CC-09-1022t1ec, Mc`cC
BUILDING
PERMIT APPLICATION
FBC 20
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8072
INSPECTION'S PHONE NUMBER: (305). 762.4949
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) S heARS Vl/hila Phone #
Owner's Address 7 / ( r h
City nwpf y State
Tenant/Lessee Name
Email
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City State
Qualifier Name 27e
State Certificate or Registration No. ems-- 0 ® V
Contact Phone me 77$ - ( -)2 E -mail
Value of Work For this Permit $
Type of Work: EAddition
Describe Work:
flec
Double Fee $ Violation date:
Miami Shores Village
Building Department
Permit No.
Master Permit No. �+
Zip
Phone #
Job Address (where the work is being done) q s y S
City Miami Shores Village County Miami -Dade Zip 33 / 38
FOLIO / PARCEL #
Phone #
Zip
Phone #
❑ Repair/Replace
4
lizomEwmp
ja OCT 21 2009 Li
:,2 ...
Flood Zone
3(93 3J- ,4g
?V9
303 7 )6 ®6€ /"Q
Certificate of Competency No. 99€-- ) 70
ie_c_ 99 0 /9-0i-- .
Architect/Engineer's Name (if applicable) J2')ZJ// 692v7 I '_uon #
Square / Linear Footage Of Work:
['New
❑ Demolition
St-6 pee,ea G.., j
* * * * ** * * * * * * * * * * * * * * * * * * * *** * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $
CCF $ CO /CC $
Notary $ Training/Education Fee $ Tecknology Fee $
Scanning $ a;00 Radon $ DPBR $ Bond $
Structural Review. $ Total Fee Now Due $ '7 DO
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 he 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 re- inspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The for. = o' u g strument was ackno
day of , 20 _, by day of A w , 20, by
who is personally known to me or who has produced who is
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
ersonall kn
Sign:
Print:
PUBLIC:
Contractor
to or who has produced
cation and who did take an oath.
0 400
My Commission Expires: My Commission Expires: �`' `"'• c op . Irk
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY Plans Examiner Zoning
Clerk checked
Coln
E -MAIL:
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No j C/ Oa - 1O4
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical ``��
Owner's Name (Fee Simple Titleholder) 1 1 1 :,10 / 6 � id � ( Kr Z— Phone #
Owner's Address te2 1 W
City V4 / 9VVl l S 1 ®1 S State Zip '33 ` 7
T e n a n t / L e s s e e N a m e I" ` l S dam. C S F es ) Phone # 3 0 5 '7' € ' 7
Job Address (where the work is being done) 9 5 q S- M Z/ v i t
City Miami Shores Village County Miami -Dade Zip 3 3 1 5
FOLIO / PARCEL # l (' S 6 ' ` ®i Z ' 3 C v
Is Building Historically Designated YES NO
Contractor's Company Name JL Gb E L e e 1 C Phone # 305 -Z o r 4 /
Contractor's Address '6 `t / 9 S b../ 7 /s 4- v
City // / State f C- Zip
Qualifier Name 6344 �iG-r� i✓
State Certificate or Registration No. 0060 ® 95 / Certificate of Competency No.
E -MAIL:
r 777—
JUN 1 ZULN
Master Permit No.C O 1 O sa
g Z90-
Phone # . 3 / •d- %' 6 - 7 or 7
gineer's Name (if applicable) Vv l NW-- 4 e i (-LPhone # 3 v S 52 763
7
i
fi r- °
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: P (Am- F t'°`
m3ttal s Permit Fee $ ?dye CCF $ of 40 coicc
Notary $ Training/Education Fee $ 0 • l(0 Technology Fee $ 1 'S 0
Scanning $ 3'00 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Total Fee Now Due $
See Reverse side —+
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a r, pection fee will be charged
Signature Signature
or Ag
The fo :oing ' '
day
NOTARY ' UBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Cr
t was ackno 1 edged before The foregoing instrument was acknowledged bef re me this
20I, by iali i &L 1 ! 2 , day of v , 20 � by VUC o^'L
or who has produced
As identification and who did take an o
40, X904
NOTARY PUBL . •
Sign:
Print:
My Commission Expires:
e or who has produced
as identification and who did take an oath.
$i 4 "elk MY CO # D D 539160
EXP'E'.: 0111, 2010
1
, **#***** *faa * #,t
Plans Examiner
Engineer
Zoning
Inspection Number: INSP- 117453
Scheduled Inspection Date: December 16, 2009
Inspector: Devaney, Michael
Owner: , AVIV HOLDINGS LLC
Job Address: 9537 NE 2 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: TECH ELECTRIC INC
Budding Department Comments
December 15, 2009
800 /900E
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CG l� 0`1 -1
Permit Number: ELC -6 -09 -1044
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060133910
NEW ELECTRICAL FOR NEW EQUIPMENT
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Service not as per plans. Lable panel & seat all openings. Need as built plan.
