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BP-05-1082Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 1300 NE 94 Street Miami Shores Village, FL 33138- 1132050100120 Block: Lot DAVID & JUDE HELLER Owner Information DAVID & JUDE HELLER 1300 NE 94 ST MIAMI SHORES VILLAGE FL 33138 3305 - 757 -8142 305 - 725 -0262 Valuation: Total Sq Feet: $ 75,500.00 Contractor(s) BEJAR CONSTRUCTION, INC Phone Cell Phone (954)431 - 5981 (786)299 -1072 Approved: Comments: Date Approved: : Date Denied: Type of Construction: REMODELING Stories: 1 Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: 1/13/2006 Bond Retum : Occupancy: Single Family Exterior. Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due Bond Type - Owners Bond 4 cyp CCF CO /CC Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Technology Fee Total: Amount $300.00 $45.60 $50.00 $15.20 $5.00 $2,265.00 $27.00 ($250.00) $62.66 $2,520.66 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Friday, May 16, 2008 Expiration: 11/12/2008 Parcel Number Phone Total $ 0.00 $ 0.00 Payment Type: Amt Paid I Amt Due $ 0.00 rl 100r wpf 1 6 pmp Applicant Available Inspections : Inspection Type: Gelling Grid Drywall Screw Window Door Attachment Shutter Attachment Tie Beam FiII Cells Columns Shutter Final Final PE Certification Slab Window and Door Buck Framing Termite Letter Insulation May 16, 2008 Date Cell 1 Passed 40 :1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until 1 Inspection Number: I NSP- 122730 Scheduled Inspection Date: August 25, 200f, Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments August 24, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (308)795 -2204 Fax: (305)756 -8972 TOTAL REMODELING. NEW KITCHEN, UPDATE FIXTURES ALL BATHROOMS, NEW FLOORS, PAINT, REPLACE OLD CARPORT • .isoector Comments For Irgpections please call: (305)762 -4949 Permit Number: BP2005 -1082 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Phone: (954)431 -5981 Page 33 of 35 nspection Number: INSP -70997 Inspection Date: August 21, 2009 Inspector: Devaney, Michael Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: FIVE D CORP Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 21, 2009 Inspection Worksheet Miami Snores Village 10050 N.E. 2nd .t'.venue Miami Shores, FL Phone: (305)795 -22a4 Fax: (305)756 -8972 Building Department Comments ranfe 1 ref 1d.w light 10 aulet for kitchen remodelirig Permit Number: EL -3 -07 -549 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Az 14c 30S 7 For Irvec `ory call: ,:mr05)762 -4949 Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 S�- Phone: 305 - 248 -2881 onspector Comments CREATED AS PEINSPECTION FOR INSP 43789. NO ONE HOME MD 12,28/07 4 OUTLETS ,aL. ;iEADY INSTALLED, AS PER CONTRACTOR.06 /25/08 /7 E G7 Page 1 of 1 'Return to: Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 'Bill To DAVID & JUDE HELLER 1300 NE 94 ST Miami Shores, FL 33138 Date 08/25/2009 08/25/2009 08/25/2009 Tuesday, August 25, 2009 Fee Name Revision Fee Scanning Fee Change of Contractor Fee Invoice Miami Shores Village 10050 N.E. 2nd Avenue NE Miami. Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Invoice Number: Invoice Date: Permit Number: Bond Number: RC -8 -09 -35724 August 25, 2009 BP2005 -1082 1072 'Comments: Res k TY den t al Construction ca ton Fee Type Calculated Calculated Fixed Total Fees Due: Fee Amount $35.00 $15.00 $75.00 $125.00 Payments Date Pay Type 08/25/2009 Credit Card Check Number Amount Paid Change $125.00 $0.00 Total Paid: $125.00 Total Due: $0.00 Contractor's Company Name Contractor's Address Signa Owner or Agent The forego! Instrument was acknowledged before me this this day o who is p ■ k . 4p, NOTAR P iC Sign: I} Print: My Commission Expires: Rev, 09/19/03) Miami Shores Village Building Department Jr" Change of Gentraetor Permit No. Owner's Name (Fee Simple Titleholder) / r 731 / 64 J tinp Phone # a 0 Owner's Address 1 . © 144 S „„ Job Address (of where the work is being done) City IA tArnt County Zip Legal Description t -FAint - i=401 4SerwA tc r ione l s... 1 e71— le' '3 zJ la I/ (Y17# N, ono State -1V1 7 Zip 1 eye * Describe Work: Ve I hereby certify that the work has been abandoned and/or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. ally known to me or who has produced 1)8 identificati Signature vho is personally known to e -4 f, JOT Y PUB C: ., . 'df>, as iden t4144" ijsj2"6 and w o did take f 6 ' '■7) r ,N \ ,,,,,,,- --.4. „S, p 4• 00. Sign: dol■\- 'h- ceV'e 4:0 10E9, ,411 Aka The foregliPom nent7as acknowledged before me •Getaraetor . day of 51"5t , 20 , by 3-°(4ArtAD4 CPL6- r who has produced ication and who did take an oath. \itENritat.,A 4 4‘ ,. ***********************************************************************************************************k My Commission expires: Co_ ZO'. -5 PATRICK J. VENTOLA Notary Public - Notary Seal STATE OF MISSOURI JACKSON County My Commission Expires: JUNE 15, 2013 Commission # 09R94714 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofmg Owner's Name (Fee Simple Titleholder) MIT. 'T. p ,Ay ' 7 -, Owner's Address /30o N- !F 9 c./ S City Pl , 4i►+ ' S 0- 4241ET State •---1-0.1 t� Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) am, AI, .4 9 y - City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Notary $ Scanning $ Bond $ . s v Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor's Company Name " !O ,/ v Contractor's Address 6 3 7-- 6 Sc. City PE 'IZrru l/C P• c1° Qualifier Name ZP"/` act' State Certificate or Registration No. o � - 3 State Architect/Engineer's N,,a..licable) Phone # Value of Work F Type of Via dition Alteration fr vi c. r 71,../ A Submittal Fee $ Permit Fee $ Fee $ Structural Review. $ Permit No. Master Permit No. &LOA(' " e 'c L - eks- 'l9SW � _ d i C 1r, 2n8 r BY: / *Ct r ' l Phone # 3 cif; - 7 Z v = O .Z 6 Z. Zip Phone # ?ITV- Ir1 4e / Zip x333 t. Phone # Certificate of Competency No. Square / Linear Footage Of Work: ['New ❑ Repair/Replace ❑ Demolition 7 O,7 , , 4 L- p'E" • r 1 ' or **** **** * * ** * **ik * *** * * * * * * * * *°x **** * ** Fees° x*************** ** **°xa°*********** * * * ** *** ** CCF $ CO /CC Technology Fee $ Radon $ ,,ct��DPBR $ Zoning $ . OO Double Fee $ Total Fee Now Due ; 1g5-111. 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 ' abs ' - of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The for day of wh oing i strument was , 20(X, by is personally known to me or who has produced .�I N TARS PUBLIC: Sign: Print: Owner or Agent owledg Sign: <6t. GGo�Q� Print: My Commission Expires: o "',;'''•., �9. My Commission Expires: * ***** ,x* **** * *.k** •x* � a� ********* **** * * ** ::**** *********** ******* APPLICATION APPROVED BY: (Revised 07/10/07) As identification and who did take an oath. s 66' mature The for oing ins me t was acknow a day of 20 by _ s ar who i personally known to me or who has pr. -I uced N as identification and who did take an oath. Contracto ged before � e this l� Plans Examiner Engineer Zoning Jonathan O'Neil Cole, Architect 1617 Main, 3 Floor Kansas City, MO 64108 RE: Certification Letter I Jonathan O'Neil Cole hereby certify that the remodeling work associated with the Heller Residence located at 1300 NE 94th Street Miami Shores, FL complies with the intent of the sealed drawings. Jonathan O'Neil Cole, Architect AR 94773 41 I 71#40 °'m°... i Oa r- r� Postcard:, Certified / b Hew a Fee 9 Return F e° V : ` s Q Resteztal � r�q ulred� �._ i c r i° r F 1, 0 (Enticxsee " v 1 1 i5 TaeaR PCBte9e & Fees U.S__ _ may _ „ter r � � C3 r0—c,CA-Nr- \ 0 s Jonathan O'Neil Cole, Architect 1617 Main, 3 Floor Kansas City, MO 64108 RE: Certification Letter I Jonathan O'Neil Cole hereby certify that the remodeling work associated with the Heller Residence located at 1300 NE 94th Street Miami Shores, FL complies with the intent of the sealed drawings. Jonathan O'Neil Cole, Architect AR 94773 ADDITION OF NEW GARAGE As per agreeement between home owner and NB, permits will be extended 20 days to let the home owner get final inspections and paper work for CO final. Passed e Inspector Comments CREATED AS REINSPECTION FOR INSP 2508. The elevation certificate is moissing page 2 C2(c) is not N/A, this house is in a VE Zone. The surveyer must sign the front the back and his seal. p Failed Correction Needed Re- Inspection Fee 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 I nspection Number: INSP - 114989 Permit Number: BP2005 -1081 I Inspection Date: August 21, 2009 Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments August 21, 2009 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: Addition Phone Number 3305 757 - 8142 Parcel Number 1132050100120 Phone: (954)431 -5981 Page 1 of 1 B1. NF1P Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI -DADE B3. State FLORIDA B4. Map/Panel Number 12025C0093 B5. Suffix J B6. FIRM Index • Date 7/17/95 B7. FIRM Panel Effective/Revised Date • 3/2/94 B8. Flood Zone(s) VE 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 11.00' -- - DEPARTMENT OF-l-19 ! - Federal Emergency Management Agency National Flood Insurance Program Conversion /Comments N/A a) b) c) d) e) fl 9) Top of bottom floor (Including basement, crawl space, or enclosure floor) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Certifier's Name ADIS N.. NUNEZ Title • • REG TERED LAND SURVEYOR FEMA Form 81 -31, February 2008 T -N. R 1 IFICATE Important: Read the instructions on pages 1 -8. For Insurance C ompany .Use: :.Cginpariy NAIC. Nurimber SECTION A PROPERTY INFORMATION Al. Building Owner's Name DAVID. & JUNE HELLER A2. Building StreetAddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1300 NE 94 ST. City State MIAMI SHORES FLORIDA A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 14, PB 40, PAGE 16. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 25 Long. 80 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide: a) Square footage of crawl space or enclosures) b) No: of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 5,77 9sq ft 9 Rho sq in SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION A9. For a building with an attached garage, provide: a) Square footage of attached garage 446 sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade 3 . c) Total net area of flood openings In A9.b 432 sq in BI0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile INFIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. • C2. Elevations -Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Comp lete items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized B -62 Vertical Datum NGVD 7.59' _ 1 9.0' A/C 7.50 5 .80 ES, feet 7 20 j feet License Number 5924 Company Name LANCO SURVEYORS INC. Saa ravarca circa fnr cnntini iatinn Check the.measurement used. feet feet:* feet feet feet 09 -373 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. © Check here if comments are provided on back of form. OMB No. 1660 -0008 Expires February 28, 2009 ZIP Code 33138 Horizontal Datum: ❑ NAD 1927 El NAD 1983 ® Finished Construction meters (Puerto Rico only) ❑ meters (Puerto Rico only) • ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) PLACE SEAL HERE Pnninnnr* nil nry,Annr. nriitinnq For Insurance Company Use: IMPORTANT: In these spaces, copy the corresponding Information from Section A, Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1300 NE 94 ST. City MIAMI SHORES SECTION D = SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments ,For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR -F request, co mplete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawl space, or enclosure) Is • ❑ feet ❑ meters ❑ above or ❑ belowthe HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet 0 meters 0 above or 0 below the LAG. • E2. For Building Diagrams 6-8 with permanent flood openings provided in Sect n Items 8 and /or 9 (see age 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is ▪ _ ❑ feet meters 0 above or U below the HAG. E3. Attached garage (top of slab) Is ❑ feet,❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the buildin g Is • ❑ feet 0 meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone.A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments Local Official's Name Community Name Signature Comments CROWN OF THE ROAD ELEVATION: 4.02 ON CENTERLINE ON CENTER OF ROAD A/C 1.- +'TION: 7.50' ECTION E - BUILDING ELEVATION INFORM ATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) FEMA Form 81 -31, February 2006 State FLORIDA City Date SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date ZIP Code 33138 State ZIP Code Telephone ❑ Check here if attachments ❑'Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information lh Section C was taken from otherdocumentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - Issued or c ommunity - issued BFE) or Zone AO. G3. ❑ The following Information (Items G4.-G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for. ❑ New Construction 0 Substantial Improvement GB. Elevation of as -built lowest floor (Including basement) of the building: 0 feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet ❑ meters (PR) Datum ❑ Check here if attachments Replaces all previous editions COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) PLAN REVIEWER: 11 -12 -08 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: c+ A. ( ., Tj�4• kA �5� PERMIT# Ctc ' *0kt -(— OS °l®g ADDRESS: ) 3 cc , E , 9, k i l lA S� FOLIO NUMBER: 1( - 3 ZeS at 6 °01 FLOOD ZONE: BASE FLOOD ELEVATION: V L. -V t FREEBOARD: 0 EAST OF FL.CCCL: Kb COST OF PAST IMPROVEMENTS (12 MONTHS): I :7 VALUE OF PRINCIPAL S ' UCTURE (attach r�praisal): OWNERS SIGNATURE: f �' TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): S o Be 33 1 1,333 PLAN REVIEWER SIGNATURE: DATE: DATE: Z a Z ° 107 Primary Zone: 1700 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 8/8 Floors: 2 Living Units: 1 Adj Sq Footage: 5,779 Lot Size: 17,487 SQ FT Year Built: 1956 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 14 LOT SIZE 128.580 X 136 OR 17172 - 3930 0496 5 COC 22824 -3847 11 2004 1 Year: 2008 2007 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $2,130,566 $25,000/ $2,127,500 Folio No.: - 11.:.:20c-010-0120 Property: 1300 NE 94 ST Mailing Address: DAVID HELLER &W JUNE HELLER 1300 NE 94 ST MIAMI SHORES FL 33138 -2902 Year: 2008 2007 Land Value: .1,331,644 .1,661,259 Buildin Value: $848,922 $848,922 Market Value: 2 180,566 •2,510 181 ssessed Value: * 2,180,566 +.2,152,500 Year: 2008 2007 Hcmast..a;•:l• $25,000 $25,000 2nd - lan YES NO Sale O /R: 22824 -3847 Sale Date: 11/2004 Sale Amount: $1,970,000 Miami -Dade My Home Show Me: 1 Property Information Search By: Select Item = My Home Summary Details: Text Only P r oerty Ai.`.pr raer Tax r tlmator Portability S.0 H. CalcuNor Property Information: Sale Information: Assessment Information: Exemption Information: Taxable Value Information: AOTPIE x'k l Digital Orthophotography - 2007 M.Y..kigiriP 1 Erg.pgit',£ixt' liri'tti5!'Ft 1 Ergaf_t'y_DA E 1 My Neightoxhoml 1 ProOerty Ar.F.prai'; rr ;: >e!I'E?.P^.. I .tairg Q xlt .1 Ai25att 1- h1triQ_DIrixagry. I Prtya>=y. I Ditigtaimqr If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webniast r. Web Site © 2002 Miami -Dade County. All rights reserved. 0 115 ft Page 1 of 2 Legend Property Boundary Selected Property Street Highway Miami -Dade County Water N W E http: / /gisims2. miamidade .gov /myhome /propmap.asp 2/12/2009 A B C D E F G H I ITEM NO DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED MATERIAL TOTAL COMPLETED AND STORED TO DATE (D +E +F) % (G / C) BALANCE TO FINISH (C -G) RETAINAGE (IF VARIABLE ) ( RATE ) FROM PREVIOUS APPLICATION (D + E) THIS PERIOD PRESENTLY STORED (NOT IN) (DORE) garage Eaten'__ . . 1 Concrete Piles $ 6,400.00 $ - 0% $ 6,400.00 $ - 2 Foundations $ 8,500.00 $ - 0% $ 8,500.00 $ - 3 Concrete Slab $ 6,500.00 $ - 0% $ 6,500.00 $ - 4 Block $ 4,000.00 $ - 0% $ 4,000.00 $ - 5 Tie -Beam $ 6,500.00 $ - 0% $ 6,500.00 $ - 6 Trusses $ 3,250.00 $ - 0% $ 3,250.00 $ - 7 Roof Carpentry $ 9,000.00 $ - 0% $ 9,000.00 $ - 8 Stucco $ 2,500.00 $ - 0% $ 2,500.00 $ - 9 Roofing $ 7,000.00 $ - 0% $ 7,000.00 $ - 10 Drywall & Framing $ 2,000.00 $ - 0% $ 2,000.00 $ - 11 Garage Door $ 2,500.00 $ - 0% $ 2,500.00 $ - 12 Insulation $ 767.00 $ - 0% $ 767.00 $ - 1 Demolition $ 3,000.00 $ - 0% $ 3,000.00 $ - 2 Drywall, Framing & Skim Coat $ 10,000.00 $ - 0% $ 10,000.00 $ - 3 Plumbing (Labor) $ 8,500.00 $ - 0% $ 8,500.00 $ - 4 Electrical $ 9,500.00 $ - 0% $ 9,500.00 $ - 5 New Flooring $ 30,000.00 $ - 0% $ 30,000.00 $ - 6 Interior & Exterior Painting $ 10,500.00 $ - 0% $ 10,500.00 $ - 7 Bathroom Tile Installation $ 7,000.00 $ - 0% $ 7,000.00 $ - 8 Finish Carpentry $ 7,000.00 $ - 0% $ 7,000.00 $ - 9 Cabinetry $ 25,000.00 10 Windows $ 30,116.00 Total: $ 199,533.00 $ - $ - $ - $ - 0% $ 199,533.00 $ - Bejar Construction, Inc. 6326 S.W. 191 Avenue Pembroke Pines, Florida 33332 CONTINUATION SHEET APPLICATION AND CERTIFICATE FOR PAYMENT Containing Contractor's signed Certification is attached. In tabulations below, amounts are stated to the nearest dollars Use Column I on Contracts where variable retainaoe for line items may a Heller Residence 1300 N.E. 94th Street Miami Shores, Florida APPLICATION NO: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 0 2/9/2009 2/9/2009 ATTACHMENT " B " B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652, B2. County Name MIAMI -DADE B3. State FLORIDA B4. Map/Panel Number 12025C0093 B5. Suffix J B6. FiRM Index Date 7/17/95 87. FIRM Panel Effective/Revised Date 3/2/94 B8. Flood Zone(s) VE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11.00 : DEPARTMENT -OF- HOMELAND-SEECURfP'- �A �� C R11F1 CAT E Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -8. Al. Building Owner's Name DAVID & JUNE HELLER A2. Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1300 NE 94 ST. City State MIAMI SHORES FLORIDA A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 14, PB 40, PAGE 16. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 25 ° 51 ° 44.64 Long. 80° 10' 16.8" A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide: a) Square footage of crawl space or enclosure(s) b) No of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) BI2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes © No Designation Date ❑ CBRS ❑ OPA SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" `A new Elevation Certificate will be required when construction of the building is complete. ,. • C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Comp lete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized B -62 Conversion /Comments N/A a) b) c) d) e) f) g) Top of bottom floor (including basement, crawl space, or enclosure floor) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) SECTION A- PROPERTY INFORMATION 5 5.77 9sq ft 9 864 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION A9. For a building with an attached garage, provide: a) Square footage of attached garage _446 sq ft b) No. of permanent flood openings in the attached garage .walls within 1.0 foot above adjacent grade 3 . c) Total net area of flood openings In A9.b . 452 sq in Vertical Datum NGVD 7.59' 9.0 6 A/C 7.50 5 . 80 7.20 Certifier's Name License Number ADIS N. NUNEZ 5924 Title • Company Name REGI . TERED LAND SURVEYOR LA NCO SURVEYORS. INC. 5 55 e � i R"H SHORE DRIVE/ Ci BEACH Signatu ..3 State FL Telephone (30 865 -1200 FEMA Form 81 -31, February 2008 Sao ra»arca stria fnr rontinl iatinn Horizontal Datum: ❑ NAD 1927 ® NAD 1983 Check the.measurement used. ( feet feet feet feet feet SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. © Check here If comments are provided on back of form. feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) ZIP Code 33141 OMB No. 1660 -0008. Expires February 28, 2009 ZIP Code 33138 Finished Construction ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) Pnnlnnn'• nil nrnvinn.- nrli+innS IMPORTANT: In these spaces, copy the corresponding Information from Section A, Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1300 NE 94 ST. City MIAMI SHORES Comments ZIP Code 3 13 SECTION D = SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) State FLORIDA Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. CROWN OF THE ROAD ELEVATION: 4.02' ON CENTERLINE ON CENTER OF ROAD A/C ELEVATION: 7.50 Date 13 Tar Insui°ance Company Use: Policy Number Company NAIC Number ❑ Check here if attachments I ' SECTION E = BUILDING ELEVATION INFORM ATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) for Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, co mplete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Secti n A Items 8 and /or 9 (see me 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is ❑ feet 11 meters ❑ above or below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the buiidin g is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑•Unknown. The local official must certify this Information in Section G. SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who. completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments Local Official's Name Community Name Signature Comments FEMA Form 81 - 31, February 2006 City Date SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date State ZIP Code Telephone ❑ `Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - Issued orcommunity- issued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) Is provided for community floodplaln management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum ❑ Check here if attachments Replaces all previous editions Permit No: .9+�" � Job Name: , 2009 6.1 �J %re A wilding Critique Sheet . ©T Af/1 Gi' /u& IS ue...f. 7 c; 4€1,4a,„ a creokie.4. rfek".j- cdAt� A e Atry. 6.4 eie.4 re; ksAe Norman Bruhn CBO 305 - 795 -2204 Miami Shores Vuiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. I, �0 .c.r�-+�—/ ❑ Contractor ❑ Owner ❑ Architect Picked up .2 sets of plans and (other) Address: Shores Village Buildi Acknowledged by: 1 RESUBMITTED DATE: PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT CLEARK INITIAL: DATE (A ue permitting process. From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami PERMIT #:61°0S-10`62.. I , 34 Contractor ❑ Owner ❑ Architect • 2 sets of . lans an Address: Acknow - • ged by: PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT DATE: ()Cr; c9CR a A k na2o ctherecbe,ki 00D From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village : ding D - : ent to co time permitting process. RESUBMITTED DATE: OS 1)1-109 u, „( c 3 C yuE) . l o PERMIT CLEARK INITIAL: '14---°"" It 4.k Scheduled Inspection Date: February 25, 2009 Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments Passed az Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 24, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments cc i iO2-. Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New hone Number 3305 - 757 -8142 Parcel Number 1132050100120 Phone: (954)431 -5981 Page 2 of 24 U.S. DEPARTMIENT OF HOMELAND A SECURITY Federal Emergency Management National Flood Insurance Program M. Building Owner's Name A2. Bulking ®et (Including Apt t, a or Bldg. No.) or P.Q. Route and Box No. City A3. rop 0 SECTION A- PROPERTY INFORMATION State D e - of and Block Numbers, Tax Parcel Number L -_ al Desaip ) e.,5/de/ For Insurance Company Use: Potcy Company NAIC Number ZIP Godt F A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, tic.) A5. Latitude/Longitude: Lat. g /' Z" Long. A6. Attach at Ieast2 photographs of the building if the Certlfc to is being used to A7. Building Diagram Number AB. For a building with a crawl spew or enclosure(s) Ure(S , provide: a) Square footage of pawl spa ce b) No. of permanent flood openings In the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade In c) Total net area of 'flood openings in AB.b sq B4. Wane' Number 95. Suffix B7. FIRM Panel Effectve/Revised Date B8. Flood B9. Base Flood Etevafiion(s) (Zone AO, use se flood depth) , 81. FtP Commu i. = ma & Community Number � , e v <aAar/V( a�� SECTION B - FLOOD INSURANCE RATE MAP (FIRM) iNFO1 1.e. _ - — B3. State B2. County Nam z I36. FIRM Index Date /Z ®Zs"C ®e9.3 -/ -`vim 1310. Indicate the source of he Base Flood Elevation (BFE) �� se flood a 'rder Item 89. El FIS Profile Ia M ❑ Community NAVD Des porher (Describe) B11 Indicate elevator datum used for a to Item 89: �! 1929 ❑ o B12. Is the buildirr�� led in a Coastal l Barrier Resources es System tea m (G(MRS) ) ea or 0 OPA a Protected Area (OPA)7 ❑ Ye DesignaMn SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Gonstruciion C1_ Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Corsbuciian' gi •A new Elevation Certificate will be required when construction of the building is complete�AE, ARlA1 -A30, ARFAH, AR/A0. Complete Items G2a 9 C2. Elevations- Zones Al-A30„ AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, below according to the building diagram specified to item A7. Vertu Datum Benchmark Utilized ef3 °' 4 Conversion/Comments a) Top of bottom floor (including basement, cravM space, or enclosure floor) Meet b) Top of the next higher floor ... 6T1 feet c) Bottom of the lowest horizontal structural member (V Zones only) �• - feet d) Attached garage (top of slab) n. 3{eet e) Lowest elevation of machinery or eQuipmentservidng the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (rtAG) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Secfion El Check here if comments are provided on back of form. 1) 9) FEN1A Form 81-31, February 2006 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. sq ft a Horizontal Datum: ❑ NAD 1927 Gay obtain flood Insurance. A9. a S bur with footage an attached garage provide: . ` a) sq It ) No. of f s in the attached d garage rage b) No. of Permanent flood opening walls within 1.0 foot abtWe adjacentgrade in c} Total net area of hood openings in A9.b sq ��]i'feet ,feet - deck the measurement used. grfeet ❑ meters .(Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rmo only) o meters (Puerto Rico only) [] meters (Puerto Rico only) [] m eters (Puerto- Rico only) R � -o- 7 q w� ;1 J OMB No. 0 I � Expires February 28.2009 BY: • NAD 1983 See reverse side for continuation. Replaces all previous editions 5 3 / R For insurance Company Use: Policy Number Company NAIC Number IMPORTANT: In these spaces, copy the corresponding Information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.C. Route and Box No. /3e> /r/ 7' St; City SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTI Copy both sides of this Elevation Certificate for (1) community official. (2) insurance agent/company, and (3) building owner. Comme Signature Date. 0_` a ` z®® ❑ Check here if attachments SECTION E - BUIL G ATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A. 8, and C. For Items El -E4, use natural grade. If available. Check The measurement used. In Pu rto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). — ❑ fee t meters 0 ❑ above or L.! below the HAG. a) Top of bottom floor (including basement, crawl space, or endosuae) is above or below the LAG. Top of bottom floor (including basement, crawl space, or endosure) is . _ ❑ feet ❑ ❑ E2. For Building Diagrams 6-8 with permanent flood openings provided h Seetiq>�4 Items 8 a ddior 9 (see e 8 of instructions), the next higher floor (elevation C2.b in OM diagrams) ) of the building Is ❑ _ fee! 1 Lj r to as' , ° rs ❑ "r Li below the HAG. Atte.reed tie (top of slab) is ❑ lost [] meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only If no food dept: number is available, is the top of the bottom floor elevated bin accordance with the community's tloodpiain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A ( wihout a FEMA - issued or community- issued BFE) or AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owne's or Owner's Authorized Representative's Name • Address Signature • Comments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official mho is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate.. Complete the applicable item(s) and sign below. Check the measurement used m Items GB. and 09. G1. ❑ The Information in Seddon C was taken from other documentation that has.been signedand sealed by a licensed surleyor, engineer, or architecwho is authorized by law fo certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed. Section E fora building located in Zone A (without a FEMA-Issued or community- issued EWE) or Zone AO. G3. ❑ The following information (item G4. -G9.) is provided for community tloodplain management purposes. 1 G4. Permit Number I 05. Date Permit issued I 08. Date Certificate Of Compliance/Occupancy Issued • 07. This permit has been issued for ❑ New Construction ❑ Substantial Improvement GB. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments FEMA Form 81 -31, February 2006 State City Date Title Telephone Date • ZIP Code 3 3 FICATION (CONTINUED) State ZIP Code Telephone ❑ Check here if attachments ❑ Check here If attadtments Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Boot No. /34>d City Pi/ mac. j / State rL ZIP Code .33/3 Y For Insurance Company Use: Policy Number Com&by MAC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. PERMIT # -1082 CONTRACTOR: CA - yu(o SUBMITTAL DATE: 712-1105 . PROJECT TYPE: j l l ZONING FIRE STRUCTURAL Sy"' ELEC RICAL , HRS /DERM 7 -2 1 -- c? o.6,NOC IMPACT FEES BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Address ,r ©® N cit .anx),st,kires state L Tenant/Lessee Name City Miami Shores Villa e Is Building Historically. Designated YES Contractor's Company Name Contractor's Address City Qualifier Type of Work: Describe Work: Submittal Fee 2 Permit Fee $ Notary $ kb- OD Training/Education Fee $ Scanning $ 2-1 - 00 Radon $ Code Enforcement $ Tota9e Now (Continued on opposite side) • - y Miami Shores Village DAddition ['Alteration 21 32n. (060 Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) l if ( Phone # 3�J a!3 Gto.a coJV Job Address (where the work is being done) \W© N L — l" 1 S � County Miami -Dade Zip NO 6e:os Q r CO dii Phone # a • :J� v ° State 1 L Zip 3 SS S Q State Certificate or Registration No. ®5l - 73 gineer's Name (if applicable) r \oS $ Value of Work For this Permit ® QP r � Square Footage Of Work: L9 , QvVcK Certificate of Competency No. Master Permit No. Zip I $ �f6Ej 7.0 Phone # l� C Q X01( \ - Za e� Phone # ?. 1 \ Permit NoL ,FS REElctD JUL 1 2605 ['New ;Repair/Replace [' Demolition VCAtt. 411 rr * * * * * * * * * * * * * * * * * * ** CCF $ Ca0 co cc `5O. 0 0 Technology Fee S Zoning Bond $ Structural Plan Review. $ NJA 13500 Bonding Company's Name (if applicable) Bonding Company's Address City Signature NOTARY PUBL Sign: Print: My Commis ion Expires; * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 6,001, 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." 0., hie Owner or Agent The foregoin instrument was acknowledged befor e this day o , 20n, by JC_k'Y42. f v' , who is personally known to me or who has produced entification and who did take an oath. / Iautie: b * * * * * * * * * * ** 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 e• n t e absen of such posted notice, the inspection will not be approved and a reinspection fee will be charged or The foregoing s + :: 't was acknowledged before me this al day of ':J• 20 by '1!,I11/1 , • i /1 who is t ersonally known to me or who has pro' uced ~' 24 entification an. who did e'an.oath.. fki *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTAR PUB Sign: Print: My Commission Expires: /0 /t i /v,r" • * * * * * * * * * * * * ** *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning -cc21" ruin- omick,. July 27, 2005 Building Critique Sheet Address ajicomments from Electrical plan review. . Provideklectrica� and Plumbing permit Provide a detai [ of construction for the proposed non - bearing artitions. Provide elevations on proposed kitchen cabinets, showing size, height, etc. Follow the procedures for submission of corrected plans for your re- submittal. Claudio Grande Building Official 305495 4204 ext. 430 Miami Shores Village Building Department 10050 N.E. 2" Avenue Miami Shores, Fl 33138 Tel: 305- 795 -2 Fax: 305456-897 Permit No: 05 -1082 Job Name: Renovation for Heller Res. Page 1 of Miami Shores Village Building Department ELECTRICAL CRITIQUE SHEET / , e / 4,/ c f"74 / pA,411e.-- ` tj'S F j - L �f ��,L- '#6 >Gd1 �r�G e it° aged 1.0 c 12& `) 1✓0' '4 / / 1/1 / 4-- /i/ - e-1 te,e- X '/ e p •ems ,eloe. e'vr,�el. �h LCr / o )Z 7 2 7/''C G1 g— ;e 10J5":61e1 to Ai/ e? -- Permit-No: P" - Job Name 92/ 0-4 , e /Z �✓� c��l� Go�S 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 This Instrr�{{m�eent Prepare Name "•'''A-1 4^ Address tp,c ln ��) Si Permit No.e2oU STATE OF COUNTY OF 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. De crIption of property: (legal description of property, and street � ddress if avaliableC - 14 t ' e.r ^ t t S L+o SS 46.60r1.8 , 4, 07 'r 7-?,L r 4 r'OEc, . S n e / 6 0 � cAr cm r �7 ncvr r p a Q� n c : � L c. 3oc► r� t cQ dr l'a6.r C C�On� C1F ti�,'..er.9,., el C�Ovv�/ G �r�, A, -A 2. General description of improvement: �+ -�ren go ♦ re � d ,- , 3. Owner information r" rt • e / � ' ' 'f a. Name and address: /300 b. Interest In property: O cN AJe -1 c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: 13 .;i '.� C.F7s.‘sr r-∎ v i =vim a. Name and address: 6 3 2 6 .0 c.-7 / e, A.'- P •, 'Q ^ o I< b. Phone number: WV.- � I r.". ,. � f 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. 9. 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatory oing �trt was acknowledged before me thls d `e (name of person) as authority, ...e.g. officer, trustee, attomey In fact) for behalf of whom Instrument was executed). NOTARY PUBLIC-STATE OF FLORIDA , "..., Claudia V. Cubillos ? Commission #DD717923 0 Expires: SEP. 23; 2011 knowledge and belief. S v� ?ed 0.7 v S BON31 TffiiB ATLANTIC BONDIFi664 MCC. \ L 33337 - NOTICE OF COMMENCEMENT �A./•'j 1. -- 1 Signatu Partner/ Personally Known _ or Produced Identification Verification Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I declare that I have read the foregoing and that the facts sta of Natural Person S efling Above Illllllll" ll 111 '111z111111'11!II1111If11'111 c :FN 200880406 a'02 OR Ek 26383 Ps 4696 (lin) RECORDED 05/16/2008 14:26:31 HARVEY RUV`INr CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LO LAST PAGE , ��,.� 1,a 3 3372 Owner or Ow artner/ ger < TItIe /Off ce rLlw g1.ivr(z, ner's Au o z= Officer /Director J '. nc year) by (type of (name of party on Signature of Notary ub 1Tc - State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Commission Number d in I ak e to the best of my *A I _Lis. 