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DEMO-09-1509Project Address Owner information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $2.40 $0.80 $250.00 $16.00 $50.00 ($50.00) $6.25 $275.45 Building Department Copy Address Parcel Number Contractor(s) SAAD HOMES INC Phone Cell Phone (305)829 -8992 Authorized Signature: Owner / Applicant / Contractor / Agent Bu) Itling taus; AP PROVED= Expiration: 03/17/2010 Phone Valuation: Type of Demo: Building Additional Info: Classification: Residential Invoice # Total Amt Paid Amt Due DEMO -9 -09 -35880 $ 275.45 $ 50.00 5i 5 ,a DEMO -9-09 -35880 $ 275.45 $ 275.45 $ 0.00 " Check #: 5708 Applicant 1183 91 Terrace Miami Shores, FL 33138- 1132050010200 Block: Lot: ANTHONY FERNANDEZ Cell MIXIMEEN ANTHONY FERNANDEZ 1183 91 Terrace MIAMI SHORES FL 33138- $ 4,000.00 Total Sq Feet: 2000 For Inspections please call: (305)762-4949 Available Inspections: September 24, 2009 Date Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. September 24, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) Owner's Address t V11:4. Nc,) 1 s 'r c1 Cityfl) la nU state L Type of Work: Describe Work: DAddition Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 _ zip 33 nip Tenant/Lessee Name Phone # lS to - e Job Address (where the work is being done) I 1. 3 L Ve. qt City Miami Shores Village County Miami -Dade Zip 3 ( 3to FOLIO / PARCEL # 1 t ' ,D5 fO I —0200 Is Building Historically Designated YES NO X Contractor's Company Name 6f)frD tivrne5,_,--51,1 A . Contractor's Address Lo( O I 16011101011/1 QJ City 6't let m i State Zip 55015 n Qualifier Name A t/Derr) �(.. ' ado 13 i ( l i n i Phone # W2.4 G- State Certificate or Registration No. l _I _ � a Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 11 1 11 00 0 Square / Linear Footage Of Work: ' 'I DAlteration ❑New ❑ Repair/Replace 14 Demolition ST 1l�i ■ yl7 i' o .1601Lct 6k° ********** ***** �x **** * * * **�x�xx�a� ****�x�x�x*** Fees*****e** ea�**e * * * * * *e * * * * * * * * * *** * * * * *e * * * * ** Submittal Fee $ 5 0,.) Permit Fee $ ,Die)-( CCF $ 0 Notary $ Training/Education Fee $ 0 -V `) Technology Fee $ Co .2S Scanning $ ((.000 Radon $ Bond $ Code Enforcement $ Double Fee $ Permit No. Master Permit No. Oe a -oq — i ,50q Phone # '? (e -3fl b--St i 1 Phone # (:1 DPBR $ Zoning $ Structural Review. $ Total Fee Now Due $ 0995AS 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 li11 work "will`bo, ddne'in compliance with all applicable laws regulating construction and zoining. 4 i "WARNING TO OWNERb 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." i I ' ' Notice to Applicant: Asa 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 'con. tructionlien 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. In the absence of such posted notice, the inspection will not be • .proved a a rei spection fee will be charged. Signature Sign: Print: (Revised 07/10/07) As identifica ' • n and who did take an oath. NOTARY PUBLIC: APPLICATION APPROVED BY: Signature''r O 4r A $`' ° a Contractor g The for going inst tlmenn was'ac owledged before me this l . " Tile foregoing ins ° nt was ac�c ioivledgedbefore me this 0 day o , 2 1 by ! IDA �� r I day of ins ; 20 , by who is personally known to me or who has produced who is personally known to me or who has produced NOTARY P Sign: Print: 0.Y P My Commission Exp g.% CARMEN ASLAN My Commission Ex � + µr P . 4' *e<e<a+ +x e * � a�lk i n • 4 ' `�` '�0; ************************************* * .. . . 