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RC-07-2535Bill To JOSEPH POTTIER 1284 92 Street FE MIAMI SHOPES FL 33138-2937 Return to ' Miami Shore 10050 N. •Jenue Miami Shoi, 3Z.1o000 Date Fee Name 11/14/200c. L Permit Renewal Fee Payments Friday, Novem5 14, 2008 VPlaye N.E. 2nd Aver FL 331 Pho!le: GVi3O27S5-22C4 Far: 755-3972 -----•-- • krir Thor: t Ty pl.' C -lculatei Date li:),1:ty Type Che;k Nunt!)e° Amount Paid Change 11/14/2008 ":',. (7:.....1 $150.00 $0.00 'IntlEftlIWIEWEIBMITEMEMMEMIRATIGEMLUDili !DA. 47.v Nuribor: RC-11-08-33266 (atl.: November 14, 2008 TItal Fees Due: 1:, Total Paid: $150.00 Fee Amount $150.00 $150.00 Total Due: $0.00 REO C:07 11i408 154n MM1 054562 BLDG. PERM $150.00 IBill To JOSEPH POI/FR 1284 92 Stree,t MIAMI SHe.)REI'z FL 3i38-2937 Return to Miami Shores V fizge 10050 NI_ •:..nri Miami Shorcs. 3„7IA-0000 . . . VI 3errn kl • ,..- Date Fe€ Name 11/141. Permit Renewal Fee Payments Friday. Klovein'oc': 1 el 2108 “qian N.F., 2nd 14 FL 3 -6010 Phone: cA5756-.,W4"2 rJ r1 ce NIA" PL-11-08-33267 oic ta: November 14, 2008 pccroji Number: PL-12-07-2537 F Tyj Date P71. b)':..1r Amount Paid Change 11/14/2003 !:. $190.00 $0.00 . 111iLEMIffilEIIEEILXEREENEEEMPERIPlifilfri ThI I i1ILLII lW maw' Total Fees Due: rot ai Paid: $190.00 Fee Amount $190.00 $190.00 Total Due: $0.00 II ".„ 3 1540 MC01 054562 BLDG. PERM $190.00. BATHROOM REMODEL REVISION ON FEBRUARY 208 TO ADD KITCHEN WORK ON THE SAME PERMIT '• Passed Inspector Comments 0/,t jcce5s P!eot5t:, neTddde Failed ,,,,vicia Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/19/2008 Inspector: Bruhn, Norman Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, November 18, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050270520 Lot: Page 1 of 2 Inspection Date: 08/28/2008 Inspector: Devaney, Michael Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: AJL ELECTRIC INC Building Department Comments BATHROOM AND KITCHEN REMODELING Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspectc MAKE I / 3 Y 70a)-- Wednesday, October 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132050270520 Block: Lot: Phone: 305 - 895 -4971 Phone Number (cevinieline HC1 3m, Page 1 of 2 BATHROOM AND KITCHEN REMODELING O ksk Passed Inspector Comments 0 /"' s %�2_ ,1 /7 ' , L ° 1°1 ' G J 0 ,ee _ 4-- ®/ i e o Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 05/01/2008 Inspector: Devaney, Michael Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: AJL ELECTRIC INC Building Department Comments Wednesday, April 30, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050270520 Lot: Phone: 305 - 895 -4971 Page 2 of 2 Bill To I JOSEPH POTTIER 1284 92 Street NE MIAMI SHORES, FL 33138 -2937 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 04/30/2008 Revision Fee Wednesday, April 30, 2008 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: EL-4 -08 -31710 Invoice Date: April 30, 2008 Permit Number: EL -12 -07 -2536 Ty Electrical - Residen l 1t r Classification: Fee Type Calculated APR 0 PAID 014 Fee Amount $75.00 Total Fees Due: $75.00 P BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Per Su bmitta Structural Review. $ x * xxxxxxxxxxxxx Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 y3 td k3 ® ®QaoleMPS Owner's Name (Fee Simple Titleholder) Owner's Address 1 �,�,y�,, 2 > i City ���'�" _ 1 State Zip Tenant/Lessee Name E -MAIL: ( -C 66v , Permit Fee $ 7S i ®® -- Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Phone # 6244 LV-cs. 1 Is Building Historically Designated YES NO Permit No. -1. aster Permit No. 120Cri V c3C� County Miami -Dade Zip 3 ' (3 Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Phone # Phone # Square / Linear Footage Of Work: Phone # ( ?N 070 -/4/ „f 6/ Type of Work: DAlteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: 1P1e-c P7 v K r fj9 6 (� xxx *Fees xxxxxx>.xa : xxxx ** x x xxxxxx xx xx* xx x***xxx x xxxxxx CCF$ Double Fee $ CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -a 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. 