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1292 NE 95 St (11)Issue Date: 8/15/2006 Owner's Name: STEVEN DUBBERLY Permit Type: Pools /Whirlpools /Hot Tubs Work Classification: New Job Address: 1292 95 Street NE Comments: SWIMMING POOL AND PATIO Additional Information Miami Shores Village, FL Fees Due Bond Type - Contractors Bond CCF CO /CC Fee DBPR Surcharge Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Submittal Fee Technology Fee Total: Building Department File Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Amount $300.00 $10.20 $150.00 $2.25 $3.40 $510.00 $50.00 $15.00 ($150.00) $12.75 $903.60 Permit Expires: 01/21/2007 Contractor(s) MK ROLLAND, INC Phone 786 - 306 -9510 Primary Contractor Yes Type of Work: Swimming Pool Additional Info: AND PATIO Classification: Residential Occupancy: Private Bond Return : 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BPP - - - 1966 Re . uired Inspections Fence Wall Steel Pool Deck Final Phone: 1132060144040 Lot: PB: Total Square Feet: 450 Total Valuation: $ 17,000.00 Invoice Number BPP - 8 - 06 - 25808 Total: Amt Due $903.60 AU(i 1 G ?MD Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Issue Date: 8/15/2006 Owner's Name: STEVEN DUBBERLY Permit Type: Pools /Whirlpools /Hot Tubs Work Classification: New Job Address: 1292 95 Street NE Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/21/2007 Contractor(s) MK ROLLAND, INC Phone 786 - 306 -9510 Primary Contractor Yes Comments: SWIMMING POOL AND PATIO Additional Information Type of Work: Swimming Pool Additional Info: AND PATIO Classification: Residential Occupancy: Private Bond Return : 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. Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $10.20 CO /CC Fee $150.00 DBPR Surcharge $2.25 Education Surcharge $3.40 Permit Fee $510.00 Plan Review Fee (Engineer) $50.00 Scanning Fee $15.00 Submittal Fee ($150.00) Technology Fee $12.75 Total: $903.60 d , Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BPP -7 -06 -1966 Phone: 1132060144040 Lot: PB: Total Square Feet: 450 Total Valuation: $ 17.000.00 Re • uired Ins • ections Fence Wall Steel Pool Deck Final Invoice Number BPP -8 -06 -25808 Total: Amt Due $903.60 ME 1 6 ?QOM Amt Paid Inspection Number: _INSP- 25683_ Permit Number: BPP -7 -06 -1966 Inspection Date: 08/25/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Contractor: Miami Shores Village, FL MK ROLLAND, INC Friday, August 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786- 306 -9510 Page 1 of 2 ? O O Passed 0 G Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: _INSP- 25683_ Permit Number: BPP -7 -06 -1966 Inspection Date: 08/25/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Contractor: Miami Shores Village, FL MK ROLLAND, INC Friday, August 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786- 306 -9510 Page 1 of 2 I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at la..c=0. N" 9 S 31 Miami Shores , , Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. ;please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with art exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775 F.S. CONTRACTOR'S SIGNATURE & DATE CONTRACTOR'S NAME (PLEASE PR T' . NOTARY PUBLIC - //wt,e4Tilia r BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2352 TELEPHONE (305) 795-2 204 FAX (3051 758-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT s'S SIG ATURE & DATE i [1 /RAn. /`gy rY 1 4 . '317o # P 1 � , .�!;aISSiQN q D� 483995 , 1c1obe120 2" • • . ,ioteryPuWk Untle!WrItet „ •401.1A O9) N41 PeP U0 P I ' • OWNER'S NAME ( PLEASE ApoovrAmir ` I II Date Q6 Miami Shores Village Building and Zoning Department Attention: Building Official fr/A LSAdi -e, j EU • SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as / located at /0 A v & 95 * In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: DECLARATION OF RESTRICTIVE COVENANT KNOW ALL MEN BY PRESENTS: WHEREAS, the W undersigned . P®" , '""/ g Is/are the fee simple owner (s) of the following described property situate and being in the Village Lot (s) Block of (Subdivision), A.I.A. (address) according to the plat thereof, as recorded in Plat Book Florida, and Page of the Public Records of Dade County, Y Whereas, undersigned owner � ° / ' d� � g° (s ) " desire to utilize said Lot (s) as a single building site, and the undersigned owner (s) do (es) hereby declar d agree as follows: 1. That the property will not be used in violation of any ordinances of the Village or Dade County now In effect or hereinafter enacted. 2. That the purpose of this covenant is to induce the Village •o Issue a permit for pool where the required enclosure Is not on the subject property where the pool is located. 3. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will Immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. 