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RC-10-707Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. S L /r 3 1 3 1 PERMIT APPLICATION Master Permit No. (2—?0, FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) C=C sJ'"\ V v Phone # - S4q Owner's Address �t �' (� E R ) S Q.Q r City: SlAtre.S State Zip 3 3 1 Tenant/Lessee Name Phone # E -MAIL: bMC_C C1c Co Job Address (where the work is being done) (0D /0C- _ c 7 7 5 .� City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO X Contractor's Company Name ' V c C . l n c&- t. r` e . Contractor's Address (oCO V■ ct ) Phone # 3LSS — 75€5:DeaDe3 City INC State 4( C9...c-- Zip ` T'3 r S 6 Qualifier Name S Phone # 7S State Certificate or Registration No. tQO l �c( c C Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 3206 Submittal Fee $ Q� Permit Fee $ Af/A Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition Iteration New Repair/Replace El Demolition / - ❑ ❑ Describe Work: 41-e.a.) /t/€c2 i /5//4-73 xxxxxxx xxxxxxxxxxx xxxxxxxxx xxxx xxxxxxx F xxxxxxxxxxxxxxxxxxxxxxxxxrxxxxx r Ave CCF $ CO /CC Notary $ . Training /Education Fee $ O- ) . -Technolo Fee $ Scanning $ (5' ` - � (./ Radon $ - obi DPBR $ 1 . Zoning $ Bond $ Code Enforcement'$ Double Fee $ Structural Review. $ Total Fee Now Due $ Q See Reverse side --> 3 Bonding Company's Name (if applicable) fI� Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State l 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 Owner or Agent The foregoing instrument was acknowledged before me this- day of IrriUdA , 20 / , by / S. . and who 's personally know to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co xxxxzx "' ' YCOMMMISSONPDD 8 2259 IUI •RF,�t4°�' Bonded Thru Notary Pig* Underx iters APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was acknowledged before me this ( day of Tn 1 , 2006 , by c S{nn: Vklack0 who is, sonally kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commi *** r. xx x x* r. ww rxxxxx x xxxrxx** _.:` es �MMIS510N 5 �Rf;� �q� IXPIRE 9 . :July 7rters* c 4 - 1 , its Plans Examiner Engineer Zoning Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 1025 NE 97 Street Miami Shores, FL 1132050170110 Block: Lot: ROBERT MACKRO Owner Information Address ROBERT MACKRO 1025 NE 97 Street MIAMI SHORES FL 33138 -2555 1 Contractor(s) Phone BLUE BREEZE AIR CONDITIONING 305 - 865 -1220 CeII Phone Tons: KITCHEN HOOD Additional Info: MECHANICAL Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: KITCHEN HOOD Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.80 $0.20 $150.00 $3.00 $0.80 $154.60 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 Pay Date Pay Type Invoice # MC -6 -10 -38082 06/02/2010 Credit Card 06/09/2010 Check #: 3941 Amt Paid Amt Due $ 50.00 $ 104.60 $ 104.60 $ 0.00 June 09, 2010 Date Expiration: 12/06/2010 Applicant Cell Available Inspections: Inspection Type: Final Rough 1 June 09, 2010 1 Miami 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 BUILDING Permit No. mG t O - 102.' PERMIT APPLICATION Master Permit No. pg. -. Y- tO ?® 7 FBC 20 Permit Type: MECHANICAL — yof - s'siY7 1 Owner's Name (Fee Simple Titleholder) R 0 e�° Ma V-0 Phone # 3° 1 V °O Owner's Address /Oar P 4 ") wgr' City . nu 6 ,,L a )11ofe.s State - -FL- Zip 33)3 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) /0 r IU.E 11 S T u EC TBdIE J UN U BY: City Miami Shores Village County Miami -Dade Zip 3. 