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 rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not -.e approved and ection fL ill be charged. Signature Owner or Agent The foregoing instrument was acknowledged be ore me this day of ' i , 2 0 (> by .../ le ®s POW— who is As identification and who did take an oath. NOTARY PUBLIC: xrxxxxxxxxraY APPLICATION APPROVED BY (Revised 02/08/06) to me or who has produced who is rsonally know to : e or who has produced -4111616/ e aP C tractor The foregoing instrument was acknowledged before me this day of Signature i A / �:tt ina - . '''�``' •a`= Expires: OCT. 19, 2008 My Commission Expires: • ,�l , My Commission Expires: xxxxxxxxx xxxx Y'x' .x'xx www.AARONNoTARY. RRm s identification and who did take an oath. NOTARY PUBLIC: Sign Print: j bm, S IC It ,20,by 4,4f uddin Commission #DD363993 ' • /Expires: OCT. 19, 2008 . WWW.AARONNOTARY.com ✓� 2 % / 1 "A Plans Examiner Engineer Zoning rxx PERMIT #: (� Miami Shores Village APPROVED BY DATE e SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES •AND'REGULATIONS ,Naats-3ty3t.Liod BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder Owner's Address City City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address City Wit Qualifier Name State hiviKetry State Certificate or Registration No.ee �l E -MAIL: Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 P® State d Zip 1p i3 Tenant/Lessee Name Phone # E -MAIL: 7 PO tiie# At) Job Address (where the work is being done) 9401-, 660 A l& a&*() f�r�S hj(,f7,s1ti / ?09 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ❑Addition f ro.0 Iteration netwme tha �om9m *x**** *****x********xxux9exxx9rx ***** ****F **** ******** ** *x**xxxx, ***** **** **** **x*xxxx Submittal Fee $ Permit Fee $ CCF $ 1 • CO /CC Notary $ Training /Education Fee $ n.40 Scanning $ '00 Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ Total Fee Now Due $ i b8 OAN 1 5P D c County Miami -Dade NO Permit No.E / aa_CO Master Permit No. TZCj Qj 953 5 Phone # Phone # Zip Phone # Certificate of Competency No. Square / Linear Footage Of Work: ❑New ❑ Repair /Replace Double Fee $ dos) )17-fi-1 See Reverse side —* imeminhit El DEC 2 ? 2(lfll , BY: Zip eito po5) 4 11, 7 ❑ Demolition Technology Fee $ '75 Zoning $ 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. 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 whosgnroperty 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 instrument was acknowledged before me this day of 7 , 20 0-7, by who • to me or who has produced 27 As identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this day of A) 0-0 , 2007, by nl i t.�e r� Y who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 14I -1'74 My COmmission#D Commission y si n Expires: %�� � � ; ElPire5; p 1 - - 200 i26 *k�c'i'* *Viti'a'Ciiic xcxacxxrxeYxxxxxve **wxxxxxxxxxxaewse* 4cxxx Sign: Print: My Commission APPLICATION APPROVED BY/�/ /', "��%'� % j` (Revised 02/08/06) Plans Examiner Engineer Zoning Project Address 1284 NE 92 Street Miami Shores, FL 33138- 1132050270520 Block: Lot JOSEPH POITIER Owner Information JOSEPH POITIER Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Contractor(s) AJL ELECTRIC INC Phone 305 - 895 -4971 Cell Phone Parcel Number 1284 NE 92 Street MIAMI SHORES FL 33138 -2937 Phone Valuation: Total Sq Feet: Type of Work: ELECTRICAL Additional Info: BATHROOM REMODEL Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $3.00 $3.75 $158.35 IA 1 5 PAID CK045 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Total $ 0.00 Payment Type: Amt Paid I Amt Due $ 0.0 $ 0.00 Expiration: 07/01/2008 Applicant Available Inspections : Inspection Type: Underground Rough Service Change Final Relocation Fire Alarm Alteration Meter Box W. W. January 03, 2008 Date Cell $ 2,000.00 0 Thursday, January 3, 2008 1 Inspection Date: December 23, 2008 Inspector: Levrock, James Owner: POTTIER, JOSEPH Job Address: 1284 92 Street Project: Miami Shores, FL 33138- <NONE> Contractor: MG