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RC-09-1706Scheduled Inspection Date: February 25, 2010 Inspector: Bruhn, Norman Owner: RUTLAND, SAM Job Address: 10600 NE 10 Court Project <NONE> Contractor: DOWER CONSTRUCTION INC Building Department Comments February 25, 2010 Miami Shores, FL 33138 -2102 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 127211 Permit Number: RC -10 -09 -1706 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)893 -7285 Parcel Number 1122320280990 Phone: (305)986 -4999 bathroom renovation Passed "1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 7 of 25 Owner Information a November 06, 2009 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF DBPR Surcharge Education Surcharge Notary Fee Permit Fee - Additions/Alterations Permit Technology Fee Radon StiOjarge Scanning Re Total: Amount $1.80 $0.38 $0.60 $5.00 $150.00 $3.75 $0.38 $3.00 $164.91 Buil • � g Department Copy Address Expiration: 05/02/2010 10600 10 Court Miami Shores, FL 33138 -2102 1122320280990 Block: Lot: SAM RUTLAND Contractor(s) Phone Cell Phone DOWER CONSTRUCTION INC (305)986 -4999 (305)986 -4999 Atilhorized Signature: Owner / Applicant / Contractor / Agent Phone a;; SAM RUTLAND 10600 10 Court MIAMI SHORES FL 33138 -2102 (305)893 -7285 Valuation: Total Sq Feet: Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: Stones: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Exterior. Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Invoice # RC - 10 - 09 - 36171 Total Amt Paid Amt Due $ 164.91 $ 164.91 $ 0.00 CeII $ 2,500.00 75 ,aeeme.k me For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final PE Certification Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Truss Insp Columns Foundation Window and Door Buck Fill Cells Columns Wire Lathe F. Termite Letter F. Elevation Certificate In conside4. ion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting 1133s permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fd?ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSFVFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructioAand zoning. Futhermore, I authorize the above -named contractor to do the work stated November 06, 2009 Date 1 EXISTING LAYOUT BATHROOM - RUTLAND RESIDENCE s�- i euriliv79 lD�o0o Nis ZG�� � PfislOV' EXISTING TOILrr, SINK, SYIOWEI.', LIGYIT AND TILT O O O 1/2"=V-0" MI ELI AIM NW PROPOSED PLAN C__) BATHROOM - RUTLAND RESIDENCE 6F/ SF/ 1/2"=1'-0" r-1 1/2" 3'-4 1/2" J J D 0 LLI 0 LLJ REFLECTED CEILING PLAN BATHROOM - RUTLAND RESIDENCE /00 er,‘1,1 S-4" 1/2"=I-0" f`, CT Miami Shores Village 03Dan Building Department BUILDING PERMIT APPLICATIO FBC 2004 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle). Buildin Roofing Owner's Name (Fee Simple Titleholder) / � / billeAV Phone # '6N� 0 4j q Owner's Address /700 d D / 4 / Cr p City 1 ***NI State Zip �� ` 81 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # / — 24 20" - 0/4:1 - 10 / 0 Is Building Historically Designated YES NO Contractor's Company Name DO utie C 1 RA/ / P iwo i t Vc'91 Contracto 's ` Address ,,Z q City ' Stat Zip tY p Qualifier Name /C-�' Phone # State Certificate or Registration No. /'3 ( 71 / Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 7 �' �" '" Square / Footage Of Work: Type of Work: ['Addition teration ['New Describe Work: 4 _____/541* hJ Permit No. 1 ( O - O c k Master Permit No. Zip ❑ Repair/Replace ❑ Demolition ( r * a * * * * * * * * �xFees�x F x�x�x x �x �x� �x *�xx �x ** * *�x *�x****** Submittal Fee $ � Permit Fee $ CCF $ (� 1 CO /CC Notary $U � v Training/Education Fee $ • (CO Technology Fee $ ° 7 5 Scanning $ 3.0 Radon $ \ DPBR $ Zonin $ Bond $ \ Code Enforcement $ \.'