EL-08-1047 w Y
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
� Phone: (305)795 -2204 Fax: (305)756 -8972
1
Inspection Date: 0812112008 Permit Type: Residential Construction
Inspector: Grande, Claudio Inspection Type: Final
Owner: SMITH, PAUL Work Classification: Kitchen Cabinets
Job Address: 65 92 Street NE
Miami Shores Village, FL Phone Number
Parcel Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
REPALCE KITCHEN CABINETS, BUILD NEW ISLAND
AND INSTALL APPLIANCES
f All
Inspector Comments
Passed C
� • �q4�'
C�
Failed
Correction
Ur 104
C�..
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Wednesday, August 20, 2008 Page 2 of 2
{ � Inspection Worksheet
fi Miami Shores Village
axo 4ff� j .
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
•• • A'Y:tk� {kF': y , ' q;(yYIF:: :
Il ��x•• ii :
Inspection Date: 08/05/2008 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: SMITH, PAUL Work Classification: Addition /Alteration
Job Address: 65 92 Street NE
Miami Shores Village, FL Phone Number
U' Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: PRECISION TECH, INC. Phone: 954 - 704 -8006
Building Department Comments
Inspector Comments
Passed
Failed
Correction
X
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Monday, August 4, 2008 Page 2 of 2
1
0* Inspection Worksheet
Miami Shores Village
3 <ae f
10050 N.E. 2nd Avenue Miami Shores, FL
�.� Phone: (305)795 -2204 Fax: (305)756 -8972
f � ' :::..:•'.•.•.:. : � .::....... : :..•.•:..::.: •::.•:':::: : :• � p::.. • •' : :. �: • • ::::%::::}:•};; : ::•:::•:} i::::::::'•}}:•::::::•: j jti::::::::::: i :: ::'si ::�:?: : i:::•' ::;: :::,:::::•?: i::::::::::::,:: ::::;; }:::i :r. :::' :::'::: :•L::: '.•.•.•n.':: w.. .: � •: ♦•.. ..
Inspection Date: 08/05/2008 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Final
Owner: SMITH, PAUL Work Classification: Addition /Alteration
Job Address: 65 92 Street NE
Miami Shores Village, FIL tL , hoe n Number
P cel Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: PLUMBING SOLUTION
Building Dep artment Comments
AP
� ®6
t Comments
Pa sed
Faile
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Monday, August 4, 2008 Page 1 of 2
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
I . . ............ ..... .....
. ......... . I . .......... ....... .
Inspection Date: 06/30/2008 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge Inspection Type: Drywall
Owner: SMITH, PAUL Work Classification: Kitchen Cabinets
Job Address: 65 92 Street NE
Miami Shores Village, FL Phone Number
Parcel Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
REPALCE KITCHEN CABINETS, BUILD NEW ISLAND
AND INSTALL APPLIANCES
Inspector Comments
Passed qW "'.- - , ' —. 0
Failed El—
Correction
Needed
Re-inspection
Fee
($76)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Thursday, June 26, 2008 Page 1 of 2
, Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 •
Inspection Date: 0612512008 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Underground Rough
Owner: SMITH, PAUL Work Classification: Addition /Alteration
Job Address: 65 92 Street NE
Miami Shores Village, FL
Phone Number
Parcel Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: PRECISION TECH, INC. Phone: 954 - 704 -8006
Building Department Comments
Inspector Comments
Passed cc
Failed El
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Tuesday, June 24, 2008 Page 2 of 2
Miami Shores Village
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.. 10050 N.
E. 2nd
Avenue
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Miami
Shores, FL 33138 -0000
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Phone: 3 -
.� OS 795 22(74
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Ex iration: 1211312008
Project Address Parcel Number Applicant
- ---- -- - - -- _.._ .........................................._ .............................._ °. .............................
65 NE 92 Street 1132060130260
Miami Shores Village, FL Block: Lot PAUL SMITH
........> w„: ................ ..................... :.>�'`,.•k ............................ .,.:...........,.wvv.•:.•.:v:.• : v:.• av S, 2Y.: L 1° Fe.....:: v:>•. ta. ::. ? .q: :.:.${:3 >....• .. ry... .•, ❖.v.•n......•.•.•.•nv...