PLUMBING & SPRINKLER SERVICE Building Department Comments Monday, December 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050270520 Lot: Phone: (305)525 -9236 Page 1 of 1 • "EA 1 u PLEASE • r Comments S AS REINSPECTION FOR INSP- 70836. cc NE •= , , _ 12/03/08 JL CALL JONNY 404.444.5254 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Date: December 23, 2008 Inspector: Levrock, James Owner: POTTIER, JOSEPH Job Address: 1284 92 Street Project: Miami Shores, FL 33138- <NONE> Contractor: MG PLUMBING & SPRINKLER SERVICE Building Department Comments Monday, December 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050270520 Lot: Phone: (305)525 -9236 Page 1 of 1 PLUMBING FOR BATHROOM REMODEL ®A., 1V- ' 0 'h� 0 v OA li di/ I1/ Passed Inspector Comments cc Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/03/2008 Inspector: Levrock, James Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Project: <NONE> Miami Shores, FL 33138- Contractor: MG PLUMBING & SPRINKLER SERVICE Building Department Comments Tuesday, December 2, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -897 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050270520 Lot: Phone: (305)525 -9236 Page 1 of 2 Inspection Date. 94 OY Inspector: Bruhn, Norman Owner: POITIER, JOSEPH Job Address: 1284 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, December 23, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final eiL s„... Work Classification: Alteration Phone Number Parcel Number 1132050270520 Lot: Page 1 of 1 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 100272. No access Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date. 94 OY Inspector: Bruhn, Norman Owner: POITIER, JOSEPH Job Address: 1284 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, December 23, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final eiL s„... Work Classification: Alteration Phone Number Parcel Number 1132050270520 Lot: Page 1 of 1 (PERMIT #:gC( ] - 2„5 Miami Shores Village APPROVED BY D'TE ZONING DEPT 4,®« / BLDG DEPT SUBJECT TO COMPLIANCE WI FH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS 11) - 7 1 'C' .' 7 9 7 7, :71_,L l' FEB 1 1 2063 1 219 BY: - m - -- -- WALL-C-134"-Boa onn Overro-30'° Coak p-309" Wan a se cablaels JP DESLGNS,Inc 305 -759 -4217 F -305- 756 -6359 e-R naii ,1F4 Design @aoi.coal •• • .9' • • • • •• • • • • • • • • • • • i • • • •• ••• •• • • • • • ITIOZR RIESIDENCI 1284 ` . t3 92" ilia nnbthe,(i.3if : • • • • • • • • • • • •• •• • • • • 1GTCH }. °,. 1t ': • : : New caPaleet4G4N4 A U Applit w . :• •: •:• ••• :• •: WALL -A -1W' Sins Base Cabinet, 36" 2- M"base es meta w/drawers No Uppers-Window Wd • • ••• • • • • • • • • • • • • • • • • • CITV WALL- :- 80"- Dishwasher -30" Base and Waif Cabinets 33/3 8? Bill To I JOSEPH POITIER 1284 92 Street NE MIAMI SHORES, FL 33138 -2937 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date 02/19/2008 02/19/2008 Fee Name Revision Fee Scanning Fee Tuesday, February 19, 2008 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: RC -2 -08 -31029 Invoice Date: February 19, 2008 Permit Number: RC -12 -07 -2535 Fee Type Calculated Calculated Total Fees Due: Fee Amount $150.00 $3.00 $153.00 APR 1 5 PAfl NAME: ADDRESS: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT �Q S� t-f-vet' �v� qi DATE: Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000:00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or Lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this cons t n Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initia 1 3. :I have an understanding of the 2004 F:. & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial By 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate contract disputes. Initial Cf1- 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Was acknowledged before me this Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my•property with out first obtaining the proper permits by licensed contractors. Initial . day of 7) t 20 67 who was personally known to me or who has Produced there License or as identification. ` oa r t i , Luonna Salahuddin ECommission#DD363993 •':.