortgage Lender's Addr
City State Zip
ss
Application is hereby m de to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has
commenced prior to th- 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, F CES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDA : I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulatin construction and zoning.
"WARNING TO 0
PAYING TWICE FO
CONSULT WITH
COMMENCEMENT."
R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
Notice to Applicant: As • condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith t t a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subjec% to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be aped and a reinspection fee will be charged.
(Signature
The foregoing instrumen
day of pUr?✓ey Pi,�c�.� --, 20 D
who is personally known
A
NOTARY PUBLIC: t
Sign:
Print:
or Agent
acknowledged before me this
, by -d'-c- C1 1) /W S
o me or who has produced
SID
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of _'_ ��.✓ 2 �_� , by �-rT .
identification and who did take an oath.
1
or who has produced
as identification and who did take an oath.
My Commission Expires
* * * * * * * * * * * * * * * * * * **
BECKY ZAI3IELINSKY
MY COMMISSION 0 OD716509
I EXPIRES September20, 2011
NOTARY PUBLIC:
Sign:
Print:
My Commission Ex
1*:
4
MARTABLANCO
MY COMMISSION # DD 403598
EXPIRES: March 7, 2009
Bonded Thai Notary Public Underwriters
APPLICATION APPRO
(Revised 02/08/06)
D BY:
Plans Examiner
Engineer
Zoning
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple Titleholder)
Owner's Address
City Pi aryl ' .►arera-
Roofing
Y/AS My r.) �Av ► S
MME 1! E
Et MAR 1 2 2308
BY:
Permit No. �S 0-7-2431
Master Permit No. OS 1 SO3
Phone # �� 45� S t
92:75 No r *s.
Zip 3313'8
State
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Zip
'2.�5 �. x144 V r
Count Miami -D de
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work F
Type of Wo
Describe
't $
It on ❑Alteration
Square / Linear Footage Of Work:
❑New
❑ Repair/Replace ❑ Demolition
**** * * * *x *** * * * * * *** * ** * * * * * * * * * * **
Fee $ Permit Fee $ 3
Notary $ Training/Education Fee $
Scanning $
Radon $
************* *** ****** ** ***** * *** * *** * * * * ***
CCF $ CO /CC
Technology Fee $
DPBR $
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side
Bonding Company's N'�I me (if applicable)
Bonding Company's Address
City" State Zip
Mortgage Lender's N. e (if applicable)
Mortgage Lender's Ad • ess
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 to issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this juri $ iction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, ' ACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDA : I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regula Ing construction and zoning.
"WARNING TO 0
PAYING TWICE F
CONSULT WITH.
COMMENCEMENT
Notice to Applicant:
promise in good faith
whose property is subj
for the first inspectio
inspection will not be
Signature
The fore
ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
s a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
hat a copy of the notice of commencement and construction lien law brochure will be delivered to the person
ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
proved and a reinspection fee will be charged.
ing instrum
,2
day of
who is personally kno
NOTARY PUBLI
Sign:
Print:
wner or Agent
Signature
Contractor
nt was a ,o, twledged befo a me this o 9 The foregoing instrument was acknowledged before me this
(1-+0.,, by OSYvl v 1 O6iuJs , day of , 20 —, by
n to me or who has produced Te. OLI who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
\ft
NOTARY PUBLIC:
X4.%:,-4.• �� ., Sign:
41 • ,$' 4, . Print:
My Commission Exp. s: ,tom..,,,, cps My Commission Expires:
�k�k, k�k, k, k. k, k, x�k*, k�k�k ,k�k�k�l.�k,k,k,k *,k+x*** ** k *:x,�kO C {' �k�k�k,k***** ****** * , a::x+k.k*** f, .+x,k***.k**** * ** * **** ** ,*&***** *** * ***
APPLICATION APPPOVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning