EL-09-362s ra
,S
Inspection Number: INSP- 108182 Permit Number: EL -3 -09 -362
Scheduled Inspection Date: September 09, 2010
Inspector: Devaney, Michael
Owner: MEINHOLD, RICHARD
Job Address: 360 NE 91 Street
Project: <NONE>
Contractor: YOSEFVAR ELECTRIC CORP.
Building Department Comments
ELECTRICAL WORK FOR BATHROOM ADDITION
Passed
C�7
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
V/
September 08, 2010
Miami Shores, FL
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: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060190210
Phone: (305)232 -7501
Page 1 of 31
BUILDING
PERMIT APPLICATION
FBC 20
Stet .tS statto mew
Sub tall * Ezoltatoronl
ai ra
Tenant/Lessee Name
Email '1 r I t l_ o_o i o or✓ ,
Miami Shores Village
Building Department
10050 .2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) )
Owner's Address 3 ( (7 / - t -Si '
City J ` 1 40 1 °1 d` z, State Pe_ Zip 3 313 Y
lc 11,120 /11 e
Contractor's Company Name \ .Se- U h(L e (i'dT e_, CO
Contractor's Address /$2:3 I'ei / $ 8 " 4
City /"4. State /P" G
Qualifier Name ,.C' 4 N C # % i
State Certificate or Registration No. ./2 " /30/ 2 7 7 e
Phone #
Notary $ ra g/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $
Total Fee Now Due $
�
�CF�IIS�IZ�
JAN 12 2010
BY:
R q—os/-737
Master Permit No. EL -3 —c — 3 '
Phone # 3
' / 6 %
Job Address (where the work is being done) 3‘, 0 r &' I lkt 9 / et
City Miami Shores Village County Miami =Dade Zip 2312
FOLIO / PARCEL # l .320 1.00 J9 DD..
l v
Is Building Historically Designated YES NO Flood Zone X
Phone # 3 as - Z 3 2 - 7s
Zip 3 3 /
Phone # 7S't 2 SS - vO B/
Certificate of Competency No. 0 3 6 D O «3 P
Contact Phone 7 g 'ZSS - 5/O $/ E-mail
Architect/Engineer's Name (if applicable) Fe t M (c tD Q-0 D1 t e2- Phone #
Value of Work For this Permit $ 1 00- 0 0 Square / Linear Footage Of Work: ( 1
Type of Work: ykAddition ,iteration ❑New ❑ lace /
Re airRe
[[�� {� Repair/Replace p ❑Demolition
Describe Work: Icc � ea. Ade th toy,
.,21,1i ar300) M[!m
tall to Mfita 3!'(
'
co8TtAea 00 ta paleciarma110
Technology Fee $
Bond $
See Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the 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 re- inspection fee will be charged.
Signature042- / r4` �/1
er or Agent
The foregoing instrument was acknowledged before me this / Z
day of L.49(1/ ,20 40 by 11._t / • 4.9W,
who is ersonally known tour who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: RL . Y !v2
My Commissi
4
* * * * * * * * * * * *-
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
OORISUEZ
Notary Pnhllc • State of Florida
My Comm. Expires Mar 21, 2013
Bonded Through National Nntary Accn
aj Plans Examiner
Engineer
Signature
Contractor
The foregoing instrument was acknowledged before me this 1
day of J A I , 20 , by LA //fin tie -1# ,
who . personally known tom r who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
* * * * * * * * * * * * * * * * * * * * * * * **
//
j
Sign: s
Print: 1 t9d > z
ZD /3
My Commission Expires: "I 14 < 2-
NEW RODRIGUEZ
Notary P - gtMS of i1orYta
sit
C en # 00 854780
., a Rough Rational Notary Alen.
nmg
* **
Clerk checked
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type; ELECTRICAL
Contact Phone
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
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Nb. Ei 09-&0Q
Master Permit No. 12 c 4 ' 01- 3( 1
Owner's Name: (Fee Simple Titleholder) A 7 , , ,,h4J Nef. / ie ( Phone #
Owner's Address 3 6 0 Ale',
City 4 4/ ltJ / (Flukes State fl (s Zip ? J as / 3r
Tenant/Lessee Name Phone # 5, 3 S' - Z-5 o3
3
Email
Job Address (where the work is being done) S (o 0 /tie q / SV'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name ‘ � � 7 c
Contractor's Address /62,/,‘
City frfia)77er State re
JO
Qualifier Name . Vl7 "4,-;"lie
State Certificate or Registration No. EC.. `3 ®® / W2
Architect/Engineer's Name (if applicable) Phone #
Type of Work: Addition ['Alteration ❑New
Describe Work: 7e��(� P�� E ( 5 t ° 0,3
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $
Phone # 3kr .360 Be 3 2
Zip 3
Square / Linear Footage Of Work:
❑ Repair/Replace
Total Fee Now Due $
See
Certificate of Competency No.