For Inspections please call: (305)762 -4949 Page 1 of 23
saoiA IIS TIMI3 ANDS VLVQ 0£9L 999 009 T %V3 WET 600Z /9T /1T
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
Owner's Address '2- d \ OVA Z / pj 5IJti1% 5 3
City 1 /lvvl ( State L Zip 3 3 1 3 7
1 0/" c S F ) Phone # 3 4 1 a • 7 (z, 6
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County s � Miami -Dade
FOLIO / PARCEL # 1 1 30Q - d � 3 39 / 0 '' .
Is Building Historically Designated YES NO
Contractor's Company Name P/ Ito pf
Contractor's Address 2 C 5 7 t I" s
City 0 /ch State /.ti
Qualifier Name ('/L A/0ere,¢i rte/
State Certificate or Registration No. t. rC )42‘27,6
E -M
Type of Work:
Describe Work:
gineer's Name (if applicable)
Value of Work For this Permit $
x* *****x*** **
❑Addition
Miami Shores Village
Bu iding Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
t 7Z Phone #
['Alteration
OCI 1
JUN 1 9 PAID` <,^ 00 Submittal Fee $ �J• W Permit Fee $ g�
DPBR $
Zip
.,`a 7
JUN 1 9 409. j
BY:
Permit No. fb -00
Master Permit No.0 , F t0:2
- Zc(O•
Zip ';3 v3 6
Phone # - .Sv
6 /,j
Phone # `3
Certificate of Competency No.
k C► P -L Phone # 0 S . 52-8 ° 363 7
Square / Linear Footage Of Work:
DNew El Repair /Replace ❑ Demolition
S) O ff- im r,42 -: t c o v 4.,,0 A
[-k- 5 r 1(—
********** ************F s ****************xxxx*****9:xdr nY sYxx*xxxxxxxxskrx
CCF $ 40
CO /CC
5.25
Notary $ Training /Education Fee $ O•(O Technology Fee $.
Scanning $ t Radon $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 14; • (pcc
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 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: 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
11
The for
day of
who i
NOTARY P
Sign:
Print:
er a nal ly known to me or w
oing i
(Revised 02/08/06)
LIC:
My Commission Expires:
* * * * * * ** * * *** * *** * * ** * ** * -
APPLICATION APPROVED B
State
As identification and who did take an oath.
Zip
0 � 4 P
4. 4` 40 , 03 � ' o 4 ' G
Contractor Gr
ent was a o ledged befoin mi this I The foregoing instrument was acknowledged before me this / t
A:TAO �• II `
` day o \J Yle , 200 �
has produced who
, by
who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
* *xz * *x *x * *xtrie* xxxxxx* * * ** * **vvi a *xxxxx * * *xay*dex * * *x * * * *** * * * *i ****
Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) (...A ein Phone #
Owner's Address C f L A Z t iz.A-; .
City "- --k t State ` c
Tenant/Lessee Name
Email
Job Address (where the work is being done) —"i 9.s )1/4)E 2 Ave ,
City Miami Shores Village I County Miami -Dade Zip SS 13 F
FOLIO / PARCEL # 1 l 32 C — O IS — ,q 1
Is Building Historically Designated YES NO to ; _ Flood Zone
,,
Contractor's Company Name r it.),,,, b /•, &vuft?S Phone # ?C:5 1(0 90gt
Contractor's Address l os 93 -
City 1----kA i-7-1 , Sta fit. , Zip ( '
Qualifier N me 1
a ``
Q �. l �� Phone #---)
State Certificate or Registry on No. Certificate of Competency No. j
li
Contact Phone QYy — - lc6' %SL1 E - mail Ccv, . G 1 00 t 1Mal I e cQ
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
C lWr i s
Submittal Fee, $
Mia �ri Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. — 1N
Master Permit No.0 J 09' tO2fg
Permit Fee $
Zip '0 t 3 O
Phone #
Phone #
W are / Linear Footage
❑Alteration New
f Work:
epair/Replace
Oc r 1 2009
BY:
***************************************F ** * * * * * * ** * * * * * * * * * * ** * * * * * * * * * * ****
II
Notary $ Training/Education Fee $ 0 ' 6 C
Scanning $ 3' 00 Radon $ DPBR $
Double Fee $ Vic0ation date:
Structural Review. $ Total Fee Now Due $ 53 • S
CCF $ • CO /CC $
Technology Fee $
Bond $
See Reverse side -*
❑ Demolition
arc, -
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
COMTVIENCEMENT 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 an {^einspection fee will be charged.
Signature Signature
The fo ;o aw r �s ent ac
day o�/IV20 0 c'1 by
wh
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
n Contractor
ged before thi ao The foregoing instrument was acknowledged before me this 2-
11 , day of OCC • , 2069, by , rrNA e t°Q
me or who has produced who is rsonally know • o me or who has produced
As identification and who did take an oath.