13 ' FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Bile B' e z 2 € A-i f C,l on ; Phone # .gym °- - as ' Contractor's Address 6.s PIA? I) f 1 City al; was! State 9` L Zip 33J( Qualifier Name t7f1 taeLs -- 7 - 0 t f 0 ; ` Phone # 3 o l 6 v 5 - a S te® State Certificate or Registration No. 4 9 00 i— Certificate of Competency No. j 0 - A C. i g i 3 Cr Contact Phone ip - ,71,7 6 '‘, E -mail 'ko li ' Coe_ L ®o 9 .' ! � ,in Architect/Engineer's Name (if applicable) Phone # diskoptakorki 1DJO Square / Linear Footage Of Work: Type of Work: ❑Addition Describe Work: * * * * * * * * * * * * * * * * * * * * * * * ** V Submittal Fee $ -SD' Permit Fee $ Notary $ Scanning $ .CO Radon $ Double Fee $ ❑Alteration ['New A( Repair/Replace ❑ Demolition / * ** * * ** e s *: /► * * * * * * * * * * * * **** * ** ** * ** * * * * * * * * * * * ***** \CP v CCF$ 0 Training/Education Fee $ O 9 V Violation date: DPBR $ Structural Review. $ Total Fee Now Due $ 1 CO /CC $ Technology Fee $ Bond $ See keverse 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 afier 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. The for day of Owner or Agent oing instrument was acknowledged before me this .) N The foregoing instrument was ac , 20 10, by Mac- 160 , day of who is sonally known to me or who has produced LLDL who is p 300Pi ° ' As identification and who did take an oath. NOTARY PUBLIC: \`�`e0 SAESt�� My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) -4 • STA - silea\ Engineer NOTARY PUBIS. Sign: Print: owledg before me thise9 � tc � f 20(0, by 1'`YI l ® �„ sonally known to me or who has produced as as identification and who did take an oath. • 011 0lis %T A PA4 - to C) • • My Commission E #DD fin Vi Clans Examiner Zoning Clerk checked Scheduled Inspection Date: June 28, 2010 Inspector: Devaney, Michael Owner: MACKRO, ROBERT Job Address: 1025 NE 97 Street Project: <NONE> June 25, 2010 Miami Shores, FL Contractor: MOODY ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 146893 Permit Number: EL -4 -10 -731 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050170110 Phone: (305)758 -2000 NEW KITCHEN RECEPTACLES NEW HI HATS STOVE LINE APPLIANCES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments PLEASE CALL OWNER TO MEET YOU AT THE PROPERTY. THANKS ALAN 305.218.7200 Page 19 of 27 4, Inspection Number: INSP - 145044 Scheduled Inspection Date: June 29, 2010 Inspector: Devaney, Michael Owner: MACKRO, ROBERT Job Address: 1025 NE 97 Street Project: <NONE> June 28, 2010 Miami Shores, FL Contractor: BLUE BREEZE AIR CONDITIONING Building Department Comments 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 Phone Number Permit Number: MC -6 -10 -1021 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Kitchen Hood Parcel Number 1132050170110 Phone: 305 -865 -1220 KITCHEN HOOD INSTALLATION W Zii‘10 Passed Q Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments PLEASE CALL OWNER TO MEET YOU AT THE PROPERTY. THANKS ALAN 305.218.7200 Page 9 of 20 Inspection Number: INSP - 147016 Scheduled Inspection Date: June 28, 2010 Inspector: Hernandez, Rafael Owner: MACKRO, ROBERT Job Address: 1025 NE 97 Street Project: <NONE> Miami Shores, FL Contractor: PRONTO PLUMBING INC Building Department Comments June 25, 2010 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 Permit Number: PL -4 -10 -720 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050170110 Phone: (305)978 -7755 PLUMBING WORK FOR KITCHEN REMODEL Passed Ixt Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ALAN 305.218.7200 C1 Page 25 of 27 • Inspection Number: INSP - 141723 Scheduled Inspection Date: June 25, 2010 Permit Type: Plumbing - Residential Inspection Type: Final Owner: MACKRO, ROBERT Work Classification: Addition /Alteration Inspector: Hernandez, Rafael Job Address: 1025 NE 97 Street Project: <NONE> Miami Shores, FL Contractor: PRONTO PLUMBING INC Building Department Comments June 24, 2010 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 Permit Number: PL -4 -10 -720 Phone Number Parcel Number 1132050170110 Phone: (305)978 -7755 PLUMBING WORK FOR KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments PLEASE CALL OWNER TO MEET YOU AT THE PROPERTY. THANKS ALAN 305.582.8676 /17O ‚ z.