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RC-09-993 Miami Shores Village i�eall>0�0' 10050 N.E. 2nd Avenue�� Miami Shores, FL 33138 -0000 Phone: (305)795 -2204' ..... Z C i Expiration: 1 2 200 d dF FOR l h Project Address Parcel Number Applicant 10610 10 Place 1122320280820 Miami Shores, FL 33138 Block: Lot: SHELLACE CALHOUN ff Owner Information Address Phone Cell SHELLACE CALHOUN 10610 10 Place MIAMI SHORES FL 33138 -2104 .��Z =-Ua"j Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 DOWER CONSTRUCTION INC (305)986 -4999 (305)9864999 Total Sq Feet: 0 Approved: In Review For Inspections please call: Comments: (305)762 -4949 Date Approved:: In Review Available Inspections: Date Denied: Inspection Type: Type of Construction: BATHROOM REMODEL Occupancy: Single Family Final Stories: Exterior: Electrical Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: 2 BATHROOMS Bond Return: Classification: Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $3.00 RC -6-09 -35088 $ 174.75 $ 50.00 Education Surcharge $1.00 4* Notary Fee $5 RC - 6.09 - 35088 $ 174.75 $ 174.75 $ 0.00 Permit Fee - Additions/Alterations $150.00 Scanning Fee $12.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $3.75 Total: $174.75 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. July 06, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 06, 2009 1 Miami Shores Village �r Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY . ........... " "' Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. ��lJ PERMIT APPLICATION Master Permit No. FB C 2004 Permit Type (circle): CBuildiny Roofing Owner's Name (Fee Simple Titleholder)" CIV'UA) Phone # Owner's Address /�. t� b^ City IY ' 'It f State ' Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name JX Cr - lZtICIIODU -7A/C- Phone # Contractor's Address 7 ZO I A, 0, City < r/ State h�"� Zip � -38 Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition ,1 Alterat ❑New El Repair/Replace E] Demolition Describe Work: �`�(" Z Submittal Fee $ �'� °' Permit Fee $ CCF $ tJ ` C°" C_ Notar $ y �f Training/Education Fee $ Technology Fee $ r Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —4 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The fo oing instrument was } ackno ged bef e is ItZ day of h , 20 , by �-' d �A , day of 2(�J t ,by , who is ersovally known to or who has roduced w is rsonally known to e or who has produced s identification and who did take an oath. entification and who did take an oath. NOTARY PUBLIC: ® D ®w NOTA Y PUBLIC- �z MY COMMISSION # 13/3463852 OFFt� EXPIRES: Aug. 21,2009 Sign: (��) use o,ea Florida N Sign: 1 V� Print: My Commission Expires: My Commission Expires: ��pS�`l y g6 Q „�� O T rt Cn` Y y APPLICATION APPROVED BY: <��p Plans Examiner Engineer Zoning (Revised 07/10/07) ..rn This Instr m t PI�p,3red 8 � Name <t� CCL�- n uen Ci° Address � — / 7� r Ct Permit No. Tax Folio No. NOTICE OF COMMENCEMENT STATE OF �, bw 1 COUNTY OF141 W.� O logo z " THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with + UJ Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. ¢ 1. Description of property: (legal de criptio of property, and street address if available) 40 eotoC 2. General description of improvement: m � a' 3. Owner information , rJVoC a. Name and address: tJ��� ctli' l l -' aGGA.1 , f1��/� /� M L' b. Interest in property: c. Name and address of fee simple titleholder (if other than owner): ry l f Z 7�fs v :.e 4. Contractor: ,_} 1st a. Name and address: �zi} wvx CQr7t to " b. Phone number: ! �? A �j( A2 . 00 fl • �a tr.P '1 a 5. Surety �ft1 � a. Name and dress: �� � � taJ b. Amount of bond $ a` rz CX %-,I c. Phone number: C taJ 4C r-10 ;— CL C1 � I— 6, Lender � W u7 a. Name and address: d/` t� 1st <r ¢ /ter 0 %s: ,,,j b. Phone number: 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 ua)7., Florida Statutes: a. Name and address: b. Phone number: 9. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienoes Notice as _provided in Section Z13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 9. Expiration date of 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. r�jtl` Q gnatu'of O er or Owners Authorized Officer /Director f'artne ; /Manag Signatory's Title /Office T A T o iqg i t wa acknowledged before me this f �r� s d n ay of - (year) by _ J authorit , ...e.g. officer, trustee, attorney Infa person as for (type of behalf of whom Instrument was executed). (name of party on Sig re of Notary Public -State of Florida - Ot YP UA KIEL P. rint, ypa, or Stamp Commissioned Name of Notary Public MYCOMMI[MONBDD sslon Number EXPIRES Ang21, erso ally Known or Produced identification {40� 3M 0183 FlaidaNQWY ct a cat o Pu ua t to Sect o 926 1 a Statutes Under penalties of perjury, I declare that 1 have read the foregoin the the. facts stated in it are true to the best of m cc knowledge and belief. y l t1:. t. . °� S /at f Natural on Signing Abtive o E Miami Shores Village 10050 N.E. 2nd Avenue k a Miami Shores, FL 33138 -0000 x Phone: (305)795 -2204 Expiration: 1212 200 Project Address Parcel Number Applicant 10610 10 Place 1122320280820 SHELLACE CALHOUN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell SHELLACE CALHOUN 10610 10 Place MIAMI SHORES FL 33138 -2104 Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 CPS ELECTRIC, INC. 305 -607 -8221 Total Sq Feet: 0 Type of Work: ELECTRICAL For Inspections please call: Additional Info: BATHROOM REMODEL (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ EL -6-09 -35087 $ 209.60 $ 50.00` Education Surcharge $0.40 .. Permit Fee - Additions/Alterations $200.00 EL -6-09 -35087 $ 209.60 $ 209.60 $ 0.00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $5.00 Total: $209.60 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: 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. Futhermore, I authorize the above -named contractor to do the work stated July 06, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 06, 2009 1 Miami Shores Village D MC M97 Building Department JUN 12 2001 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: .................... Tel: (305) 795.2204 Fax: (305) BUILDING Permit No. f 09 " PERMIT APPLICATION Master Permit No. FBC 2004 —C M.q96 Permit Type Electrical Owner's Name (Fee Simple Titleholder) Phone # Owner's Address t L � " ® 0 X 14 1 tt City ( State Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES N Contractor's Company Name l G Phone # �? Contractor's Address 1 & p p N1•y Z y A-W_ City M l State (�L,.- Zip 3 l d Qualifier Name �(�..�( Phone # Cl S 6 State Certificate or Registration No. ezoQ (r o ZO Certificate of Competency No. 00 E-MAIL: Arch itect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ®.?'�� Square / Linear Footage Of Work: Type of Work: ❑Addition Iteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: %S CA o V f JUN r * * * * * * * * * * * * * * * * * * * * * * *st * * * * ** Fees* *****.******* 4c * * * * * *x9r * *x * * * * * ** * * * * * * * * * * ** �11 Submittal Fee $�" c' Permit Fee $ co r Cp eo CC $ ' ' oCAJ CO /CC Notary $ Training /Education Fee $ Technology'Fee $ 4 Scanning$3. Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ ' 591 (00 See'Reverse "side { W 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." i Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged --, Signature Signature Owner or Agent / Contractor The foregoing instrument was acknowledged before me this I The foregoing instrument was acknowledged before me this day of L1AIr , 201, by day of , 20 U, by , who is personally known to or who has produced who is personally known to me or who has produced s identification and who did take an oath. •w as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: DANIEL P DO Sign: > �� MYcOMMrsstolY# R 2 Sign: a ° `;R'P , ° , B Ue MILTONROMERO g S.- 83 p►R : Print: boo 1 & n«in8 AU al ' Print: * * EXPIRES: December 3, 2011 My Commission Expires: ,�iG My Commission ExpiresThmeuagetNotaryser�lces �cr. aexxxxxaYaxeY txxxeY eY 4: dexxxxxx zxxic d: s4xxY nY * &9cdexx4exxxoY dcxxoYx9:xoY 9:xxxae aYxx% eY9 :a:xxxntxxxBCxxxnYtxieeYxYxde sY ocxYxx &xx4 eYxxx$xYxY Yx APPLICATION APPROVED B .j'/+ Pla Examiner h nginneer Zoning (Revised 02 /08/06) s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 116875 Permit Number: EL -6 -09 -994 Scheduled Inspection Date: February 23, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: CALHOUN, SHELLACS Work Classification: Addition /Alteration Job Address: 10610 NE 10 Place Miami Shores, FL 33138 - Phone Number Parcel Number 1122320280820 Project: <NONE> Contractor: CPS ELECTRIC, INC. Phone: 305 - 607 -8221 Building Department Comments ELECTRICAL