.... 4LYYl le[.!!? f4r[ I! 14t1 ........................... ............................... Address.................................................... ............................... Phone.................... ............................... ..............................
i PAUL SMITH 65 NE 92 ST
MIAMI FL 33138 -2811
�..d ...: ..:.... . < :.:: ••A`e ......�„<• ....,.::"3,e::-- ,.,..: 3.?3S - .....::::t$•K,:°o3�.`2S>;3:--' :>:•: rY. C:::?:•.::..$ rvl:•.<:.:.::. r,•:: 3' �v .'K.•3.:3:�:�ew>?>'•.n :�;::• . :: , L.a>.a:..---•� ... :'� : :. •3:�.2Zc.• :4:�::..,.. .:r >f
: ...................................................... ..............................
Contractor(s) Phone Cell Phone $16,000.00 : .
Valuation:
HOME OWNER
_...... ...... - ... ... .... _ ................. _........ ... i Total Sq Feet:
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved:: In Review Framing
Date Denied: Final
Type of Construction: KITCHEN CABINETS Occupancy: Drywall
Stories: Exterior:
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted: Certificate Status:
Certificate Date: Additional Info:
Bond Return : Classification: Residential
Fees Due Amount Total Amt Paid Amt Due
CCF $9.00
Education Surcharge $3.00 $ 0.00 $ 0.00 $ 0.00
Notary Fee $5.00 ' asc�:.,w:zss::sxxx
Permit Fee - Additions/Alterations $450.00 Pay T ype
Ype :
Scanning Fee $6,00
Technology Fee $11.25
Total: $484.25
6 PAID
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 .
June 16, 2008
Authorized Signature: Owner i Applicant / Contractor t Agent Date
Building Department Copy
Monday, June 16, 2008 1
Miami Shores Village
ILI
Buldin g Department
10050 N.E.2nd Avenue, Miami Shores,-Florida 33138
Tel: (305) 795.2204 Fax; (305) 755.8972 sY. ®V - - ,
BUILDING Permit No. `
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle): �B�li ; Roofing p
Owner's Name (Fee Simple Titleholder) 1' L _ � t^a L 41, Phone # 1 G�
Owner's Address _fy(e' qd Lc 61 ree, f
City /4l oem, o PeS State ) Zip ;Z
Tenant&zssee Name . � Phone # A/1
Job Address (where the work is being done) c5ftd 9 A5 A&V&
City Miami Shores Villaae County Miami -Dade Zip
FOLIO / PARCEL # It /- 3a 06 — 1 0 /Z - 2 60
Is Building Historically Designated YES NO Pf"
Contractor's Company Name 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 #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ElAddition ElAlteration E]New Rcpair/Replace ❑ Demolition
Describe Work: r,jn , 0w 0§qjnjAe4
Submittal Fee $ Permit Fee $ CCF $ q.U0 CO /CC
Notary $ _ 5 •Cb Training/Education Fee Technology Fee $ t, _
Scanning $ - O Radon $ DPBR $ Zoning
Bond $ Code Enforcement $ Double Fee $ Q4
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 'T'WICE 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 for oing instrument was ac ow g f me this The foregoing instrument was acknowledged before me this
day of . 120U., by day of .20 by 9 AV
i
w o is perso ally 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 who did take an oath.
Y PUBLIC:
� � NOTARY PUBLIC;
Sign: 6a�'��' �'`�� Sign:
Print:
Print:
My Commission Expires: °"' a My Commission Expires:
$ I
APPLICATION APPROVED BY: � � _ m- 44 � Plans Examiner
Engineer
Zoning
(Revised (Y7110/07)
I
t.:F1'd 2011vRi.)463707 OR BK� i 2641� 6 P ��1 3 U �
RECORDED 06/05120 15 :30:58
HARVEY RUVINP CLERK OF COURTr MIAMI —OADE COUNTYr FLORIDA
Name This In I- 00-n�Prepared LAST PAGE
" �dl ��..