'ficatir and who did take an oath. CAMERAMAN MS 20 , 2013" lNi�l Tteu Budget WNW Services Plans Examiner Engineer Zoning (3/14/07 MV) Information for Demolitions • Provide notarized letter from homeowner authorizing demolish house- letter to be accompanied with copy of warranty deed.. ,% ✓ • Submit permit application for demolition, electrical, plumbing and gas connection if applicable. • a Repert. — • Provide copy of notification to utility companies for discontinuance of services.:such as gas, water, electric, etc... ---� • Provide copy of certification letter from a pest control / company, that property has been cleared of rodent, roaches, ; pest, etc... Provide notarized letter from contractor doing the demolition, notifying the date of scheduled demolition. 2004 F.B.0 Section 3303 SAAD HOMES Mr. Anthony Fernandez 7664 Miami Garden Dr. Miami, Fl. 33015 Ref.: 1183 N.E. 91 Terrace. Miami Shore, Fl. 33138 Dear Mr. Fernandez, The above reference home has been treated against general household pest inside the home, and treated the outside lawn and ornamentals against general pest. Any additional information we might assist you with, please do not hesitate to call me at 305- 251 -3325 or my cell. 786 - 319 -1880. Sincerely, Luis E. Perez Pest Control Technician JE76145 T -N -T EXTERMINATORS OF SOUTH FLORIDA 11930 S.W. 179 Terrace, Miami, Fl. 33177 Fax (305) 441 -1201 Office (305) 251 -3325 Licensed & Insured SERVICE'S SIGATURE S 18026 N.E. 19 Ave. North Miami Bch FL. 33162 Tel: 766- 39541 DATE 7. 4 1 (- )/ ROUTE { -1-- OP E- 5 CUSTOM 9 i yr ftr / l tie / / t 1 CITY STATE THE SERVICE REPRESENTATIVE OF GUARANTEE / T &'Ta` EXTE " INATORS INC. HAS SERVICED THE PREMISES.; IN ACCORDANCE WITH OUR SERVICE AGREEMENT.; ANY SUGGESTIONS YOU CAN OFFER TO HELP UC IMPROVE OUR SERVICE YOU WILL BE APPRECIATED: CUSTOMER'S SIGNATURE Subj: Pest Control Letter Date: 8/19/2009 2:58:34 PM Eastern Daylight Time From: TnTofSouthFla To: SAADHOMES Page 1 of 1 Good evening! Thank you for using and trusting our services. Please find attached the letter pertaining to the work that has been done in the referenced home. Please print 2 copies and have the Pest Control Tech. signed both. Sincerely, Jose Debayle Wednesday, August 19, 2009 America Online: SAADHOMES September 11, 2009 Anthony Hernandez 1183 N.E 91 Terrace Miami Shores, Fl 33138 To Whom It May Concern: This is to inform you that demolition on the above mentioned property has been schedule for Wednesday 16 2009. Sincerely yours Angel Saa • , Saad Ho es General Manager SAAR HOMES www.saadhomes.com Email: info@saadhomes.com CGC 025768 GARDEN AKIN * MYCOMMISION # DD891662 EXPIRES: June 20, 2013 .N Bonded Thm Not Notary Services Over 30 Years • All South Florida • Residential & Commercial Custom Homes, Additions & Renovations • Joint Ventures & Investment Saad Homes proudly supports "Community Partnership for the Homeless" 18601 Wentworth Drive, Miami Gardens Drive, Florida 33015 Office: (305) 829 -8992 Fax: (305) 829 -9109 August 6, 2009 Re: 1183 NE 91 Terrace Miami Shores, Fl 33138 To Whom It May Concern; By this letter we authorize the Miami Shores Village to issue the demolition permit for the above mentioned residence. Should you have any questions please do not hesitate to contact me. Sincerely your Anthony F - r" andez CARMEN ASIAN * COMMON DD 891802 EXPIRES: Juno 20, 2013 "'tame" BondedRu Nen Santos • 111111111111111111111111111111111111111111111 epared by and return to: Evelyn Lopez Southern Financial Title Services, Inc, 450 North Park Road Ste 410 Hollywood, FL 33021 951 -965 -9101 File Number: 08 -9804 Will Call Nos GFN 2.00881'X39 OR $k 26703 Pss 2713 — 2714 (2oss) RECORDED 12/31/2008 10.00:41 DEED DOC TAY 1:5.55% 40 HARVEY RUVIN t CLERK Of COURT MIAflI—DADE COUNTY, FLORIDA rSpaoe Above This [,ice For RoordingDsas3 Special Warranty Deed This Special