'g� Primary Zone: 1700 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 8/8 Floors: 2 Living Units: 1 Adj Sq Footage: 5,779 Lot Size: 17,487 SO FT Year Built: 1956 Legal Description: MIAMI SHORES BAY VIEW PB 40-16 LOT 14 LOT SIZE 128.580 X 136 OR 17172-3930 0496 5 COC 22824-3847 11 2004 1 Year: 2007 2006 Land Value: $1,661,259 $1,661,259 Building Value: $848,922 $438,741 Market Value: $2,510,181 $2,100,000 Assessed Value: $2,152,500 $2,100,000 1-lorossrd irrE8ita, $25,000 $25,000 Total Exemptions: $25,000 $25,000 Taxable Value: $2,127,500 $2,075,000 Folio No.: i 1 -:3205- 011-0120 Property: 1300 NE 94 ST Mailing Address: DAVID HELLER &W JUNE HELLER 1300 NE 94 ST MIAMI SHORES FL 33138-2902 Sale 0/R: 22824-3847 Sale Date: 11/2004 Sale Amount: $1,970,000 Miami-Dade My Home Page 1 of 2 Show Me: Property Information Search By: Select Item 2011 Text only My Home Pror.:ertv Anpran-:;er portabilit S nalculaior Summary Details: Property Information: Sale Information: Assessment Information: Additional Information: Glick h-1. r• , sv. ,- - , e int "' . fr.= is Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Land Use Urban Development Boundary Digital Orthophotography - 2007 We appreciate your feedback, please take a minute to complete our Rtiwq. My lionle 1 Proper ty l.itrrton 1 Property T%.1>tes 1 My ici6fghbortu3rsd 1 PsonertyApprMser Horne 1 Using Or VV. 1 Atiatt 1 Pfwne Directory 1 Pdve*y 1 D:sciaimer If you experience technical difficulties with the Property Information application, please ollrx here to let us know. E-mail your comments, questions and suggestions to W*t3ma5ter Web Site © 2002 Miami-Dade County. All rights reserved. ..... MIAMIDADON ai monosior 0 115 ft .eve Legend Property Boundary Selected Property Street " Highway Miami-Dade County Water WE http://gisims2.miamidade.gov/myhome/propmap.asp 4/22/2008 P E RAT #: -- )Q( Miami Shores Villas ,APiROVED ,,; ,,, R1ONING DEPT � r BLDG DEPT r', / ` SUBJECT TO COMPLIANCE JTH ALL F DERAL STATE AND COUNTY RULES AND REGULATIONS 4 4. ri N N trh i n' *as' Z2,c, Sef-.e2r 0/ / /10 /G T.L. RIGGS 308 °l SHIPPING AVE. MIAMI, FL 33133 (305) 448 -9032 N /6 '2Mgcitt BJi ve .0 1 4) 0 7* ' ?7 /'a`'Z 1 =24.' 2 ..57`.'0,-.7 * /.,7 ,S"fete. �y" /ivy 4 20 p 4 /s P h _ r'4 S; ' ca/ic. c•/.a // ce/71` ,- / F,.-r bile. .. /re vises/ 9, 2 v 7 e c r-7i ed e.f 2v 2c=ca s 4 o p T. L. RI SURVEYOO R MAPPER L V2349 STATE OF FLORIDA ,._ MAY 1 1 2007 BY: Nei !// e.�, d ,-k e 4 7 4- 4> 4Af � e - -^ Zhc /T ec,=.r°../s d A de ° B 1: eel> , d' , /" f fai°°°O l7r. r- No . zie7 .. c5.4 23 ,,ma y (!G v / /17 GL/?er/A./Y i! e / /e/ /e!; /7 /s w /,'fie Ga19 717 Z' ■•ar e Co/ITact.� -777 /( /iy er 1 - .t :, k /ta 7 0,2,- /tea , /4// /etr7a e e- aC. ® •r" ./ /. A/ t r e v /A - '7 r e. e d . /1.c e i1.s ed ge-t r" v, 1-7 d tAitAt °. Z. _544%0 , e /el 1 01eo-e. j /3" e= 4> csg I / 4:34. h J. /?- 4, r, ' le�� /77 /-7d Z / ' e > // /2 �6.5Z do '3 LT 7 �a11s 0 07.5 r /g• Ma e.,47 / ele. es - c / ,424:t "Li / /3 ,- /c : /v.a v°�ss �a� � .ra c, t77 a17. to /11,101e< ,1' t.. c4 e Li/tad cy }�"> -S : cd G 4, /7 /'1 s /'e . _s dt.. J / 7 h' / . /. ,4 1. s t a ,��, /e 7 e..-e r/°7 r. 4 g /Fl e' c.a .6� .$/ 71 - 4A.fe / -s • . . Install 1 1350 gal septic tank, install 1 599 sq drainfield, install 1 475 gal laundry tank, install 1 250 sq ft drainfield. nsp -,ct Comments Passed ; o Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . ........................... Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Inspection Date: 05/27/2008 Inspector: Levrock, James Project: <NONE> Contractor: A AMERICAN SEPTIC & PLUMBING Building Department Comments Friday, May 23, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic et oggs Volione Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: (305)866 -5600 Page 2 of 2 Inspection Date: January 26, 2009 Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street NE Project: <NONE> Miami Shores, FL 33138- Contractor: BEJAR CONSTRUCTION, INC Building Department Comments January 23, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 PC5 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Phone Number 3305 -757 -8142 Parcel Number 1132050100120 Phone: (954)431 -5981 Page 1 of 1 Passed o Inspector Comments CREATED AS REINSPECTION FOR INSP- 101651. CC CANCELLED BY BENNY I Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: January 26, 2009 Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street NE Project: <NONE> Miami Shores, FL 33138- Contractor: BEJAR CONSTRUCTION, INC Building Department Comments January 23, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 PC5 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Phone Number 3305 -757 -8142 Parcel Number 1132050100120 Phone: (954)431 -5981 Page 1 of 1 uL 1V11d1111 3i1U1 C5 V 111age Building Department Permit No. Job Name Date 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /01 03' STRUCTURAL CRITIQUE SHEET ciec.fe ` eti d'i (eid,u^. bJc tk Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: DAVID & JUDE HELLER PLEASE SHOW LOCATION OF DRAIN IN DRIVEWAY AND SO THAT THE DRAIN WILL FUNCITON PROPERLY. BASED ON THIS INFORMATION STAFF MAY AUTHORIZE DRAIN. Issue Date: Not Issued Permit NO. DS -12 -08 -2112 Contractor(s) Phone Primary Contractor BEJAR CONSTRUCTION, INC (954)431 -5981 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 12/9/2008 Comments: DRIVEWAY FLARES CAN NOT EXCEED2 FEET IN WIDTH AT THE STREET PAVEMENT. Expires:NOt Issued Folio Number:1132050100 Owner's Phone: 3305 757 - 8142 Total Square Feet: 0 Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Total Job Valuation: $ 4,000.00 INDICATE HOW THE DRIVEWAY WILL BE CONSTRUCTED ADJUSTMENT OF FLAIR WIDTH TO ACCOMMODATE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: DAVID & JUDE HELLER Issue Date: Not Issued Permit Na DS -12 -08 -2112 1/5/09 DRAIN IS OUTSIDE DRIVEWAY AND MUST BE APPROVED BY BUILDING AND PUBLIC WORKS. Job Address: 1300 94 Street Total Square Feet: Miami Shores Village, FL 33138 Total Job valuation: Expires:Not issued Folio Number:1132050100120 Owner's Phone: 3305 - 757 - 8142 Contractor(s) Phone PrimaryContractor BEJAR CONSTRUCTION, INC (954)431 -5981 Yes 0 $ 4,000.00 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/5/2009 Yes Comments: DRIVEWAY FLARES CAN NOT EXCEED 2 FEET IN WIDTH AT THE STREET PAVEMENT. PLEASE SHOW LOCATION OF DRAIN IN DRIVEWAY AND INDICATE HOW THE DRIVEWAY WILL BE CONSTRUCTED SO THAT THE DRAIN WILL FUNCITON PROPERLY. BASED ON THIS INFORMATION STAFF MAY AUTHORIZE ADJUSTMENT OF FLAIR WIDTH TO ACCOMMODATE DRAIN. Miami Shores Village Building Department ELECTRICAL CRITIQUE SHEET )7zi Ai iVei/i�i - 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ... /Veer - /��- Job Name A/ - AM ,i t' C p / ®. Ali 0.0.40-7/z AC. 5 9/10w-- ,/P ieeedV ii,'ie° 0 oG P ttedi'G kt /2- !Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 'Bill To I DAVID & JUDE HELLER 1300 NE 94 ST MIAMI SHORES VILLAGE, FL 33138 Date 01/16/2009 01/16/2009 Fee Name Revision Fee Scanning Fee Wednesday, January 21, 2009 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: DS -1-09 -33707 Invoice Date: January 16, 2009 Permit Number: DS -12-08 -2112 Bond Number: Comments: abs Fee Type Calculated Calculated Total Fees Due: Fee Amount $35.00 $12.00 $47.00 Payments Date Pay Type Check Number Amount Paid Change 01/21/2009 Credit Card $47.00 $0.00 Total Paid: $47.00 Total Due: $0.00 II P o� BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) .A-N/1_ - ' Phone # -3 � Ztr- D Z 6 d Owner's Address /ZoO , J. . �'! s 7 City ' " S '' -'f State / 1- 01°11, � 11 Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) /300 E. 9 y City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name e;'1 �' Phone # -leg, Z y' '- Z Contractor's Address 6 3Z 6 s• c. J 19 City /''/!. f' "`/Cs' State Zip g 3337 - Qualifier Name iT %! Ar\ Phone # State Certificate or Registration No. ek "4 9 Certificate of Competency No. Architect/Engineer's Name Value of Work For tls �„ i Square / Linear Footage Of Work: Type of Work: <; Describe Work r 77757 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 n ['Alteration Submittal Fee $ Permit Fee $ Miami Shores Village Building Department County Miami -Dade Zip ['New Permit No. ;NS - /Z - 08 _ Z..// Master Permit lo. able) 0 Phone # ❑ Repair/Replace ❑ Demolition R. r-ccpv -' /'.-� S r 0 ��"'�� - / 6 ' - o '' r1s ******** ** ***** ********* ** ***** *** * ***F ************* * **** ** **** **** ***** ****** * * *** CCF $ C Notary $ Training/Education Fee $ Technology Fee $ Scanning $ 1 9 <DC Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ . 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 FI.ECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co be posted at the job site for the fir :. inspection which occurs even (7) days after the building permit u> he absen such posted notice, the inspection w : not be approved and a inspection fee will be charged. \( Signature The for day o ersonally kn Owner or Agent oing instrument w acknowledged before me this I4 The fo 2y , day o or who has produced who is is personally k own to ' As identification and who did �'1. NOTARY PUBLIC: �� io $ • 4 01 11, , 0. '®�` , r. Sign: Print: My Commission Expires: Sign: • 1 Print: ot. o\ � � My Commission Expiresy��0" ° "'' Q °s 44 ******* ***************************** ** ***************** **************************desje .0 • e#************** 0� APPLICATION APPROVED BY: (Revised 07/10/07) nature Contra oing in ment / as h acknowledged before , 2009by wn to me or who has prod ced a ntification and who did take an oath. Y PUBLIC: �� I ` tit °0 Plans Examiner Engineer Zoning is 14 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 1300 NE 94 Street Miami Shores Village, FL 33138- OM Owner Information DAVID & JUDE HELLER Contractor(s) BEJAR CONSTRUCTION, INC Phone Cell Phone (954)431 -5981 (786)299 -1072 Approved: Yes Comments: DRIVEWAY FLARES CAN NOT EXCEED 2 FEET IN WIDTH AT THE STREET PAVEMENT. Date Approved: 1/5/2009 : Yes Date Denied: 12/9/2008 Type of Work: DRIVEWAY & WALKWAY Additional Info: PAVERS Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Work without Permit Fee Total: Amount $2.40 $0.80 $5.00 $150.00 $3.75 $150.00 $311.95 In considtion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining hereto 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 f% 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 constructibfi and zoning. Futhermore, I authorize the above -named contractor to do the work stated. January 08, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address Perrrlt' P if N 2 12 Type:rtw!Sii�INNatlEs New PROVED Expiration: 07/07/200 Parcel Number 1132050100120 Block: Lot: 1300 NE 94 ST MIAMI SHORES VILLAGE FL 33138 Phone 3305 - 757 -8142 Valuation: Total Sq Feet: Applicant Date DAVID & JUDE HELLER Available Inspections: CeII 305 - 725 -0262 $ 4,000.00 0 Inspection Type: Final Sidewalk Landscaping Foundation Thursday, January 8, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 Job Address (where the work is being done) /Z 00 a/, E Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor's Company Name 1 ir4 •t Co .-/S C 4 .t Value of Work For this Permit $ 3 . fv d - 111 Square / Linear Footage Of Work: 4 77 rt 0 0 BY: email. m__o.W o ®o® Permit No. c606-9116\ Master Permit No. 4PZ " "r / ° c Z Permit Type (circ Building ' Roofing Owner's Name (Fee Simple Titleholder) ,e) ".? 't.'- t Phone # ' Z f' 0 Z G Z Owner's Address ' 3 by t=, 9 ' - Cityin/4n'+ State /-C o'-t Zip Tenant/Lessee Name Phone # Phone # 764'111' /"/ 2 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO � Contractor's Address 632.6 S' &.J / 9 City P s-tQ,1 b irk ' 0' .✓,cs State P'tvv,n , 11 Zi 3 7.3.3 Z Qualifier Name 4!' '-' •'' / fiE T ' Z State Certificate or Registration No. 9 1? Phone # Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition 0Alteration ['New (Repair/Replace Describe Work: 17E-P1-4 ' t .." % CO P'r b'N ❑ Demolition W ry * ********** ************ ********** **** ** F ** * * ** ****** ******** * * **** * *** ***** * * ***** .1 6.1 Submittal Fee $ Permit Fee $ ! tQ a o CCF $ CO"� Notary $ Training/Education Fee $ 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) Awe A 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 perm In :_s. +�irrsxK�:, such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur Owner or Agent Con The fore oin_ ' ment was ac owledged fo : me this I / The for going instrum- -as acknowledged before me this d a y of I i e CPA !;, r0 byl. �... day o i t 1 r L. A , 20 , by 6. I Al ,' - �`iI :I ■ igL who 's personae known to me or who has produced 'ti 1 who is personally own to me or who has produced As identification and who did take a th. In 4"Q 1 q`b � Sign: e , Print: 0',e *...,` 41. 4. * ***** **ax********•x**** :****•x***a **te*awP ****x *** * *:x***a::x**** **** x• x* x** *****(ey (Revised 07/10/07) My Commission Expires: APPLICATION APPROVED BY: .a4,/ gni ature OTARY PUBLIC: Sign: Print My Commission Expires: entification and who did tq,e an oath. e o ev• -; Ge .%� Plans Examiner Engineer Zoning )'Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and_( Address: Acknowledge by: PERMIT CLEARK INITIAL: 1 RESUBMITTED DATE: 11/t PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT PERMIT S 0 f� t 6 D Ge #� � � DATE: Cez0 I, �..�+a� ( - SI=4 36 • CN 1 /Ve 94 S"S From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building De . artmeent to continue permitting process. r cerfe4,04. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Owner's Name: DAVID & JUDE HELLER Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Issue Date: Not Issued Permit NO. DS-12-08-2112 :kte1#4. • Expires:Not Issued Folio Number:1132050100120 Owner's Phone: 3305-757-8142 Total Square Feet: 0 Total Job Valuation: $ 4,000.00 J. Contractor(s) Phone Primary Contractor .. ...„ BEJAR CONSTRUCTION, INC (954)431-5981 Yes ,.... :.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:+:.:.:.:.:o.z....:+:.:.:,:,...:,:.:.:.:•:•:.:-------------.*:,:,.:.:...:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:::': Planning and Zoning Criteria and Comments Approved: No Date Denied: 12/9/2008 Comments: DRIVEWAY FLARES CAN NOT EXCEED2 FEET IN WIDTH AT THE STREET PAVEMENT. PLEASE SHOW LOCATION OF DRAIN IN DRIVEWAY AND INDICATE HOW THE DRIVEWAY WILL BE CONSTRUCTED SO THAT THE DRAIN WILL FUNCITON PROPERLY. BASED ON THIS INFORMATION STAFF MAY AUTHORIZE ADJUSTMENT OF FLAIR WIDTH TO ACCOMMODATE DRAIN. Miami Shores Village Building Department aye) Permit No. Job Name Date 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 05.011d- /0t• /S -a8 STRUCTURAL CRITIQUE SHEET sb Xocaefe fed f i*ae (4 t,iJ /6CcJz( diaiO4. 20, 4 A.i4 , ( t s nor,. ,, • ..cc• • ranfe 1 ref 1 d.w light 10 aulet for kitchen remodeling Passed Inspector Comments /2"/ ®/' '- (9fr Failed Correction Needed ' / ,/ - / 400 4 'e '/ e Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Inspection Worksheet s e Ni l -: 'Y riff . Miami Shores Village \i j 10050 N.E. 2nd Avenue Miami Shores, FL °. � ' ; '� Phone: (305)795 -2204 Fax: (305)756 -8972 4 8 Inspection Date: 12/28/2007 Inspector: Devaney, Michael Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: FIVE D CORP Building Department Comments Thursday, December 27, 2007 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: 305 - 248 -2881 Page 2of2 Date Friday, March 23, 2007 03/23/2007 Check Payment Type Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -3 -07 -549 Invoice Number: EL -3 -07 -27921 Applicant: DAVID & JUDE HELLER Company Name: Owner Address: 1300 NE 94 ST MIAMI SHORES VILLAGE, Job Address: 1300 94 Street NE Miami Shores Village, FL Check Number 7047 Amount $157.55 Change $0.00 Total Payment: $157.55 Page 1 of 1 Project Address 1300 NE 94 Street Miami Shores Village, FL 1132050100120 Block: Lot: DAVID & JUDE HELLER Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 3313 8-0000 Phone: (305)795 -2204 Address DAVID & JUDE HELLER 1300NE94ST MIAMI SHORES VILLAGE FL 33138 3305 -757 -8142 305 - 725 -0262 Valuation: Total Sq Feet $ 1,000.00 0 Contractor(s) FIVE D CORP Phone 305 -248 -2881 Cell Phone Type of Work: electrical Additional Info: kitchen remodeling Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $3.75 $157.55 Parcel Number In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. , Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Phone Expiration: 09/18/2007 Applicant Available Inspections: March 22, 2007 Date CeII Inspection Type: ww Fire Alarm Underground Rough Final Service Change Alteration Relocation Meter Box Thursday, March 22, 2007 1 BUILDING p� PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) 7)0 ('i • / �`° /f Q f Phone # ,3 6 a - 7 c 7 7/ Z Owner's Address /3 /°'e .9 V T City / 1 7Z '9-49/ 6'h6 ee State "le;4 Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO C C/X/ ° ' Contractor's Address / t / 5 VC Z 9 7 5 T Contractor's Company Name Cr • City /77i /r! % State PA Zip 33.03 3 Qualifier Name if rep. / G v 7' /e rZ n c Z Phone # ry e 3 5 1963 7 State Certificate or Registration No. "g, 666 qt ei Certificate of Competency No. C C ' r V / e E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ feyev i c7/6ho / ? &oio e- 1 y Permit No. Fi Master Permit No. ain °' 10 Phone # abs" z ve- Zeg/ Square / Linear Footage Of Work: ** 4c*, Y**** 4eeYdraYoYiea BoY***wxxxxx *s4dcico:nYxxxxxx "Fees ****************** xxxxxx,4xxxxxxx xxxxxdrxx*x 'AR 2 . 