Address 4 43 ,, 1 1 t� VM It 33177 ��,y�/
Permit No, Tax Folio No.Z �Y� -- 0/_? - 9f 2 ;
NOTICE OF COMMENCEMENT
STATE 0 F � j l__A ` ,
COUNTY OF _Wg .
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)
2. General description of improvement: M t1 6`1 4o �%7 �.3 ?
I�, r� k�R- cn &•ors //
3.Ownerinformation l u, �5 (Cjt �� s GG� �� "/ 4)Gts� A7
a. Name and address:
b. Interest in property: py,p,t/*A
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor: �{vw,p,;, ,,cilti✓j
a. Name and address: 15*1U ' *5 j4QeV s'k--C r A ",
b. Phone number:
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
6, Lender
a. Name and address:
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)(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:
8. 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
�i' € INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
?q Signature of Own 0wner's Authorized Officer/Director
Partner /Manager
Signatory's a /Office _
s The fo gp i strument was acknowledged before me this f 5 da (year) by
(name of person) as (type of
S t3 _ authority, ...e.g, officer, trustee, attorney in fact) for (name of party on
behalf of whom instrument was executed).
19 NOTARY PUBLIC - STATE OF FLORIDA 16
�o Claudia V Cubi110$ Sig ure of Notary Public — State c Florida
Commission #DD717923 Prin Type, or Stamp Commissioned Name of Notary Public
K , •,,,,����,,•' Expires: SEP 23 2011 Commission Number ,
BONDED TXRU ATLANne BONDING CO., INC. �
Personally Known ___, or Produced Identtficatio
Verification Pursuant to Section 92,525, Florida Statute ,
Under penalties of perjury, I declare that I have read the foregoing at the facts stated in it are true to the best of my
J °e_ knowledge and belief. Ptll
Signature of Natural Person Signing A e
VILLAGE OF MIAMI SIIO.RES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: , l L - &A AA DATE:
ADDRESS • 6.5 N r R �`� �rP e
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, RS 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 construction
Myself.
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. Inactive
permits for a period of over 180 days will become null and void (expired)
and a new permit will be required to be issued for reinstatement of the
permit.
Initial f
3. I have an understanding of the 2004 FBC & 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 fi LS
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 P
S. 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 any contract disputes.
Initial PL-
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.
Initial `PL�
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 P
Was acknowledged before me this day of �Vw , 20
By & & T who was personally known to me or who has
Produced there License or as identification.
AV
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subject to verification on job site and I released or copied unless applicable fee has Printed: 4/16/2008
adjustment to tic job conditions. been paid or job order placed.
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subject to verification on job site and osoc;a released copied unless applicable fee has Printed: 4/16/2008
adjustment to fit job conditions. I been paid or job order placed.
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All dimensions size designations given are � This is an original design and must not be Designed: 4/16/2008
subject to verification on job site and nc released or copied unless applicable fee has Printed: 4/16/3008
adjustment to fit job conditions. been paid or job order placed. —
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All dimensions size designations given are �('"9 This is an original design and must not be Designed: 4/16/2008
subject to verifl'cation on job site and r aiuc released or copied unless applicable fee has Printed: 4/16/2008
adjustment to fit job conditions. been paid or job order placed.
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! All dimensions size designations given are Z j'`y This is an original design and must not be Designed: 4/16/2008
subject to verification on job site and released or copied unless applicable fee has Printed: 4/16/2008
adjustment to fit job conditions. been paid or job order placed.
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All dimensions size designations given are 2 ® This is an original design and must not be Designed: 4/16/2008
subject to verification on job site and . oc• � released or copied unless applicable fee has Pri nted: 4/ 16/2008
adjustment to fit job conditions. , been paid or job order placed. - — —
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E SCOT45X40
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57"
All dimensions size designations given are �(' This is an original design and must not be Designed: 4/16/2008
subject to verification on job site and o�oc,:S released or copied unless applicable fee has Printed 4/16/2008 y
adjustment to fit job conditions. been paid or job order placed.
