FW-14-1698 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217268 Permit Number: FW-8-14-1698
Scheduled Inspection Date: August 31, 2015 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: KURLANDSKI, GUY& SELIN Work Classification: Wire Fence
Job Address:9301 N BAYSHORE Drive
Miami Shores, FL Phone Number
Parcel Number 1132050270560
Project: <NONE>
Contractor: M2 DEVELOPMENT GROUP Phone: (954)822-3590
Building Department Comments
TEMPORARY CONSTRUCTION FENCE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed �� .� � s�'yy'•�. ,
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 28, 2015 For Inspections please call: (305)762-4949 Page 1 of 26
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i 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
BY
-I INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010
BUILDING Master Permit No.
PERMIT APPLICATION sub Permit No 1 G
D�961LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
2, CONTRACTOR DRAWINGS
JOB ADDRESS: ✓ I � Q YL
City: Miami Shores County: Miami Dade Zip: 3 31 "3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: /� Flood Zone: BFE: FFE: Q
OWNER: Namm /
�e(Fee Simple Titleholder): RC1 u I ►`'� a't'"0 S 1C�� Phone#:
Address: 1 �� ) n`�S� � D -lz--
City: ) t State: Zip:
Tenant/Lessee Name: Phone#:
Email: CAO` S kl }m0 1 Y_f�
J ��1 t�
CONTRACTOR:Company Name: M 2- ,J/�C� VIOPhone#: 5 Z J U
Address: 41-0 N W Iy s
City: p 0 ���� State: Zip: t
Qualifier Name:� � J "� P( V`j Lito J
Phone#:
State Certification or Registration#: Cl- �1 C_ Certificate of Competency#:
DESIGNER:Architect/Engineer: 0) ftNiV_ C '1 r3L=� l_ Phone#:
Address: City: State: Zip:
00
Value of Work for this Permit:$ Square/Linear Footage of Work: Z'
Type of Work: ❑ Addition / Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ��� d)0 2o4o—q L:D✓V S-Ta U L k 0"'i
Specify color of color
thru tile:
Submittal Fee$ - W Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 614 , 60
(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 issuef11n absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. II''ll
11.
Signature I Signature CEJ
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
24� day of Jo/c1 ,20 , by day of ts:-f 20 )� by
z U k0r/ate Sk- who is personally known to YoQq, , 1PI
In ,who i sonally know to
me or who has produced JG 6yr2W d FAfAs me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sig
Print: rint: PublicState of Florida
tier Notary Public State of Flori a Joanna M Feliciano
Seal: ' ; Joanna M Feliciano Seal: My Commission FF 082783
< My Commission FF 082753 or Expires 01/1212018
pr flog Expires o 1112/2018 w
APPROVED BY Plans Examiner ;' Ufg
Zonin
Structural Review Clerk
(Revised02/24/2014)