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444 NE 96 St (16)Issue Date: 11/14/2006 Owner's Name: NEIL & ELIZABETH ROSEN Permit Type: Plumbing - Residential Work Classification: Sprinkler System Job Address: 444 96 Street NE Contractor(s) HOME OWNER Phone Primary Contractor Yes Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 05/13/2007 Type of Work: SPRINKLER Additional Info: Classification: Residential Type of Piping: Bond Return : 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 S0.40 S5.00 $160.00 S3.00 S4.00 $173.60 Building Departm ►1 Applicant Signature Ile Copy Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -11 -06 -2770 Total Square Feet: Total Valuation: Re • uired Ins • ections Underground Sprinkler Final Phone: 305 -576 -5900 1132060140580 Lot: PB: 0 $ 1,200.00 Invoice Number PL -11 -06 -26725 Total: EitgAGB Amt Due $173.60 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Date Monday, November 20, 2006 11/20/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 l Permit Number: PL -11 -06 -2770 Invoice Number: PL -11 -06 -26725 Applicant: NEIL & ELIZABETH ROSEN Company Name: Owner Address: 444 NE 96 ST MMIAMI SHORES VILLAGE Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 243 Amount $173.60 Change $0.00 Total Payment: $173.60 Page 1 of 1 i1 IL) Jo c, N1 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Contractor's Company Name owner - Contractor's Address City State Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: DAddition ['Alteration Describe Work: Submittal Fee $ Notary Scanning $ Code Enforcement $ Total Fee Now Due $ 1'Y• ( 6 • (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 7 2co ac LlNew AJ 12 le ((1 SC trwl 1Qe L L Structural Plan Review. $ 24 CI5 2®L D Zip Phone # L-14-0 q6. Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Phone # Permit No. Master Permit No. Permit Type (circle): Building Electrical Plumb' . Mechanical Owner's Name (Fee Simpl T'tleholder) hick l ' � 2 ,*bQ -{-\ � c e, t ) Phone # 30f 1.3 I Owner's Address 4 ,� ' % ii City \,„j S\0t2 pS State FL 3 SI 3 , State Certificate or Registration No. Certificate of Competency No. Zip Phone # Square Footage Of Work: X' Repair/Replace Training/Education Fee $ Technology Fee $ MY 1 3 2 O III; PL 66-1110 Roofing ❑ Demolition * * * * * * * * * * * * * * * * * * * ** * * *FF ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ CO /CC Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip ov .r • • . T M Leritle�'s.Name (if'9pplicable) i • A e. e • 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." c hat ject t n a Notice to Applicant.: As promise in good faith whose property is su for the first inspecti inspection will not b Signature Owner or Agent The foregoing instrument was acknowledged before me this 10 The foregoing instrument was acknowledged before me this day of .0 , 20 06 by /4 /L , day of , 20 by who is personally known to me or who has produced A7 y' ,is personally known to me or who has produced Pzzo /.. "6"/ "BAs identification and who did take an oath,. as identification and who did take an oath. NOTARY PU : C: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 dition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must copy of the notice of commencement and construction lien law brochure will be delivered to the person attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site ich occurs seven (7) days after the building permit is issued.. In the absence of such posted notice, the roved and apelnspection fee will be charged. Signature TARY PUBLIC: Sign: Print: My Commission Expires: Contractor ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** eleF Examiner Engineer Zoning PLUMBING METER SET (GAS) G4. PIPl FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM. GAS RAKE ADDENDUM TO BUILDING PERMIT APPLICATION (AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER FERMI: HAS E. OBTAINED, THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. ELECTRICAL