- Page 4 of 12 1 A Inspection Number: INSP - 141520 Permit Number: RC -4 -10 -707 Scheduled Inspection Date: July 01, 2010 Inspector: Bruhn, Norman Owner: MACKRO, ROBERT Job Address: 1025 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments REPALCE CABINETS Passed Failed Correction Needed Re- Inspection Fee June 30, 2010 7,--/t 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 Inspector Comments ec- For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132050170110 Page 8 of 26 12 W2442 2 Q 1 Cr 4 Q 1 BFEBO9L LJ I (VI / AL. i ll �°fl SB36 36" B15L 2024" 176 HOOD -12 DB36 -3 0 0 B15R B27 • '12" W3342 L BLS36 L at` 15" / All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVb NORTH MIAMI, FL 33181 (305) 957 -8808 usaldtchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 4/1/2010 Printed: 4/24/2010 BOB MACKO El 1 Drawing #: 1 Product Specifications & Dimensions Page 1 of 2 i . rr/ GENERAL INFORMATION Required Power Supply Motor Diagrams | � . ' �, - \ k '` | HMCB36FS 36" SERIES CHIMNEY WALL HOOD WITH BLOWER 351/2^VV Overall Dimensions 21 1/2^ D Telescopic Flue 31^ 35^ Ceiling Heights 8 ft 9 ft Minimum Height Above Cooktop 30^ Electric, 30^ Gas Length of Cable 51" PERFORMANCE Blower Type 500 [FM Inuerna| Blower Fan Speeds + lnhensive DUCT INFORMATION Duct Size at Discharge 6" Pound Ducting Direction Vertical Required Transition Model No. Included rECHNI[AL INFORMATION 15Amps(mm) 120 VAC, 60 Hz Double Inlet Centrifugal Blower Product Specifications & Dimensions Page 2 of 2 13 101 Click Here to View Features Ventilators, Control Housings, Hoods, and Chimney Covers are UL and CUL approved. r http://www.thermador.com/SupportCenter/SpecsDimensionsPopup.aspx?product_id=864 6/2/2010 1 • r 7" r i c4 .�B 35 -- - - 02 r • ---- 15°' 3P" 0 _52 t" " °t ^ cc et kr All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957 -8808 usakitchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. BOB MACK() LAI1 Designed: 4/1/2010 Printed: 4/24/2010 Drawing #: 1 Project Address Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Technology Fee Total: Amount $0.60 $1.25 $0.20 $100.00 $1.25 $3.00 $0.80 $107.10 1025 NE 97 Street Miami Shores, FL 1132050170110 Block: Lot: ROBERT MACKRO Building Department Copy May 07, 2010 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Contractor(s) PRONTO PLUMBING INC Phone CeII Phone (305)978 -7755 Authorized Signature: Owner / Applicant / Contractor / Agent Type of Work: PLUMBING Type of Piping: KITCHEN REMODEL Additional Info: Bond Retum : Classification: Residential Pay Date Pay Type Amt Paid Amt Due Invoice # PL -4-10 -37698 05/06/2010 Check #: 3925 $ 107.10 $ 0.00 Expiration: 11/03/2010 Applicant ROBERT MACKRO 1025 NE 97 Street MIAMI SHORES FL 33138 -2555 Valuation: Total Sq Feet: $ 1,000.00 250 1 Available inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Water Main Final Lavatory Underground 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 May 07, 2010 Date 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) /Z-6 1P\ - /)? 