-- Double Fee $ Structural Review. $ Total Fee Now Due $ L W q , q/ 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 Ri.F.CTRICAL 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing i ment was acknowledged before me this q day of who i APPLICATION APPROVED BY: (Revised 07/10/07) Sign: Si v : f [, 7! ', IJf� tit . +1 'z- ioN # D0917231 Print: � � �� , . �• .. Print: My Commission Expires: "' My Commission Signature Contractor The foregoing instrument was acknowledged before me this 1 10 day of O() , 20 P by Q_iJ ,q, who is personally known to me or who has producer .as identification and who did take an oath. NOTARY PUBLIC: -. 14. t Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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. d stree ddress: 1. Leg de cription of • r• pe 2. Description of improvement: 3. Owner(s) name and address: ay Interest in property: ( Name and address of fee simple titleholder. l � �� 4. Contractor's acne, dre s and p e number: 111 MI/ spoo 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' thoriz • Officer Prepared By ! - � 4e , Print Name a ,u[..rAi s l...t/ Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE _ The By 11 Individually, or [D as for ?Personally known, or ❑ produced the following type of identificat Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 9525. FLORIDA STATUTES Under penalties of perjury, I declare that ( have read the foregoing and that the facts stated in it are true, to the best of m , owledge and belief. cer/Director /Partner /Manager who signed above: By gnatur •f Owner(s) 123.01.52 PAG 3 11/07 STATE OF F'i . ii: . SS my Y',4,lr± , g 111111111111111111111111 CFN 2009R08017!3 OR Bk 27074 Ps 0574 (fns) RECORDED 11/05/2009 13 %11 :06 HARVEY RUVI4Ir CLERK OF COURT 11IAMI -DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office -sn - � l '"- 4 irector /Partner /Manager Prepared By 49 1 w Uru4 Print Name 1 O& i 0 Title /Office y W IM /140.41 FL- 33/36' Permit No: 09- /7 Job Name: zb , 2009 Norman Bruhn CBO 305 - 795 -2204 Building Critique Sheet %n- �vrcf!d -f - 17`.:4 ∎ Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Owner Information Contractor(s) ELOHIM ELECTRIC Phone 305 - 635 -7999 CeII Phone Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Submittal Fee Submittaeversal Fee Total: G-' Amount $0.60 $0.20 $180.00 $4.50 $3.00 $50.00 ($50.00) $188.30 r A a Aorized Signature: Owner / Applicant / Contractor / Agent Buil si g Department Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Expiration: 05/05/2010 10600 10 Court Miami Shores, FL 33138 -2102 1122320280990 Block: Lot: SAM RUTLAND Phone Type of Work: Additional Info: Classification: Residential , Invoice # Total Amt Paid Amt Due EL -10-09 -36199 $ 188.30 $ 50.00 .$ 100 EL -10 -09 -36199 $ 188.30 $ 188.30 $ 0.00 November 06, 2009 Date CeII e SAM RUTLAND 10600 10 Court MIAMI SHORES FL 33138 -2102 (305)893 -7285 Valuation: Total Sq Feet: $ 500.00 150 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: In considejion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining Preto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fo LECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. r OWNERS FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct' • -nd zoning. Futhermore, I authorize the above -named contractor to do the work stated. November 06, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 City Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name E(661rn 1 eC77 c) Contractor's Address 4 D 6 N a) 6 e pja©Mg % - 1 Miami Shores Village I OCT 2 1 2009 jJ Building Department BY: 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) fj(.fp AtizAvo Phone # Owner's Address /46 d® !r'% `® State Pl./ Zip Phone # City / - I 10,0 1' stop � Zip <. ( 7 Qualifier Name c / �72(L Phone # ((Y) 1 r7 63 , 57/ State Certificate or Registration No. Certificate of Competency No. O C 06024 2 E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ I SO 1� �U V Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: I bi i0er,Q74 i C 0 x.,,,.x" D x,�:xx.x.,x ,,,,,xx.,.. x...... .x, x.X ., *.X., / .. � Xxx.,�.... �x�xx x Submittal Fee $ 5 • 0 Permit Fee $ / 4 0'1 0 0 CCF $ e V / 0 coicc / Notary $ Fee ', . 