.0.1101"'', \L.°,
w4ann�' ► ►�v+''
Bot�
Plans Examiner
Engineer
as identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print:
My Commission
_��' ROD3IGU
!kr ' * MY COMI41 �
v�' fss �O P}. 114
N 0 �' 1SSION ^+�tters
es:
Clerk checked
LOT 10& 11
T
A
N [
T [
aesROVaD Ry:
DATE ISSUED: 07/1712009
STATE OF FLORIDA
DEPARTMENT Of EXALTS
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONS:'ROCT :ON PERMIT loft. OSTCS IVe
APPLICANT: Pubee Matz
PROPERTY ADDRESS 9645 NE 2 Ave %aml, F. 33
3LOCE : 29
PROPERTY ID 4 1'•3208.013.3910
SYSTEM DESIGN AND SPECIPICAT30NA
eaa:oe eaa�T a
DR 4016, 13/91 i&ser:,.nuo Cdi9:iona May Be Used)
TITLa:
900 ] GALLONS / an 92. CAPACITY
1 GALLONS / Ciro CAPACITY
1 MA14,0149 G5+USE INTERCEPTOR CA PAC IY
1 GALLONS DOSING TANK CAPACI:T
c E 286 1 SQUARE FEET bed cor6OLrahen arelt;f;j SYSTEM
R E ) SQUARE FRET SYSTEM
A TYPE SYSTEM: IX1 STANDARD [ Ttb>;Et? ( MOUN'A
I :09 E 1 TREECE 'R' SID 1 a
tin
F LOCATZOU OF attNotedusit a NE 3e at b 11' NOVD
I ELEVATION OF PROPOSED SYSTEM sun
E r10TTON OF DRAINPIELD 7O BE
C
✓ FILL REQUIRED: [ 0 001 =cats ERCAI/ATION RE{10IREO, E .'7 )0] INCHES
SPECI3'ICATIOAr6 8Y. Carlos M IoAAA TITLE. - I.a9acp
PHRMIT 4: 111122.11411112_
APPx,IcATION 1$: AP90 i 706
DAT? PASrii
TEM PAID:
RECEIPT 4'.
eot:t7yexT I. PR779722
SUNDIVISION: M.ami Shores Sectors
(SECTION TOWESNEF RAMC. PARCEL NUMBER)
(OR TAX It) MtttrSE91
EXPIRA. DATE:
SYSTEM MEET 8E CONSTRVOTEZ IN ACCORDANCE METH SPACIETC:AT70N4 AND STANDARDS OF SECTION
101.006:: l S., AND. CHteATER 61t-6 T.A.0 LEPAPTNENT APPROVAL". or SYSTEM DOES N2T GUARANTEH
SATISTACTORY PSRTORWANCR TOR ANT SPECIFIC PERIOD OF TIME ANY CN*NOL IN NATERIA. YAC7,
Meg EEAvED AS A alts:a IMP IS$v* cE OF aIII4 PERMIT REVTRE 7RE APPLICANT TO MODIFY KI
81t.AMIT APPLICAT :ON. soCN woorrI'J1rroNS MAle RESULT EN TNI3 PERMIT BEING MADE NULL AND VOIt
TSSUANCS Of MS PeRICT COES ROT otettr2 7RM APPLICANT MN COMPLIANCY W:TFT OTHER. ?6LSRAI.
STATE, OR LOCA:, PERMITTINCc MI,TltED roe DEVELOPMENT OF MIS PROPERTY
[MAXIMUM CAPACT ?Y SIM62.4 TA3R ::2$0 r}Ar,;.ONS]
t GAt'.Offi3 If! :DOSES PER 24 SRS *Pumps
• I to verify that exlstirg ast;ha t over existing dralnfiefa be removed as sltr )lay nd:cates.
z "invert elevation of arainf a ;d to oe no less tnsn 7 90 ft. NGVD.
I Bottom of drn rtfield elevation to be no less Clan, 7,40 ft. NGVD
• l'Inataii 42' of slightly limited soy; under the botto°n o' the drairfled.
• i'Perirneter n' excavation area elan be at least 2 ft wider and longer than the oroplsed absorption bec or drain trend-.
File licensed contractor Instal,ing the xysteri Is responsible fo' Instei ing the min1"iurn category of tank In e394rdance with
I sec 64E -6 313(31(f) F.A.C.
2.28 ) E :IRC $J' e - 1 [M t � SELCk' 1 EENCHMARB /R.ETERENCL POINT
E 27 •' 2 I E i& i9C1i FT l E ;''0t: E/I.tt .PilARN0 ,F,R/REYERFNCS POINT
Dada CRa
C';' 7101 I
Page 1 at 3
fq• �
//ink/
Job Address: 9537 NE 2 Street
Project: <NONE>
Building Department Comments
October 29, 2009
Scheduled Inspection Date: October 30, 2009
Inspector: Levrock, James
Owner: , AVIV HOLDINGS LLC
Miami Shores, FL 33138-
Contractor: G&L PLUMBING SERVICE
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
C(:(9 - 0 6 1 - pazy
Inspection Number: INSP- 127481 Permit Number: PL -10 -09 -1732
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060133910
Phone: 305 -551 -5090
900 gals septic tank & 286 sq ft drainfield
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspecor tpmments
\.
Page 2 of 3