Smith, Paul Paula Kitchen R a new fi nal fi final EI 5 Drawing N: 1
Miami Shores Village �:.
d 9 ::::.::: ::::::::::::::::::::.:::::: ::::::::::::•: :::::::::::: :::::
t
.r .
M
100
50 N.E. 2nd
Avenue
f
r e>
Miami Shores, FL 33138
A
.l Ph -
�.r one: 3t?5
795 2204
" "'• '`<, QUA
i
r ..•r
Exp iration: �
. 'I 2 1 312008
Project Address w. Parcel Number Applicant
_.... __........... .. _...._. _... _........._.. .......... ..................... ............. _...........
66 NE 92 Street 1132060130260 PAUL SMITH
Miami Shores Village, FL Block: Lot:
...::•s'k8�?.... 0333.
... .:•:. :• P:..PP ::.» .: •y3;:'::i:•:P•.•i.•...•.•.•...• . r. r.•.'•;. ,r, {:•Y...•.v. +N •.r,.:• :•. - .3, ❖ • • ..v.•::.ti '• ' eo < e •.
.< .............•....... ...............<...A.•..•:<•8 «. ..... A' Z.<........................ ..........c°vti ; ::.:q'gi28•a.•:. •PR.........................
fi"! ng�.l Rf. QQt? ati9( 1 ........................... ............................... Address....................:.............................. ............................... Phone......................................... .......... Pell
..............................
PAUL SMITH 65 NE 92 ST
MIAMI FL 33138 -2811
cctgewr. nP. Pr.: <•rP ,.:xc +c +y:.
.............:.........rr.. <.. ......... r..:<¢ �a:.<.,.. .««« <.v. «,.¢3a<< <.:i<::3:':::«. fifiS ... r.��.rx «•:, " >r'e<•r; .. ..r - k:•e.,,•r•?ar'••.•fi:5 <: <„ .:;5. ......... . «.
r.
........................................................ ...............................
Contractor(s) Phone Cell Phone ;Valuation: $ 1,
PLUMBING SOLUTION
..... ..... ... ... .... .._....... ... ..... .
........... ................ ........... _... __...... .............. ;Total Sq Feet: 0 .,.
..,.•..« ........... ..:��:�:,,,z::� «:::::�.�.;...:, ass :,:::::;��.,.••r........,....
Type of Work: PLUMBING Available Inspections:
Type of Piping: KITCHEN CABINETS Inspection Type:
Additional Info: Water Mai
Bond Return : Top out
Classification: Residential L avatory
Heater
Water Service
Final
Underground Rough
Main Drain
Re Pipe
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60
Education Surcharge $ 0.00 $ Q.QO
$0.20 $ 0.00
Notary Fee $5.00 <e
Permit Fee - Additions/Alterations $185.00 Payment Type:
Scanning Fee $3,00
Technology Fee $4,63
Total: $198.43
2 JUN 1 6 PAID
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 .
June 16, 2008
Authorized Signature: Owner / Applicant t Contractor t Agent Date
Building Department Copy
Monday, June 16, 2008 1
(A4a "W - Miami Shores Villag 7" "1— ,�
Building Department'' °� is
�. ,u 1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 r
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit N o.