4. That, we, as owners, hold the Village harmless for any negligence or Injury that results from not having the enclosure FURTHER, the undersigned dedare(s) that this covenant is Intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the Villager , or its successors, In accordance of said Village then in effect. IN WITNESS WHEREOF, the undersigned has/have caused hand (s) and seals) to be affixed hereto on this day of WITNESS(ES) (4/'4"1 \ Signature and Print Signature and Print Signature and Print Signature and Print STATE OF FLORIDA ): COUNTY OF DATE ): I HEREBY CERTIFY that on this day personally appeared before me 4 r f P z ? ho is personally known to me or has produced (type of identification) as Iden an he/she acknowled that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. } y , l/Qe i J L/( • SWORN TO AND SUBSCRIBED before me on this 1 / day of MY commission expires: U lu } •;'.,.• i_i: ;i:7K DIAZ SS!OtJ a' DD 4e3295 . Jc , :i1 20. 0( • .:44C :Inclonvriters STATE OF r" '� yy MONICA USSETH DIAZ .r. MY COMMISSION 4 DD 483995 Zyi EXPIRES: October 20, 2009 44:6," Bonded 'Nu Notary Public Underwriters glwolvop Rev. 4/2- 08/09/20g6 16:33 3055967960 • o G M LIFE SAVER POOL PAGE 10 Aut3 2006 • ° • °°° • • • • • • • • • • • °° • ° • • • • • °° °° • ° °° • °° °° • • ° ° • ° • • 0 °° °•° °° • • • •• • • • • • • • • °°° °°°° 0 °° • • • • • • • • • • • • • • • • • °° • °°°° ° • • • • • °° Lifesaver Poo! Fence 60 3JHd Lrw PoO LINE POST .. • T • • • •• LINE POST .. • • • • 5 f • • ••• • • • . •••• • ••••• • • • • •• 1OOd ;3A S 3dil W r w-� T 1•.N.. u• •I: i••41wSwNN• .I.ra Mal if $•w • u ..• N• • •r. •••.N••• Iii ••■1•N.N .•• •••.N•A• I•f -.. • ••a•• 4r.w .Lu.H. 1. 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OS B A. st /Ui:S44 Brael Scrawl Al•mal 4411 Core Maki POLY $Levi 90 3Ehd lOOd BRAVE 3dI1 W r, • • • • • • •• ••• • • • •• •0• •• • END POST DETAIL Fence 4•44.4 • .••• • • 4444 �...__ •• • • • • • • • • .. • • • ••• • • • • ••• •••••• ••• • • • ••• • • •••• • • ••••• • ••• • • •• • • .eT 10 Mash Quad StTt 4 0E- BL9ISQ;Oc IMF 4r CC :9 LLL17 /BC1 /804 LifeSaver "Child Burette' Assembly Instravtio as The barrier is constructed in 15' sections utilizing six (6) Quad X iposu (testing on file) with a maximum spacing of 36" distance bervveert posts. The barrier use a T70 Textilene Mesh (testing on file). The mesh is a cached to the post with # 8 Vi inch stainless steel screws and aluminum cove molding. End Posts — 2 per section: The end post utilize fifteen (15) #8 A inch screws, two (2) at apart, two (2) at the bottom 1" apart, and eleven (11) at app o apart but never more than 6" apart. Line Post — 4 per section: The line post utilize eleven (11) #8 V inch screws, two (2) at the top 1" apart, two (2) at the bottom 1" apart, and 7 at approximately 5 WI apart but never more than 6"" apart. The sections of barrier are stood by placing tlx: poles into 1" n nductive sleeves. The sleeve is 4" In depth. The pole is 54" high, 3'/:" bel the deck and the remaining portion above the deck. The bottom of the mesh is flush with the deck. LifeSaver utilizes a stainless nickel hardware to "permanently" ure the battier at one end. This requires use of either a. Philips had ver or a 3/8" wrench. In the maul opening, sprung activated snap hooks are used on both sides. This hardware is at 48" ± in height from grade never lower than 45 ". • • .. 000 .. • • 90 atoll 1OOd 63ANO 3dI1 W J • • • • .... .... .. • • • . . . • • . • ... .... .... ..... • • • • .. • • • ... • • • ... • • •••• • • .. • • .. .... .. • top 1" tely 4" 096L95SSOE C .:9T SOK /60/90 1 paRatkei co** • •• ., . ... • •.... • .. •••• • • • &st It 1 • ■ ■ • • • • • •• •• • • • • • • •••• • • 1 • • •• • . • •• • •• i • •• •••• . . • ' • ti . f'eNC e ?ost CO 3JHd Life Saver Pool Fence Systems, Inc. Removable Pool Safety Mesh Barrier Fencing Technleal Specifications Life Saver Pool Fe Systems, Ise. has manufactured removable pool safity fencing for over 13 years and has continuously evolved their methods and materials, roman - time leading industry wide changes. A Manufacturer's Limited Lifetime Warran guarantees every system for as long u they own it. Life Saver Pool Fence meets and exeeds ail code requirements throughout Florida. Below you will find technical spociti ations on the components used in assembling the Life Saver Pool Fence. TextIlene Mesh Textilene mesh has been used as the highest quality material to the pool fentie industry for over 15 years. Laboratory testing shows its strengths to surpass all code Specifications and applicable ASTM standards. Item Number: T70 DFS Product Description: Fabric using .025" dia. vinyl - coated 1000 den. polyester core yarns it the warp and fill. yr ti f� 1 44 Construction, end /Inch Weight, oz/yd Tensile Strength (grab), lbf Tensile Strength (strip), lbf Tear Strength, (Trapezodiai), lbf Ball Burst,1bf Bursting Strength, psi Elongation, % Abrasion Resistance (08101500 cycles/ with no added weight) Flammability Rating Weatherability, 1200 hours Mildew Resistance D3775 -96 D3778-96 05034 -95 D5035 -95 D1117 -97 03787 -89 03788 -89 05035 -95 03884 -92 G53-96 G21 -96 .. 0 • • • • • .. • '' The above results are a representative pf resairtteinvnpilgit test sernpies. Presently no specification is incorporate • • : • • : • • • : : • • • Warp refers to the horizontal threadiig while all re( to the vertical thre shown, all testing confirms Textilek mesh tneeis anZt, on £lll sttedgth tests, exceeds the set code requirements. • ' .' : • : • • . • ... • • • • • • • • • .. • ... • • . . •. ... • • • . • • • • • . • .. .. .• • 13.0 ±.5 111.0 ±.5 221.4 213.3 194.9 153.8 85.4 54.0 335 433 24.3 21.6 Noiexposure of core yam C4191 -53 & CA 117E Not discoloration Not growth g. As ply 1007d d3P,7,'3 3413 W 9 O95L95SSOC CC :91 SOOZr`60/ O 9.9 G.M.