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RC-10-1800Inspection Number: INSP- 154423 Permit Number: RC -10 -10 -1800 Scheduled Inspection Date: December 27, 2010 Inspector: Bruhn, Norman Owner: AARONSON, GLORIA Job Address: 9333 NE 9 Place Miami Shores, FL Project: <NONE> Contractor: DONNA ELIZABETH MILO Building Department Comments December 27, 2010 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 1132050070080 Phone: (954)914 -2822 BATHROOM REMODEL Passed , a . 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- 152178. Page 14 of 14 10 14/110-'51 LVI BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING / OWNER: Name (Fee Simple Titleholder): �J () L l 73 ti 4 Address: L7 0- 9 r h P 1- (A-(-- _ City: lAi1 .AA_ \ 5'\/■0+rz7 State: ,F-(,. Zip: 3/ L3 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: Miami Shores Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 c 5 3 AJC 01 it-M-€5.- / Value of Work for this Permit: $ `T�1J y) Type of Work: °Address °Alteration Description of Work: q_NP A 1 j2 County: Miami Dade Permit No. Master Permit No. Square/Linear Footage of Work: °Newtepair/Replace I/'1b "= � � � sTi' /A, one ? , 0 , . 7 ) 9-43 5 n 25 ,Zip: 3 3/ 3S Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: b 0,010 A- e k V 1( v Phone#: Address: ( 1) _? L k '1d�1: (-0 l tl ` d ®6 , City: a ‘I\ OA k State: � � 1 _ Zip: T f '3 Qualifier Name: ° l:), [) $) & /41 I (c3 Phone#: State Certification or Registration #: a G l 50 51 ( -1 7Certific ate of Competency #: C o n t a c t P h o n e # : 9 5 L 1 - a 1 ` L k - 2 - S 2 Z .- E m a i l Address: 1 5 0 4 1 ( y`1- 44 r C o ( A ,UJU l- MI 10 ' C O)44 DESIGNER: Architect/Engineer: ®® Phone#: ro °Demolition 'h L 14-6 f/` M P,DA-A b l ll/ e -i "14E - 79 COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: Submittal Fee $ 6 Scanning Fee $ Notary $ Double Fee $ •******** *** **** ******** **ft******** ** ** * •***** •** * ** *** *** *AAA * *** ** *** ********* ** Permit Fee $ /2 CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ ' 1 00 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 notice of commencement and construction lien lady 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 t be approved and a reinspection fee will be charged. Signature Owner or Adept The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7 day ofC( . 20 'D, by . D (`1Y°l'A ( - ) , who is personally known to me or who has produced who is personally known to me or who has produced As id and who did take an oath. as identification and who did take an oath. day of 0 C , 201 D by U I I Bf eel NOTARY PUBLIC. Sign: Print: 1; )fl i �1 My Commission Expires: ge,;. . saaysamearaataveasaoaaaa I i"NA . MILD ,omtiamr,,e Ccroi /IF44 DD0778929 �} dtY Pa.1r Fbcptres 4/14/2012 g tt y V l Ama1w tfC :I 16es;cllr ems aaaa aaaa a mows aanaalOnnn (Revised 07110 /07)(Revised 06/10f2009XRevised 3 /15/09Xrev6 4/10) Structural Review NOTARY PUBLIC: Sign: Print: TARY PUB C- STATE OF FLORIDA My Commission Expisea' Re Espinosa Commission # DD805748 , •.,,..• s Expires: JULY 14, 2012 ********************************************************* ** * * * * * * * * * * * * * * * * * * &* BONDEDTB * *�iifii A!9e41% * * ** APPROVED BY 4G ` /Oi Plans Examiner Zoning Clerk (Pmc,■0 Miami Shnrpc Viii age E SArrINt• ARFUND ZOFNING DEPT i !BLDG DEPT 1 / 6 /;;4, �t -58rr ;U JFCT TO COMPUANCE WITH ALL FEDERAL Re pL IK.e I ` irP/ S?;OUNTY RULES AND REGULATIONS 'RErL A-c g LA-r v. 1.4 cErM- Nt c tkerrtfltF TILE RI.cPLI}cE t 0NC.o✓Ell- <11)•STw/ VP- yw'ooi 4 f-JARDI B *c1c L AKh .N f''1c Tz . 