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RC-07-785 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL ` Phone: (305)795 -2204 Fax: (305)756 -8972 f1 Inspection Date: 12/2012007 Permit Type: Residential Construction Inspector: Grande, Claudio Inspection Type: Final Owner: QUINTANA, ALEXANDER Work Classification: Kitchen Cabinets Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor. HOME OWNER BuIlding Department Comments REPLACE KITCHEN CABINETS RENOVATION OF MASTER BEDROOM ALL INTERIOR DEC Inspector Comments Passed hold harmless brought to the city on 10/22/07 for the other two inspections. (driwall, framing) CC Failed aLM'�� Correction Needed Re- Inspection Fee ($75 No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, December 19, 2007 Page 1 of 2 Inspection Worksheet . � , ►ter, Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 FUM y. ?• >. i. ...Z - .� S N y' xi� .i HF--:k'r b 4 `t. Inspection Date: 1211912007 Permit Type: Residential Construction Inspector. Grande, Claudio Inspection Type: Drywall Owner: QUINTANA, ALEXANDER Work Classification: Kitchen Cabinets Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buliding Department Comments REPLACE KITCHEN CABINETS RENOVATION OF MASTER BEDROOM ALL INTERIOR Inspector Comments / Passed SEE HOLD HARMLESS ATTACHED Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, December 19, 2007 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 1211912007 Permit Type: Residential Construction Inspector: Grande, Claudio Inspection Type: Framing Owner: QUINTANA, ALEXANDER Work Classification: Kitchen Cabinets Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor: HOME OWNER i BuIlding Department Comments REPLACE KITCHEN CABINETS RENOVATION OF MASTER BEDROOM ALL INTERIOR Inspector Comments Passed SEE HOLD HARMLESS ATTACHED. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, December 19, 2007 Page 1 of 2 O c IV SAM" 11 490 DEC 2097 10050 NE 2 ^d Ave TE f " may Miami Shores, FI 33138 Phone 305 - 795.2204; Fax 305. 756.8972 www.miamishoresvillage.com DATE: "� '(rU HOLD HARMLESS i 9 PROPERTY LOC TED AT: (� y 7 C7 I G U ✓ 3�� d As license contractor of subject property, Permit number oo Issued to N I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the correction, if required, of work performed under the above permit. 1 Type of inspection missed r yw t o (Prime Contractor - qualifier) ame) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of o2M �a•o, Notary Public, Sate of Florida at Large v � Q 4 ,IINM,� Inspection Worksheet Miami Shores Village na 10050 N.E. 2nd Avenue Miami Shores, FL _TK_ Phone: (305)795 -2204 Fax: (305)756 -8972 � r Inspection Date: 11102/2007 Permit Type: Plumbing - Residential Inspector. Levrock, James Inspection Type: Final Owner: QUINTANA, ALEXANDER Work Classification Addition /Alteration Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor. PRONTO PLUMBING INC Phone: 305 -892 -2255 Building Department Comments NEW FIXTURES FOR EXISTING BATH AND KITCHEN. 1 SHOWE, 1 WATER CLOSET 1 LAVATORY, KITCHEN SINK WITH DISHWASHER q Q 401 ns to Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional inspections can be scheduled until re- inspection fee is paid. Thursday, November 1, 2007 Page 2 of 2 1 4- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 . ........ .. ... ......... .... ................. ............................... .......................................... ................... ................................................... ....... . .............. ................................................. ....................... . . ......................................... .......................... ....... .......................................................... .................................................... ............................ . .. L ... .................... ............. .............. .... ................................................. .. ........................ ...................................................... I .......................................................................... ---------- ...... .... .... ................................................................... M.... .............. ............... ............... ............ Inspection Date: 05/1512007 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Rough Owner: QUINTANA, ALEXANDER Work Classification: Addition/Alteration Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor: PRONTO PLUMBING INC Phone: 306-892-2255 Building Department Comments NEW FIXTURES FOR EXISTING BATH AND KITCHEN. 1 SHOWE, I WATER CLOSET 1 LAVATORY, KITCHEN SINK WITH DISHWASHER Mk 1 2007 spe o om nts Passed ED/ Failed El Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, May 14, 2007 Page 2 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PL -5 -07 -957 Owner Address: Invoice Number: PL -5 -07 -28463 Applicant: ALEXANDER QUINTANA MIAMI SHORES, FL 33138 Company Name: Job Address: 1045 97 Street NE Miami Shores Village, FL Date Payment Type Check Number Amount Change Monday, May 14, 2007 05/14/2007 Check 3271 $183.85 $0.00 Total Payment: $183.85 Page 1 of 1 Miami Shores Villages �e 1t1Rt#) 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 11/07/2007 Project Address Parcel Number Applicant 1045 NE 97 Street 1132050170100 Miami Shores Village, FL Block: Lot: ALEXANDER QUINTANA Owner Information Address Phone Cell ALEXANDER QUINTANA MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 2,0 00.00 PRONTO PLUMBING INC 305 - 892 -2255 ._ . -.:.. ..... .. _:..... _ _... Total Sq Feet: 0 Type of Work: PLUMBING Available Inspections: Type of Piping: bath/kitchen Inspection Type: Additional Info: Lavatory Bond Return: water Main Classification: Residential Main Dram Heater Water Service Underground Rough Top Out Final Re Pipe Fees Due Amount Total Amt Paid Amt Due CCF $1.20 Education Surcharge $0.40 $ 0.00 $ 0.00 $ E-00 Notary Fee $5.00 Permit Fee - Additions/Alterations $170.00 Payment Type: Scanning Fee $3.00 Technology Fee $4.25 Total: $183.85 AY 14 pD 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 11, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, May 11, 2007 1 Miami Shores Villag ! J _ g MAY 0 9 2007 y' Building Department BY: _I -- r - -- --- 10050 N.E.2ttd Avenue, Miami Shores, Florida 33138 Tel: (305) 79 .2204 Fax: (305) 756.8972 BUIL �� ING � I �lw� Permit No. l�,0 � qC PERMIT APPLICATION T1 Permit No. FBC 2004 Permit Tape Plumbing Owner's Nal'me (Fee Simple Titleholder) C1 4, YeV U l 1`401A Phone # SOT Owner's Address �q J / U � � ' I f E- C � s�V City U V' I U0 J u UL"' State F Zip • .3 Tenant/Lessee Name A Phone # E -MAIL: Job Address (where the wk is being done) 1 0 Gy � �( 7 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building tistorically Designated YES NO Contractor's Company Name Phone # 9� 2, Conta s ,- / -,[/� � _ _ - City ice' ' lwka on $tat Zi p 33 Qualifier Name Phone # lb State Certificate or Wegistration No C� S14 Certificate of Competency No. E-MAIL: ' Architect/E' sneers Name if ap t?g� (� pp ) Phone # _,y Value of Work For this Permit $ C) 0 Square / Linear Footage Of Work: Type of Wohk: ❑Addition Alteration ❑New � Re air / a ace ,r ❑Demolit Describe Work: Of � LOA r8 aY4 aYdr sk4ed�or dr Y dt Y oYudcY sYsRde tk 9t9t st mY 4d��d+ aEjxxsso4+Y FeeS$t de Yfxde sYdruatc drwde 4e oY de ah eY 9t 3cxxsrxdr 3z � aexk 4e et #dexxY eY a'rse de I Submittal Feeee $ Permit Fee $ 0 CCF $ /'0 CO /CC Notary $ Training /Education Fee $ _ Technology Fee $ 4 _ Scanning $ j Radon, $ DPBR $ Zoning $ Bond $ j Cade Enforcement $ �- Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� -i i Bonding Conipany's Name (if applicable) � i Bonding Company's Address City State Zip s Mortgage Loader's