MECHANICAL !TEN. TUB UNIT 1..1 ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BATH LIGHT OUTLETS I I CENTRAL HEATING BIDET DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY I A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING RANGE TOP UNDERGROUND TANKS INTERCEPTOR OVEN ABOVE GROUND TANKS I I LAVATORY LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS ■ CLOTHES WASHER MOTORS C- 1 H' STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 2 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 3- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS I I URINAL MOTORS OVER 2E -100 FP COOLING TOWERS I WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW 1 REINSPECTJON WATER SUPPLY TO: AIR CONDITIONERS I I I A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS ( ! I HEATER -NEW INST. GENERATORS I I { HEATER - REPLACE GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL SPECIAL PURPOSE I 1 SWIMMING POOL OUTLETS COMM+tERCIA! I 1 I WATER SERVICE SIGN TUBES SEWER CONNECTIONS •SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION 1 I 1 PUMP & ABANDON SEPTIC TANK REI SPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL I ARE <. ORAi ROOF INLET Cfll AD WATCD l77ATCD PLUMBING METER SET (GAS) G4. PIPl FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM. GAS RAKE ADDENDUM TO BUILDING PERMIT APPLICATION (AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER FERMI: HAS E. OBTAINED, THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. ELECTRICAL MECHANICAL NAME: ADDRESS: 13 7 OWNER ILDER DISCLOSURE STATEMENT MV POIWA ft(((AAAA, e-OL( CL DATE: t I J t 1 -14 ‘2- CtO CC A — Ok (/V0 VILLAGE OF MIAMI SHORES 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 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 hold title to the above property and I am planning on doing this cons cti•n Initial 2. I understand that as an owner- builder I must abide by all zoning ordina s and building regulations in effect at the time of permit application Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret e 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 t• . - .ign, alter or give advice on how to meet code —. only if the structure minimum code. Initial vLo'b 711D By 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 advio 7of an attorney. The department will not mitigate contracfdisputes. 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 doing from this unlicensed company or person. 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 I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this (3 day of AGPt. Produced t icense or OWNER Initial Initial Initial Initial / yo I/ , 20 Cg who wa ersonally known t me or who has as identification. REPAIR OF SPRINKLERS SYSTEM 1 J JAN 1R 2007 Passed • In r sec ''- r Co .gents Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until nsp * Nurri ..::. .......................... ... :.......... :.............:.. Inspection Date: 01/11/2007 Inspector: Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, January 10, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: P e it: u tier... L 11. 27 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Page 1 of 1 SIDEWALK ON SIDE OF HOUSE ADDED liM 11 1 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 l;nsp€ction 36 6 t nit NO m 1-07-34 Inspection Date: 01/11/2007 Inspector: Grande, Claudio Owner: POHOVEY, WILLIAM Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Thursday, January 11, 2007 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060144040 Lot: Page 1 of 1 Issue Date: 12/18/2006 Expires: 06/16/2007 Owner's Name: NEIL & ELIZABETH ROSEN Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 444 96 Street NE Contractor(s) Phone CONSUMER GAS PLUMBING CORF 305 - 608 -5400 Yes Primary Contractor Additional Information Type of Work: PLUMBING Additional Info: Classification: Residential Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type of Piping: Bond Return : 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. Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PL -12 -06 -3004 hone: 305- 576 -5900 Parcel #: 1132060140580 Block: Section: Lot: PB: Total Square Feet: 0 Total Valuation: $ 840.00 Required Inspections Press Test ROW Final Fees Due Amount CC F $0.60 Education Surcharge $0.20 Permit Fee - New Construction $160.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $167.80 Invoice Number PL -12 -06 -27059 Total: Amt Due $167.80 Amt Paid EC 1 9 PA NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. c ( --- 2:l AM 2 9 200/ Passed ns ec o m ents Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 01/25/2007 Inspector: Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Thursday, January 25, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL. Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: 305 - 608 -5400 Page 1 of 1 \ORIDp`� i nspection Number: SP- ermit `Nun ber: PL -12 -06 -3004 Inspection Date: 01/18/2007 Inspector: Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Wednesday, January 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Gas pressure Test Work Classification: Gas Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: 305 - 608 -5400 Page 1 of 1 L JAN 1 2001 Passed Inspe t Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until \ORIDp`� i nspection Number: SP- ermit `Nun ber: PL -12 -06 -3004 Inspection Date: 01/18/2007 Inspector: Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Wednesday, January 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Gas pressure Test Work Classification: Gas Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: 305 - 608 -5400 Page 1 of 1 (1 Passed I ' •ect0r Imments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -35020 Inspection Date: 01/03/2007 Inspector Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Contractor: CONSUMER GAS PLUMBING CORP. Building Departrnent Comments Tuesday, January 2, 2007 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 Number: PL -12 -06 -3004 Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Gas Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: 305 - 608 -5400 Page 2 of 2 rough gas `� r - L 1. 1 / JAN 0 3 20U1 I Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: t' P- 350 ermit Number: PL -12-06 -3004 Inspection Date: 01/02/2007 Inspector: Levrack, James Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Friday, December 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Gas Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: 305 - 608 -5400 Page 1 of 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address 4 , -4 4 City 1 4 rvA1 Si-p i?C State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated Qualifier Name lOp e --x c (-© Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Structural Review. $ Miami Shores Village Building Department YES Cd DO tgfAlteration Permit Fee $ Training/Education Fee $ Radon $ lumbing Electrical C f ( 1 c.OSC Phone # y4L1 '• L a s'C County Miami -Dade NO Master Permit No. Zip 1 Phone # Contractor's Company Name C G.1s • • .S ' Phone # 2,0j ^ 561 Contractor's Address 101S1 O LAD 2 es, City State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Mechanical Square / Linear Footage Of Work: New Roofing was mcc-lyf({ Zip y Leks e_. CA- tom-t. d1 i.rh (2eA -DN 404 9-8b 3z.(o-o4l(p ❑ Repair /Replace ❑ Demolition L P Ll n ..ganop t p s c'; CO i,. Pr n 6,- ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * ** * * * * * * * * * * * * * * ** 11jt� CCF $ o.