WORK FOR BATHROOM REMODEL (2 BATHROOMS) Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 22, 2010 For Inspections please call: (305)762.4949 Page 2 of 25 r � Miami Shores Village 10050 N.E. 2nd Avenue Si�Ot� Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 k p t9itisu' i rx„�*��'a'� "� d � r F Expiration: 121281200 r ., Project Address Parcel Number Applicant 10610 10 Place 1122320280820 SHELLACE CALHOUN y Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell SHELLACE CALHOUN 10610 10 Place MIAMI SHORES FL 33138 -2104 Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 USA PLUMBING & SEPTIC, INC. 305 -856 -1696 Total Sq Feet: 0 Type of Work: PLUMBING For Inspections please call: Type of Piping: BATHROOM REMODEL (305)782.4949 Additional Info: Available Inspections: Bond Return: Inspection Type: Classification: Residential Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ PL -7 -09 -35252 $ 199.35 $ 149.35 Education Surcharge $0.40 Permit Fee - Additions/Alterations $190.00 PL -7 -09 -35252 $ 199.35 $ 199.35 $ 0,00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $4,75 Total: $199.35 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. July 06, 2009 Authorized Signature: Owner / Applicant J Contractor / Agent Date Building Department Copy July 06, 2009 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION ������� Master Permit No. FBC 2004 A 009 Permit Type Plumbing Owner's Name (Fee Simple Ti eholder) Phone # Owner's Address ® 0 �1 / !j a City State �° l/ Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami lag Shores Vile County Miami -Dade Zip 0 � FOLIO / PARCEL # Is Building Historically Designated YES O Contractor's Company Name ' (.- 8 J AJ J lc Phone # 3& * Contractor'''s � 1T Addre City A - - h I State IE L-46 Zip :5 3,17, Qualifier Name RAJf r0 A) ® L �P- �� /� Phone # . ' z - 7 State Certificate or Registration No. 6 4 �® Certificate of Competency No. Ly C3 , 5 - 6, 1 1 z) E -MAIL: Architect/Engineer's Name (if applicable) Phone # , Value of Work For this Permit $ 094 Square / Linear Footage Of Work: Type of Work: ❑Addition �,!^�(Iteration ONew Repair /Replace F1 Demolition Describe Work: &WW OW d .. I /�T Subm tta ee Permit Fee $ O CCF $ �- � CO /CC Notary $ . Training /Education Fee $ 0 Technology Fee $. Scanning $ 3' Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now ,Due $ ' See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortga�e en&r!:Address City Stan' 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 0ork 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature -C. Signatur weer or Agent Con . ctor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of � , 20 by L C um day of 2041 , by 4 & AA - 0 0 who ' personally known to me or w o has produced who is ersonall known t or who has produced s 1 entification and who did take an oath. as identification na and NOTARY PUBLI r - NOTARY PUB I 044 �v' °k DANIEL P. DOWER DANIEL P. DOWER MY COMMISSION * Dp463852 e MY COMMISSION # DD463852 Sign: or ®�� EXPIRES: Aug. 21, 2009 �OF Sto�� EXPIRES: Aug. 21, 2009 �, ` _ Eidd a ualms e.com Sign: (407) 398 -0153 Florida No9ary Service.com Print: 4G"- Print: My Commission Expires: � u Q My Commission Expires: >ti���� * *��x� *��>rx��x *� ** *,� *� * x• •� *: �, ��* �, �x* ��*, ��xx* ��x* �* ���: ����, �x�* ���K, ��� *�� *�,�� *x *�:��,�:,�� * *��,�xxx APPLICATION APPROVED B * . ;t, ` rpir P�ar4s �Xatter Engineer Zoning (Revised 02/08/06) 4 Inspection Workshee Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 116909 Permit Number: PL -6 -09 -996 Scheduled Inspection Date: February 22, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: CALHOUN, SHELLACS Work Classification: Addition /Alteration Job Address: 10610 NE 10 Place Miami Shores, FL 33138- Phone Number Parcel Number 1122320280820 Project: <NONE> Contractor: USA PLUMBING & SEPTIC, INC. Phone: 305 -856 -1696 Building Department Comments PLUMBING WORK FOR 2 BATHROOM RENOVATION. Inspector Comments Passed Failed i Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 19, 2010 For Inspections please call: (305)762 -4949 Page 2 of 18 Vq Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INS P- 116903 Permit Number: PL -6 -09 -996 Scheduled Inspection Date: September 25, 2009 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Top Out Owner: CALHOUN, SHELLACE Work Classification: Addition /Alteration Job Address: 10610 NE 10 Place Miami Shores, FL 33138 - Phone Number Parcel Number 112232028082 Project: <NONE> Contractor: USA PLUMBING $ SEPTIC, INC. Phone: 305 - 856 -1696 Building Department Comments PLUMBING WORK FOR 2 BATHROOM RENOVATION. spe mments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Cnn+nmhnr ']e inna For Inspections please call: (305)762 -4949 Donn 7 of 71 ifli N..ksF' T>h I' l,fi 3 S'g3itf✓ 3 _'. f Miami Shores Village, 0 �' 10050 N.E. 2nd Avenue ....