8G y-v - "-d 2 , x/p ,fir: AIL DATE E V ,T't -' (• E ATHROON) Foo ub. r � /v. I f TERMITE 517 1EM) TV . 93'3'5 NI✓ Q ? C,4 C T)L1c! - 3 4b ges. L • • • • • •• • • • • • • • •• • • ••• • Re PL .E Sko•ten. Z ]C 10 rb (REPLACE " X11 rets17 ) Usg ZXio t'z YP rr KT 1.0 OCT 0 g 2Qi • • • • • • • • • • • • • • • • If 1 V FROM Accurate A��lrCa PRODUCER Accurate 8300 West Flagler Suite 114 Miami, FL 33144 Phone (305)226 -8727 INSURED Donna E Milo Inc 1074 NE Little River Drive Miami, FL 33138 .1. COVERAGES THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I AI RD LTA DISRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLCY EXPRATION DATE (iYNINIMI) DATE ancoo Y1n LIMITS GENERAL LIABILITY Gej COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS MADE RI OCCUR IB EXCESS/UMBRELLA LIABILITY CI OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION 3 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER I EXECUTIVE OFFICER / MEMBER EXCLUDED? YES If yes, describe under SPECIAL PROVISIONS below OTHER ❑ CERTIFICATE OF LIABILITY INSURANCE ❑ _ GEM AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY o ANY AUTO • ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTos Fax (305)2264767 NS1200911 -02 AUIOG0066 (THU)OCT 28 2010 14: 45/ST.14: 44/No.7500000253 P DATE (MMIDOIYY) 10/28/10 INSURERS AFFORDING COVERAGE INSURERA, United Specialty Insurance Co. INSURER O; Guarantee Insurance Co. INSURER C: INSURER D: INSURER E: INSURER F: 12/30/09 06114/10 12/30/10 06/14/11 DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER Miami Shores Village 10050 NE 2ND AVE Miami Shores, FL 33138 1305 756 8972 ACORD 25 (2001/08) QF THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQM E8 BELOW. CANCELLATION Luria Estrella EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea OccurSnce) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGO COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per aC !dent) PROPERTY DAMAGE (Pet accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA AOC AGG EACH OCCURRENCE AGGREGATE TORY LMA ❑ it E.L. EACH ACCIDENT E.L. DISEASE • EA EMPLOYEE E.L. DISEASE • POLICY LIMIT NAIC Al 1 1,000,000 100,000 5.000 1,000,000 2000,000 1,000,000 ACORD CORPORATION 111118 100,00 100,00 500,00 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MALL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUY FAILURE TO DO SO SHALL IMPOSE 140 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE NOTICE OF COMMENCEMENT A RECORDED E COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.IF 0/ TAX FOLIO NO. 1 1 5 OS 7 DO gl) STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following. information Is provided in this Notice of Commencement. --- 1. Legal description of property and street/address: 3 3 : 3-) N f q 2. Description of improvement: 3. Owner(s) name and address: �L -'r `4 brc q N I pi- f'1'alm :- Shoe F L 3'5138 Interest in property: 0 CI ) 'ASV Name and address of fee simple titleholder: 4. Contractor's name and address: ature of Owner rint Owner's Name Sworn to and subscribed before me this t ®r7 `- ' Surety: (Payment bond required by owner from contra or ifiar Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon w m notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, 1\1 `Q Name and address: T 8. In addition to himself, Owners designates the following person(s) t receive a copy of the Lienor's Notice as provided (\ / Name and address: 1 in Section 713.13(1)(b), Florida Statutes. . 