PL-09-360Inspection Number: INSP- 108172 Permit Number: PL -3 -09 -360
Scheduled Inspection Date: July 26, 2010
Inspector: Hernandez, Rafael
Owner: MEINHOLD, RICHARD
Job Address: 360 NE 91 Street
Miami Shores, FL
Project: <NONE>
Contractor: MALU PLUMBING INC
Building Department Comments
July 23, 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: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060190210
Phone: (305)336 -8034
plumbing work for bathroom addition
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 1 of 18
CHINP14 E or
Building Department
050 N.E.2nd 0 n Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) lCI1 fi„ I) f &J � id Phone # 3o3"--9L-1647 (ce �l J
Owner's Address 36,0 (i E C L5+ ,Sk
City Okla Shawo State
Tenant/Lessee Name
Email rthe 14 0 e a col. cif
Job Address (where the work is being done) 3 (ye) N f C l i Sired
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Naine MALI ?I o Ili( iji
Contractor's Address 1080 (QC ' CO
City \11 YNA 1 &V AT State 'VC-
Qualifier Name rr e.0 GL(-1.0 #4 A
State Certificate or Registration No. oxG, : 'p zoAl
Architect/Engineer's Name (if applicable)
Submittal Fee $ Permit Fee $
Notary $
Scanning $
Double Fee $
Radon $
Miami Shores Village
Contact Phone 3 0 S - fp - I9- yg 1 .. E -mail (v po Iv4 y e 1t o1..
Value of Work For this Permit $ 4400010 v Square / Linear Footage Of Work: /c 0
Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
R
Describe Work: r (i dtc a d l / on
3 1#v e;
*****F A******** * * * * * * * ** * * * * * * * * * * * * * **
CCF $ CO /CC $
Training/Education Fee $
Violation date:
DPBR $
Permit No PL-3 He - 366
Master Permit NO. Rc'1 _ X /31
Zip 33138
Phone #
Phone #
Phone #
Zip 331aY
Technology Fee $
Bond $
Flood Zone
30r x 3 4 , -1(0'3L
Zip `33
Phone # 3O3 q
Certificate of Competency No.
Structural Review. $ Total Fee Now Due $
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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
COMN.IENCEMENT 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 comm ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. I n th bsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
O der or Agent
The foregoing instrument was acknowledged before me this 1
day of ZAt)+) 20 J, by 2t t Melli (n®i1)
Sign:
Print:
My Commis
(Revised 07 /10 /07)(Revised 06/10/2009)
State
ffb,decel
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Zip
Signature
Sign:
Print:
My Commission E
Contractor
The foregoing instrument was acknowledged before me this $3
day of ,20 l0 , by Aghtel0 4 /4s4 ,
who is personally own to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Afo .M
• :*i MY COMMISSION # DD 905967
EXPIRES: July 9, 2013
dir,s1ty Bonded ThN Notary Underwriters
Zoning
Engineer Clerk checked
BUILDING
PERMIT APPLICATION
FBC 2004
Value of Work For this Permit $
Bond $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) ,Q /CAAiO ill&A111460 Phone #
Owner's Address 6 621Sr `l l Sr
City "A144/ c I State "( Zip 3;1 3T
Tenant/Lessee Name Phone #
E -MAIL:
Radon $
Code Enforcement $
Permit No.
� gC�gIIC�IF � ` �
�os�o9 D
Master Permit No.0 Ol) T69
Job Address (where the work is being done) . �j 6,2) /(, d X9 ,4 S'/ 9
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name J0/t/CI.tS ?/C 4x14, f 647 Phone # .36 S i'/4 /6
e O T.
Contractor's Address g Z S (O e
City #(,/ State Zip 33/V1`.
Qualifier Name aoti C) �j/j i J Phone # 3O 3 .)—for'/Or d i,
State Certificate or Registrati o. C Z - ro J" Certificate of Competency No.
E -MAIL: 2-0.4/e 4.4.-T ' / L . !D»
Architect/Engineer's Name (if applicable) Phone. #
Square / Linear Footage Of Work:
( 9 t6 ---/067
Type of Work: Edition ❑Alteration ❑New ❑ Repair/Replace
El Demolition
Describe Work: - /eOJ o/+
******** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** F *xx * :x * *xxxxxxxx * ******* **
Submittal Fee $ Permit Fee $ / I r CCF $ .� CO /CC
Notary $� Training /Education Fee $ 0„ 13-0 Technology Fee $ "d
Scanning $
DPBR $ Zoning $
Double Fee $
Structural Review. $ Total Fee Now Due $ (,a)
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. l 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. l 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 (gent
The foregoing instrument was ackno led ed befo
day of a
who is personally
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
x XX#%# X # % ## X%#Xx#xxx****** ****xx&***,***warve %#
APPLICATION APPROVED BY
(Revised 02/08/06)
me this or
dArlegociartgardAill
knownlilit o j hd ►as p>
eppou 1p ems r,.; F, ,® n
s i enti icatnon and who did take an oath.