£ Miami Shores, FL 33138 -0000 i 3 Phone: (305)795 -2204 a Expiration: 02116/2010 Project Address Parcel Number Applicant 10610 10 Place 1122320280820 Miami Shores, FL 33138- Block: Lot: SHELLACE CALHOUN Owner Information Address Phone Cell SHELLACE CALHOUN 10610 10 Place MIAMI SHORES FL 33138 -2104 LMI Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 MANCO AIR INC. 305/409 -7719 Total Sq Feet: 0 Tons: For Inspections please call: Additional Info: BATHROOM VENTILATION (305)762 -4949 Classification: Residential Available Inspections: Approved: In Review Comments: Date Approved:: In Review Inspection Type: Final Date Denied: Type of Work: MECHANICAL Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 MC- 8-09 -35693 $ 160.77 $ 160.77 $ 0.00 CCF $0.60 Education Surcharge $0.20 Education Surcharge $0.00 Permit Fee - AdditionstAlterations $0.00 Permit Fee - AdditionslAlterations $150.00 Scanning Fee $3.00 Technology Fee $6.37 Total: $160.77 In consideration of the issuance to me of this permit 1 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 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. 1 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, 1 authorize the above -named contractor to do the work stated August 20, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy August 20, 2009 1 Miami Shores Village 771-1-7 i Buildin g Department AUG 2069 1o050 N.E.2nd Avenue, Miami Shores,. Florida 33138 E �; m n - - -- Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit Noh �—) 9 PERMIT APPLICATION Master Permit No. eJ FBC 2004 Permit Type (circle): Building Roofing , Owner's Name (Fee Sim)l Titleholder) Phone # Owner's Address 10 Alf /0 0C City State f/' Zip — . ,2, 10 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Phone # ®V ®7 7 f Contractor's Address City State Zip ®7 Qualifier Name r Phone # State Certificate or Registration No. Certificate of Competency No Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ e Square / Linear Footage Of Work: Type of Work: []Addition QAlteration ❑New r )4 Repair/Replace ❑ Demolition Describe Work: r 4t q �*� x IL Submittal Fee $ Permit Fee $ t CCF $ • U CO /CC Notary $ Training/Education Fee $ �� Technology Fee $ lv • 3 - Scanning $ L 1. C)a Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ a Structural Review. $ Total Fee Now Due $ See Reverse sid 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 O WNE)Nt: 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 4dw A Signaur ,i. atu,,re—/& Owner, or Agent Contractor The foregoing instrument was Acknowledged before me this The foregoing instrument was acknowl before me this l� day of , 20 , by CJ� , day of 20 , by w o is personall known to, me or o has produced who is ersonally know or who has produced As identification and who did take an oath. as id ntification and who did take an oath. NOTARY PUBLI : NOTARY L : � DANIEL P. DOWER I ° ®ANIEL P. D®WBR Q IV,y COMMISSION # DD4638S2 My CCJ)4i M1SS10N # DD463652 {�15 Ei:.i'1RES: Aug. 21, 2009 pp EXPIRES: Aug.21,M ( 3886168 Rw1dallo1wySwAcacom Sign: Sign: Print: L PL , - Print My Commission Expires: Gj My Commission Expires:r APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 122621 Permit Number: MC -8-09 -1397 Inspection Date: August 25, 2009 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: CALHOUN, SHELLACE Work Classification: A/C Replacement Job Address: 10610 NE 10 Place Miami Shores, FL 33138- Phone Number Parcel Number 1122320280820 Project: <NONE> Contractor: MANCO AIR INC. Phone: 3051409 -7719 Building Department Comments REPLACE 2 BATHROOM EXHAUST FANS Z'1 1/ Inspector Comments Passed ® PREVIOUSLY INSPECTED. PLEASE CALL CONTRACTOR TO CONFIRM DAN DOWER 305.986.4999 Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 August 25, 2009 Page 1 of 1