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a cliff - � >nt_at; is s•:= cified) Prepared by Address: Notary Public •.0 My Print Notary's Name . i commission expires: r� . moo 1 PAGE 4 123.0 1-52 • . • STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this is a hue copy of Me on nal filet! Q � 1 `' qr ll_dey af WITNESS - hand and f . Kai seal. HARVEY/; VI,CLE `. , , • and County Cwt .By a 3 - D.C. 1111111 111111111111111 11111111111111 11111111 CFH 2010R071010O OR Bk 2746)3 Pa OM; t f Ps ) RECORDED 10/19/2010 16x022001 HARVEY RUVIK, CLEW OF COURT I1IAllI -DADE COUNTY, FLORIDA LAST PAGE I l) y7C $ • 111f I L p1 7 5 X 717 Y Inspection Number: INSP - 151897 Scheduled Inspection Date: December 15, 2010 Inspector: Hernandez, Rafael Owner: AARONSON, GLORIA Job Address: 9333 NE 9 Place Project: <NONE> Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 7 Miami Shores, FL Contractor: DONNA ELIZABETH MILO Building Department Comments SHOWER PAN REPLACEMENT December 14, 2010 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 ofo° Permit Number: PL -10 -10 -1745 Permit Type: Plumbing - Residential Inspection Type: Water Service Work Classification: Addition /Alteration Phone Number Parcel Number 1132050070080 Phone: (954)914 -2822 Page 6 of 16 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 OWNER: Name (Fee Simple Titleholder): '37:/ L A e I1 lb V Phone#: 3 7 S 0 3Z- 5 Address: 9 . 3 ' 3 e 9 t°4,, • City: "A A r16t a,re State: F I •.. Zip: / >0 Tenant/Lessee Name: Phone#: Finail• JOB ADDRESS: PL City: Miami Shores County: Miami Dade Folio/Parcel#: - (")d) r () Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: (t` /L4fL • / / /.f) , iu Address: ID F C/JU c ,e, ve / t c . cit A 1 ti--m G State: /. 4 /411 (b State Certification or Registration #: C F C- / 9Z-0 Certificate of Competency #: Qualifier Name: Contact Phone#: ? (-I vs 22- Email Address: DESIGNER: Architect/Engineer: Miami Shores Village Building Department OCT, 0 1 zaio Permit No. u � ��.�•.� Master Permit No. Flood Zone: T pb(9 -t6 Phone #: / -?/z/ zip: 3 ; /3 Phone#: 9 5c/ 4/ Phone#: Zip.3/ 2 0 Anti) J Value of Work for this Permit: 0 5 O Square/Linear Footage of Work: Type of Work: ❑Address DAlteratiio n UNew ! ';epair/Replace UDemolition Description of Work: V p © P 0 6 Q- e�. fAcQJA O .�.�'`�'i ******** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** Fees ****** * ****** * * * * * * * * * * * * *** * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ! co CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 0 e 10 CO /CC $ Bond $ 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 COMMENCEMENTS" 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 In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Own or Agent The forego 1 � g instrument was acknowledged before me this l day of Vl- , 2010, by ) U1I� tu who is personally known to me or who has produced f - identification and who did take an oath. NOTARY PUBLIC: Sign: NMI msnaa = �- .Qtwe..a��a�m�u Print:)i U Pv/�v�ly� D t E. NstLQ My Commission Expires:: Explres 4/14!2012 E ' ' 4 . r u ° Ronda Notary Assn., Inc e * * *** * * * * * * * * * * * * * * * * * * * *Oh****+ *** *rt******* * ** ** M*+k*M*+M******* * ** *** ****** ******+p*+M*+kp****9+**K *** ** ** ►** *** APPROVED BY (Revised 07 /10/07)(Revised 06/l0/2009)(Revised 3115/09) Sign Structural Review Contractor The foregoing instrument was acknowledged before me this 1 day of rcr. , 20 L.Q, by )P,,✓,1/ - / , who is personally know ' me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 731. • 0' .. *Ala My Commission Erg .