Warranty Deed made this : it day of December, 2008 between Deutsche flank Netting Trust Company in its Capacity as Indenture Trustee for the Note Holders of Armes Mortgage Investment Trust 2005 -2, a Delaware Statutory Trust whose post office address is 2550 Boyce Plaza. Road, Plaza N, Suite 140, Pittaburgk, PA 15241, grantor, and Aatho,,y J Pet'aradet; a single man whose post office address is 1183 NE 91st Terrace, Miami, FL 33138, grantee: (Menem i d bon* the tcaea paw and grantee include an the parries to this instrument and the ba s. regal 0 :Frostahtivcs. and assign ofindividuals, and rho successors and ass** or avocations. t=om and trustees) W itnesseth, that said grantor, for and in consideration of the awn TEN AND NO/ l00 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowlcdgrd, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, towie Lot 23, Less the West 15 feet thereof and the West 45 feet of Lot 24, Block 1, of Wateusedgc, according to the Met thereof, at recorded In Plat Book 9, at Page 141, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number.. 1132050010200 Together with all the tenements, hereditatnt nts and appurtenances thereto belonging or in anywise apperteming. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the saute against the lawful claims of all persons claiming by, through or under grantors. In Witness Whereof°, grantor has hereunto set grantor's hand and seal the day and year first above written. Doublrnm.e Bookc26703 /Page2713 CIFN #20081039130 Page 1 of 2 Signed, sealed and delivered in our presence: [Notary See Spatial Warranty Dead .Page 2 (Corporate Seal) OR BK 26703 PG 2714 LAST PAGE Deutsche Bank National Trust in its Capacity as Indenture Trustee for the Note Holders of Aamet Mortgage Investment Trust 2005-2, a Delaware Statutory Trust State of County of 1141gl....,y 17� foregoing . instrument was acknowledged before me this day of December, 2008 by as C- A)5.,. Goo, r44. of RCS I, Inc. of Deutsche Bank National Trust in its Capacity as Indenture Trustee for the Note Holders of Armes Mortgage Imams Trust 2005 -2, a Delaware Statutory ?rust, on behalf of the corporation. He/she U Is personally known to me or [X] has pr du a drives license as identification. tary Printed Name: 4 Vt1 My Commission Expires: 1 b 'off 1 . 1 Book26703 /Page2714 CFN #2008 Page 2 of 2 August 6, 2009 RE: 1183 NE 91 Terrace Miami Shores, Fl 33138 To Whom It May Concern; By this letter we authorize the demolition company supervised by Saad Homes, to start demolition at the above mentioned property immediately. Should you have any questions please do not hesitate to contact me. Sincerely yours, Anthony ` rnandez .e ItY IN /��p���.I �• C' ASIAN » r * COMMISSIONS DD 881862 EXPIRES: Juno 20 , 2013 l ' i ha no* � Bonded TIVU Budget Natal Swifts Inspection Number: INSP- 124416 Permit Number: DEMO -9 -09 -1510 Scheduled Inspection Date: September 25, 2009 Inspector: Devaney, Michael Owner: FERNANDEZ, ANTHONY Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: JES ELECTRIC, INC Building Department Comments Make sure FPL disconnects. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments care ♦awehar h 7AAG 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: Demolition Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132050010200 Phone: 305 - 218 -9492 D A , f'31 Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Scanning Fee Submittal Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $3.00 $50.00 $50.00 ($50.00) $2.50 $56.30 Building Department Copy Address Contractor(s) JES ELECTRIC, INC Phone Cell Phone 305 -218 - 9492 (786)251 -2207 Authorized Signature: Owner / Applicant / Contractor / Agent Phone Type of Demo: Electric Additional Info: Classification: Residential Invoice # Total Amt Paid Amt Due DEMO -9-09 -35881 $ 56.30 $ 50.00 DEMO -9-09 -35881 $ 56.30 $ 56.30 Check #: 5708 $ 0.00 Expiration: 03/17/2010 1183 91 Terrace Miami Shores, FL 33138- 1132050010200 Block: Lot: ANTHONY FERNANDEZ Cell ANTHONY FERNANDEZ 1183 91 Terrace MIAMI SHORES FL 33138- Valuation: Total Sq Feet: $ 1, 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final I In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. September 24, 2009 Date September 24, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 Is Building Historically Designated YES NO Contractor's Company Name Jt E / /G7fa Contractor's Address /2() 4 ' 1b /. >- S7 ` Value of Work For this Permit $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Electrical _ Owner's Name (Fee Simple Titleholder) -A Ym1c,i1 '� I ()Q �1Gk�, Phone # `�QJ — (72 et 2„ Owner's Address 19) J . � E � l re e' City t`4 (Qf I FJ hDv�6 State Ptorcdc Zip 3 I Tenant/Lessee Name Phone # JJ — 9 �® 5 — CO 1 —00-00 E -MAIL: Job Address (where the work is being done) 1 1 p E City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # City j-1 / State Zip / )� Qualifier Name f f h A ® t • Phone # C�'"1"(7) State Certificate or Registration No. 3 00 - Zt /Z. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # s 0 Permit N. O04O —a`0ci -151 v Master Perm Na. Phone #(7 57— ZZQ -3- Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ❑New ❑ Repair /Replace Demolition Describe Work: &{4.1C(? S J LZ ir•4 .l_ A isc.0 , xxxxxxxx ***x**xxxxxxrxxxxx Feesxxx xx'cxx* *.*xxx �Yxxx xxrxx4cxxxx****xx xxrxxx Submittal Feer5 ®. V U Permit Fee $ A CCF $ 04(o0 CO /CC Notary $ //�� Tra /Education Fee $ 0'�l.J ' Technology Fee $ Q ( / Scanning $ 300 Radon $ DPBR $ Zoning $ Bond $ Structural Review. $ Code Enforcement $ Double Fee $ Total Fee Now Due $ 5 ( 'R ) See Reverse side —* Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 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) d s after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspect n fee will be harged Sign: Print: (Revised 02/08/06) State Owner or Age The for going instrument was acknowledged before me this p�,, day o 4, 20 by , day of Ti I,&'t , 2009; by ■ who is personally known to me or who has produced My Commission Expires: • ISYCOMMISSION s - - EXPIRES: hilt r uniBudget tt ` Mrn FLOP �.. 1c APPLICATION APPROVED BY: ..%/40/ CARMEN ASIAN MY COMMISSION SODIUM EXPIRES: An XL an Bonded Tin ibiget Noy Nes Signature **at* x ,cwww woe xx*t'Cxx Xx 'xxxxxxxxxxxxxx XX Xi�x XXx x xx xxx* * *WICK* x x x WIC xxxx Sig Print: W IG c-146 Contractor The foregoing instrument was acknowledged before me this wh is personally known to me r NOTAR PITBLIC: r My Commission Expires: who has produced As dcwatiffswit.and who did take an oath. as identification and who did take an oath. * MY alimssatammetet EXPIRES: Jun Ann &adefften ft* NOV xxat *x' x zxi:xxxxxxxxeYxxxxx W IC Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 124418 Permit Number: DEMO -9 -09 -1511 Scheduled Inspection Date: September 25, 2009 Inspector: Levrock, James Owner: FERNANDEZ, ANTHONY Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: BIG PLUMBING CORP Building Department Comments Cnn4nmhnr 1.4 'MAO For Inspections please call: (305)762 -4949 Permit Type: Demolition Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1132050010200 Phone: (305)821 -2880 Disconnect water line. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. e >1or Comments 1 D 7 nF 7l Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Parcel Number Phone Applicant 1183 91 Terrace Miami Shores, FL 33138- 1132050010200 Block: Lot: ANTHONY FERNANDEZ Cell ANTHONY FERNANDEZ 1183 91 Terrace MIAMI SHORES FL 33138- Contractor(s) BIG PLUMBING CORP Phone Cell Phone (305)821 -2880 Q Valuation: Total Sp Feet: Type of Demo: Plumbing Additional Info: Classification: Residential Fees Due CCF Education Surcharge Permit Fee Scanning Fee Submittal Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $50.00 $50.00 ($50.00) $3.75 $207.55 Invoice # DEMO -9 -09 -35882 $ 100.00 $ 50.00 = $ DEMO -9-09 -35882 $ 100.00 $ 100.00 $ 0.00 Check #: 5630 Total Amt Paid Amt Due DEMO -9 -09 -35941 $ 107.55 $ 107.55 $ 0.00 Check #: 5708 $ 1,000.00 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final I In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy September 24, 2009 Date September 24, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 Qualifier Name 44#244' L 670---z--z / Value of Work For this Permit $ Notary $. Scanning $ 3'00 Bond $ Training /Education Fee $ Radon $ Code Enforcement $ Miami Shores Village Building Department Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) (101rlc6hone # —(MC( Owner's Address H N t -- City �'�(Q f ( 'Jh0l'C4 State d- 1) r Ci Zip Tenant/Lessee Name Phone # t 1 -5Q05- 00 1-0Q-00 E -MAIL: Job Address (where the work is being done) 11133 NE 01.1- Ter-ruT,e _ City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11— 3205-001 -O - oC 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. iJ AV) ' C14 51 I Master Permit No. Is Building Historically Designated YES NO X Contractor's Company Name /4 / A4I/ &, Contractor's Address 4/ t'1� 67 , Cit 44444 404. `sue' State P Zip Phone # State Certificate or Regist ation . :` ' Certificate of Competency No. a7. p 3 /Gv E -MAIL: bic/4m2fi��/ Architect/Engineer's Name (if applicable) Phone # Type of Work: 11idd4ion ❑Alteration ❑New Q Repair /Replace Describe Work: ' I) I SC_ • 1P - t - ******** * ** ** * ** * * * * * * * * * * * * * * * * ** * * * ** F * ** * * * * * * * * * * ** * * * * ** * * * * * * * * ** Submittal FeeTS 0 • Permit Fee $ Square / Linear Footage Of Work: DPBR $ Double Fee $ Phone # Zip ('3120 l_ 2490D (3e49 7o 543 Demolition CCF $ 0.620 CO /CC Technology Fee S 3i Zoning $ Structural Review..$ Total Fee Now Due $ 'I01• See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 OI' 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 sev (7) days after the building permit is issued In the absence of such posted notice, inspection will not be approved and a rei pection fee will be charged Signature ?lc Owner or ent The for going instrument was acknowledged before me this day oPtG/(,1S)720 'iby ' who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIciay ..,. , tl * MYCO MMISSION 0 00891802 is wn v Sign: Print: My Commission Expires: ."w xxx *** x*********xde,Y****rn APPLICATION APPROVED (Revised 02/08/06) State EXPIRES: dust 20,2013 Zip State t Contractor The foregoing instrument was acknowledged before me this I day of*.filber, 20M,by who is personally known to me or who has produced Ot Y tv as identificat 'a i ho d�h. ' (_ MY COMMISSION O©D., NOTARY PUBLIC: ' ° f EXPIRES: Juno 20 2013 4 oc A ° leaded Thn► (fudge N s wims Signature Sign: Print: My Commission Expires: *. w******* u sY ,4 x *xx *****,Y4c,e,Yxx x, t, e,tu Se x,t dexxk x x x r, *xx 9ei:x Plans Examiner Engineer Zoning Project Address 1183 91 Terrace Miami Shores, FL 33138- Owner Information ANTHONY FERNANDEZ Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $50.00 ($50.00) $2.50 $106.30 Address Parcel Number 1132050010200 Block: Lot: 1183 91 Terrace MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ALBERT'S AIR CONDITIONING CORP (305)883 -8300 