Signature
NOTARY PUBL
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me thisD '
day of /e) 20dKby
who is personally known to me / s oduced ''
O wi�o A did take an oath.
NOT P . � . (� ° c ►y�tyy e110
x% X# X X#%Xxx# X war #X xX X%XXXXx %X %XX % %#x % ##XXX# *XXX# #
Plans Examiner
Engineer
Zoning
Nicurei Sisee4Vilive
R4 Vef,t
10050 NE 2 Ave
Miami Shores, Fl 33138
Phone 305.795.2204; Fax 305-756-8972
www.miamishoresvillage.com
HOLD HARMLESS
DATE: yl l[a 010
�t �^ 5640 PROPERTY LOCATED AT: 3 () I V E coo- S'fi �2 / " + i� , r 33/3Y
As legal owner of subject pro erty, I j) request the cancellation of permit number 191,-3-'0/ -30 issued to Lo ts..c S V ( m bl n
for the following reason: -PI red Mot 1 n CD,►efrcLd �} Pic Ka
Date of last inspection: / 6 0). P- 6 / PP l II
I hereby apply as owner - builder, or authorize (new contractor) t RUIN X31 n
to apply for such permits as necessary to construct or complete the construction on subject property.
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.
CA al M ara
(Owner's Signat )
ACh' MwU/b
(Print Name)
State of Florida
County of Dade:
(Prime Contractor -Only if subcontractor
holds permit or if change of qualifier)
(Print Name)
The undersigned, being the first duly sworn, deposes and says that he /she is the legal owner of the above
property.
Sworn to and subscribed before me this
Notary Public, Sate of Florida at Large
P
r Maria G Malian
My Commission DD838347
pf 4,7 txpires 12/09/2012
dsua
Miami Shores Village Building Depa ,went
1
Owner's Name (Fee Simple Titleholder) 1 1 l n,D
Owner's Address �7 5 N e of ict ��t
City / �1 /t T 11 ? State F'L
Tenant/Lessee Name
Legal Description Lap y
Describe Work:
/414pA. A416 adi,.
Change of Contractor
Job Address (of where the work is being done) 3(0 0 NE q1.. stied
City / Kr /4 ( 3/40u9 County rt.__ zip 33, 3,4
.�' 4 giocK Z
Contractor's Company Name lila 1) V1-4/67 /) , J,7 Phone #
Contractor's Address logo 0G 14 7 (
City - 1). \M t &Ili t State c(.,
Qualifier 20 rte r ID `li SA
I hereby certify that the work has been abandoned and /or the contractor
unwilling to complete the contract. I hold the Building Official and the Village of Miami
Shores harmless from all legal involvement.
Signature
NOTARY PUBLIC;
Sign:
Print:
My Commissi
Rev. 09/19/03)
0 z r or Agent
The foregoing instrument was acknowledged before me this
this 0 n �f
day of _J , 20 �,by 11 itu-Y / 1W421N6)Ia
who is personally known to me or who has plooduced
As identification and who did take an oath.
The foregoing instrument was acknowledged before me
day of at'AQTRA , 20 1` , by dOEA L \PsCh ,
who is personally known to me or who has produced
as identification and who did take an oath.
Zip
33/3g
Phone #
Zip 3 -3 101
n
My Commis ion expires:
Permit No. a '3 — 1I —36 0
Phone # 3b --(3aLri6b7 (c
l
is unable or
*** * * * * * * * * * * * * * * * * * * * *** ***** **** *** ** ** t it ** * *** * * * ** * * * * * * **** * * * * * * *** * * * * * **
we
January 6, 2010
Mr. Remberto Bello
Loncus Plumbing Contractors Inc
882 SW 68 Count
Miami, FL 33144
RE: Construction at 360 NE 91 Street, Miami Shores, FL 33166
Miami Shores Permit # PL -3 -09 -360
Dear Remberto,
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 # PL -3 -09 -360 will be reassigned from Loncus Plumbing Contractors 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.
Sincerely,
Richard M
360 NE 91 Street
Miami Shores, FL 33138
(305) 926 -1667
SENDER: COMPLETE THIS SECTION
▪ Item 4 tf Restricted De complete
Delivery is desired.
1 Print your name and address on the reverse
so that we can return the card to you-
• Attach this card to the back of the mailplece,
or on The front lf space 'permits.
1. Article Addressed to:
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Total Postage & Fees
COMPLETE THIS SECTION ON DELIVERY
B. Rived
C, .`: e • Delivery
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D. Is delivery adds • from Item 1'? 0 Yes
if YES, enter delivery address below: 0 No
0 Agent•
Addressee
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.,J Certified Mall 0 Express Mall
CI Registered 0 Return Recelptfor Merchandise
CI Insured Mail 0 C.O.D.
4. Restricts Delivery? (Extra Fee)
2820 . 0003 2442 :5916
2. Article Number 7009
PS Form 3811, February 2004
Domestl« Return Receipt to2686024 -1540
U.S. Postal Service,.
CERTIFIED MAILT,,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided;
For delivery information visit our website at www.usps.cornt)
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