Name (iinapplicable) ��,��'� Mortgage Lehter's Address City State Zip i Appl }cation is'hereby mace >b 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, BOILER ' > A S HEATERS, S and d AIR CONDITIONERS, ETC ..... I OWNER'S AFIDAVITt Ii ertify that all the foregoing information is accurate and that all work will be done in compliance with all , applicable laws regulatmg'Icorstruction and zoning. "WARNING tO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C I OMMENCEMENT MAY RESULT IN YOUR ; PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT l WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." J 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 o whose property is subject to attachme P f commencement and construction lien law brochure will be delivered to the person i Also, a certified copy of the recorded notice o commencement must be posted at .f p the fob site , I� for the first inspection whit , occur s 'en (7) days after the building permit is issued. In the abscnc such posted notice, the j in petition will scot be ap rpv and r �nspect ' fee will be charged Signature% \ Signature _ Owner'' r Agent Contractor ! The foregoing 10strument was acknowledged before me this The foregoing instrument was acknowledged before me this day f, I y , 20� , b �� ( \�_ t _ day of , 20 r l * , by �erlI � � NIJP QLI I who i rsona ly know to m or who has produced who is personally known to me or wh has r r l�✓s �q.�ace I� As i'deniffication and who did take an oath. tcatt f d� OMMISSI 917 oath. MY C NOTARY PirBLIC: NOTARY EXPIRES:oclober20,2 00 00 « y �' tic BandedTh ruWlarl PUbI c f. Sign: o Sign: Print: Mave Print: �ascee, L I My Commissiop Expires: M Com t ' My is Ex ires: p ' I de,kar>Y,Y,Y drdraY aYxu>9dr,'a,4drxx,b dr a4itiu>{iSe,Y>t' ,Yx 'xx' da','esr,Yxxx,4 de 4r,4+Yweeee. ,4xsa,Y &u,h 4e ,t,Y,Y dcx &,Y de n}oe oc,r �e $YDNEE HOMM II' x: r YY +i MY COMMISSION N 00 349 MI gs EXPIRES: Atom 22, 2001 j APPLICATION APPROVED BY: ';ai M4 mwrrtu�mwrau. �an�xfa�niner Engineer t Ii Zoning ( Rev i sed , u 2/ seA 02/08/06 !I Permit NO. RC -4 -07 -785 - ftfs Miami Shores Village M Permit Type: Residential Construction 10050 N.E. 2nd Avenue Perm Work Ciassification: Kitchen Cabinets Miami Shores, FL 33138 -0000 Permit Status: APPROVED N9 Phone: (305)795 -2204 issue Date: 617 /2007 Expiration:11 /03/2007 Project Address Parcel Number Applicant 1045 NE 97 Street 1132050170100 Miami Shores Village, FL Block: Lot: RICHARD WINCKLER Owner Information Address Phone Cell ALEXANDER QUINTANA MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 9,0 00.00 HOME OWNER Total Sq Feet: 200 Approved: N/A Available Inspections: Comments: I nspect i o n Type: Date Approved:: N/A Final Date Denied: Drywall Type of Construction: KITCHEN CABINETS Occupancy: Single Family Framing Stories: NA Exterior: NA Insulation Front Setback: NA Rear Setback: NA Left Setback: NA Right Setback: NA Bedrooms: NA Bathrooms: NA Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: Bond Return: Classification: Residential Fees Due Amount Total Amt Paid A CCF $5.40 Education Surcharge $1.80 $ 0.00 $ 0.00 $ Notary Fee $5.00 Permit Fee - Additions /Alterations $270.00 Payment Type: Scanning Fee $9.00 � Technology Fee $6.75 U•A�� ® A Total: $297.95 q A "",a )001 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, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Monday, May 7, 2007 1 Inspection Worksheet o,a lid =. ,,. y. Miami Shores Village '. 