19-at, Phone # Owner's Address / cot- r /U 97 `¢' City / State re_ Tenant/Lessee Name Email Job Address (where the work is being done) 74-46- ue . City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address City Qualifier N ame Architect/Engineer's Name (if applicable) Value of Work For this Permit $ s Type of Work: ['Addition ❑Alteration Describe Work: Submittal Fee $ Notary $ Scanning $6 Double Fee $ Structural Review. $ Miami 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 Fee $ County Miami -Dade � Training /Education Fee $ , () Radon $ is 9Z DPBR $ / 11 • OS Violation date: NO Permit No. Master Permit No. Zip 3 3 Phone # Phone # Square / Linear Footage Of Work: , ❑New Repair/Replace --- CCF $ O Total Fee Now Due $ State Certificate or Registration No. C F6 I► c< S Certificate of Competency No. Bond $ See Reverse side -+ pEqzgvaii III APP 27 201 BY: .. 10-10 ti ( -HO Zip Flood Zone CO /CC $ IL■44 41 d Phone # 3 ()r g-9 z —z 2 s Zip 3 / Phone # 3O S 9 7g'' 7 7 CS :v Contact Phone 3O- '97? — 7 j E- mail ❑ Demolition ******** * * *** * * * * * * * * * * * * * * * * * * * * * *** ** F *** * * * * * * * * * * * * * * * * * * * * * * * * **** Technology Fee $ 0- 1(7).10 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 post- . ice, the inspection will not be approved and a reinspection fee will be charged. , Signa ture Owner or Agent The foregoing instivr�as acknowledged before me this The for day of �� 20 by b.Dad fl % j Aemz? day o who is personally known to me or who has produced L.r..Ntt > who is p NOTARY PUBLIC: As identification and who did take an oath. My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) yy \` \ \ rt IV/9 \••14,,1i[nI�ltllIu,,,i 4)1'. ,i ,. 9 Sign: ! .` ` . Sign: .. 1 ' CO b` Print: °. .�� \' ��p rn; c = Print: '�� } ;,�� ® \ 1 `, ' ` `� ` � 1ti�s P' �, g�� My Commission Expires: , ®Z ;L, ********************** 9c**** ***** * * *** * ***k*k3:9:***k****kk * k* *9r9e**** 9: *9e**9c4e9e *9edede9e*** *9e** Birk*** *** * * *ak9rie**** Engineer Signatur N TARY Contractor instrument was nisi' ledged before me , 200, b to me r who has produced ^i on and who did take an oath. Zoning Clerk checked Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 1025 NE 97 Street Miami Shores, FL 1132050170110 Block: Lot: ROBERT MACKRO Owner Information ROBERT MACKRO 1025 NE 97 Street MIAMI SHORES FL 33138 -2555 Contractor(s) MOODY ELECTRIC INC Phone Cell Phone (305)758 -2000 Type of Work: NEW H1 HATS STOVE LINE RECEPTACLE Additional Info: ELECTRICAL Classification: Residential Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Technology Fee Total: Amount $2.40 $1.25 $0.80 $225.00 $1.25 $3.00 $3.20 $236.90 Address 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. 1 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 May 07, 2010 PPROV Expiration: 11/03 /2010 Phone Amt Paid Amt Due Pay Date Pay Type Invoice # EL -4-10 -37710 05/06/2010 Check #: 3925 $ 236.90 $ 0.00 Cell Available Inspections: , Inspection Type: May 07, 2010 Date 1 Project Address Owner Information May 07, 2010 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $8.00 $1.25 $2.00 $300.00 $1.25 $8.00 $50.00 ($50.00) $8.00 $324.50 Address Building Department Copy Expiration: 11/03/2010 Parcel Number Contractor(s) HOME OWNER Phone CeII Phone Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REPLACE CABINETS Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Authorized Signature: Owner / Applicant / Contractor / Agent Phone Pay Date Invoice # 04/26/2010 05/06/2010 05/06/2010 Pay Type RC -4-10 -37684 Credit Card Check #: 3925 Check #: 3322 Amt Paid Amt Due $ 50.00 $ 274.50 $ 256.00 $ 18.50 $ 18.50 $ 0.00 Applicant CeII ROBERT MACKRO 1025 NE 97 Street MIAMI SHORES FL 33138 -2555 Valuation: Total Sq Feet: $ 10,000.00 250 1 Available Inspections: Inspection Type: Drywall Final Framing Insulation 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 May 07, 2010 Date 1 BUILDING PERMIT APPLICATION FBC 20 Miami Shores Village lammEn Building Department Iri 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 Type: BUILDING ROOFING /� Owner's Name (Fee Simple Titleholder) .