±.: o; Expires; OCT. 19, 2008 p 4'N" AARONNOT RY.com Project Address 1284 NE 92 Street Miami Shores, FL 33138- 1132050270520 Block: Lot: JOSEPH POITIER Owner Information Valuation: Total Sq Feet: $ 5,000.00 0 JOSEPH POITIER Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Parcel Number 1284 NE 92 Street MIAMI SHORES FL 33138 -2937 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: BATHROOM Stories: REMODEL Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $5.00 $150.00 $3.00 $3.75 $165.75 JiAk 1 5 PAIL 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Thursday, January 3, 2008 Phone Applicant Available Inspections : January 03, 2008 Date Cell Addition I PROVE > Expiration: 07/01/2008 Inspection Type: Trusses Plan Submittal Spot Survey Drywall Screw Stem Wall Footer Final Building Roof Trusses Wall Sheathing Framing Wire Lathe Floor Trusses Rake Beam Shutter Attachment Window and Door Buck Final PE Certification Insulation Roof Sheathing Second Floor Tie Bond Beam Density Window Door Attachment Slab Fill Cells Columns Termite Letter 1 Ofor t oot Ireitoloir/ BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) OS t it* .G . Owner's Address r - Value of Work For this Permit $ 3'7 0751 LO Type of Work: DAddition Describe Work: Miami Shores Village NMOMEWM-iii Building Department DEC 2 7' 2001 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 B Y: c mAufr. not 1--,, sortgthe l� coN*A. Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing City 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 NO Contractor's Company Name floveco W `1 I Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Alteration Square / Linear Footage Of Work: ['New mept .lokv\1 Permit No.1 Master Permit No. Phone # �0� 7S�I-lyl/ Repair/Replace 0 Demolition ** * * **** ** * *** ********** * * * **** x *** **** F ees * * * ** * * * * ************ ** * *** x * *** *** *** ** ** Permit Fee $ d6 CCF $ 3'IJ.J CO /CC Technology Fee '$ .13 DPBR $ Zoning $ Submittal Fee $ Notary $ 500 Training/Education Fee $ )' (X) Scanning $ 0 0 Radon $ Bond $ Code Enforcement $ Double Fee $ C Structural Review. $ Total Fee Now Due $ 1 t p Q S • 13 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 Fr.ECTRICAL 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 # :: ' • and a reinspection fee will be charged. Signature A c / Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this d 7 � The foregoing instrument was acknowledged before me this L day of 'L , 20 6 by T ® � ` 2 / 1 , day of , 20 _ , by who personally known to me or who has producedfT V ' who is personally known to me or who has produced S f ( (-e As identification and who did take an oath. � as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: \ f tt. o o' s NOTARY PUBLIC: Sign: Print: My Commission Expires: = '� a e *************** * * * * **•x******* ** *** * *** ** y * **x * x* * * ********* **** +x ** * ** *** ** * x* **.x** * •x *** *a APPLICATION APPROVED BY: (Revised 07/10/07) My Commission Expires: 0 -- vR Plans Examiner Engineer Zoning This lns mentPr - tares y: Name f ..`. 41 le Address Permit No. STATE OF COUNTY OF specified) 5. Surety a. Name and address: b. Amount of bond $ c. Phone number. 6. Lender a. Name and address: b. Phone number. Signatory's e/Office The foregoing Instrument was acknowledged before me this k ay of _ (name of person) as �nt7 authority, ...e.g. officer, trustee, attomey In fact) for behalf of whom Instrument was executed). NOTARY punie -syATR OF FLORIIk ; Claudia V. Cubillo4. Commission #DD717923' Expo: SEP. 23, 2011 BONDE TmW atone BONDING CO.,ING D :F�i 2111aSF�ntt3 Q29 OR PM I 111111 , 1 1 1111111 p 11111 11111 111 11111 1111111111 RECORDED 01/15/2003 10:07: 45 HARVEY R:UVIHp CLERK OF COURT? I1IAMI -DADE COUHTYv FLORIDA ST .FAG .q2f.