•=u,. Renee Espinosa =Commission #DD805748 !�` r Expires: JULY , 201 BONDED THRU ATLANTIC BONDING 14 C O., !III / 0 — Plans Examiner Zoning Clerk Inspection Number: INSP- 154260 Permit Number: EL -10 -10 -1801 Scheduled Inspection Date: December 16, 2010 Inspector: Devaney, Michael Owner: AARONSON, GLORIA Job Address: 9333 NE 9 Place Miami Shores, FL Project: <NONE> Contractor: AMP ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments L December 15, 2010 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Alteration Phone Number Parcel Number 1132050070080 Phone: (561)737 -1757 Page 22 of 22 BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL • auk \Ara Job Address (where the work is being done) City Miami Shores Wale FOLIO / PARCEL # Is Building Historical4r Designated YES 1 NO II rf Contractor's Company Name n�JC �ml- 4rt V r (-/ Phone # Contractor's Addres AO 4 t i State Zip wit6K D. kIG\ .ac State Certificate or Registration No. L 060237 cP /f QW City Qualifier Name Contact Phone Architect/En Notary $ Scanning $ Double Fee $ Structural Review. $ Permit $ Zd004 eo Value of Type of Addition []Alteration Descri r ,,fit: - C.E CL County Miami -Dade E -mail Submi ee $ Permit Fee $ /04 6 '0" Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 DPBR $ Training/Education Fee $ 24 Ea NOV' MA BY . rr ..... ........ Permit No. Master Permit No. E.1-10- 10 — /T0 Owner's Name (Fee Simple Titleholder) GLOk 11 AARon son Phone # (305) z g's- 0325 Owner's Address 9, 33 NE a I RA City rnsAv i SA tRL49 State FC Tenant/Lessee Name Email Zip Phone # Phone # Certificate of Competency No. Square / Linear Footage Of Work: DNew Repair/Replace w/T Zip Flood Zone ,6 73 ' 17 7 S6! -737- 1757 G /hG p kji (if applicable) _ Phone # r ❑ Demolition * * ** * * **I * * * * * * * ** * * * * * * * * *** * ** * * * F ees, ** * * * * * * * * * * * * ** * * * * * * * ** * * * * * ** CCF $ CO /CC $ Technology Fee $ Bond $ Violation date: ^ Total Fee Now Due $ 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 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 ' sued. In the absence of such posted notice, the inspection will not be approved and a re- inspection fee will be charged. Owner or The foreg g ins ent ac day of V V , 20 L11, by who is personally known to me or who has produced tification and who did take an �ath. aa� ako�,.e y >' a„ ci'� NOT Sign: Print: My Commission Expires: .0�/ Plans Examiner Zoning APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) P Engineer Signature f Conte ctor e foregoing instrument was acknowledged before me this 2-9' of 7? oa) , 20 /0, by G��r�.._, A��z�, , w o is personally known to me or who has produced as ide do ' . dike an oath. State of Florida NOTARY PURL No. EE37910 My C6/717 � 11/19/14 Sign: /'yam cam b"• Print: !� o-s e /77 A TT / My Commission Expires: .// / /S, y . Clerk checked Miami Shores Village BY DATE APPROVED ZONING DEPT BLDG DEPT ! ::.px y �T. A SUBJECT TO OOMPUANc'E WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS ilttrdikEs 6 410D TRnn• w,•' zi y p ;isr) ot9T•L£Ts 2 Amp ohgJ( BATHROOM REMODEL WA7 i : " Passed 1 Inspector Comments : CREATED AS RE-INSPECTION FOR INSP-153080. Noone borne. /Y/91?" ( d ePA/ s 4eff e-reP/Z5 / , L e ,,,,, fr y, • -. , 1 vi 1 I - Failed Correction Needed : - //t- -/ e , .