PERMIT APPLICATION Master Permit N o. �_
FBC 2004
Permit Type: P lumbinI4
Owner's Name (Fee Simple Titleholder) ��� L,tn.� . Phone #
Owner's Address 45 h/ e !? � 6 r� f
City State j°L zip 139— 2—Fv
Tenant/Lessee Name Phone # ti
E-MAIL: M.L � rr . C a
Job Address (where the ork is being done) 'P -An e C 46ov'r
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 91 v b �a ,� ®,sr• Phone # I D 44 9 ' �
Contractor's Address l 2S 20 s'w 7 P2
City b,4 ✓r-e State 7`--t, Zip ",>
Qualifier Name f e "K Nv 49 Far x' -A ► Phone # 7 ltd • !�,� /� ' ° � - T ,"ice''
State Certificate or Registration No. Certificate of Competency No. 0 (i e 0 17 o Z 3
E -MAIL:
Arch itect/Engineer's Name (if applicable) - Phone #
eZ
Value of Work For this Permit $ ZjQ U Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair /Replace ❑ Demolition
Describe Work: ��r�(� Ovf 6x,��;�i„
t •c. Lo c
s
Submittal Fee $ Permit Fee $ ��j� CCF $_ a CO /CC
Notary $ r J° ( Training /Education Fee $ Technology Fee $. +(;3
Scanning $ 3.D Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ // 4 A
Structural Review. $ Total Fee Now Due $ L qD +
3
See Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
— Zip
Mortgage Lender's Name (if applicable) _ L4C0/
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 fo g Q/ oin Instrument was acl o led ed b . re t this The foregoing in was acknowledged before me this
day ok , 20 0y , by... da of U /
4 Y 20 _, by
5� G o� ��va NOTARY PUBLIC:
o
Sign� Y OMM�I OLMDDA
Sign:
:••, 9 R` Bonded Thor Bu Notar services
Print: B
®_ �OF g ry
Print:
My Commission Expires: °' °''
My Commission Expires:
x�x�xx�xxxxxx��rxnx����x�xxxx •ten x *r• :x *x•xrxx��Yxx,�rx,�r,��� * x: ��, �xx���: �x, rx�xx, �x��x��rr�r ,�xx�rxx,:,���•�:xxr�:r
APPLICATION APPROVED Y: 5r _zr-C-)8
Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL IMP
Phone: (305)795 -2204 Fax: (305)756 -8972
RE
� . iA
Inspection Date: 06/26/2008 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Underground Rough
Owner: SMITH, PAUL Work Classification: Addition /Alteration
Job Address: 65 92 Street NE
Miami Shores Village, FL
Phone Number
Parcel Number 1132060130260
Project: <NONE>
Block: Lot:
Contractor: PLUMBING SOLUTION
BuIlding Department Comments
pec or C ments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Tuesday, June 24, 2008 Page 1 of 2
..............::>::.. ..........: >:: >::: >::««<:: >;::> ::>:««:>: :<::;«:: >«: >:: >:<: >:«:<: >:::: >:
,
a
:.: :.: : : : : : :: ::. >:.;:.;:.;:.: :.: :.: :.:: :.::.::.: >:::::. >:: ;: ...... ........ :
Miami Shores Villa
a •::�'
r
,.
n
g ............
10050
r ..
N.E. 2
nd Avenue
e
LL
1
Miami Shores FL 33138
-0000 .... '�:::..
k ,s
.s . ..........
. . ....... . .... . .
! Phone:
305 795-
., 2204
a�
m
Expiration: 121 13/2008
Project Address Parcel Number ...... Applicant
...."_.... �......._............_................--.-.-. ..............._. .............. _......•. .......... ............
65 NE 92 Street 1132060130260
PAUL SMITH
Miami Shores Village, FL Block: Lot:
• o•::.::....... w>:•. u.... s. �:: Y: yw•.:::::::5::;;::2;:r::5R:5;:: fir,: ::::::::::::: . « : : :.. « :<. a . •�.: : : :b : :.:: :.::•::e 3.• a::. 5b: �..:...•. �• s::.•.•:• F�L•:::::. z: a.;.:<.•:;:e< s:::.•.:. e: 3s. W.• e.< oo:..•:<.: •b.s.5a•f.,.b,....:.,...�^e. :�i
...............
.... QhTr. lfl f. 9Ql iiQR ........................... ............................... Address................................................... ............................... Phone.................... ............................... Cell ..............................
PAUL SMITH 65 NE 92 ST
MIAMI FL 33138 -2811
lY K•.M
M
..,::,c :.. " .. v rc.. �r,.>• r. r. �. x.:. ,,,c.<:..: " " <n "•':,yc`t ;'•::✓, - er,:•:: "<a`•w:'r "SSi•
..... ..::...... ..... ,:..,....vi ..•..----:., �b: evv.....,. bbb...........,,: a,., b S... v. 9.....< m'"Y". W ...ee...:nW.....aA03bnu3 >. ..........v..
........................................................ ...............................