° NOTICE OF COMMENCEMENT W THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of property, and street address if available) y &Y -O 27 s40 2. General description of improvement: e (O R. - 6 7 00 M rn • /Cr d al/ p Owner Information e . Name and address;_ b. Interest in property: `.' I4` /1' , E q )(Contractor. Name and address of fee simple titleholder (if other than owner,,: (�I/ �p� I / /��� (i p t Y f 1 /" ` � /' , b. Name and address: J C f y /i1,, , b. Phone number. G- e / � 2144,6thi f fr 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: a. Name and address: b. Phone number. • 8. In addition to himself, Owner designates the following person(s) to receive a copy of the LIenor's Notice as provided In Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 9. Expiration date of notice ment (the expiration date is 1 year from the date of recording unless a different date is iJy 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 of Owner Owner's Authorized Officer /Director Partner/Manager Tax Folio No.tk 2� '0f Os jQ 1 Signature of Natural Person Signing Above year b1U) •i1 /11 ' jr (type of (name of party on Sign re of Notary Public — State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Commission Number v, flL Personalty Known or Produced Identification m 112 2002 Verification Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I dedare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. 1 BATHROOM REMODELING Passed Inspector Comments mld X671 m� * ~ ®9 , „CA-- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until • Inspection Date: 01/24/2008 Inspector: Devaney, Michael Job Address: 1284 92 Street NE Project: <NONE> Wednesday, January 23, 2008 Owner: POITIER, JOSEPH Miami Shores, FL 33138- Contractor: AJL ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Permit Type: Electrical - Residential Inspection Type: 544 Work Classification: Addition /Alteration f ame '- 91 Parcel Number 1132050270520 Lot: Phone: 305 - 895 -4971 Page 1 of 2 S' O A d. ' RESIDENCE CE 1284 NE 9 MIAMI SHO ,FL.3313 .... • .. ... •. • • • • • • • • • •• • •• • • •••••1• • • • • .• • JP 30545 e . 'F-30545 slam RATIIROOIVI UPDATE Original e °o remain Nom► Tile- Shower -Doors-Sink. g and lilt* 4 ZONI DEPT BLDG DEPT SUBJECT TO COMPLIAN Miami Shores Vi1 .7ge A 2007 AL BY: APPROVED BY DALE 4.7,2111 WI IN ALL F DERAL STATE AND COUNTY RULES AND REGULATIONS zlictlos volcovoL BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): adding Roofing Owner's Name (Fee Simple older) JSQ L. l "W Owner's Address l `if ,A p E qi c1V 3 Ci State I eta S$ Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip zip ` 3 �� 3 cT FEB L . 2003 I B Y: Permit No. -C/71 J D 3 Master Permit No. Phone # r 7 r 1 t L Tenant/Lessee Name -_� x 1 Ay t z e k' Phone # 7 2 (n - Q- - S / £ �^ FOLIO / PARCEL # Is Building Historically Designated YES NO Type of Work: Describe Work: Sub 0 Contractor's Company Name Contractor's Address City State Value of Work For this Permit $ c ) ❑Addit n Alterarion • ►Y)• ['New ❑ Repair/Replace Nota Scanning Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ • 3- 1 Phone # Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: ❑ Demolition * * * * * * ** ************F eIV Permit Fee $ l5 • CCF $ CO /CC Training/Education Fee $ Technology Fee $ Zoning $ Double Fee $ Total Fee Now Due $ 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 reinspection fee will be charged. Signature (Revised 07/10/07) 0,Aimuk. Cl\- Co \-c Owner or Agent Contractor The fore g instrument was ackno ledged b this 1 foregoing instrument was acknowledged before me this day of , 20( o' , by � Q ' `' 01 , ay of , 20 _ , by is personally known to me or who has produced ITV who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. OTARY UBLIC: � "a NOTARY PUBLIC: Sign: .,A,,,-,.;\s,.....,.,. Ittv6 � 5 `S�' '� ' � 'D Sign: y w 4' ote° `a' S o� Print: . ... My Commission Expires: Signature APPLICATION APPROVED BY: Plans Examiner Engineer Zoning BATHROOM REMODEL i � z 6 20 Passed Inspector Comments Pr t ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 