//ev; Re4nspection I Fee NoAdditional Invpeen • cante scheduled unlit re-inspection fee is paid. . z y- - S 6 fengl-snr •InnA f:Inct-sse 41511•7•1 A O Inspecnon Nunvaer. 0411 .sre4 • • ee • •••••• • • • • ••■•• •••••■•■• • II SW %Om • •10.1■1.8 INDY IR VW Inspector. Devaney, Michael Owner AAR014Srif 4, (WORK Job Address: 9313- NE 9 Place Project <NONE> Miami Shares, FL esete,4 Mk BRUM MB cr.irree" eke" Ch r • •••■■••••••......4••• ”•••••••••= ••• ••• •••••••••• ...... • a • ••• IN...eft. -eat +win ■••-11 - 11 - Viel. 4nemn s4 MI I i.e.. .ets anr,-....tiles.•-•••••••- se Peril* NUMMI: U _ _ — I 1.1 r 11 Bib 1 y taw. Lam 11-640-6111 ZUCCA ••• 1 NIEPQR11 UM 11.1 illi*Iplatainitt • ww. Wrtarlf f`Likkeesn'areirs■ Altgaraffren Phone Number Parcel Number 1132050079080 ro•••••,,,,• 11=4'1717 _I 71e7 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical City: VA Y l L.\cari' CONTRACTOR; Company Name: Address: t o 3 n . 7 Miami Shores Village Building Department Voln V7 00 0 �L�� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ( 1 Permit No. l v ( 1 Master Permit No. OWNER: Name (Fee Simple Titleholder): <_J U t �,� � Phone#: �J o �J 2.5 Address: ' 3 ft.) if C im State: Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: q33? A d t L f C City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes Zip: 3N 3 5 NO Flood Zone: qc5-M(1.411j Phone#: 737-17<7 Phone#: State: Zip: City: Qualifier Name: State Certification or Registration #:L` d ao � Certificate of Competency #: Contact Phone#: J((- � �' 77c 3 Email Address: DESIGNER: Architect/Engineer: Phone#: E Value of Work for this Permit: $ � $ Square/Linear Footage of Work: 7 Type of Work: OAddress OtAlteration ONew (0- litRepair/Replace ODemolition Description of Work: PfA j In ✓�'1 2 ✓�i p � N G- P- 1 Att, e/d , SP Submittal Fee $ 50 ► Permit Fee $ l-. dam'' 4-1) Z irk' $ CO /CC $ '9 '017 Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 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 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 ued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature APPROVED BY Owner or The foregoing strument was acknowledged before me this . t 0 The foregoing instrument was acknowledged before me this . da of - 2Q 1O by aa! LL i b i » I/ day of ®cf , 2(? i ca , by LcJ o .t4 �a�aT . who is p na IT known'10 me or who has produced E V - D who is personally known to me or who has produced �]��T T/ s identification and who did take an oath. f as identification and who did take an oath. NOTAR �eL. �J12L1C: ent Sign: �j `' f yi..' ; �y;� Sa gn Print:. D IJ� tAli t ( b race¢ naonanoamoom •ooavumnmbousouwr..p•gW►lli e! �gYP � � ,,, My Commission Expires: a ; ' upires 4/14J2012 : my C ommission '� .''�'arive e` Florida Notary Assn., tnc h, noP ■aln Gall aan mnmani0m \• *********'************* * ****. ***** * * * *** * ** * * **** *** * * * * * ** ` * * *** ** *** ****** ** *' 1 T ** * *** * *e *.* * *** **'* *** **- (Revised 07/10/07)(Revised O6/t012009)(Revised 3/15/09) Plans Examiner Structural Review Signature NOTARY PUBLIC: Cone =.ctor i �a• f :�R _B� M• PUW �' / ��► 1 &C f r' � .. te Commission No. DD 599760 psi �' p1 e� My Commission Expires 11/19/10 Zoning Clerk