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RC-10-1592REPLACE KITCHEN CABINETS Passed �„ Inspector Comments CREATED AS REINSPECTION FOR INSP- 150911. NEED ELECTRICAL FINAL INSPECTION. JR CC_ 1� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 156692 Permit Number: RC' -9 -10 -1592 J Inspection Date: March 02, 2011 Inspector. Bruhn, Norman Owner: JACQUES, RUTH JEAN Job Address: 8823 NE 4 Avenue Road Project: <NONE> Miami Shores, FL Contractor: LAMB CONSTRUCTION INC Building Department Comments March 03, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060460560 Phone: (786)299 -3254 Page 1 of 1 9I Mho - 2OThI Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 20 Permit Type: EilMagirG Owner's Name (Fee Simple Titleholder Owner's ddress City Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address r' City / ° �"•• Qualifier Name 4 State Certificate or Re istration No. (,( Contact Phone? -e 9 '- 3 Architect/Engineer's Name (if applicable) Value of Work For this Permit Type of Work: DAddition Describe Work: ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F ** ********** * * * * * ** * * * ** * * ** * * * * * ** * * * * * * ** Permit Fee $ e 1 Submittal Fee $ 50 Notary $ �I 8 b County Miami -Dade Zip f l, 3 � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 YES State ❑Alteration Training/Education Fee $ NO E -mail Zip Phone # Phone # Zip Phone # 7 ❑New ❑ Repair/Replace / 4", A Square / Linear Footage Of Work: 1 TgalgY_Wrg5 SEP072010 Permit No. i C4O ' )59.7./ Master Permit No. Phone # ri -r —Q16 Flood Zone Phone # r ; ) 99— o-7 Certificate of Competency No. ❑ Demolition CCF $ CO /CC $ Technology Fee $ Bond $ Scanning $ Radon $ DPBR $ Double Fee $ do Violation date: Structural Review. $ Total Fee Now Due $ 3g5 a �� See Reverse side —> 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 stand 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 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 properly is s bject to attachment. Also, a certified copy of the recorded not commencement must be posted at the job site for the first insp c on which occurs s• en (7) days after the building permit, In the absence of such posted notice, the inspection will ' o ' . e approv ' and inspection fee will be charged. Signature /� Si /I • 11 . : � : ctor The foregoing instrument was ac :.wledged before me this 7 Theo _, • • ment was acknowledgged before mm 7 day of , 20 ID, by �> 1�, �,, _ da • f , , 20i, by FK�IJ' l 51-C 62%,(j who is personally known to me or who has produced 19 who is personally known to me or who has produced P 1 l As identificgykh'and p1 �� ktake an oath. as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY (Revised 07 /I0 /07)(Revised 06/10/2009) Plans Examiner Engineer i a te , *� fie p °,, . /� NOTARY PUBLIC: ® I � Q� a �° • Sign: �. Sign Print: : � . (\ \1 •. .` Print: `‘N ��U i i � i i u uii�,� Commission Expires: s ° � , `�' � F\��.�_ \` `. I (S �� M ` ` �6,� y p' °1 „ I A � �� `� My Commission Expires: -. \ u e ' 03 106 12012 n ► ►p11r. . __ 1 659 : r a4;37e '. d' 01. (toiling "1, O F ,,,,,\' � i��e ' Clerk checked ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: BUSINESS NAME LAMB CONSTRUCTION 2404 SW 157 AVE MIRAMAR SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED PLUMBING CONTRACTOR 3- CERTIFIED ROOFING CONTRACTOR 12/09/2009 EXPIRATION DATE: 12/09/2011 JOHNSON ERROL 650478441 AND ADDRESS: INC FL 33027 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 2- CERTIFIED ELECTRICAL CONTRACTO 4- CERTIFIED GENERAL CONTRACTOR 12 -09 -2009 IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE * QUESTIONS? (850) 413 -1605 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 12/09/2009 EXPIRATION DATE: 12/09/2011 PERSON: ERROL JOHNSON FEIN: 650478441 BUSINESS NAME AND ADDRESS: LAMB CONSTRUCTION INC 2404 SW 157 AVE MIRAMAR, FL 33027 SCOPE OF BUSINESS OR TRADE: 1- CERTIFIED PLUMBING CONTRACTOR 3- CERTIFIED ROOFING CONTRACTOR 2- CERTIFIED ELECTRICAL CONTRACTO 4- CERTIFIED GENERAL CONTRACTOR IMPORTANT O Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on R the notice of election to be exempt. E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. Sep. 16. 2010.12:50PM vt 0J0 No. 2059 1 /c- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDITIYYY) 08/31/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy((esl must be endorsed. If SUBROGATION IS WAIVED, subject to the tenns and conditions er the mangy, certain policies may require an endorsement. A statement on tits certificate dims not confer rights to the certificate holder in lieu of such endorsement(a) PRODUCER Admiral Insurance, Inc. 17340 NW 27th Ave. Miami Gardens, FL 33056 Phone (305)621 -2939 INSURED LAMB CONSTRUCTION, INC. 14359 Miramar Pkwy # 296 MIRAMAR, FL 33027- 305 COVERAGES CERTIFICATE NUMBER; THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIIE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THEE CEr ['WIC:ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAib CLAIMS. AWL SUBR PLlL1cY EFF POUOcY EXP INSE;_i�iV� POLICY NUMBER _(MMIDDIYYYYI (MM/Db/IYY TYPE OP INSURANCE GENERAL LIABILITY ts7MMSR IAL OkNI:RAL LIABLITY H ❑ C.I AIMS- MA n GENL AGGREGATE LIMIT APPLIES PER: 1I POI L ICY 0 � u Loc. AUTOMOBILE LIABILITY 0 u ❑ ANY AUTO AU. OWNED AUTOS .SCI-FnI II.F0 AIrrOS I`OKEU AUTOS NON -OWNED AUTOS u ^ I I L>kLAJC:IIBLE 1 J KE'rtNMION $ UMaRELL A LtAB EROESS LIAR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OfFICERmAEMpER Exci tJ ar/ CUTNG N I A (Mandatory In NHj deadlbe under SC RIIRION OF OPERATIONS below CERTIFICATE HOLDER ACORD 26 (2009/09) QF u ocam El CLANMG -MAnF Pax (305)521 -1370 MIAMI SHORES VILLAGE, BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 31- 0504001756 -00 CONTACT NAME: INC P40 Felt &MAIL ADORESW P ER CI ISTr9MFR in* 'mums A: AMERICAN VEHICLE INSURANCE _INSURER 5 ! INSURER C ; INSURER D ; INSURER E : INSURER F : 06/12/10 DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Emote space 18 requited) CANCELLATION AUTHORED REPRESENTATIVE' ANGELO LAVECCH INSURER(s) AFFORDING COVERAGE 06/12/2011 REVISION NUMBER: EACI I OCCURRENCE PREMIt r mlo+ ice) Milt EXP (Any One per n) PERSONAL & ADV INJURY GENERA! AGGREGATE PRODUCTS - COMP/OP AGO C OMSINEU SINGLE LIMI r (Ea accident) BODILY INJURY (Per can) 00DLY INJURY (Per scalds PROIR;R i Y DAMAGE (Peracddent) EACH OCCURRENCE AGGPILDAIE 1 tt11C, No): LIMITS $ 1,000,000,00 100,000.00 $ 5,000.00 $ 1.000 000.00 $ 2,000,000.00 s 2,000,000.00 7 1 1 T i n C rec iM1T5 FAH- E.L EAQ t ACCIDENT $ E.L DISEASE . EA FMPI 0YE $ E.L. DISEASE POLICY! IM$T $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NAIO P O ` - 0 All rights reserved. ego are registered marks of ACORD CFN # 109583977, OR BK 47376 Page 548, Page 1 of 1, Recorded 09/15/2010 at 12:49 PM, Broward County Commission, Deputy Clerk 1033 1 il�FLORJDA S MIAMI- DADE:: 1�E UNDERSIGNED hereby gives notice that improvements wSLOS.made'toOenaID:teal opefty find -in nce with chapter 713 Roods Statutes. thetoilowlrig I0fonna0on :pro`vided in thls Notice of. C on u r rent. t ast inrproperty Jam and adore s Of lee •simpb titiehgider e.