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OL-07-1699Inspection Date: 08/20/2007 Inspector: Grande, Claudio Owner: CACCAMISE, THERESA Job Address: 9400 2 Avenue Road NE 9400 Project: <NONE> Contractor: Building Department Comments Thursday, August 16, 2007 Miami Shores, FL 33138 -0000 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL- Permit Type: Occupational License Inspection Type: Occupational Lic Insp Work Classification: New Block: Phone Number (786)423 -5959 Parcel Number 1132060132780 -00 Lot: Page 1 of 2 Passed e) 6 7 Inspector Comments please call Teresa 786.423.5959 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 08/20/2007 Inspector: Grande, Claudio Owner: CACCAMISE, THERESA Job Address: 9400 2 Avenue Road NE 9400 Project: <NONE> Contractor: Building Department Comments Thursday, August 16, 2007 Miami Shores, FL 33138 -0000 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL- Permit Type: Occupational License Inspection Type: Occupational Lic Insp Work Classification: New Block: Phone Number (786)423 -5959 Parcel Number 1132060132780 -00 Lot: Page 1 of 2 Address City Miami Shores Sign: Print: (Rev. 04/18/03) produced 9460 'J v- My Commission Expires: Miami Shores Village %kg Vb Slat 0V iIi Building Department 10050 N.E.2nd Avenue NE@ d s 1 Miami Shores, Florida 33138 Tel: (305) 795 -2204 OCCUPATIONAL LICENSiiit AUt3 1 3 AO/ Fax: (305) 756 -8972 CO SAFETY INSPECTION By : : ' Permit No. (/ 0 � ' - 16 fl APPLICATION Per Village Ordinance 14 -32, the purpose of obtaining a Certificate of Occupancy/ Safety Inspections is to ensure your safety and to ensure that previous tenants have not changed the original structure in violation of Fire Safety and the Florida Building Code. Building Owner's Name'> S v C LLC • 'Z,` r Phone # • R • q2 qa • Owner's Address , j-31t) 461 l y r,,x o t .hive( Cit f 11 y13c1d State Zip 3.30g0 Business Owners Name r. -Cer ed �C1W )Ctcle Le/tdYe Phone # .`f, C) � C Business Name d 1- of cc 12(706D ko,1104, Suite State Florida Zip 3 3 1-30 . 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. The foregoing instrument was acknowledged before me this (3 day of AAA , 20 , by ,5Q 11a+4 CMG vhu3e , who is personally known to me or who has Jl i t'a S lrc,. 390 as identification and who did take an oath. fl6fi Building Officials Approval: �� DAVID A. DACQUISTO, AICP PLANNING & ZONING DIRECTOR DEVELOPMENT ORDER File Number: Property Address: Applicant/Tenant: Address: Property Owner: Address: Th ktrnj Slwre� Vtbtr PZ06 -1130 - 06 9450 NE 2 Ave. MSVC LLC 2310 Hollywood Blvd. Hollywood FL 33020 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 Preferred Mortgage Lenders and Jericho Title 12550 Biscayne Blvd. #403 North Miami FL 33131 Whereas, the applicant Preferred Mortgage Lenders and Jericho Title (Tenant), with the consent of MSVC LLC (property owner), has filed an application for site plan review before the Planning and Zoning Board on the above property. The applicant sought approval as follows: Site Plan Review, Special approvals: Sec. 600: Land use and site plan approval — Change of use, orthodontist's office to mortgage and title company. Whereas, a public hearing was held on November 30, 2006 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to obtain a building permit before commencing work. 2) Applicant to meet all applicable code provisions at the time of permitting. Page 1 of 2 • Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 30 day of November, 2006 by the Planning and Zoning Board as follows: Mr. Abramitis Yes Mr. Ulmer Yes Mr. Reese Yes Mr. Sastre Chairman Fernandez Yes Yes rman, Pl. "ng . • a Zoning Boar • • Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: 305 795 -2204 Fax: 305 756 -8972 Bill To THERESA CACCAMISE PREFERRED MORTGAGE LENDER 3402 171 Street NE NORTH MIAMI BEACH, FL 33160- Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Number: OL-8 -07 -29461 Invoice Date: August 13, 2007 Permit Number: OL-8 -07 -1699 Date Fee Name 08/13/2007 Occupational Fee Monday, August 13, 2007 Fee Type Fixed Total Fees Due: Fee Amount $75.00 $75.00 Payments Date Pay Type Check Number Amount Paid Change 08/13/2007 Credit Card $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00