-LIFESAVER POOL FENCE 1 (800) 172 -2931 litainforeed 1" Alanthse® Fine Life Saver Pool Fence uses Reinforced 6063T6 1" Aluminum Poles sped no more then 36" apart. Mesh is secured to the pole via an aluminum cove molding using roundhead screws spaced no greater than 6 ". The tear rating of T6 scores the highest tensile strength (30 ksi) within dhe 6063 alloy classification. 1 On July 14 2003, Life Saver Pool Fence Systems, Inc. contracted Nutting+Engineers of Florida, Inc., an ASTM standards testing tab established in 1967, to test the pole strength as per the Florida Building Cook section 424.2.17.1.15. At the time of testing, a lateral force was applied to a single pole at a metun emeat of 36" from the aurfsce of the deck. In the test, the resistance to lateral pressure found to exceed 70 Ibs. of pressure before failure on any single pole in a flee standi installation, thus exceeding the 52 1b . of horizontal force prescribed by the Florida Bui ing Code section 424.2.17.1.15 Paragraph 1. •. • •• • • • • • •. • • • • • • • • • •• ••• •• • • • •• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • •• •• • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • r•• • • • • • • • • • • • • • • •• •• • • • �0 30Vd 100d el3P,N0 3dI1 W _l OSEL96SSOi F E::9I. 9.00.7760./60 LIFE SAVER POOL FENCE SYSTEM SPECIFIC General Description: Pool fence designed specifically to provide a barrier around residential swinving pools for toddlers and young children. Life Saver Pool Fence Systems ® does not havq any gap, openings, indentations, protrusions, or structural components that could alloy a young child to crawl under, squeeze through, or climb over the barrier. Our exclusive Perms Locking System will not allow the barrier to be removed without the aid of tools. Life Saver Pool fence is roanufactured and installed in compliance with the Florida Building Code 424.2A 7.11 through 424.2.17.1.1 -14, and the Florida Statute 15 15.29. System: Tension based system utilizing a series of 15 foot sections of fence with rose for mounting in non- conducting polypropylene sleeves core drilled 4 inches d into a concrete deck or other substantial surface, the fence is placed no less then 2 " from the waters edge, connected in series at the top with our exclusive 2 1/2 inch P Locking System. Construction: Mesh: Polyester mesh fabric with 96 % visibility and mildew resistant polyvinyl coating to provide for years of use in direct sunlight. Continuous basket weave with a tensile strength rating 01270 lbs. Pe} inch making it impossible to rip under normal use. Color selection is black, white or green. Available in 48 or 60 inch heights. Bordered on all four sides by a reinforced vinyl material with a rating f 3871bs. to prevent sagging and provide the necessary tension to insure the fence integrity for its intended purpose both at the top and bottom. The mesh is pre- mounted on marine grade reinforced aluminum poles,and secured by aluminum cove molding strips. Poles: Poles are constructed of marine grade aluminum, black, white or green powder coated or silver finish Pole spacing is optional at either 30 or 36 inchhs. Stainless steel screws (14) are utilized for securely attaching the aluminum cove molding to the poles and mesh), • • • • • • • • • • • • • • • • • ••• ••• • • The poles are capped to provide b Beat fihishs'2l appeair�4 ••••• • • • • .• ••• • • • • ••• • • • 0 • • • • • • • • • ••• • • • • • . • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • • o. • • • • •.• • Surface of the poles are finished ?bb blicalib 2ovbnt injuries Morn physical contact. TO 3nyd 100d 63,="sk'S 3.3I1 W r! OSBL91 c. t3 .0 :9T. s00'!h0 /60 ,o 5 &,i i_; 5-- 06 Ins ec t \ Co dents J Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP-25469 Inspection Date: 08/24/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Project: <NONE> Thursday, August 24, 2006 Miami Shores Village, FL Contractor: NOVO & SONS, 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 ALS 28 Block: Phone Number u a_L)c P ermit Number: PL -8-06 -2123 Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Page 2 of 2 1) No access to pool area thru east side of house. (Open trench) 2) Pool full of water at deep end, unable to see steel. 3) Steel around skimmer not continuos. 8/25/06 CG. Passed Inspector Comments 2/C Failed 617‹ Correction Needed tV Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until InspectioliNu fiber A INSP Inspection Date: 08/28/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Contractor: Friday, August 25, 2006 Miami Shores Village, FL MK ROLLAND, INC Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 UEB 2 5 REC'O P ermit Number BPP -06 -1 966 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786- 306 -9510 Page 1 of 2 SWIMMING POOL AND PATIO JAN 0 5 2001 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 22987. No permit available for inspection. 12/26/06 CG. 2nd time inspection is called in and no approved permit is available for final inspection. 