+arid:edd 7. Persons within the state of Florida designated by Owner upon whom. notices:or other. documents may be serval as provlded`by won 71313(1)(a)7., :Rolla Statutes. Nemi3etd dress: $ to addltiort tolhlmseif Owners tiesigrtates the loU a whig : person(s)'to,receive a:copy 01 the Uenor's`Notice as provided in Section ?13.13(1)(b),'.Flarida Statutes Name and address. e of thig N �" Of.Pommencett;artt; (tha.expiration :date is`1:Year from the date of. reccrding,unieas.a I hereby certify this document to be a true, ......... correct correct and complete copy of the record IV CREATED VA filed in my office. Dated this /5 day 11 O eF§ f SEP r , 20/0 .9° , _' County .f inistrator. Depu y Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155891 Scheduled Inspection Date: February 28, 2011 Inspector: Devaney, Michael Owner: JACQUES, RUTH JEAN Job Address: 8823 NE 4 Avenue Road Project: <NONE> Miami Shores, FL Contractor: LAMB CONSTRUCTION INC Building Department Comments REPALCE RECEPTACLE IN KITCHEN WITH GFI KITCHEN ONLY FIRE DAMAGE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 155543. Kitchen O. K. pending a permit to install the smoke detectors. February 28, 2011 For Inspections please call: (305)762 -4949 I Styr. Permit Number: EL -9 -10 -1600 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration hone Number Parcel Number 1132060460560 Phone: (786)299 -3254 Page 19 of 33 BUILDING PERMIT APP Fsc zo Permit Type: EL C71'RICAL Owner's Name (Fee Sim itleholder) Owner's Address e City Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building $istoricallr Designated YES Value of Work For this Permit $ t Type of Work: ❑ dditio ❑Alteration Describe Work: Submittal Fee $ Notary $ Scanning $ Double Fee $ Structural Review. $ * * * * * * ** t* **fir*** * * * * *** * **** * ** *,t Miami Shores Village? 1 r� g SEP07 10 Building Department g 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1 -- °°° °- °' Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 Permit Fee $ /y "eve- Permit No. L O te r C Master Permit No. 11) &eP Phone # 7t/ r/ / County E -mail Miami -Dade Zip ( Phone # Contractor's Company Nam 37/7 c a„) /47/e Phone # 7 9� Contractor's Address City � /949 Qualifier Name State Certificate or Reg No. - Certificate of Competency No. Contact Phone State Zip Phone # Architect/Engineer's Name (i applicable) Phone # Flood Zone Square / Linear Footage Of Work: ' 1 ❑New s * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition CCF $ CO /CC Training/Education Fee $ Technology Fee $ Radon $ DPBR $ Bond $ Violation date: 455^ Total Fee Now Due $ 4' 4" See Reverse side -> 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 t whose property is su for the first inspect inspection will not`i O '1 er or Agent The foregoing instrument was acknowled 511-9 day of201v,by identificatio mill) w o difi6tbke an oath. NOTARY PUBLI Sign: Print: My Commission Expires: * * * * * * * * *** * * * * * * * * * ** APPROVED BY (Revised 07110107)(Revised 06/10/2009) t a copy of the notice of commencement and construction lien law brochure will be delivered to the person t 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 . In the absence of such posted notice, the approved a re -ins' 'ction fee will be charged. L -c rn a • UD fin, 11 'IMO S S P/ Plans Examiner Engineer before me this 1 The fo - going rstrument was acknowledged before me this 7 Acctio da t ,20 I0,by - M7fl as identification and who did take an oath. 