10050 N.E. 2nd Avenue Miami Shores, F � LPN I'ES M ( ' O � Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 4772 '` Permit Number: EL-6-07-86 Inspection Date: 05/08/2007 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Rough Owner: SWARTZ, EMERY Work Classification: Addition /Alteration Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number (305)758 -9030 Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor: P &M ELECTRIC INC Building Department Comments electrical for kitchen renovation MAY 0 9 2007 Inspector Comments Passed �. Failed'�� O y Correction Needed v� Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Monday, May 7, 2007 Page 1 of 2 Inspection Worksheet ,t. Miami Shores Village 1 rtoe tiom�E � - 's ry` 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I :......::.. #i€ I#t1::ltbel€�:::: ' • :.:::::. •: ,:::::.. ::::.: �:••:'':''.;:<: }••::':':'::':.. .. Inspection Date: 10/30/2007 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SWARTZ, EMERY Work Classification: Addition /Alteration Job Address: 1045 97 Street NE Miami Shores Village, FL Phone Number (305)758 -9030 Parcel Number 1132050170100 Project: <NONE> Block: Lot: Contractor: P&M ELECTRIC INC Phone: (305)949 -6373 Building Department Comments electrical for kitchen renovation Inspector Comments Passed G - Failed Correction Needed Re- Inspection Fee ($73 No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, October 29, 2007 Page 1 of 2 Mr � ;, �az� i"'� xL Miami Shores Village �S• 10050 N.E. 2nd Avenue zf y Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 t1�*#I� API'IlER xoA Expira tion: 1 Project Address Parcel Number Applicant 1045 NE 97 Street 1132050170100 EMERY SWARTZ Miami Shores Village, FL Block: Lot Owner Information Address Phone Cell EMERY SWARTZ 1045 NE 97 Street (305)758 -9030 MIAMI SHORES FL 33138 -2555 Contractor(s) Phone Cell Phone Valuation: $ 8,700 P&M ELECTRIC INC Total Sq Feet 0 Type of Work: ELECTRICAL Available Inspections: Additional Info: UPGRADE Inspection Typ e: Classification: Residential ww Meter Box Underground Rough Service Change Final Alteration Relocation Fire Alarm Fees Due Amount Total Amt Paid Amt Due CCF $5.40 Education Surcharge $1.80 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee - Additions/Alterations $304.50 Payment Type: Scanning Fee $6.00 Technology Fee $7.61 Total: $330.31 1aU !;z g MAY 0 7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated May 04, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, May 4, 2007 1 Miami Shores Village c�cn19k;_- Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING C IVED Permit No. Ek. I ' %I PERMIT APPLICATION aster Permit No. FBC 2004 � � 200? shole Permit Type Electrical Owner's Name (Fee Simple Titleholder) 1� �,L ��,,, -� Phone # Owner's Address /6gr A,45- 7- S City �i ter' reS State Zip 331-3;? Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) /,I /7 � �Z'� City Miami Shores Villaae County Miami - Dade Zip -7 3 13 FOLIO / PARCEL # Is Building Historically Designated YES NO ___X_ Contractor's Company Name 1 00&-1 42L e- , ,100 Phone # 9 Contractor's Address 193,10 City State AE��a _ Zip Qualifier Name �6' j >-g s�2 Phone # -70.S - ,BOO 9 7.2- c / State Certificate Rr Registration No. .,:C_C 13 l P — Certificate of Competency No. E -MAIL: eq '904 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: �/i a� i , o► ` v G'� �� Sew/ce rpueqo. e /a, C_ ae ® Submittal Fee $ Permit Fee $ ®l�irsGe CCF $ CO /CC Notary $ OW Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ �'J��J 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 F `' State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l 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. ( 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 en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a inspection fee will be charged. Signature S Signature Owner or Agent Contractor ST The foregoing instrument was acknowledged before me this d6� The foregoing instrument was acknowledged before me this day of . / , 20 pZ, by e !5�/e-X ��,.,. � day of 1 , 20 ®7, by , who is ! �F�As e or who has produced who is personally known to me or who has produced identificaxion and who did take an oath. % - 9�/-7 `a ide�fication and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: •eatl g• �� . , Notary PUG; •' . ^ry ° JV7,77, "orida Sign: My Comr. Sign: ;GAU5 ®t 99 5 Print: Print: C� � �yc S, Octobes My Commission Expires: My Commission Ex * f Bonded ° tie aYxxvY• k aY do 4a de o4xxuxdrde s}oYsYuuxs4 ak eY dcxoexaYxdrxdcx #•xxxx�e sa eYxde eY daxaexxoaxaY &acx8exxdrxx•Y aY�ot dexxdexu9exa'a�aYa xdaxenY x &xe4x�rY�e&YxoY onaxeea4 de C APPLICATION APPROVED BY: �IYC� Plans Examiner Engineer Zoning (Revised 02/08/06) RAGE CD N 2/0 T hhn Existing 200a motor/ 200a Ma M.B. Panel 40cir. 4 gr.THHN m� X 0 u, Jp � °M � 10' gr. rods T . part �� w min 0' a •, �.3 v� 22 o �D co V in m m 9 JO O N 3 WQ —Z -om .4 ' GARAGE 2/0 Thhn I Existing 200a meter' I 200a tea M-R. Panel 40cir. r.THHN m 9 E_ 1 c gr. rods — min. 6' apart LOAD CALCULATION o s 7BY. ECE - General Lighting: AY ®1 2300 sq. ft. X (3) = 6900 (2) appl. @ 1500 = 3000 (1) laundry @ 1500 = 1500 11400 ( General lighting sub -total ) Adjustments: 1" 3000 @ 100% = 3000 remaining ( 8400) @35%= 2940 5940 (General Lighting) General lighting = 5940 A/C heat @ 100% — 10000 Oven — 8000 Dishwasher — 1 (2) HWH @ 3000 = 6 ' Dryer Sprinkler Pump — l� 37,14012 Ov = 154.75hmps F This calculation prepared and submitted ELECTRICAL By: Scott Thrasher for P & M Electric, inc. CONTRACTORS EC13001875 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 01 i amok In PERMIT #: MINIM Miami Shores Ila APPROVED By OA'!P� ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULAT'ONS RAGE 0 N W . 2' c. w/ (3 ) r � 2/0 Thttn I Ex isting 200a motor/ 200a M.B. Panel 40cir. � 1 4 gr.THHN s �= w J O -- 5 do: ch I W gr. rods 7 !. p min. 6' apart z A , J 0 0 C .!a No Z SOW l6 q A� 97 s7 LOAD CALCULATION R.ECEIVEI3 '-: General Lighting: MAY 0 1 200h 2300 sq. ft. X (3) = 6900 (2) appl. @ 1500 = 3000 (1) laundry @ 1500 = 1500 11400 ( General lighting sub -total ) Adjustments: 1" 3000 @ 100% = 3000 remaining ( 8400) @ 35% = 2940 5940 (General Lighting) General lighting = 5940 A/C heat @ 100% = 10000 Oven Dishwasher _,1_100 ,1100 H (2) HWH @ 3000 6000' Dryer = 5000 Sprinkler Pump = 1100 37,140/240v = - 154.75amps This calculation prepared and submitted ELECTRICAL By: Scott Thrasher for P & M Electric, inc. CONTRACTORS EC13001875 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 FIELD IBM,, SWIM c oll y PLAIT #so Miami Shores Villa e Sy DA1'1: APPROVED ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WTH ALL FEDERAL. STATE AND COUNTY RULES AND REGULATIONS Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING Permit No . p } PERIVHT APPLICATIO APR 2 0 2007 Master Permit No. FBC 2004 A BY: _- - - - - -- Permit Type (circle): Building ale -XIumhin achanigal Roofing Owner's Name (Fee Simple i e o der) A 1 pm W k Phone # -?Of� 7 � Owner's Address / 0 TS_ AJE- - 7 St City "vA(GLif+�ULL�V�- State -- Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) /0 of A 9 &" City I Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # i 031 d l u /'7 0100 Is Building Historically Designated YES NO Contractor's Company Name Uj d1 f K Phone # 56 7 Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # JF Value of Work For this Permit $ 9t ow 0( Square / Linear Footage Of Work: Type of Work: FlAddition. Alteration ` E]New epair/R�eplace Q Demolition Describe Work: Qe 1 1$ � A 0 I t � � l �w�.�1 c� aoG9°� ill" , U,,4 ; A W kJf SOY QE°l'& Submittal Fee $ Permit Fee $ �` CCF $ 51 CO /CC Notary $ Training/Education Fee $ Technology Fee $ -15 _ Scanning $ Radon $ DPBR $ . Zoning $ Bond $ Code Enforcement $ Double Fee $ n Structural Review. $ Total Fee Now Due $ See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a. permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 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) s after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspec ' fee ArFe charged. Signature Z , Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of iL 2007, by A(midef gacro day of . 