1/4/07 CG. . Failed Correction Needed Re- Inspection Fee 10 7 ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number ; 1 Inspection Date: 01/04/2007 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MK ROLLAND, INC Building Department Comments Thursday, January 4, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Building Work Classification: New Block: ermit Nu umber: BPP 7 0 -1966 Phone Number Parcel Number 1132060144040 Lot: Phone: 786 - 306 -9510 Page 1 of 1 No permit available for inspection. 12/26/06 CG. MC 2 1 2tM Passed Inspector Comments 1 Failed 0 Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Permit Number: BPP -7 -06 -1966 Inspection Date: 12/26/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MK ROLLAND, 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 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Building Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786- 306 -9510 Tuesday, December 26, 2006 Page 1 of 2 Z ' D 1 lm lA vcii, t Gz V /1, q Passed Inspector Comments 0 ,,------- M Fj )1erL) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until i s aection Num ........ ......................:......:. Inspection Date: 12/08/2006 Inspector: Inspector, Default Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: care tLItbc u Phone Number $:.06. 2123:; Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (305)444 - 7177 Page 2 of 2 Inspection Date: 10/05/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MK ROLLAND, INC Building Department Comments Wednesday, October 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Oa 0 6 2006 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Pool Deck Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786 - 306 - 9510 Page 2 of 2 Passed if 0 ,I Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 10/05/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MK ROLLAND, INC Building Department Comments Wednesday, October 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Oa 0 6 2006 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Pool Deck Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Phone: 786 - 306 - 9510 Page 2 of 2 Inspection Number: INSP-36480 Permit Number: BPP -7 -06 -1966 Inspection Date: 01/04/2007 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Miami Shores Village, FL Project: <NONE> Contractor: MK ROLLAND, 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 SWIMMING POOL AND PATIO Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comm CREATED AS R REINSPECTION 12/26/06 CG. 2nd time inspect final inspection. ents Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Building Work Classification: New Phone Number Parcel Number 11320601440!' Block: Lot: Phone:. ►510 092 EINSPECTION FOR INSP- 35932. CREATED AS FOR INSP- 22987. No permit available for inspection. ion is called in and no approved permit is available for 1/4/07 CG. Monday, January 8, 2007 Page 1 of 1 PERMIT #' 1 06 ° I c CONTRACTOR: n( / Nf, SUBMITTAL DATE: 1(Zi RESUBMITAL DATES: PROJECT TYPE: m okl1 1 0\ t IVO ZONING Orgy' 2)/3e STRUCTURAL L ECTRICAL FIRE IMPACT FEES HRS /DERM 786 -J PLU MECHANICAL I f, NOC b4O �, 0 jo BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Electrical Plumbing Mechanical Roofing /� Owner's Name (Fee Simple 1 itte older) `'V) /J //iM PO 1 1 4 4 Phone # 3d 5 7-r‘ 3) (J / Owner's Address /�9 N e 9s City M Ad e ,S7-0 fl-P-C State f Zip 33/3 Phone # 9O1 7_ b K.Zd J Tenant/Lessee Name Job Address (where the work is being done) /QC 9� ' " E ` S S� City Miami Shores Village County Miami -Dade Zip 33 )3 6C' FOLIO / PARCEL # /) -• 3a' -06 -' o (T - O T o Is Building Historically Designated YES NO / Contractor's Compan�y�Na�m�e mt i0A.4,44 /17e idress� � � !-SG'47 / kc_ //J city State — Zip g, Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Type of Work: ['Addition ❑Alteration ( ** *cam * * * * ** Submittal e$ 00.0 Notary $ Scanning $ 15.00 Bond $ 000 Structural i t' k * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** Permit Fee $ Training/Education Fee $ ew Permit No. Master Permit No. Phone # 7 t -2 Flo " ":57z0 Phone # 79 -���o - iS L Certificate of Competency No. Phone # Square / Linear Footage Of Work: Ai) + 40() CI Repair/Replace a i 'd 7 1 0 N I d Co -- 05: sc&p. (i�lo� -SQ Q. LW RL L ❑ Demolition CCF $ (0 .20 CO /CC jsC) .0 Technology Fee $ 12,7C Radon $ DPBR $ 2.2S Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip ° M8rtript Lender'e (ifapplicable) M,1gage Lenderis 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 co • encement must be posted at the job site for the first inspection which occurs seven (7 days after the building permit is issued. In th - rbsence o uch posted notice, e inspection will not be approved and a r ' .. pection fee will be charged Signature ilril Signature Owner or Agent The foregoing instrument was acknowledged before me this r? C day of ��i ,20GE: who is personally known to me or who has produced As identification and who did take an oath. � , ' Rosa Vasco -Brno • My Commission DD339668 °, „� Expurs July 21 2008 d 4 Sign: �� r�12t / '7 � � 2 NOTARY PUBLIC: My Commission Expires: 7 ; - APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was acknowledged before me this 2/ day of d G• , 20 4, , by_ c who is personally known to me or who has produced ,0/01)-- as identification and ihp ` di k an oath . r • rierima iaboada Sign:, Print: ?