2 Tecinology Fee $ 4 • Ji Scanning $ , © Radon $ DPBR $ sU Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ County Miami -Dade Zip Permit No. I Master Permit No. f;k0 /3 �Q W54q Phone # /305) 756 s D6 cc • 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: 1 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Sign: Print: My Commission Expires: (Revised 02/08/06) Owner or Agent The foregoing ins ent was acknowledged before me this /0 day of ,20 by who i APPLICATION APPROVED BY: r who has produced As fa ticatio li oath NOTARY PUBLIC::'; °= MY COMMISSION # DD917231 , EXPIRES August 21, 2013 (407) 398-0153 FlorWallotaryServfce.com a *xxxxxx*x**x***xxxxx* xxxx xxxx xxxrxx*xxxxx xxx xxx Contractor The foregoing in /.2." t was acknowledged before me this � day of Ot.7 , 20 , by Je � ' *_ — who is rsonally kn . . n to me or who has produced NOTARY Sign: Print: My Commission Expires: :xxxxxxxxx #xxxxrxxxxxxxxxxrxxxx xx****** xx x x xxx xx x xxx atioDANIEVPlioeiNfik MY COMMISSION # DD917231 EXPIRES August 21, 2013 -, -9 rvice.00m oa Plans Examiner Engineer Zoning 4 Scheduled Inspection Date: February 23, 2010 Inspector: Devaney, Michael Owner: RUTLAND, SAM Job Address: 10600 NE 10 Court Miami Shores, FL 33138 -2102 Project: <NONE> Contractor: ELOHIM ELECTRIC Building Department Comments February 22, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 135993 Permit Number: EL -10 -09 -1731 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)893 -7285 Parcel Number 1122320280990 Phone: 305 -635 -7999 bathroom renovation Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 15 of 25 Inspection Number: INSP - 127235 Scheduled Inspection Date: February 22, 2010 Inspector: Hernandez, Rafael Owner: RUTLAND, SAM Job Address: 10600 NE 10 Court Miami Shores, FL 33138 -2102 Project: <NONE> Contractor: NAVARRO PLUMBING SERVICES INC Building Department Comments bathroom renovattion Passed )(/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 19, 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 Number: PL -10 -09 -1708 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)893 -7285 Parcel Number 1122320280990 Phone: (305)244 -5832 Page 3 of 18 Protect Address 10600 10 Court Miami Shores, FL 33138 -2102 Owner Information 10600 10 Court MIAMI SHORES FL 33138 -2102 Contractor(s) Phone CeII Phone NAVARRO PLUMBING SERVICES INC (305)244-5832 Type of Work: Type of Piping: Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Total: Amount $0.60 $0.20 $190.00 $4.75 $3.00 $198.55 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Expiration: 05/02/2010 Parcel Number 1122320280990 Block: Lot: Aithorized Signature: Owner / Applicant / Contractor / Agent Bulldog Department Copy Phone Invoice # Total Amt Paid Amt Due MC -10-09 -36173 $ 198.55 $ 198.55 $ 0.00 Applicant SAM RUTLAND Cell For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Ventilation Underground Rough Final Hood Rough Duct In consid of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining Stereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting ilis permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required foPELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructioaand zoning. Futhermore, I authorize the above-named contractor to do the work stated. November 06, 2009 Date November 06, 2009 1 