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1200 NE 97 St (12)INSPECT 4)NS DATE EY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS SEPTIC TANK - $ SEWER F^.. .: ^!C $ SOLAR HEATER $ GAS $ $ FINAL - r --- BY RE- INSPECT BY RE- INSPECT BY CLEAN-UP c.' `;. J PERMIT NO. i % • DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK - ,e $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING c.' `;. J GAS - - SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR - PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE - J ROUGHING - - H. W. HEATER CONN RANGE CONN. FIX JRES & FINAL X LDING INSPECTIONS CONTRACTOR PLUM SING PERM TS a: INSPE:C'i [orc s' ELECTRICAL PERMITS & INSPECTIONS APPR OVAL TO POWER CO. FOR SERVICE DATE PHONE BY' OWNER'S NAME C. Hall PRESENT ADDRESS LICENSE NO. PHONE NO. .4. JOB LOCATION (ST. OR AVE.) 1200 N.E. 97th Street LOT U1250'of20 a1121, BLOCK 4 SUBDIVISION Earlton Shores GENERAL CONTRACTOR Dean R. Claussen ADDRESS PHONE NO. LICENSE NO. 15942 BUILDING PERMIT NO. 15942 DATE 3- �/ PERMIT FEE 5 2400 0 BUILDER'S BOND No. 16 59 ` DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 28,249 CU. FT. EST. COST ,000 ?0 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION oak floors, plaste r walls an �}� REPAIRS DESCRIPTION ceilings y , y, 3 drlm -2'2 baths-living room Fla, room - dining room - kitchen - garage ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS I CERTIFICATE OF OCCUPANCY NO. � � , ISSUED y �- BY ��� TO .. - BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE UILDING LECTRICAL •UMBING OOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4405 wner of illding chitect Dntractor Builder -gal Lot cscription Bl. ddress of iilding Subdi- vision Value of !I Amount of Project $ 11 Permit $ DATE 195 (` Contractor's License No. Work to be performed under this Permit__ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application :refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements o:- specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revcked at any - re if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations :rtaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work .ne by his agents, servants or employees. Signed. BY INSPECTOR In consideration :f the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations :rtaining thereto and ir_ strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. l !y CONTRACTOR OR BUILDER BY AUTHORITY .............. .............. .............. f Inspection Date: 06/15/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, June 14, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Alteration Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 2 of 2 6 If t__ Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . .............. .............. .............. f Inspection Date: 06/15/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, June 14, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Alteration Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 2 of 2 ist.44 OCT 1 2 21 MI A3 SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 4b1 r Type Insp'n �'((" Permit No. ISCO5 NA Name I NAUL ° Address 17L0 Kt T1 ✓' Company Phone # Inspection Date Approved Correction Re- Insp'n Fee C cet(ex r Uj , c ud A,) 4 Inspection Number: INSP -11803 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Friday, March 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho7: (305)795 -2204 Fax: (305)756 -8972 / Block: Permit Number: BP2005 -1384 Permit Type: Imported Permit Inspection Type: Work Classification: Lot: Phone Number 305- 759 -0860 Parcel Number 1132050090620 Page 1 of 2 " I T ✓ Inspector Comments Passed �� I ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -11803 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Friday, March 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho7: (305)795 -2204 Fax: (305)756 -8972 / Block: Permit Number: BP2005 -1384 Permit Type: Imported Permit Inspection Type: Work Classification: Lot: Phone Number 305- 759 -0860 Parcel Number 1132050090620 Page 1 of 2 Inspection Number: INSP -11799 Permit Number: BP2005 -1296 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, March 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon,: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Building Work Classification: <NONE> Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -11799 Permit Number: BP2005 -1296 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: CONTRERAS, MARIA Job Address: 1200 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, March 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon,: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Building Work Classification: <NONE> Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 1 of 2 MIAMI OR VILLAGE BUILDING DEPARTMENT 305- 795 -2204 EP 3 0 NOS Building Inspection Request Date Type Insp'n y \NG 1 Permit No. '^ 17 -) 1S `Z c 9 o./ Name l�Jirk -ekra 1 Address 1200 t 1 ° ' S Company Phone # Inspection Date Approved Correction Re- Insp'n Fee H CD 4 c O z 3 z 5 Date Type Insp'n dc) l Permit No.15r3 5 — Name , W 1 . Address 1 ZOO /vE Company Phone # Inspection Date G Approved Correction Re- Insp'n Fee 7 MIAMI S RILLAGE BUILDING DEPARTMENT 305- 795 -2204 sr 3 0 NB Bulding Inspection Request OW E 65 1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electri al Plumbing Mechanical Roofing , p k1_ Let'; �� r Owner's Name (Fee Simple Titleholder) t t�C�Y't71�'t`'�;ri� r Phone # C(1: ( � Owner's Address i /Cc" W E City / f tt ,.H I State t L Zip 1.36 Tenant/Lessee Name Phone # Job Address (where the work is being done) Vex: , t City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name � .. s�. �' ;. r Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit, CC' l Type of Work: ❑Addition NAlteration Describe Work: Submittal Fee $ Notary $ -CO Scanning $ .3 .0C Code Enforcement $ J tt. tyj CAio : ti<t, Total Fee Now Due $ 1 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 County Miami -Dade C +4. NO Permit Fee $ / 2-0 Training/Education Fee $ O lf •`it ['New Radon $ Zoning Structural Plan Review. $ Permit No. Master Permit No. Phone # Square Footage Of Work: ❑ Repair/Replace ** * * ** * ** * * * * ** * ** * * ** * ** ** Fees * * * *** ** * * * * * **** * *** * *** ** * ** Zip Technology Fee $ r DC ) Bond $ ❑ Demolition CCF $ 2 • 4 - 0 coicc 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 chc 05/13/03 / 1 / m o i 3 1 r ) C 7 . Owner or Agent The foregoing instrument `'5 was acknowledged before me this Co The foregoing instrument was acknowledged before me this day of �, 200 by ( �r� , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced A. id ntification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: I ► 1ct My Commission Exp - s: - ai)l;., NOTARY PUBLIC: O IflT!ii5SjOfl 100 :.rar ..�i Signature Contractor Sign: Print: My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * *lk * ** * ** * l * * * ** * * * * * * * * * * * * * * * * *s * * * * APPLICATION APPROVED BY: Plans Examiner Engineer Zoning • VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT 16402.1 A Con rreK15 being the legal property owner, for the property Located at: /20o 619E ? 141&m4 S h®yEz Legally described as 6 i GCE F'' '4 I I y 110-77)16- 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 understand the following disclosure Statement, which entitles me td cork 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 licensed contractors. You have applied for a permit under an exemption to that 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 or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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 Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) Was acknowledged before me this 2 - � ELI /3 ,g,41/0 � By Produced as identification and who did take an oath. / " 7 / 7 4 . 1 3 7 ; 7 4 . , . Owner Owner DISCLOSURE STATEMENT initial of reviewing clerk. The foregoing instrument day of Aj 20 Gs' .$ who it epee personally known to me or who has 33/38 Ada E lerandi MYCOMMISSION# DD065493 EXPIRES December 4 2005 BONDED THRU TROY FAIN INWANC,INC 1 .1�—' f ^ • • ° • • ° • • • • °°° °~ • • • °° • • • • • e °°°° °°° • °° • • • • • • °° " • °° • • • • o °° • °~ °°°° °°° • °°° • • • °°° • • • • °°° 8 o °°°°°° o °° • • • °° • • °°°° • °° • °° • • • °° • • • °°° • Page 2uf2 x F % V. {✓ ✓ -t e l IC ! < IA V/ ' I • •• •.• • • • • • •• • • • • • • • • • •• ••• •• • • • •• • • • • •• • • • • • • • • • • • • • • • • • •• • • •• • • • • • • • • • • • • • • ••• • ••• • • • • •• • • • • ••• • • • • • • • • • • • • • •.• • • • • • • • • • • • • • • •• •• • • • .• •• ••• • • • ••• • • NIcndav Arioi t 2c 1 005 Ampriri 1gl:rr nt Page 2 of ' ' ter_ olikAl, al OF %y %f %1%L /� ',..?2i %/. e//7/.%//. • . 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In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 430 Miami Shores Village Building Department BUILDING CRITIQ , E SHEET (f. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 0 5- t2-60 Job Name Date INC) (4,-0 Inspection Number: INSP -9337, Permit Number: MC -2 -06 -341 Inspection Date: 02/13/2006 Inspector: Perez, JanPierre Permit Type: Mechanical - Residential Inspection Type: Final Owner: CONTRERAS, MARIA Work Classification: New Job Address: 1200 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Thursday, February 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 2 of 2 Passed 1 !i Inspector Comments -2,----) * Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -9337, Permit Number: MC -2 -06 -341 Inspection Date: 02/13/2006 Inspector: Perez, JanPierre Permit Type: Mechanical - Residential Inspection Type: Final Owner: CONTRERAS, MARIA Work Classification: New Job Address: 1200 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Thursday, February 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number 305 - 759 -0860 Parcel Number 1132050090620 Lot: Page 2 of 2