02/25/2008 Inspector: Grande, Claudio Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, February 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Slab Work Classification: Addition Phone Number Parcel Number 1132050270520 Lot: Page 1 of 2 BATHROOM REMODEL 7 ve Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 02/25/2008 Inspector: Grande, Claudio Owner: POITIER, JOSEPH Job Address: 1284 92 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, February 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Drywall Screw Work Classification: Addition Phone Number Parcel Number 1132050270520 Lot: Page 1 of 2 1284 NE 92 Street Miami Shores, FL 33138- 1132050270520 Block: Lot: JOSEPH POITIER Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address JOSEPH POITIER 1284 NE 92 Street MIAMI SHORES FL 33138 -2937 Valuation: Total Sq Feet $ 2,000.00 0 Contractor(s) Phone CeII Phone MG PLUMBING & SPRINKLER SERVIC (305)525 -9236 Type of Work: PLUMBING Type of Piping: BATHROOM REMODEL Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $190.00 $3.00 $4.75 $199.35 Building Department Copy Thursday, January 3, 2008 Sta Expiration: 07/01/2008 Total Amt Paid 1 Amt Due $ 0.00 Payment Type: ,C140 Authorized Signature: Owner / Applicant / Contractor / Agent $ 0.00 Phone N1SPAM Available Inspections : January 03, 2008 Date CeII Inspection Type: Main Drain Final Lavatory Underground Rough Water Main Water Service Heater Top Out Re Pipe 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. 1 40B TIN BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing l , Owner's Name (Fee Sim le Titleholder) _• • T ?Q Owner's Address ic NJ ' oz, IA City 1/I s1/4-Tics State Zip 5138 Phone # Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) l , ofas City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Me.-.1/ `` * ' ((J n�.t2Y 4 �W Cr Contractor's Address 19 (2 Q ' 9 5T City tA GCVIM 'r State Qualifier Name �aVYie� W jt( State Certificate or Registration No J .) �CPO E -MAIL: 10050 N.E.2nd Avenue, Miami Shores, Florida 33 l38 Tel: (305) 795.2204 Fax: (305) 756.8972 Miami Shores Village County Value of Work For this Permit $ Building Department Type of Work: ❑Addition ❑Alteration New Describe Work: Notary $ Scanning $ d b- GO 13rt voeyn karmid Jnmal Bond $ Code Enforcement $ Miami -Dade Zip 5� q� I1n V�phone # 30 S,. S2 Architect/Engineer's Name (if applicable) Phone # Master Permit No. 1 0 9 5 '(��' Phone# E'7sI' )o l,l Zip 3D1(09 Phone # Certificate of Competency No. Square / Linear Footage Of Work: Double Fee $ Permit No. pt-0 0x3 0 Repair /R place ******** ** * * * * * * * * * * * * * * * ** * * * ** * * * * * **F ************ * * * * * * * * * * * * * * * * ** * * * ** * * * * **** * � Submittal Fee $ Permit Fee $ �(� ` CCF $ I 'ID CO /CC Training /Education Fee $ O .40 Technology Fee $ 415 Radon $ DPBR $ ❑ Demolition Zoning $ Structural Review. $ Total Fee Now Due $ / C ( •30 See Reverse side - DEC NIEC MEV La 2 7 2007. BY: Utz Signature Bonding Company's Name (if applicable) Bonding Company's Address City State 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: [ 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. The foregoing instrument was acknowledged before me this 62? The foregoing instrument was acknowledged before me this day o 20 j by day of 01 L , 20 07, by ho is so . _. to me or who has produced As identification and who did take an oath. NOTARY PUBLIC• " Si 1r is Owner or Agent (Revised 02108/06) APPLICATION APPROVED BY: udd Print/ ...:/' - I ujii€, ; on 1 1' . ° • • P rint/ � rid ,1 !e x�:d 1 N 1 1 . it ` %. WWW,AARONNOTARY..com My Commission Expires. Zip Signature — +-S.e� Gam` Contractor who is a ersonally known • me or who has produced as id and who did take an oath. NOTARY PUBL Sim .4) ** . . - E ' hu1 3 Print: '• ' " �l/•°� RON see i i� My Commission I xpues • . .J..•..4d+•L d.,.4 1 • I '4s- 4`,5tiititski[ Q �'J�YYSf1f F Y 14-30 9CX* ****** ******* ***3.•]Y*%**** ■ IA 2008 OTARY.com CI7 Plans Examiner Engineer Zoning