•' t ° _Commission #DD431226 ia�i ''. Expires: JULY 24, 2009 1 4 0 " AARONNOTARY.com Hcrlr4 a (44,6o.'d.4 NOTARY PUBLIC: My Commission Expires: 7 s� 1 2 001 161,44.7 Plans Examiner Engineer Zoning Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 Miami Shores Village Building epartment BUILDING CRITIQUE SHEET it4e /e2t2-e4' .ceikeij/ tOWM 4 41/C;(41, . # 2 2J e ei-a2te, _c Ae-tc-e • Permit No. 0 Job Namc Date 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE 1 7-1Z1106 RECEIVED FROM 5/ one GIGaV(iJ h`i/ FOR RENT Z1J/ ---p( /,-r` FOR No. L!d2 3 ruc7 Y4 ACCOUNT PAYMENT BAL. DUE O CASH O CHECK MONEY ORDER 1182 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.S —1164 TAX FOLIO NO.( ) -31)`°6 —O/ 4-171° STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements 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. egal description of property and street/address: IA/n S haktS SEC 3 'P� / d -37 (, 7S 1 1 L M dI I a I a■q NE nI; A.v ; d 1�S / f L 3 ? )3T 2. Description of improvement: /PC W pd O - 3. Owner(s) name and address: W ; Ji Po hoi j I�q NE ct S+ r1( Interest in property: W /v Name and address of fee simple titleholder: 4. Contractor's name and address: (\ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: (f -1 A 3' J A P%Jk 430863 '9 CJyJf BQ I �� f1.441/4. , fL 33)$6 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, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date i pecified) 1 Signat e Owner VV Print Owner's Name ;11;A,- PdJ Sworn to and subscribed before me this / �o day of Notary Public Print Notary's Name My commission expires: , 123.01 -52 PAGE 4 8/02 m.k. II2Q °I 5(a 91SGAy (3 LS. ,�l , f� 33' 1AR'cY V i l le CLE 20N,. i FATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY that th,s is a !-,.'n non, of the "!ginal hied this olhce on _I day 01 • , AD 20_O O111C ;a! t y_ vITNESS tn y hand t rt oaa Vasrn-Bno_ my Commission D0339888 Expires July 21 2000 ' Cowls D.C. f,M■ (S h014 33 J 3 111111111111111111111111111111111111111111111 CF NI 2006RO889 3rJ O OR Bk 24826 Ps 3164; (fps) RECORDED 03/16/2006 10:444 :34 HARVEY RUV'IIIT CLERK. OF COURT MIIAIIII -DARE COUNTYr FLORIDA LAST PAGE Prepared by CO/1);)41/"\ PdJ di/�y Address: ! ,0\ C, APE- °I ,mint^+ S Ae 33 [Or MIAMI -DADE COUNTY CLERK OF COURT RECORDS DEPARTMENT - NORTH DADE 15555 BISCAYNE BOULEVARD N. MIAMI, FL 33160 DATE:08 /16/2006 TIME:10:44:34 AM RECEIPT: 1277037 WILLIAM POHOVEY REF: 305 - 756 -3201 ITEM -01 NCO 10:44:34 AM FILE: 20060889390 BK/PG:24826/3164 RECORDING FEE 10.00 COPIES 1.00 CERTIFICATION 1 tin LA IUTAL PAID: REC BY:CARMEN DEPUTY CLERK $12.89 Permit Number: BPP -7 -06 -1966 Invoice Number: BPP -8 -06 -25808 Applicant: STEVEN DUBBERLY Company Name: Date Wednesday, August 16, 2006 08/16/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 2651 Owner Address: 1292 NE 95 ST MIAMI SHORES, FL 33138 Job Address: 1292 95 Street NE Miami Shores Village, FL Amount $903.60 Change $0.00 Total Payment: $903.60 Page 1 of 1 �illilF� � .................... .................... .................... .................... I I?sRec .................... .................... .................... ........................ ........................... .......................... Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, 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: 4 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Monday, December 18, 2006 Page 1 of 2 j /,e e/9 x -1)- Passed / Insp: c l y Comments / i ` Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until �illilF� � .................... .................... .................... .................... I I?sRec .................... .................... .................... ........................ ........................... .......................... Inspection Date: 12/19/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, 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: 4 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Monday, December 18, 2006 Page 1 of 2 v '` / v bAip' I Passed 7 Inspector omntents S J Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 0 RT: ii \ NO ' wog i Inspection Date: 12/21/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: ter• Permit Type: Plumbing - Residential Inspection Type: Piping Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Wednesday, December 20, 2006 Page 1 of 2 T . _ ^6' C Passed Ins ect o r ents Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 09/19/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Building Department Comments Monday, September 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 2 . 2006 Block: Phone Number Permit Type: Plumbing - Residential Inspection Type: Pool Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (305)444 - 7177 Page 2 of 2 POOL PIPING `- Passed Inspector Comments k a Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until t � Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/25/2006 Inspector: Levrack, James Owner: DUBBERLY, STEVEN Job Address: 1292 95 Project: <NONE> Miami Shores Village, FL Contractor: NOVO & SONS, INC Building Department Comments Friday, September 15, 2006 SEP 2 0 20 Block: Permit Type: Plumbing - Residential Inspection Type: Pool Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (305)444 -7177 Page 2 of 2 Inspection Date: 10/05/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Wednesday, October 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 mi 0 6 2666 Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page Passed Inspector Comments 40 ��C /' Q. Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 10/05/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Wednesday, October 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 mi 0 6 2666 Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page Inspection Date: 12/08/2006 Inspector: Devaney, Michael Project: <NONE> Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: ern* N Phone Number umt er EL -: - 06x2006 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 1 of 2 Passed Inspector Comments , 'N fr/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 12/08/2006 Inspector: Devaney, Michael Project: <NONE> Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: ern* N Phone Number umt er EL -: - 06x2006 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 1 of 2 Inspection Date: 12/19/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Monday, December 18, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 Infraction Passed Comments No Approved Permit AvailalTrue Passed Inspector Comments x �) � / , N --- C � 't ° �i P g � f •PC r� � ce G// D H t°n°4- t i" � Failed RI/ Correction Ell Needed , 0 ,././ ) ,c Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 12/19/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Monday, December 18, 2006 Miami Shores Village, FL 33138- 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: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 Inspection Number: INSP -23325 Permit Number: EL -7 -06 -2006 Inspection Date: 12/21/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: El? Phone Number Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 Passed Inspector Comments , � � , yG Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -23325 Permit Number: EL -7 -06 -2006 Inspection Date: 12/21/2006 Inspector: Devaney, Michael Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: El? Phone Number Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 Unl Inspection Date: 12/18/2006 Inspector: Perez, JanPierre Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Monday, December 18, 2006 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: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 Passed Inspector Comments ki\DAA. aii-Om VAAK-- 1 i s „ .. „,,A Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Unl Inspection Date: 12/18/2006 Inspector: Perez, JanPierre Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Monday, December 18, 2006 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: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Parcel Number 1132060144040 Lot: Phone: (786)256 - 7068 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Qualifier Name State Certificate or Registration No.C' /346&f ( 3 Type of Work Describe Wor Submittal Fee $ Notary $ Scanning $ /ehe Al At ?7 O Nl j 7? Training/Education Fee $ Radon $ Miami Shores Village Building Department RECEIVED BY AUG 1 1 2006 DPBR $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) / 2_ 5' 2. j,/: . 'S 7 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Nam (f', j � a, Ant',, # 7 t ' * , —70 (- Contractor's Address J 2 ZG © 5 City , /PO State Certificate of Competency No. Architect/Engineer's Name (if applicabl _ Phone # Permit No. gc_0(., Master Permit N i . Plumbing oofing Zip 33/ 7� Phone # 7F — fie ` 2b Value of Work For this ' ermit $ J J!, / Square / Linear FoCtagi Of Work: Bond $ Code Enforcement $ Double Fee $ Structural Review. $ eration ❑New ❑ Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ Technology Fee $ Zoning $ Total Fee Now Due $ CO /CC 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature /C ontractor The foregoing instrument was acknowledged before me this // day of A-d `1 , 2006, by AtPt1-( /¢.r it)G: QJ L /U who personally know me or who has produced as identification and who did take an oath. NOTARY PUBLIC: S igtt ��r Print: My Commission Ej @-19 6114t/ ;' Bonded Oxu (COr ;432d2M Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 itlri urn Ins Inspection Date: 12/20/2006 Inspector: Perez, JanPierre Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Block: Phone Number 'cruk/\, tq 3J7J'D3 Wednesday, December 20, 2006 40 :-2129' Permit Type: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Parcel Number 1132060144040 Lot: Phone: (786)256 -7068 Page 1 of 2 DEC 2 8 2005 Passed Inspector Comments 4( S. \,b1,')/1)1,(2 k,t), 1 13 5 09 � \ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 itlri urn Ins Inspection Date: 12/20/2006 Inspector: Perez, JanPierre Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AMERICAN GENERAL COMM. INC. Building Department Comments Block: Phone Number 'cruk/\, tq 3J7J'D3 Wednesday, December 20, 2006 40 :-2129' Permit Type: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Parcel Number 1132060144040 Lot: Phone: (786)256 -7068 Page 1 of 2 v weke REPAIR AND REPLACE DRYWALL FEB 0 9 2007/ Passed G Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 02/09/2007 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, February 9, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: 