1 2007 BY: jJ,' - Type of Work: ['Addition Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ /579 a® CCF $ 0 2O CO /CC Notary $ Training /Education Fee $ ej Technology Fee $ S Scanning $tOp Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ / 51 55 See Reverse 3 700V CA 7 041 DPBR $ Zoning $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 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. l understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 i ctio which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectiw:ll not be pproved a a reinspection fee will be charged Signature Owner or Ag- nt The foregoing instrument was acknowledged before me this day of 3—/ Y ...re , 20 7 , by /40 d rti / who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: " 71)416 ' My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) ca 'otary eal Jesus Montoya Notary Public . State of Florida Commission Signature tractor The foregoing instrument was acknowledged before me this day of 3 / c/ , 20 7 , by 7 /71es -- A/ G. who is personally known to me or who has produced as identification and who did take an oath. Official Notary Seal Jesus Montoya tary Publi . Slate of Florida ... 1 iJ✓'rflx. ' ec. , 2009 NOTARY PUBLIC: Sign: Print: , cresT U ° My Commission Expires: &xx&x irxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxx *it xxxxxxxxxxxxxxxxxx xxxxxeYa'e********ieaSte;aeeYxe **%.***wwxxxxekxxxxxx J /M' 92e) Plans Examiner Engineer Zoning ! PECEVVEffi Contractor's Company Name /7 4.S / Contractor's Address 9 3 / V dtio, `� s Cit `%I?iC . 1ZL+e State ;7 Value of Work For this Permit $. fir 00'0 - r - 1 " B PERMIT APPLICATION FBC 2004 Type of Work: ❑Addition':. Describe Work: Submittal Fee $ Notary $ Scanning $ Bond $ Structural Review. $ Radon $ C Miami Shores Village Eu lding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Plumbing Owner's Name (Fee Simple Titlehdlder) 144e,e # 30g- 77f4e4z Owner's Address v / 0 .0 ,vA c/ �e, — / Cit Y `�La��7!lGf State j 1 Zip Tenant/Lessee Name Phone # E- MAIL: Job Address (where the work is being done) 1300 NG° `7 ysT City Miami Shores Village County Miami -Dade FOLIO / PARCEL # /(3 20-5'6 /00 /2 Is Building Historically Designated YES NO 1 Qualifier Name l 4 fl7 4-5 %3 State Certificate or Registration No. dr.e/5/Zails7 Certificate of Competency No E -MAIL: Architect/Engineer's Name (if applicable) ['Alteration ❑New Huc, o f rIpt7f6tW 3rdr*****,.... rxx x xx..**** ***** **x*xxxxdrx$*F a &xxxaY.*****.,,,xxx .* ti failiDY CCF $ CO /CC Technology Fee $. Permit Fee $ 1 • Training /Education Fee $ l� DPBR $ f o ? e JUL 2 2 2008 0 MIAMI SHORE) VILLAGE Zip 3 7Z, Square / Linear Footage Of Work: Double Fee $ Permit No i L2c9 '— 3V/ Master Permit Ni) J '10$, Phone # 303 g9' 9'7C) Phone # d3 e t i 3 1 9..Yr/ Phone # Total Fee Now Due $ Zip Repair /Replace ❑ Demolition Zoning $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instillation 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 he 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 Owner or Agent Contractor The foregoing instrument was acknowledged before me this The f oregoing instrument was acknowl ged before me l Ithis day of •Wi /', 2001, by mss ; / ^ . day of pro �'l , 20a, by /,C/ -7`"/ 0';7L who is p known to me or who has produced / / ;: who is personally known to me or who has produced /46r 6: As identification an NOTARY PUBLIC: Sign: Print: (Revised 02/08/06) id a an oath. as identification and who did take an oath. C • STATE OF FLORIN NOTARY PU Lazaro Garcia Commission #DD638031 ,.,,,,,'�� Expires: FEB. 08, 2011 APPLICATION APPROVED BY: Zip S My Commission Expires: My Commission Expires Sign: Print: My Commission Expires: *** wx sL 4 caYe 4 **** x ****eY.....*.**********, Plans Examiner Engineer Zoning Miami Shores. Village Building Department Owner's Name (Fee Simple Titleholder) Phone# Owner's Address City State Zip Phone # Job Address (of where the work is being done) / 3 cW /y ' 94/ - Contractor's Company Name AT L A5 P6ciid a4 Phone # .0 S 779Y� Contractor's Address q /1/ 4Jc 1, ST City .ems State Zip 3 / 7 Z Qualifier /.�../See7l ,�� /4 ?%l; Architect/Engineer of records name Address City Describe Work: I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal invo Signatur or Agent The foregoing instrument was acknowledged before me this I? day of JL r & ,20 Off' By who is personally known to me or who has produced as identification and who did take an oath. 0 ° ve L Notary Public State of Florida �. ® Debra Bejar 4y My Commission DD688465 cr ooh Expires 06/24/2011 Chg4/1 8/08 Change of Contractor /Architect Permit No PL 2c'83 -3 State ignature Zip Contr. ctor /Architect The foregoing instrument was before acknowledged before me this i day of kin e , 20 OR By e` 1 b,r+ 19.1C,5 f &ts who is personally knoiGn to me ✓ or who has produced as identification and who did 40 ' alb Notary Public State of Florida S 4 " Susan Cobma NOTARY PUBLIC My Commission 102120 wbr a Expires 10/04/20 t 0 Sign: .n Print: b Ls r°aa CXD`CAa( My Commission Expires: JUL 2 2 2008 MIAMI SHORES VILLAGE ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB I SWITCH OUTLETS SPACE HEATERS DISHWASHER Zj LIGHT OUTLETS CENTRAL HEATING DISPOSAL I RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY 15 APPLIANCE OUTLETS RANGE TOP PROCESS AND PRESS PIPING UNDERGROUND TANKS LAUNDRY TRAY CLOTHES WASHER I OVEN ABOVE GROUND TANKS SHOWER 3 WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. ! MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP • MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET 1 MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: d MOTORS OVER 100 HP VIOLATION A/C UNIT • A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL _ GENERATORS TRANSFORMERS WATER SERVICE 1 SPECIAL PURPOSE SEWER CONNECTIONS a, OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION TION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL 2 'g. - (6 (oar Miami Shores Village (LA V01ce Itki Building Department BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Owner's Address / 3 0 o /0 e q � city A Ibi / gAleAS State Tenant/Lessee Name E- MAIL: Contractor's Company Name 47 S Contractor's Address q; iv u'/ 3 5 City State Type of Work: ❑Addition Alteration ['New Describe Work: Rt me ✓ c Structural Review. $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P I 0 J - 1 Master Permit No. BPS Jfe6L Phone # ,3( - - Z Zip 33i38 Phone # Job Address (where the work is being done) / 30 0 Lice QLi S 7 Phone # Certificate of Competency No. **.*+rxxx ***.xxxx....xx ****xxx :* os ww***********xx Submittal Fee $ Permit Fee $ i e Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due $ City Miami Shores Village County Miami -Dade Zip 3 3 (3, FOLIO /PARCEL# 7 /3 .C4 / /te Is Building Historically Designated YES NO Sob (-13 /9 s Zip 3 3 /`'Z_ Qualifier Name /4X &ere ��'�'l S - State Certificate or Registration No. (2 Fa /T2a /57 E -MAIL: Architect/Engineer's Name (if applicable) Phone # .3 �jrf Q pee Phone # ,' 2 /3 /986 Value of Work For this Permit $ Square / Linear Footage Of Work: Repair/Replace ❑ Demolition ,C*WWx*W C)C XX %X7: Y. * WWW CCF $ CO /CC Technology Fee $ Zoning $ See Reverse side - " Z168 yam. 7p .� �7� Sri � c_) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the' person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: i Print: My Commission Expires: **Y. ** x xx xxx x*** xxxx 'x APPLICATION APPROVED (Revised 02/08/06) xxxxxws:** F****icz Signature Contractor The foregoing instrument was acknowledged before me this 3 day of . V ane , 20 gyp , by s5L2 of COO y cx. who is personally known to me or who has produced v as identification and who did take an oath. NOTARY PUBLIC: * *xx xxx xx xxx W x xx WW 7 bUto i' co iQrnt A pires: 0403160/Ol 164 � 01 110900 lath alwilAti A1$ x x x x x x xX x x9l 91 My Commission E Plans Examiner Engineer Zoning x Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Penn!t SStt us: APP1R t NO`, lull ri r � rllA r tio ED ' Expiration: 11/12/2008 Parcel Number 1300 NE 94 Street Miami Shores Village, FL 1132050100120 Block: Lot DAVID & JUDE HELLER DAVID & JUDE HELLER 1300 NE 94 ST MIAMI SHORES VILLAGE FL 33138 3305 - 757 -8142 305 - 725 -0262 Valuation: Total Sq Feet $ 1,000.00 0 Contractor(s) HOME OWNER Phone CeII Phone Phone Type of Work: Type of Piping: Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Miscellaneous Fee Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Surcharge Total: Amount $0.60 $0.20 $60.00 $5.00 $100.00 $3.00 $4.00 $172.80 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Friday, May 16, 2008 Total 1 Amt Paid 1 Amt Due $ 0.00 $ 0.00 Payment Type: 0.6Z/50Y MAY 1 6 PAID Applicant Available Inspections : May 16, 2008 Date CeII Water Service Main Drain Inspection Type: Underground Rough Lavatory Water Main Heater Top Out Final Re Pipe In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. 