'r o e;i ie ri Expi s: 'fnirni ieett" Zoning Clerk checked Inspection Number: INSP - 150963 Scheduled Inspection Date: February 28, 2011 Inspector: Hernandez, Rafael Owner: JACQUES, RUTH JEAN Job Address: 8823 NE 4 Avenue Road Project: <NONE> Passed Failed Correction Needed February 28, 2011 Miami Shores, FL Contractor: LAMB CONSTRUCTION INC Building Department Comments REPALCE KITCHEN SINK -FIRE DAMAGE Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 6 Permit umber: PL - -10 -1599 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060460560 Phone: (786)299 -3254 Page 8 of 33 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) ,fer N . G mAi Phone # Q ' S Owner's Address City L �` / �. < State d Zip 73/9r Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name /1,46 agfiet, %ve Phone # Contractor's Address j� y� ,, ; /' 4 State Zip ,3 ce Qualifier Name A- Phone # Submittal Fee Architect/Engineer's Name (if applicable) State Certificate or Registration No. efi Certificate of Competency No. Contact Phone Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: .TWPA _.r ** ** * * * * * * * * * * * * * * * * * * * * *** * * * * * * * * * ** F * *** * * * * *** *** * * * * * * * * * * * * * * *** Miami Shores Village Q MleTRIT Building Department � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� ) J Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 •,- , • Permit No.L- l O 5 Master Permit No., i O '" 15 ['Alteration Permit Fee $ ro_3 ,e.A/ County E -mail Training/Education Fee $ Miami - Dade NO_ Flood Zone 7 to 4 e'e)�p C�s¢ 7/0A. Phone # Zip „i9/ Square / Linear Footage Of Work: Notary $ Scanning $ Radon $ DPBR $ Double Fee $ /C)r)on Violation date: ��jj Structural Review. $ Total Fee Now Due $ `�°" UL.. DNew ❑ Repair/Replace ❑ Demolition CCF $ CO /CC $ Technology Fee $ Bond $ See Reverse side -+ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 notic- of commencement and construction lien law brochure will be delivered to the person whose property is sub,'ect to attachment. Als,, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec /n which oc .. s seven 7) days after the building permit is issuIn the absence of such posted notice, the Signature inspection will no. a approves nd ' einsp ction fee will be charged. 4. Amit er or Agent The foregoing instrument was acknowl ged�before me this t The for go instrument was acknowled d before me this � day o f j6 f , 20 I° by .S i. S1 LQ1 3 ` . day o , 20 dQby / 18t� - who is personally known to me or who has produced (. 0 " identification and wtio kMe,9;n oath. � .�`�,a ®� �' ® �,� �� '' NOTARY PUBLIC: NOTARY PUBLIC: uois % y 10 6 �' ' # s i uoj Sign: `..L , r , aMoa f. Sign: Print: ; 101 1901E0 Print: F ° ��l i\S .1;i1 '�Q • t . My Commission Expires: '�,,,, / . iio _`��`� My Commissic Ex APPROVED BY 1/L4:7 ;,tF * bi Q F� Zoning --- "Plans Examiner (Revised 07 /10 /07)(Revised 06/10/2009) Engineer 0111 � t1�1 1C Commission # who is personally known to me or who has produced as identification and who did take an oath. Clerk checked Miami Shores Village APPROVED BY DATE ZONING DEPT _ BLDG DEPT SUBJECT TO COMANCE VON AU-FEDERAL STATE AND MINTY RULES MD REGULATIONS 1 laa •• • • • • • • • • • • • • • • 1 S • • • • ••• , • • • • • • • • • • 4 • • ••• • • • • ••• usr • ••• • • ••• • • • • • •• ::• • • • • ••• •• •• • • • • • • • • • If •• • • • • •00 •• • • • • ••• •• SEP! F i r lbSCe Aair acCI kNTe• 61.1 AA tobt 0"( ktTrzaNcit II • f„..c, -C / AMAZIC, pg .:Reft:41%.<6 eic.H644 4,1 411‘24 , 10T6 __E +66 RiafilLoce: Kr'ft511,1 61744.< Fze , e,4 0 e_ 4er--4/ _ ft-14r 6 40/ VW/4 e/r73 i 5; oleht-iz if-P/74 htc, "51-e-,c,Ar-dortv. A01,2„wic-- 1)