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced Co gy As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: �1S Sign: u�aec Sign: Print Print: My Commission Expires: �RF` , My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06) NOTICE OF COMMENCEMENT OR Bk2`. 52 P 209 4 t �� A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 04120/2007 11 :14:04 HARVEY RUVINP CLERK OF COURT PERMIT NO TAX FOLIO NO. It 3 1 0 S /7 VU IIIAMI -DARE COUNTYr FLORIDA LAST PAGE 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: MV f N ST "1%44k� vl i/ 2. Description of i provement: �� 2 MWLt`hU� luct ifw 1 3c4i imm veuoua � QC. ' �VtJi uWl IIR 3. Owner(s) name and address: M _ I .x tti v v 3 / Interest in property: Name and address of fee simple titleholder: i I MC 6U t wfli P/1 nay 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if aO RESY CERTIFY that this is a true_j of the r ", vngmal hleg in this office on day of Name and address: "v Amount of bond $ . vfrnfE,s mA hp# and Official Seal. 3 ,' L 4°1 lAU Vlk 6. Lender's name and address: tARVEY RUV ) of Circuit nd County Courts 7. Persons within the state of Florida designated by Owner upon whom es or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the-Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this o ce of Commencement: (the expiration date is 1 year from the date of recording unless a different d pe ifi d Signature of Owner �i Print Owner's Name � c iw (QV rA.) Prepared by Swam to and subscribed before me this 2b day of L` , 20A.. t/ Address: 1 lJYS"lN 7 �"- Notary Public Yn 1 &-;13 SG. L" �P Print Notary's Nam My commission expires- 123.01-52 PAGE 4 8/02 otiN1 Pfs�,� MONICA USSETH DIAZ _* ' ..... �- MY COMMISSION # DD 483995 EXPIRES:October20,2009 eondedThruNotwP0icUndenwfters �� VILLAGE OF MIAMI SHORES U 2007 U . - -M- OWNER BUILD DISCLOSURE STATEMENT �Y: _ - - -- NAME: �2' Gi �o' V, r �' r 0 DATE: r ADDRESS: lti � �vlU� � � 3r3 Do hereby petition the Village of Miami Shores to as my own contractor pursuant to the laws of the State of Florida,. F.S 489.103(7). And I h ive.read and understood the following disclosure stdtetnent, which entitles me to work as my own contractor; I further understand;that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence. You may also build or improve a commercial building at a cost .of $25,000.00 or` less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourselfwithin 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 Supervision and must be employed by you, which means that you trust deduct F.I.C.A and with - holdings tax and provide workers' compensation for that emplgyee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 4- 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at.the time of permit application Initial 3. 1 have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum-code. k� Initial 5. I understand that as an owner- builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial Ift 6.. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If -for any reason they do not posses a business license I will be responsible and liable for any wrong m doing fro this unlicensed company-or person. Initial 7. - I- understand that if any person gets injured on my construction project –they are entitled to workmen's compensation. And if they do not posses a workmen's policy T could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. I understand that. under state and local laws I can ' not do any electrical Plumbing, Heating, Air & Roof work on my with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this day of 1 ZO O T By ,4IexpfJ& 6�&n r,#y who was personally known to me or who has Produced there License or irr2r° Z /C . as identification. .OWNER N. Y OMICA LISSEM * MYC D483995 ..... 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