E -mail ��./e- 6 / /ga e`
Reverse side —>
MU 17 2009
BY:
Flood Zone
Phone # 3' -- ADO J'' f 3 2
G7
goo
❑ Demolition
CCF $ CO /CC $
Tec Fee $
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 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 wytnot beproved and a reinspection fee will be charged.
Signature
-Owner or Agent
The foregoing instrument was acknowledged before me this S 1
ti -! ' V 2: # .r9 ( L 11)
day of
spar'''"4 Nnta�l Pu6� e
who is perso , fIfnowh to me -omybo y s t � R
identifiCaikin d ' take an oath.
NOTARY PUBLIC: l
f °
Sign: ' .
Pri k
My Commission Expires:
* * * * * * * * * * * * * * * * * * * **
APPROVED BY
(Revised 07 /10 /07xRevised 06 /10/2009)
Signature
Contractor
The foregoing instrument was acknowledged bef re me
day of
who is pers u
20, byS fl
o 1 i p t9, . '
N o � �� fo ed
1 s �u � Rez
as identificati' +k a6i tii.�
1/28/2090 `I
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
ans Examiner Zoning
Engineer Clerk checked
BUILDING
PERMIT APPLICATION
FBC 2004
Tenant/Lessee Name
E - MAIL:
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Type of Work:
Describe Work:
Submittal Fee $
Notary $
Scanning $ e0
dvkddition ['Alteration ❑New
g
Radon $
Bond $ Code Enforcement $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
County
Training /Education Fee $ a. '9®
Miami -Dade
DPBR $
Double Fee $
Permit No. 1 (
Master Permit No.
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) R /t,c 7/4iiePhone #
Owner's Address \76 /) /tif 9 /$' -
City '4 State F
Zip /3 3 t 3et
Phone #
Contractor's Company Name r pc Tle A L ac, Phone # � _) Z �t5p J
Contractor's Address C S t MR/L.)
City t1 ( AMA State
Zip 3 3 tc 1
Qualifier Name ID 6 ).-- ) M-a) l,(311( S Phone # tzcsi 4 ,' z,
State Certificate or Registration No. C l.r" 0 0 8'000 3 3 Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
aY****oYoYxaYdea4xxx xxvYx9rxxxxxx****eY** **** ** **************F
Permit Fee $ , AP "e CCF $ Z%
❑ Repair /Replace ❑ Demolition
Technology Fee $
3— ? —/G66
Zip
xx******** *x***x*xx dear
5
CO /CC
Zoning $
Structural Review. $ Total Fee Now Due $ 2/1 • 7 -0
See Reverse side -4
IMOMEVE
lla MAR 0 6 2009
u
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
Owner or Agent
The foregoing instrument was acknowledged before me this O
day of J , 20 . ,, by _Ti i /,)
who is personally known to me or who has produced
As identification and who did take an oath.
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY
(Revised 02/08/06)
Signature 051,LCA6M Y CLrs-,/
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 a, by N,4/1 t (.' ;, Ak
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
*********************** ****** *************xxxxxxxxvcxxxxxxx taY********* *** exacdc***wx *xxxxxx x sYvF** wxwww* Yo;x***
e-At'Plans Examiner
Engineer
Zoning
Ad/di
(Owner's S ature)
, C %/ ,O
(Print Name)
State of Florida
County of Dade:
4
epuho/4
FREDY RODRIGUEZ
Notary Public - State of Florida
is My Comm. Expires Mar 21, 2013
0 1 Commission # DD 854780
O.O's Bonded Through National Notary Assn.
?lama S4ted
ld f Vontmect
10050 NE 2 Ave
Miami Shores, Fl 33138
Phone 305. 795.2204; Fax 305-756-8972
www.miamishoresvillage.com
HOLD HARMLESS
The undersigned, being the first duly sworn, deposes and says
property.