(j& - On Owner's Address / ®" A}e 9 .- °e'er City (h r p- , �S State et.._ Tenant/Lessee Name Email Permit No. Fs, C4 0 - 7 I Master Permit No. Phone # Zip 3 O J Phone # BY: V? Job Address (where the work is being done) CT`s - City Miami Shores Villa e County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name /1 L e (»j — q2_ Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # DO Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition DAlteraiion ❑New $ Repair/Replace ❑ Demolition Describe Work: Phone # ******** *** * * * * * * * * * * ** * * * * * * * * * * * * * *** F * * * * * * ** * * * * * * * * * * * * ** * * * ** * * ** $ 50 Submittal Fee • Permit Fee $ Coa) CCF $ (0'00 CO/sC._$ Notary $ Training/Education Fee $ a' QC Technology Fee $ '•Q\./ Scanning $ G. nii Radon $ ) - DPBR $ 1' 9-S Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ .']4 •50 See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature . --‘•—_________ Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The The foregoing instrument was acknowledged before me this day of trLIL, 2010 , by 1200641 rt Aeir.. , day of , 20 , by , who is personally known to me or who has produced LLf N01� who is personally known to me or who has produced As identifi 4 take an o ath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: - 9 r ,�; . • My Commission Expires: ' * flJ$I1'4 ' ��`�� `` NOTARY PUBLIC: (Revised 07 /10 /07)(Revised 06/10/2009) Sign: Print: My Commission Expires: APPROVED BY � � / / Plans Examiner Zoning Engineer Clerk checked NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST BISPECTION PERMIT NO. . - 4 /O -707 TAX F'OUO NO. /' 0 /? — olio STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: /p as AxP 97 70 7 teiN1/4 .rn! S40 I , 7.1'' J'' 2. Description of improvement eglePc Ki ra/¢e&d QAT I ■rs 3. Owner(s) name and address: t ec+:gr, ' off_ /7 /-+ /odt,r !ve y7 ' i e-L-' A"r ! .riseit-ei {e- 3 n 8' Interest in property: 0 w 2 Name and address of fee simple titleholder: .k 3 4. Contractor's name and address: S'eL.P 5. Surety: (Payment bond required by owner from contreameo Name and address: v'pbuf Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner •, r provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: F e �k 3 Notary Pubf Print N My commi 123.0142 PAGE 81112 9. Expiration date of this Notice of Commencement: (the expiration different date is specified) Signature of Owner Print Owner's Name �6$ a-e.Cb / Sworn to and sub .- '. . before me this 27 day of ( itflorS 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Tr ' CHASE A LALANI— ax ` MY COMMISSION # DD977161 EXPIRES March 31 2014 (407) 398•x15 n til m p, ys wm ,20 �d. 111111111111 11111111111111111 1 111111111111111 CFN 2O1ORO2787S3 OR 8k 27263 F's 24311 (1asg RECORDED 04/27/2010 10 :20 :47 HARVEY RUVINr CLERK OF COURT I1IA1'tI -DADE COUNTY? FLORIDA LAST PAGE 27//1.1 ti o is e " Zit- /9240 , V/991 r"rs�• / ice, date is 1 year from the date of recording unless a Address: r0,-S' ' * 7 4 / e OWNER BUILDER DISCLOSURE STATEMENT NAME: _ :.