1, Permit umber RC -6-06 -1773 f Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060144040 Lot: Page 1 of 1 Inspection Number: INSP -30603 Inspection Date: 10/25/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments framing ok in kitchen walls, and drywall on bathroom on west end of house. CG 10/25/06 assed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, October 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments Permit Type: Residential Construction Inspection Type: Framing Work Classification: Repair Phone Number Parcel Number 1132060144040 Block: Lot: lnspection IN$ ? emit Number: RC -6 -06 -1773 Inspection Date: 11/21/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, November 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Residential Construction 2006 Inspection Type: Drywall Screw Work Classification: Repair Block: Phone Number Parcel Number 1132060144040 Lot: Page 1 of 2 t C Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until lnspection IN$ ? emit Number: RC -6 -06 -1773 Inspection Date: 11/21/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, November 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Residential Construction 2006 Inspection Type: Drywall Screw Work Classification: Repair Block: Phone Number Parcel Number 1132060144040 Lot: Page 1 of 2 Inspection Number:4 INSP -32289 � ermtt Nuthber ' =6-06 - 1773 Inspection Date: 11/15/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 6 WO Permit Type: Residential Construction Inspection Type: Framing Work Classification: Repair Phone Number Parcel Number 1132060144040 Lot: Page 1 of 2 Passed / I Inspector Comments _ Q...6cie,e_co I 4 Oh / ,, (. �J o .f ( 4t... w G aice &A-4° • -:.— L/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number:4 INSP -32289 � ermtt Nuthber ' =6-06 - 1773 Inspection Date: 11/15/2006 Inspector: Grande, Claudio Owner: DUBBERLY, STEVEN Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 6 WO Permit Type: Residential Construction Inspection Type: Framing Work Classification: Repair Phone Number Parcel Number 1132060144040 Lot: Page 1 of 2 Bill To STEVEN DUBBERLY 1292 NE 95 ST MIAMI SHORES, FL 33138 -2550 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Permit Type: Residential Construction / Work Classification: Repair Date Fee Name 11/14/2006 Revision Fee 11/14/2006 Scanning Fee Tuesday, November 14, 2006 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 -11 -06 -26726 Invoice Date: November 14, 2006 Permit Number: RC -6 -06 -1773 Fee Type Calculated Calculated Total Fees Due: $240.00 (k)-D\ PAM14 B Fee Amount $225.00 $15.00 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle Owner's Name (Fee Simple Titleholder) l /66 Owner's Address /29z A/ sex Cit State Tenant/Lessee Name Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te : (305) 795.2204 Fax: (305) 756.8972 r— ,� c-�ca ian Permit No. /? C l0"Q —/7 Master Permit No. 5 MN 0 7 7006 BY: *MCA Electrical Plumbing Mechanicall Roofing Phone # Phone # .9b 8s4- 317 Sd I Zip 33/3 Job Address (where the work is being done) / 2_9z /Ya 9 5 41 City Miami Shores Village County Miami -Dade Zip • j 3/3 f FOLIO / PARCEL # // 3 2 ®(, o / ‘40 4 ( O Is Building Historically Designated YES NO Contractor's Company Name /V))4p8 Phone # 9 s 5 30 ? 0 5 0 .L Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition Iteration ❑New Repair/Replace Describe Work: A/P.e-4../ 54/1 �- Lk Y 1 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Demolition cob Submittal Fee $ Permit Fee $ ,IN f = Z - • CCF $ CO /CC Notary $ _ Training/Education Fee $ Technology Fee $ Scanning $ 1� Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 2. 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 ."„o di e' , 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 a rsved and a reinspection fee will be charged. Signa NOTARY PUBLIC: ^i%'••. ROBERT L. GORDON ��� MY COMMISSION # DD 565340 s EXPIRES: October 17, 2010 s Ff Bonded Thru Notary Public Underwriters Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature wner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of //— / , 20N, by 3W ?C.) ieUe who is personally known to me or who has produced 1 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. NOTARY PUBLIC: day of , 20 , by Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** // 17*, Plans Examiner Engineer Zoning NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT ti & - DATE: // o — oC ADDRESS: /z 2z. /V4; 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; 1 further understand that 1 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. 1 hold title to the above property and 1 am planning on doing this construction 2. 1 understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial(,v�' 3. .1 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 CO/ 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 (— / Initial � / 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'any contract disputes.. 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. 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. 