Sworn to and subscribed before me this
Notary Public, Sate of Florida at Large
� Z day of
FCOgEMR
!91
JAN 12 2016 ZU)
BY:
DATE: I / i 1 / 0
PROPERTY LOCATED AT: o k) E 6i i-S t §i& frf lq ri7 i S/a 33 / 3 g
As legal owner of subject property, er
r operty, I request the cancellation of permit numb -- L -3' 6; 3 �
issued to R P (toca- - r /c TAic
/
for the following reason: Cho rre p( C 6 fOkfea C1
o( Per- (enAr., ,
Date of last inspection: 10 /1 el(-001
hereby apply as owner - builder, or authorize (new contractor) cSe --"'v PILL je f i c
to apply for such permits as necessary to construct or complete he construction on subject property.
New s iv - cora -ro c, r 1
I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from
any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee)
resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume
responsibility for the correction, if required, of work performed under the permit for which I am requesting
cancellation.
(Prime Contractor -Only if subcontractor
holds permit or if change of qualifier)
(Print Name)
FREW RODRIGUEZ
Notary Public • State 01 Florida
•E My Comm. Expires Mar 21, 2013
:' Commission # DO 854780
9 '' ,,,, ,,,, RnnAe i ; l, N racy Assn
that he /she is-the legal owner of
Maim OW* •I MMOt
1101 Comit Wr s it 2013
Commission • CM Il34700
IOW Notary Assn.
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INEDA 008061ES
Miami Shores Village Building Depart �M ffP
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.SAN 12 2010
Change of Contractor aY.s_.emo meo.o.oee
Permit No.a -3
Owner's Name (Fee Simple �f Titleholder) RIC_ Q rd I V r" I n I i L (d Phone # �b c -9a 6- l "` 6 7 a
Owner's Address 5b Title. '/ S /"
City / / /er X1 SG) MO State Zip 3� ��
Tenant/Lessee Name Phone #
Job Address (of where the work is being done) 3 6 0 NE qt..4- _cf
City / i CT yY),y S{' j 621 County I4 r Da-de t Zip - 3 3 1
Legal Description LO T t '( a n 't k Rsfi 1 /).- 1 � o Lc7 3 (3(cr g 2 ?G39 cvt Pa (Di
Contractor's Company Name
y'
p C e -C■ Fs 0_ g (e ,, C_i'('s G
Contractor's Address /44
4 3 �C !S8 643/X
City i7 ; /9-/ , state /2-6_ Zip 33/ 5
Qualifier C A ��.
Describe Work: filitk1 130 Wei 1'6'1
Signature (4
1e r or
The foregoing instrument was acknowledged ent
g before me this Z
this 1 r
day of :71�� , i t ei N�)oIc ,
who is ersonally known to me who has produced
As identification and who did take an oath.
NOTARY PUBLIC: /1
Sign: 5:;-- /(d,
Print: _/= il,eC A/LL rC Z.,
My Commission Expires: A-rftit Z f e0/3
Rev. 09/19/03)
Phone # 3 ®S 03 Z - 7 S® /
I hereby certify that the work has been abandoned and /or the contractor is unable or
unwilling to complete the contract. I hold the Building Official and the Village of Miami
Shores harmless from all legal involvement.
The foregoing instrument was acknowledged before me
NOTARY PUBLIC:
n
Print: F 4, o f/ ( , /e Z
My Commission expires: /Lf4/ - 2 / 09/ 3
/2
day of (- , 2010 , by e C
who is rsonally known io_nDor who has produced
as identification and who did take an oath.
January 6, 2010
Mr. Jorge Anillo
Ring Electric, Inc
16214 SW 63 Street
Miami, FL 33193
RE: Construction at 360 NE 91 Street, Miami Shores, FL 33166
Miami Shores Permit # EL -3 -09 -362
Dear Jorge,
Please note that the contract signed 9/27/2008 between Allstate Construction (Raul Marrero) and
Richard Meinhold to demo and construct a new master bathroom at the above address has been
terminated due to lack of performance. You were a sub - contractor assigned by Allstate Construction.
The permit # EL -3 -09 -362 will be reassigned from Ring Electric to Richard Meinhold.
Payment of work completed at the above address was made to Allstate Construction and therefore no
payment is due to you. Any unpaid amounts should be directed to Allstate Construction.
Si erely,
LeAt 2
Richard Meirhold
360 NE 91 Street
Miami Shores, FL 33138
(305) 926 -1667
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