� /4 /4 ' + DATE: I 4- G7 / 0 ADDRESS: /OJT Ai e._ 9 7 (I c rekefe 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one family or two - family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete. the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initialg� 3. I understand that, as an owner builder, I am the responsible party of record on a permit I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. ep Initial Initial �� 4. I understand that I may build or improve a one family or two - family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial t ( 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial /L- 7`t 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or htto:// www. myfloridali icense .com/dbprlprofcilblindex.html Initial ��'_ 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: /oc2i p t 1— 33 /-3 r Initial_ 1A 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial �1r. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of 1I'.L , 20 16 By 1`' m � who was personally known to me or who has Produced there License or — 11.1-11•16 S C as identification. OWNER — NOTARY Initial t All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957 -8808 usakitchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 4/1/2010 Printed: 4/24/2010 BOB MACK() All Drawing 4: 1 0 • CO M L0 M co C7 281" 55 22+ -16" 1 It BFfBO9 { . 9 Sk,N 0 71 *" 2021' 521" 51" 521" Y171" QQ 14 3v "--1-1 1 DB30 -3 - 9 l a r 1/4 DB30 -3 W3030 W3030 71" W W W O W O ti 0® • Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. BOB MACKO USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957-8808 usalcitchengallery.com All Designed: 4/1/2010 Printed: 4/24/2010 Drawing #: 1 • 39 1" 4 W3612 uu � LP25(96) SUB362D1DW 38 1" vw 36" 4 159 4 " 36" 33" 24" 33" 00 100 CCID 27" W2742 11 24.DISHWBF3 BF6 51" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957-8808 usakitchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. BOB MACK() El 1 Designed: 4/1/2010 Printed: 4/24/2010 Drawing #: 1 O d' Nr r IN 12" W2442 0 0 1 BFEBO9L LI SB36 284" ,,9" 36" B15L 5 11 202 4" 178 HOOD -12 DB36 -3, 36" B15R 0 0 1 B27 27 " BLS36 L 36" 12 W3342 • All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957 -8808 usakitchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. BOB MACKO El 1 Drawing #: 1 Designed: 4/1/2010 Printed: 4/24/2010 BLS36 L 36" 30" 81 4" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. BOB MACKO TF75WC- R- S.STEEL4) USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957 -8808 usakitchengallery.com 21 6 „ 37 2" a-713,1 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. El 1 Designed: 4/1/2010 Printed: 4/24/2010 Drawing #: 1 • N D630 -3 30" 60" D630 -3 30" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. USA KITCHEN GALLERY 14700 BISCAYNE BLVD NORTH MIAMI, FL 33181 (305) 957 -8808 usakitchengallery.com This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. BOB MACKO El 1 Designed: 4/1/2010 Printed: 4/24/2010 Drawing #: 1 All dimensions _size designations given are subject to verification on 'job site and adjustment to fit job conditions. I usakitchengallery.com USA KITCHEN GALLERY 14700 BISCAYNE BLVD. NORTH MIAMI, FL 33181 (305) 957 -8808 - This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 3/15/2010 Printed: 3/31/2010 BOB MACK° I All Drawing #_4J CN ` — fV N cc, - - -- 202 ;" 12 ":;- ; , 178 4" - -281" ... , , -- -- -524" , 51 " 54 1 7" I t 3 6" F• 10" 36" , 15" •E' 27" 36" ($ ! f i SI Q I E 71i' 4 BFEB09L M � LL ,t t g; j E i T7 z 30 IN3030 W3030 B15R DB30 -3 j 12 ( e,i),,ire,e T� 52+ "- 1% 17, " cE 1 I . 6 7_ BLS36: 71" co SI? O • 1 Nein- otA" - 14C.----H /a v*mi Shnres VillE:ne _.—_—_— '70`17D BY 1 DATE .-.- 1 : A CC M1' .iA.NCE MTH ALL FEDERAL Hr - ul_i_\-r!CNS