1 RE EN OCT 0 6 2g55 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Contractor's Company Name Contractor's Address 0uUNER $ Value of Work For this Permit \ VO Total Fee Now Due $ 11 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Master Permit No — 10 Phone # Permit No. 411/-\ Permit Type (circle): Building Electrical , Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) \ 1 \iv Phone # 305 15 `y 3 Owner's Address 1 O CA s City IkA 1 E ,tiA. S e S State Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Phone # City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work : Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑Demolition Describe Work: it 'r 1 ,(re l - t r v t r c C _ I L) a. 5\R ASK * *** * * *** * * *** * * * *** * * * * * *** F ees + , * * * * ** * * * * * * *** **, * ** ** *** yaJ S 0 ubmittal Fee $ Permit Fee $ / � i r CCF $ . �0 CYYO /A�CC Notary $ 5...0t Training/Education Training/Education Fee $ 0 . W Technology Fee $ 4. Scanning $ 3 • 00 Radon $ Zoning Bond $ Code Enforcement $ Structural Nan Review. $ 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 ,• d a re . ection fee will be charged Signatur NOTARY Sign: Print: Chc 05/13/03 jQ Owner or Agent Contractor The foregoing ment was ac owl dged before me this 6 co The foregoing instrument was acknowledged before me this . day of��= , 2(X 3, by l' 14 P(1t/, day of , 20 , by who is personall in/ to me or who roduced 40 who is ersonall known p y to me or who has produced My Com ission Expires: As identification and who did take NOTARY PUBLIC: _ �� 11>•�t�� 9 r� Sign: ■ 7 APPLICATION APPROVED BY: y� Print: * * * * ** ***451t -' n ° s 2' Signature ath• as identification and who did take an oath. My Commission Expires: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -301 Printed: 10 /12/2005 Applicant: DAVID & JUDE Owner: HELLER JOB ADDRESS: 1300 NE 94 Contractor Local Phone: Parcel # 1132050100120 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit HELLER DAVID & JUDE ST Contractor's Address: BY: Page 1 of 1 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 14 LOT SIZE 128.580 X 136 OR Fees: FEE2005 -13487 FEE2005 -13488 FEE2005 -13489 FEE2005 -13490 FEE2005 -13491 FEE2005 -13492 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $160.00 $0.60 $5.00 $0.20 $4.00 $3.00 $172.80 Total Fees: $172.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/3/2006 Construction Value: $1,000.00 Work: CHANGE FIXTURES & TURNING ONE TUB TO A SHOWER His MUSI bE ors JR I�idS��TlO 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 responisibility for all work done by either myself, my agent, servants or employes. 'Inspection Number: INSP-6030 Permit Number: PL2005-301 Scheduled Inspection Date: May 18, 2009 Inspector: Levrock, James Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Building Department Comments Passed Failed Correction Needed Re-Inspection Fee ••-.. • Ir "ItAr% ATLAS PLUMBING INC No Additional Inspections can be scheduled until re-inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 .Fe omments Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number 3305-757-8142 Parcel Number 1132050100120 Phone: 305/431-9851 nn TOTAL REMODELING. NEW KITCHEN, FIXTURES ALL BATHROOMS, NEW FLOORS, REPLACE OLD CARPORT UPDATE PAINT, ® ®® Passed 06 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 07/30/2008 Inspector: Grande, Claudio Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Buildin Department Comments Tuesday, July 29, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Drywall Screw Work Classification: Alteration Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: (954)431 -5981 Page 2 of 2 TOTAL REMODELING. NEW KITCHEN, UPDATE FIXTURES ALL BATHROOMS, NEW FLOORS, PAINT, REPLACE OLD CARPORT JIIL 18 7000 Passed /11 Inspector Comments / ' Ai � ). SPJ 3 - St A-1 3 e 1 , 61-,ei, hob % ,cam. o .) - - „JAL!, - c u, gA 641.Q1 0 1.. A-t a. 7A P C9S A.M.. / " 6 -C - 7 A Failed I Correction Needed Re- Inspection Fee 075) No Additional Inspections can be scheduled re- inspection fee is paid . until t: ct Inspection Date: 01/17/2006 Inspector: Grande, Claudio Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments Wednesday, July 16, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Framing Work Classification: Alteration Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: (954)431 -5981 Page 2 of 2 TOTAL FIXTURES REPLACE REMODELING. NEW KITCHEN, UPDATE ALL BATHROOMS, NEW FLOORS, PAINT, OLD CARPORT 0 1O ®t AP ` O O Inspector Comments Passed DAL- - co Dyi aa,,,, Failed (51 _ Correction Needed 62AA (i) , Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Ilctlk N um > ....::. ............................... Inspection Date: 07117/2008 Inspector: Grande, Claudio Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments Wednesday, July 16, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Insulation Work Classification: Alteration Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: (954)431 -5981 Page 2 of 2 TOTAL REMODELING. NEW KITCHEN, UPDATE FIXTURES ALL BATHROOMS, NEW FLOORS, PAINT, REPLACE OLD CARPORT Passed 1 / Inspector Comments CREATED AS REINSPECTION FOR INSP -6015. Not ready for inspection. 1) Seal all penetrations thru the top track of all walls. 2) Seal all holes in exterior walls with cement. 3) Studs in shower areas shall be 16" o.c. 7/17/08 CG Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 07/21/2008 Inspector: Grande, Claudio Owner: HELLER, DAVID & JUDE Job Address: 1300 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BEJAR CONSTRUCTION, INC Building Department Comments Friday, July 18, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Framing Work Classification: Alteration Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Lot: Phone: (954)431 -5981 Page 1 of 2 A B C D E F G H I ITEM NO DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED MATERIAL PRESENTLY STORED (NOT IN) (DORE) TOTAL COMPLETED AND STORED TO DATE (D+E +F) % (G / C) BALANCE TO FINISH (C -G) RETAINAGE (IF VARIABLE ) ( RATE ) FROM PREVIOUS APPLICATION (D + E) THIS PERIOD Interior Remodel: 1 Demolition $ 2,000.00 $ - $ - 0% $ 2,000.00 2 Drywall & Framing $ 3,500.00 $ - 0% $ 3,500.00 3 Electrical $ 8,000.00 $ - 0% $ 8,000.00 4 Plumbing (labor) $ 5,500.00 $ - 0% $ 5,500.00 5 Umestone Installation (Labor) $ 4,000.00 $ - 0% $ 4,000.00 6 Wood Floor $ 4,000.00 $ - 0% $ 4,000.00 7 Terrace & Balcony Keystone (Labor) $ 1,000.00 $ - 0% $ 1,000.00 8 Carpet $ 1,500.00 - $ - 0% $ 1,500.00 9 Interior & Exterior Painting $ 9,000.00 $ - 0% $ 9,000.00 10 Kitchen Cabinets $ 9,000.00 $ - 0% $ 9,000.00 11 Kitchen Countertops $ 2,500.00 $ - 0% $ 2,500.00 12 Shower Enclosure $ 3,000.00 $ - 0% $ 3,000.00 13 Bathroom Tile Installation $ 3,500.00 $ - 0% $ 3,500.00 14 Pool Pation Keystone Installation $ 2,000.00 $ - 0% $ 2,000.00 15 Finish Carpentry $ 4,000.00 $ - 0% $ 4,000.00 16 General Conditions $ 3,000.00 $ - $ - $ - 0% $ 3,000.00 17 Builders Fee $ 10,000.00 $ - $ - $ - 0% $ 10,000.00 Total: $ 75,500.00 $ - $ - $ - $ - 0% $ 75,500.00 1$ - Bejar Construction, Inc. 6326 S.W. 191 Avenue Pembroke Pines, Florida 33332 CONTINUATION SHEET APPLICATION AND CERTIFICATE FO PAYMENT Containing Contractor's signed Certification is attached. In tabulations below, amounts are stated to the nearest dollars. Use Column I on Contracts where variable retainaae for line items may a Heller Residence 1300 N.E. 94th Street Miami Shores, Florida APPLICATION NO: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 1 4/22/2008 4/22/2008 ATTACHMENT °B° Permit No: 05 -1082 Job Name: December 19, 2008 Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Department 10050 N.E. 2" Avenue Miami Shores, Fl 33138 Tel: 305- 795 -2204 Fax: 305-756-8972 Building Critique Sheet Page 1 of 1 1) The plans submitted do not show the work that has been done. The plans must show areas where drywall is removed and replaced. Details of all exterior wall repairs including blocking up existing openings. Insulation requirements for all exterior walls and ceilings that have been altered. The level of alteration per the Florida Building Code Existing must be shown. The plans must accurately show the work and all details. 2) Corrections for electrical must be completed. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Failed Project: <NONE> Correction Needed Re- Inspection Fee February 18, 2009 Scheduled Inspection Date: February 19, 2009 Inspector: Bruhn, Norman Owner: HELLER, DAVID & JUDE Job Address: 1300 NE 94 Street Miami Shores, FL 33138- Building Department Comments Passed No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: SOUTHERN MARINE CONSTRUCTION, INC. Inspector Comments Permit Type: Dock Inspection Type: Sewall Work Classification: New Phone Number 3305 - 757 -8142 Parcel Number 1132050100120 Phone: 305 -861 -2764 Page 4 of 10