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PT-17-1362 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-282881 PermitNumber: PT-5-17-1362 Scheduled Inspection Date: November 27, 2017 Permit Type: Paint Inspector: Naranjo, Ismael Inspection Type: Final Owner: , Work Classification: New Job Address:1226 NE 100 Street Miami Shores, FL 33138-2604 Phone Number Parcel Number 1132050090060 Project: <NONE> Contractor: VAS RENOVATIONS INC Phone: (786)306-8027 Building Department Comments PAINT EXTERIOR WALLS OF HOME Infractio Passed Comments INSPECTOR COMMENTS False E Inspector Comments Passed 2 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 22, 2017 For Inspections please call: (305)762-4949 Page 2 of 23 Miami Shores Village�Questions/Comments/Concerns Building Department M01119 u 69 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y2Q1T Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 8Y• _._. BUILDING Permit No._g /S- PERMIT APPLICATION Master Permit No.-PT �-- f FBC 20 Permit Type:PAINT /� ' Imo, n (� OWNER:Name(Fee Simple Titleholder): /'t /V A E�LJ/��S �/phone#: �v� 2,0 Address: 11 u' NC 100 S 7- City: City: " /14(�J k S h;b X 6'T State: L Zip-33/.3 ,3 Tenant/Lessee Name: Phone#: Email: ---M O/V Tp (2� JOB ADDRESS: ! � / G 100 ST / City: Miami Shores County: Miami Dade Zip: 33/•3,5 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR:Company Name: VAS /�-�.S N 0 V A`n Q/J� Phone#: /0 p z,02,005 Address: --79'0 -ArV City: "/?0M ( State: /— L Zip: S3 s Qualifier Name: V_ N/.- S-0,0-7-0 Phone#: 70( 30(i 002 7 State Certification or Registration#: C(5 C 1 S / Zj OS Certificate of Competency#: Contact Phone#: Email Address: Value of Work for this Permit:$ 3VL O Square/Linear Footage of Work: 21 06 5 Description of Work: P /n�-r' �X x/02 WA-Lz_C ©r i4om C 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and AIR CONDITIONERS,ETC..... "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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. /n the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged. Permit Fee$ CCF$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ DIR]ECTI®QTS:Please circle corresponding number to appropriate color sample. Walls: ( 1 l 2 3 4 ��N Attach color sample with name and number Fascia: 1 2 3 4 M tQ,e- Drip edge: 1 2 3 4 -a 'per 1. a Soffit: 1 2 3 4 W J4'/ 7-9 I Roof: 1 2 3 4 Flower Bins: I 2 3 4 m Shutters: 1 2 3 4 Awnings: 1 2 3 4 y t Chimney: 1 2 3 4 OJ� Doors&Jambs:1 2 3 4 Garage Doors: 1 2 3 4 3. Railings: 1 2 3 4 Fences: 1 ��2�� 3 4 All Brick: 1 l 2 l 3 4 Stucco Bands: 1 2 3 4 4. Other Stucco Feature: 1 2 3 4 Accessory Bldg: 1 2 3 4 OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all -innl+-able 1 s rep•'-tine constructio and zo ' e. Signature V�' t`'� Signat OWNER or AGENT rt CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ( � d((aay�y of�� 6- �'q ,20 l � ,by � S day of �1,l�J� 20�by M(j N igx E TTS I N!A S M(do,is personally known to t9,e,�-C-VN rir-� 'C�_(YI__� ,who is personally known to me or who has produced EL-DRI-k— as me or who has produced 13 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: IlldA Sign: Sign: `'; •" i�ni•• , iii Print: L- nv_Z�QPrint: 41 . :1 Seal: �011" Notary Public State of Florlda �a�• yCo Alvarez m � My Commission FF 156750 '%. ^�'•�" �� d� Expires 09/03/2018 APPROVED BY: Code Official Preservation Board i VALDIVA HOLDING, LLC. 28 July,2016 RE: 1226 NE 100 ST LIMITED POWER OF ATTORNEY FOR MONIQUE H. SMITH Valdivia Holding LLC Registered Agent Name&Address KUKER, HOWARD L. ESQ. 9200 S. DADELAND BLVD SUITE 508 MIAMI, FL 33156 Telephone: (305)670-0987 Facsimile: (305)670-1450 lilkuker@kwglawoffices.com POA for: Unique Homes of Florida. LLC Attn: Monique H. Smith 1000 Quayside Terr.,#1210 Miami.. FL 33138 Cell 786-253-2869 MoniqueHSmith@att net Monique H Smith,has the right and power of attorney to sign for Valdivia Holding LLC and Mr Jens David Lennen regarding Building permit applications for the property owned by Valdivia Holding,on 1226 NE 100 ST, Miami Shores. Monique H.Smith will have the power of attorney related to the work involved,including but not exclusive to,applying for/obtaining any necessary permits needed during the total renovation of the property including: -Renovation, roof repair -Remodeling and expansion of the kitchen -Changes of floor in bedroom on first floor. -New bathrooms -Tent termites,pressure cleaning,condensing -Electrical work entire house -Fixing ceilings and interior and exterior painting. -Plumbing -Pool,engines,tile cleaning, -New wall for making two bedrooms on second floor -New facade,ladder,lights, This is to r:erig; thm Mr Jens David Lennen -New exterior with landscaping hc_sicdned his name on this document. Siockholrn July 29, 2016 Sincerely, Ex o Jens David Lennen ! /`j JgL1Ct1S�y� / cry c By. STOC��,�t► i LENNEN i 2. JENS DAVID 3a. 660408-0330 7. 14 OK�T//OC/T 20 10. �J/ l�alttY •TELEPHONE NO,FOR CHECK:OF VALIDITY SWEDISH POLICE*46 77 1 14 14 00 PASS SVERIGE SWEDEN SUEDE PASSPORT q; ;, —,__. -.1- p _P SINE 90542722 PASSEPORT LE NEN JENS DAVID SV!!SK SWEDISH - 660408-0330:-: : 08 APR/APR 66 - 178 CM " M/M 14 OKI/OCT 15 14 OKT/OCT 20 M,. -._ .. \ ! VANTOR, STOCKHOLM POLISMYNDIGHETEN P<SWELENNEN«DENS<DAVID<<<<<<<<<<<<<<<<<<<<< 90542722<9SWE6604086M2010142196604080330«08 Z � �