(.0O (J-.nn[Q Technology Fee $ 4'00 DPBR $ Zoning $ Submittal Fee $ Notary $ Scanning $ - 1�--� Bond $ Code Enforcement $ Double Fee $ Total Fee Now I)ue $ r aggil 1.4 CO /CC 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 : certiifi -.py of the recorded notice of commencement st .osted at the joh site for the first inspection w ich occur s after the building permit is issued. In the _a sent • of uc posted notice, the inspection will not e ��r. e' a . ein tion fee will be charged. Signature Signature r or Agent The foregoing instrument was acknowledged before me this / day of DireCAhet, / ei 1 ,0SC who is personally known to rnelpr who has produced NOTARY PUBLIC: Sign: `lk /),• Print -Tt' K. t'S ft APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an oath. My Commission Expl ;B, Teresa A. Aguiar Expires: Oct ,z 6; ;∎c"�" Bonded Thru Atlantic Bonding Co., In Sign I Q/l Q dL Contractor - The foregoing instrument was acknowledged before me this_ , j , day of ace M4 , 20111, ,by t6 C ,fUL, who is personally known to me or who has produced dKiuus Lc as identification and who did take an oath. NOTARY PUBLIC: Print: — 7 -7 C re 4 UI / ftc., i�.� Teresa A. Aguiar My Commission V Commission #DD250901 * * * * * * * * *,t * * * * * * * * * * * ** a * tiha , roneot 87 * * * * * ** - ';!Y � j o ' 0 P s Bonded Thru / Atlantic Bonding Co., Inc. Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE /RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL B ■• ow IES4EME It DEC 1 t titlg3�, B Y: LOCATION SKETCH SCALE: NNTS 'S.. � v fib. Jl:'...:'i l.!: .....I.:Iri•:, L . % ^ .... .�. ∎ •1 _� mil_ _ BE1 .U1DHR tYr 4 HL.00L 53 1421D'(RSig • •• • • • • • • •• • • • • y m •ter " :. {' • • • • • • •• • • r • • 1• • • RACED t rZaroa TI Main t7esoce ilr2.50' (a u PS24AIEDEB LOr 4 Avex••• C.e•myoXxrerct�•• •rrruaouptivo+ltuurruoavrweoW(i No= Ar.A•Acrea chin MO.P swerryouvls.o M01l.W docco umpl boacef.44uslRw Uerrnnr MOOT. c4 O'g2FE ae es,4011 arvRti DlOP•Pvin tsswaa C1•WTEN INC o.mVe' ER tr•rtsgi. ersausu WftFo cReboetir f. QOYYA101NEAAsmosAtlLrWUWIrDOC .aVRR1YFre@1RioBElAM idIT WlID1RRgSB/RO69f0 Wgti I Ai PP.P01 ir01Re uvevAAFAIRb e7Il SURVEYOR'S SEAL NOOOB/oB• A a ELEVATION BASED ON LOC. t cotatt • - le• im•mm crnmrmvaiaaa• CEOSS .. §t1 NDTfit ONItERS4A SUBJECT 112 MOON OF TITLE 2) ROT Ma ATTROUT VSEIGUAARE UKTAGROUNIF ENCRD4 NOT LOCATED. 4) ELENRITON2 ARE WED ON mow& GEODETIC VERVAL DARN OF tR21 I) OWNERSIIP OF FENCES ARE UERNDEA. 61 THERE NAY ER ADOITIOAL pecotaTiou. to) OuvAAATIOR OF BR ABSTRACT OF TITLE VALI RAVE 70 8EMAOF TO DETSIADIERECoRcio BEACINGS YWIEN SHOWN AREREFEIRED TO /N AMMO VALUE OF SAM PO 6 HEiEBY CERTIFY The1(h tom Asasslak0 AereR, araeb ON minkrooto Wriest t000tentoN edop&d by the STATE OF FLORDA Bead el 1a:9 Suorore punaw to Sectlon 472.8p Made Strb/as. There ale na enaotclm* tI OvarltpI. Usemenb appaN600adr•r01 %AAR86tertkf* Abet Mu m o m . ADISA NURSE REGMEREDLINO SUR.EYOP STATE OF F ORroA Obit' 8 • t CELTLPIED TO: 444 N.E. 96371 L.C., 444' 96TH ST., KM SHORES x FL. 33139., SALMON. FARM, DANt A S RODFIGOEZ, P•A., RUE? AtlSLICAH MLR IIISERAHCI ccamar , COU1E&L BANK, u8 SUCCESSORS AND /OR ASSIGNS, ATM.. LEGAL DESCRIPTION: XS 1 U? 1/2 OF LOT 4 ALL OF LOT 5 AND TIE RAC 1/2 OP LOT 6 BLOC[ 53 OF 6518151 SUS HHCTION TV SUBDIVISION ACCORDING TO THE PLAT THEREOF AEREcOR0E0 IN PLAT 800K-.22-- AT PAGE 37 OF THE PUBLIC RECORDS Ir " DADE COUNTY. FLORIDA . SO* 1O97 Bl.nr;co SURVEYORS 1 G. Er nturs • Und 91.1v1NSro • Pitmen • 1.0 t Ne7OSI RS NORTH6ROlEOADfE IRANIFIZACIF R. 3:111 (385) 086.1200 Fez: (3O51 865.7810 11000 Mt I PANEL. 0093 A1E ) sc*J 3/15/05 1'•10' 7:6C+vp MOM. J W1151 7117/95 eAsE: P/A ;,OlMUnme 1:0652 i'M1 eY lot Pk • 06 392 NAME: NEIL ROSEN ADDRESS: 444 NE 96ST MIAMI SHORES Phone 1: 305 776 -1414 Phone 2: CLIENT INFORMATION: • ... • ... .• •• 0 • • . •• •• • Folio: 1 • • • • Total Gas Load' 5b bdo BYlU Total Devel . Length : 18' •• • .. .. .• • • • • • • • • • . • ... • • • . . ... • • . .. • • • .. ... .. • • • • • • • • •. • • • • • ••.• • 40 GALLONS LP TANK A/G . 10 ' AWAY FROM ANY SOURCE IGNITION L CONSUMER GAS PLUM llNcG CORP. 4510 SW 154PL MIAMI FL 33185 305 468 -3617 INTEGRAL REGULATOR 3/4" GALV STRAP TO THE WALL 9 PRESSURE 11" WC RANGE 50 000 BTUH i i SOV 3/4'> i COMPANY INF P 4ATInll• oar P Notary Public State of Florida Y� Vanneza Mirabal TABLE 402 .4 1 4. a x , 0 1 ��o D°556400