Type of Demo: Mechanical Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Phone Invoice # Total Amt Paid Amt Due DEMO -9 -09 -35883 $ 50.00 $ 50.00 $ 0.00 Check #: 5630 DEMO -9-09 -35940 $ 56.30 $ 56.30 $ 0.00 Check #: 5708 Applicant Cell Expiration: 03/17/2010 ANTHONY FERNANDEZ September 24, 2009 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final September 24, 2009 1 Scheduled Inspection Date: September 29, 2009 Inspector: Perez, Jan Pierre Owner: FERNANDEZ, ANTHONY Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: ALBERT'S AIR CONDITIONING CORP Building Department Comments "Jf/ qnno 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 Phone Number Inspection Number: INSP-124421 Permit Number: DEMO-9-09-1512 Permit Type: Demolition Inspection Type: Final Work Classification: Mechanical Parcel Number 1132050010200 Phone: (305)883-8300 Disconnect NC, recover gas from unit. $72 61 / 9/ Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Inspector Comments One." 4 4 .17 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) KZlk()Ir � '"�2 ()de Phone # 75. 37 L —161 I Owner's Address I I o' N (k --1 1 ST City r kt r-1 State I--L Zip 33 Tenant/Lessee Name Phone # —g 1 t I E - MAIL: • Job Address (where the work is being done) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t'2,3 cue q - Ferrate City Miami Shores Village County Miami -Dade Zip i3$ I38 FOLIO / PARCEL # I) — 51Z)5 —OD 1— 02CO Is Building Historically Designated YES NO x Contractor's Company Name 11' S A jQ 6 o 3 - ?LJO 1 ��r{i�tn� � Phone # ��_ Contractor's Address 5� NO ''t i5 Fret-- City `..liQrni State 4- Zip 3 l to 6: Qualifier Name Albert? p ert L- Phone # 3D23 - '2'30 State Certificate or Registration No. �.A6 n5 v Certificate of Competency No. 0 0 — 1S/2 E - MAIL: 1>�'Y e)lber( Cnn' Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition ['Alteration ['New ❑ Repair /Replace ] Demolition Describe Work: 1 Sc.n /'` / - f P., FIE.® eJiJ:T ******* * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** * Fee ************* * * * * * * * *** * * * ** * * * * * ** * * * * * *k ** � 1, ©) CCF $ ORQO CO /CC Training /Education Fee $ 0 •c . ) Technology Fee $ 6i4Y,) DPBR $ Zoning $ D Submittal Fee S0 . Permit Fee $ Notary $ --- Scanning $ 3 Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Permit No. WO ` q— O1-1512/ Master Permit No. See Reverse side --> c, �5 qg 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 • e 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. a, "WARMING 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: ;is' 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. Beri'labrochure 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 inspection will not be approved and einsp ction fee will be charged Signature The foreot day o ien't•` nowledged before me this (110i yr Oven • g instrument w ='20141 by My Commission Expires: xxxxxxxxxxxxxxxxizxxxxxxxxxxle xx'cx'clew APPLICATION APPROVED BY: (Revised-02/08 /06) days after the building permit is issued.he absence of such posted notice, the �'.. ": who is personally known to me or who has produced As identifcatian who did take an oath. * , * MY COMMISSION # DO : 1382 EXPIRES: June 20, 2013 Bonded Thu Budget Mr, Win $iinafure - Contractor i I The foregoing ins was aeRrp'wledged before me thisq ' day of 2) j by /L l who is personally known to hie as identification and who did take an oath. �cN�Y Pu ' AR ' UB IC: • ° °:` MAN NO * COMMISSION # DD ISO �, EXPIRES: June 20, 2093 'rt,„„.° .Bonded Thu Bud§et Wag Services Si Print: My'Commission Expires: 4,1 I 9 xxxxx xxxwlexxaf,xxxxxxxxxxlewxxx 'cxx xxxxxxxx*xx ac*************** Plans Examiner Engineer Zoning