u13 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) HIP 6,./l /ek Phone # Owner's Address City Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # `/ 0 Is Building Historically Designated YES Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 RLECEIIVED S CI .I 6 100 State Zip Zz-3Z- —D - D9Q & . Contractor's Company Name 1 IN \ /(_A J Contractor's Address qo at 5“/ fi5 , 0 ' J City ,,�(� -'�, () State i%( Qualifier Name p. v.e4-t OG State Certificate or Registration No. C. F'C Ica_ ?Zs. / E -MAIL: Permit No. 0 L —°61 -1168 Master Permit No. R6'104) j Phone # Phone # Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Zip ' Y> t''C Value of Work Far this Permit $ e l0 v Square / Linear Footage Of Work: 1 Zip Phone # 34=5—S Lc/ q Type of Work: ['Addition VAlteration fNew Repair/Replace [] Demolition Describe Work: i 3 , 167 4 /e(- ,-')1/0 Y AP ***** Y x shvk**** se*dcskdc****aYaY*x******* ** Y'kt'ees****vY*e4*****xic+ *** ************** *****iexaYB *** Submittal Fe Permit Fee $ / l qi t/ CCF $ • 6 0 CO /CC Notary $ . Training /Education Fee $ ti. 9 Technology Fee$. `1• - 75 Scanning $ 3 ..0 0 . Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ I t CA B .55 See Reverse side. -÷ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 co mencem nt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued ' In the < sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged . Owner or Agent . The foregoing instrument was acknowledged before me this day of , 20 # by /1/4 th' 1 40-4 Z" who rsonally known to me or • has produced s i entification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this day of�i u/ , 2 4� 1 by T /ti % e,p wh s personally known to or who has duced oat MY COMMISSION # DD917231 EXPIRES August 29, 2013 (Revised 02/08/06) Sign: Print: My Commission Expires: APPLICATION APPROV D BY: (� C C (la ^ DANIEL P. DOWER c MY COMMISSION # DD017231 EXPIRES August 21, 2013 NOTARY Sign: Print: My Commission Expires: ** *** ********,Y .f ********** * *** **** /G ********1; * **** *********xx , se Plans Examiner Engineer Zoning Project Address 10600 10 Court Miami Shores, FL 33138 -2102 1122320280990 Block: Lot: SAM RUTLAND I Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Parcel Number SAM RUTLAND 10600 10 Court MIAMI SHORES FL 33138 -2102 (305)893 -7285 Contractor(s) MANCO AIR INC. Phone 305/409 -7719 Cell Phone Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Total: Amount $0.60 $0.20 $150.00 $3.75 $3.00 $157.55 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Expiration: 05/02/2010 Phone Invoice # MC - 10 - 09 - 36172 Total Amt Paid Amt Due $ 157.55 $ 157.55 $ 0.00 Applicant November 06, 2009 Date Cell Valuation: Total Sq Feet: $ 250.00 75 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Ventilation Final Hood Rough Duct Underground Rough 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. November 06, 2009 1 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 10600 10 Court Miami Shores, FL 33138 -2102 Parcel Number 1122320280990 Block: Lot: SAM RUTLAND 10600 10 Court MIAMI SHORES FL 33138 -2102 (305)893 -7285 Valuation: Total Sq Feet: $ 250.00 Contractor(s) MANCO AIR INC. Phone 305/409 -7719 CeII Phone Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Total: Amount $0.60 $0.20 $150.00 $3.75 $3.00 $157.55 Applicant Copy Mecha ical » ReSi ert�tt caftan Addtti on/AOeratio Expiration: 05/02/2010 Phone Invoice # MC - 10 - 09 - 36172 Total Amt Paid Amt Due $ 157.55 $ 157.55 $ 0.00 Applicant SAM RUTLAND Available Inspections: For Inspections, Call (305) 795 -2204. Requests must be received by 3 pm for following day inspections. CeII For Inspections please call: (305)762 -4949 Inspection Type: Ventilation Underground Rough Final Hood Rough Duct NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. November 06, 2009 2 Project Address Owner Information County Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Total: Amount $0.60 $0.20 $150.00 $3.75 $3.00 $157.55 Address Expiration: 05/02/2010 Parcel Number 10600 10 Court Miami Shores, FL 33138 -2102 1122320280990 Block: Lot: SAM RUTLAND Phone SAM RUTLAND 10600 10 Court MIAMI SHORES FL 33138 -2102 (305)893 -7285 Valuation: Total Sq Feet: $ 250.00 Contractor(s) MANCO AIR INC. Phone 305/409 -7719 Cell Phone Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Invoice # Total Amt Paid Amt Due MC -10-09 -36172 $ 157.55 $ 157.55 $ 0.00 Applicant Cell For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Ventilation Underground Rough Final Hood Rough Duct NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. November 06, 2009 3 1111 pGV1 BUILDING PERMIT APPLICATION RECEIVED FBC 2004 CT 1 6 200 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) y l!e Owner's Address (! /% to / City ( State r Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # If _ z - ? 7-'0 —till 0 Is Building Historically Designated YES Contractor's Company Name Contractor's Address 6 City eoit ,I/lf6 State /�1--.- Zip Qualifier Name r[ tC,fl9, -' Gt(fj Phone # State Certificate or Registration No. C�'2, Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Kmorn Value of Work For this Permit $ Type of Work: DAddition Li Alteration New Describe Work: /1 xx9e eY xeY xxkxxxx xxxxxxx ** * *** * *** * *** r ee Submittal Fee $ Permit Fee $ Zip Permit No. pc-10-0q-1701 Master Permit Noll- C Phone # Phone # Phone # Phone # Square / Linear Footage Of Work: Notary $ ' Training /Education Fee $ • 20 Scanning $ . Radon $ � DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $. Total Fee Now ,ior5fte Vfq4 Zip ❑ Repair /Replace ❑'Demolition uxxx xaYxxxxxxa' - xxxx **xdaxxx* &xx* *xxxxxxxx*x G CCF$ •C'Q CO CC Te nology Fee $ 6. Zoning $ Due$ t5 SFe Reverse side --> tp I I 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. 1 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. 1 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: 1 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be .charged Owner or Agent The foregoing in ment was acknowledged before me this 9 day of ho has produced s id•tnLl,hcsayIon arid w i did take wi uatli. NIEL P. DOWER MY COMMISSION # DD917231 EXPIRES August 21, 2013 NOTARY PUBLIC: Sign: Print: (Revised-02/08 /06) My Commission Expires: ********************w x*** xxxxxxxxxxx xxxxxxxxxxxxxx ***lc APPLICATION APPROVED BY: �cc Signature The foregoing inst 0 Sign: Print: Contractor ent was y acknowledged before me this q 20 (Jl by Ha- on... r who has produced as identification and who did take an oath. DANIEL P. DOWER 04 MY COMMISSION # DD917231 taXP1RES August 21, 2013 NOTARY PU My Commission Expires: xxxxxxxxxxxx* xxxxxxxxxxxxxx xxxx vex rxxxx*xxxxx Plans Examiner Engineer Zoning Project Address Owner Information County Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Permit Technology Fee Scanning Fee Total: Amount $0.60 $0.20 3150.00 $3.75 33.00 $157.55 Address Parcel Number 10600 10 Court Miami Shores, FL 33138 -2102 1122320280990 Block: Lot: SAM RUTLAND Contractor(s) MARCO AIR INC. Phone 305/409 -7719 Cell Phone Phone Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Invoice # Total Amt Paid Amt Due MC- 10-09 -36172 $ 157.55 $ 157.55 $ 0.00 Expiration: 05/0212010 Applicant Cell 10600 10 Court MIAMI SHORES FL 33138 -2102 Valuation: Total Sq Feet: $ 250.00 75 For Inspections please call: (305)7624949 Available Inspections: Inspection Type: Ventilation Underground Rough Final Hood Rough Duct NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. November 06, 2009 3