Contractor(s) Phone Cell Phone : Valuation: $ 3 ,000.00
PRECISION TECH, INC. 954- 704 -8006
Total Sq Feet: 0
Type of Work: ELECTRICAL Available Inspections:
Additional Info: KITCHEN CABINETS Inspection Type:
Classification: Residential
Underground Rough
Final
Fees Due Amount Total Amt Paid ( Amt Due
CCF $1.80
:.............................
Education Surcharge $0.60 $ 0.00 $ 0.00 0.00
Notary Fee $5.00
Permit Fee - Additions/Alterations $160.00 Payment Type:
Scanning Fee $3.00
Technology Fee $4,00
Total: $174.40 1 6 PAID
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 .
June 16, 2008
Authorized Signature: Owner I Applicant / Contractor 1 Agent Date
Building Department Copy
Monday, June 16, 2008 1
Miami Shores Village T;J._
Building Department
,u8
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 '
Tel. (305) 795.2204 Fax: (305) 756.8972 BY ___ ---""
BUILDING Permit No. 4—=1 )0
PERMIT APPLICATION master permit No. or
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) � S y� , Phone # 6 7
Owner's Address 6S Nj
Cit lAs,,i S1 o M State P Zip
Tenant /Lessee Name �/ / ,f} Phone #
E -MAIL; h1� , ca
Job Address (where e �on q S A:�oc��
City Miami Shores Villlage / County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address .'R 2,9 Ob tL M'
City — 0 State Zip 3 3 O S
Qualifier Name �st-ff 71Z ,AXF - 1 Phone # 3 C —'/ !�( SV
State Certificate or Registration No. 00 f!Z%J & Certificate of Competency No.
E -MAIL: A S t
Architect /Engineer's Name (if applicable) Phone #
a te`-- -
Value of Work For this Permit $ .Z t5 0 b Square / Linear Footage Of °Work:
Type of Work: ❑Addition: ❑Alteration ❑New ❑ Re air /Re lace
p p ❑Demolition
Describe Work: 4C- .4 Tra- c� x byc, v c.,e
Submittal Fee $_ Permit Fee $ CCF $ 1 3b CO /CC
Notary $ U CV Training /Education Fee $ 0.60 Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee$
Structural Review. $ 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. 1 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 commencemer oste he job site
. for the first inspection which occurs seven (7) days after the building permit is issued. In e .c of such sted notice, the
inspection will not be approved and a reinspection, fee will be charged.
Signature atur
Owner or Agent
The for going instrument was ac wle ed for a this The foregoing instrument was acknowledged before me this — 1,
day of .20 by day of `► "' , 20,0_L, by Fe -w. * '7'4
known to me or who has produced vyho is person known to me or who has produced
As identification and who d' oath. as identification and who did take an oath.
TA Y PUBLIC: T s' NOTARY PUBLIC:
RY P BUo
C I. EDA
Sign: ` �� Sign: # 1598
�.���•�,G° 4 E IRES: August 20, 010
Print: �+,.•' Print:
� Iq a oP PFC 3 a ^^ ed ThN NuApet Natar}Ssrvises
My Commission Expires: My Commission Expires:
Y.Y. XXY. % % % % % % % % % %X %] % % % % % % % % % % %% %)C %T�% % % % % % % %% . X % % %% % % % % % % % % % % % % % % % % %% • X %1C % % % %% % % % % % % % %% %% • X % % % % % %X % % % % % % % % % % % % %%
APPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
Electrical work
• Relocate refrigerator outlet
• New outlet for water cooler
• New outlet for a wall oven - warmer
• Relocate oven outlet
• Add (3) three new outlet around kitchen counter area. Three (3) outlest already
exist
• Relocate a 3 -way switch from kitchen to dining room
• Add one (1) switch for ceiling fan
• Add two (2) outlets on kitchen island
• Install six (7) high hats in kitchen
• Install one (1) light over island
• Install appliances
• Refrigerator
• Wall — Double Oven
• Cook -top
• Wall — Warmer
• Hood — Microwave
• Dishwasher
• Garbage disposal