8: I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on rriy•property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this g l/ Produced there License or r day of 7 , 20 0,c who was personally known to me or who has Initial Initial Initial as identification. ROBERT L GORDON f MY COMMISSION # DD 565340 EXPIRES: October 17, 2010 Bonded Thru Notary Public Underwriters -7 10S10 (0 .'`ni 5 cf Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2004 City/V //0/1 -./ (. 1∎0/.4.1 State Tenant/Lessee Name Contractor's Company Name Contractor's Address Is Building Historically Designated YES City State Qualifier Name Architect/Engineer's Name (if applicable) Type of Work: Describe Work: ['Addition Submittal Fee $ Notary $ Scanning $.3. l./`D 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple i e' e .'r Rd/ Pa L J a 1,0 Phone # 3 1 j ) 6 3 l Owner's Address / d'-- /l � Q (� 33/3 Job Address (where the work is being done) S City Miami Shores Village / County Miami -Dade Zip f FOLIO / PARCEL # I — 3 a_ —66 — , ¢ L- - 9ro NO� . State Certificate or Registration No. Certificate of Competency No. Value of Work For this Permit K/ , 61) Square / Linear Footage Of Work: -7 J 7 Z ❑Alteration • ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ [New Zip Permit No. { \ � (X - 1'R-1 3 Master Permit No. Phone # Phone # Zip Phone # Phone # J 4 Repair/Replace ❑ Demolition CCF $ 4.z-0- CO /CC Technology Fee $ ' Training/Education Fee $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See ,' s 4de� r3 f � V s �l 134• P 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 joh site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 6( The foregoing instrument was acknowledged before me this day of c .-) , 20(3(,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. NOTARY PUBLIC: As identification and who did take an oath. (Revised 02/08/06) My Commission Expires: APPLICATION APPROVED BY: Signature Sign: ****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *,,* My Commission Expires: `C A Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER 13 UILDER DISCLOSURE STATEMENT ( P'h�jj(-= 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 1 as the owner must appear in person to complete all applications. State Law requires construction to he 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 I icense. 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. P lease read and initial each paragraph. l . t hold title to the above property and I. am planning on doing this construction NAME: ADDRESS: 4. I understand that the building official and inspectors alter or give advice on how to meet code - only if minimum code. DATE: 6 01. Initial Initial I understand that as an owner - builder 1 must abide by all zoning ordinances and building regulations in effect at the time of permit application 3. .I have an understanding of the 2004 FBC Sc. 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 (�'(f are not there to design, the structure meets the 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'any contract disputes. Initial(t 6. 1 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 companyor person. 7. I°understand that if any person gets inured 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 8: I. understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on rriy • property with out first .obtaining the proper permits by licensed contractors. Was acknowledged before 'me this 2. day of nc , 20 b C By 3,1 Produced there License or 1L - Initial who was personally known to me or who has tip 'i ROBERT L. GORDON MY COMMISSION # DD 565340 Fiial EXPIRES: October 17, 2010 ' ;1 i Bonded Thru Notary ublic Underwriters as identification. Issue Date: 7/3/2006 Owner's Name: STEVEN DUBBERLY Permit Type: Residential Construction Work Classification: Repair Job Address: 1292 95 Street NE Additional Information Miami Shores Village, FL 33138 Comments: REPAIR AND REPLACE DRYWALL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/01/2999 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Construction. REPAIRS Stories: NA Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: Occupancy: Single Family Exterior: NA Rear Setback: NA Right Setback: NA Bathrooms: NA Certificate Status: NA Additional Info: DRYWALL 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RC -6 -06 -1773 Phone: 1132060144040 Lot: PB: Total Square Feet: 720 Total Valuation: $ 6,900.00 Re . uired Ins . ections Final Fees Due Amount CCF $4.20 Education Surcharge $1.40 Permit Fee - Additions /Alterations $207.00 Scanning Fee $3.00 Technology Fee $5.20 Total: $220.80 Invoice Number RC - 7 - 06 - 25449 Total: Amt Due $220.80 JUL 05 kb Ions 6 Ub C ikSEt Imo. Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . Date Wednesday, July 5, 2006 07/05/2006 Money Order Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RC - - 06 - 1773 Invoice Number: RC - - 06 - 25449 Applicant: STEVEN DUBBERLY Company Name: Owner Address: 1292 NE 95 ST MIAMI SHORES, FL 33138 Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Payment Type Check Number Amount $220.80 Change $0. 00 Total Payment: $220.80 Page 1 of 1 jTci-lEJ 12:-4"st.11 72:2 RECEIvE151 JUN 2 9 mn BY: OY/( ' ; • • • • • • • • • • • • • • • • •••••• • • • • • • p. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 0 • • • • • • • • • • • • • • • •• ?/Tit beD" .• 16'-ct • • • 0 • • • • • • • • 0 • • • • • • 0 • • • • • • • • • • • • • 0 • • • • • • • • • • • • • • • L