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BPP-06-60Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 wpm, Inspection Ntu -59 N.P -542 Inspection Date: 09/14/2006 Inspector: Levrack, James Owner: LLC, 423 SHORES Job Address: 423 92 Street NE Miami Shores Village, FL SEP 15 RECD Project: <NONE> Block: Contractor: VAN KIRK & SONS INC Nur - 06-60 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (786)326 -2747 Parcel Number 1132060140240 Lot: Phone: (954)925 -9292 Building Department Comments Wednesday, September 13, 2006 Page 2 of 2 (1 06 p.ector Comments I Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, September 13, 2006 Page 2 of 2 FL 06420 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /2- ale J o b A d d r e s s £/ p E C)7CP�- Tax Folio " �� / . 3 b ( ®(Lj 0 2. 1-1- 0 Legal Description LOT 15 d- 1(P f1 Owner/Lessee / Tenant p'�� S / L Owner's Address 23 I 0 + s 15k Vcd, -mil Phone Contracting Co. Van Address 3 ( Historically Designated: Yes No ?(. Master Permit # Qualifier State # ce ›1 /Engineer 16.4 Bonding Company o / A 4)Pr Mortgagor Municipal # SS# Phone 1807.W-44e2.— Competency # Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK UESCRPTO)<f�� , Oa--t6fr\S« L4 Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner Notary es to My Commnissi aC- 6 1 <vTir r :FLIP 'h .. �i a - Date ate FEES: PERMIT APPROVED: Zoning Mechanical Plumbing RADON C.C.F. &ierA_#-CP Signature of Contractor or Owner -Build /,Z /Zi�� (/ Date No o Contractor or Owner - Builder ate My Commission Expires: NOTARY PUBUC- STATE. OF 'L� Ri MDawn H. Sutton ilcommission# DD480956 Expires: OCT 12, 2009 Bonded ThnU : ;a:dz Ty.;:-.L1 NOTARY BOND TOTAL DUE Building Electrical Engineering Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. PLOG - bO . aster Permit No. Permit Type (circle): Building Electric Plumbing Mechanical Roofing 'ti- Owner's Name (Fee Simple Titleholder) 423 - L -1--C. Phone # Owner's Address 4- 2 3 KIF Z S% City I vl i Th]I -)c) {CSState Tl . Tenant/Lessee Name Zip v3138j Phone # Job Address (where the work is being done) �'Z Ut.� �i 2 City Miami Shores Village County Miami -Dade Zip 33 13 6 , Is Building Historically Designated YES NO / Contractor's Company Name Von r1 K 1 r" Cwt Sons 1 /"1(,Phone #0 4 —. S5 " 4-4Dz Contractor's Address . l d 16c_1,--) . State - Zip QualifierR©6o� Y+ P- V C7/ n K Y K- J y. State Certificate or Registration No. C PC 0 4 S q 5 Certificate of Competency No. Architect/Engineer's Name (if applicable) V 1< A • Phone # $ Value of Work For this Permit WO . o0 Square Footage Of Work: Type of Work: Addition Alteration ❑New ID Repair/Replace Demolition ❑ Describe Work: 0 1 '6i pi Yl (� (�� I' f 3 r 4 G4 . * * * * * * * * * * * * * * * * ** . * ** ***** i�a, �c,*,* * * **,* * * * * * * *** * * ****r * * * * ** * * ** Submittal Fee $ Permit Fee $ , l% 'V CCF $ Q bO CO /CC. Notary $ Training/Education Fee $ a z° Technology Fee $ `q' - Scanning $ 3 - ( Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite 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 wfrk 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 IZESULT 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 $25010, 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 su4h 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 foregoing instrument was acknowledged before me this day of , 20 by , day of , 20 by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and wh did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: I Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: * * *, * ** * * * * * *** * * *** * * ** * * * * ** * * * * * * * * *** ** * * ** * *** * , air**** * * * ** * * ** * * * * ** * * * * * ** * * * * * ** * *** * ** * *x* ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Mans Examiner Bngineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. Master Permit No. Permit Type (circle): Building Electrical Mechanical Roofing Owner's Name (Fee Simple Titleholder) • fir' e # Owner' Address ,a3 f 0 1 LkV yTrri� --1� �jlt� j < City k.. as i• State -EL., Zip Tenant/Lessee Name Phone # Plumbing Job Address (where the work is being done) - T !`C �� Y City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # t\ 1 + Is Building Historically Designated YES NO Contractor's Company Name \MN KIRK & SONS, INC. 3144 SW. 13TH DRIVE DEERFIELD I CH, FL 33442 Zip Phone # Contractor's Address City Qualifier Nam Phone # 1)3� -mss_.• p I ,1/4.) State Certificate or Registration No. C120 . TLp Certificate of Competency No. Arc l itect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Type of Work: DAddition Describe Work: DAlteration ew 0 Repair/Replace ;0 Demolition ** * ** * * * ********** *** ***** *** ** * *F **** *** * *, rat * * * * * * **** *** * *** ** * ** *** * * ** * * *. Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side ._ DPBR $ Zoning $ 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 dbm-- 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 i compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO 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 osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of su h posted notice, the ins not be .proved and a reinspection fee will be charged. Own The foregoing instrument was acknowledged before /me this day of 124 ' ' A 2 20643, by /'7" i SKy wh nersonaiiy knows me Dr who has produced As identification and who did take an oath. 9 Print: N_ L STATE TaiilltIA. My Commission Expires: Signature APPF' ..14 . ALA r OIL Contractor The foregoing instrument was acknowledged before me this day of %7 ` VK_. , 2000, by e or who has produced. J� as identification and who did take an oath. NOT Si Prin ' 4. LIC: NOTARY PT TUC-STATE I F FLORIDA Dawn H. O 1 My Commission Commisslon nos 9s ag Attintie Dealing Co., APPLICATION APPROVED BY: (Revised 02108/06) Dawn H. Comma ' • Sutton . f:11413§0`, *****.* ssi n Bonded Thru ., Plans Examiner Engineer Zoning