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EL-10-1151Inspection Number: INSP - 153865 Permit Number: EL -6 -10 -1151 Scheduled Inspection Date: April 25, 2011 Inspector: Devaney, Michael Owner: WILLENBORG, IRMA Job Address: 650 NE 97 Street Project: <NONE> Miami Shores, FL Contractor: ADT SECURITY SERVICES, INC Building Department Comments April 22, 2011 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 Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060171640 Phone: (786)331 -3967 LOW VOLTAGE BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments P Page 4 of 26 BUILDING PERMIT APPI4LCATION FBC 20 Permit Type: ELEC Owner's Name (Fee Simple Owner's Address City u(„A4L000 Tenant/Lessee Name Email 4 ✓ II Job Address (where the work is being done) City Miami Shores 1 Village FOLIO / PARCEL # /7 Is Building Historically Designated YES Contractor's Company Name Contractor's Address 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. Fa, vo- ` n i Master Permit No. RICAL A � ' � ,,QQ i itleholdeer) Ci�' V" "Y` Phone # State —�4 Zip <33/3 3. —JJ'l— /( ya NO City State Zip Qualifier Name ./i/afr/ /i'LC /// * Phone # (3j '296 " -V68.3 State Certificate or Registratio No. � // Certificate of Competency No. Contact Phone Miami Shores Village Building Department Phone # County Miami -Dade Zip Flood Zone li.eT Phone # (3r./ 9 $4 '4/41 3 oLeI9ui la • k-a? a- - 7 Architect/Engineer's Name (i applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑A ditio ['Alteration l��Q�u.e� lace ❑New ❑ Repair/Re ❑ Demolition Describe Work: C 1' -4 44 r1$� 4 .i ) Repair/Replace * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** * * ** ** F * * * * * *** * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ( d - ( -S� CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ itadon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State— Zi Mortgage ider's Name (if applicable) Mortgage Lende ' 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a re- inspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 ,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: APPROVED BY Plans Examiner (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Sign: Print: Signature Contractor The foregoing instrument was acknowledged before me this 1 day of , 20 // , by who is ersonally known to me or who has produced it NOTARY PUBLIC: as identification and who did take an oath. /11:4 , at% My Commission Expires: My Commission Expiresw r�ll i £'' Jl.J J 2 xde L1 ": dc.' :. >el L hAi1:. 40.c., �VL0,INC. D'C•If **] iC i 1C'l�'** C'lC'JY9'[t'ClC'JFaY Cili' C*i�' C3C t9Y9kfk*9'C**i *3CiF] '�CiC9t$C *1k3[* * *'1C'�ttS' ['TC * *iY C C C t'k3B4k* ['11C3Cik0'C* itTCt C41C* C'!�t* Y7ti C* k'4C1t''�PSYl1CtC C 1Cie'/t1'tt'e * &1C1Y'Jf Y'1f Ct ] * C Zoning Clerk checked iD UILDING BC 20 ERMIT AP LI ern Type: ELECT wner's Name (Fee Simple Ti wner's Address / 4l ty enant/Lessee Name mail ob Address (where the work is being done) ity Miami Shores Vllaggee County Miami -Dade Zip _ 32 OLIO / PARCEL # .2-617/9/a9 9e s Building Historically Designated YES NO � O 3 �t State • Zip m j / A.€741 a Phone # (9J2b 1`5//' No. !� � Certificate of Competency No. E -mail P i g (mill ) l' ontractor's Company Name ontractor's Address ity ualifier Name ontact Phon ubmittal Fee $ otary $ canning $ 5' ouble Fee $ tructural Review. $ tate Certificate or Registration chitect/Engineer's Name (if applicable) `v alue of Work For this Permit ''ype of Work: ['Addition Describe Work: * ** **** * * * * * * * * * * * * * * * * * * * * * * * * *** * * * ** F ees * ** * * * * * * * * * * ** * * ** * * * * * * * * * * * * * * * * * * * ** R CATION CAL A14 14Z& eholder) Phone # Training/Education Fee $ 0 40 adon $ ate Miami Shores Village b9 Building Department 13°"V3 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 2 2 2010 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: {305) 762.4949 Permit No. al 1 0 8- 1) � .. .... Master Permit No. Zip ,33/361 Phone # 6� ✓�` 9 �' �',/ .5,/-'i!'4 Flood Zone _5 l hone # (7. 26 -7 -57/ Phone # $ � / f _ Square / Linear Footage Of Work: ❑Alteration New E Repair/Replace Permit Fee $ /J2' e fi CCF $ ' 10 CO /CC $ DPBR $ Bond $ Technology Fee $ 1-(0j0 Violation date: Total Fee Now Due$ t OcQ'Z..O 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 done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a re- inspection fee will be charged. Signature Owner or Agent 3(4QC? -I t i - 70 - 37 9 ` b —0-infractor - �n The for oing instrument was acknowledged before me this The foreg ' g instrument was acknowledged before me this day of , 20 1 D , by , day of , 20[ , by who is .r sonally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) IC-STATE OF FLORIDA Alba Aguila Commission #DD682830 Expires: JULY 26, 2011 BONDED THRU ATLANTIC BONDING CO., INC. Engineer Sign: Print: a. Commission Expires: PUBLIC-STATE OF FLORIDA My f i,a Aauila p( e ,i 53ion DD6$2830 J2aN /Flans Examiner Zoning Clerk checked Miami -Dade County. Real Estate Tax Information Real Estate ax Information miam ade4jo ` Show Me: 1 Properly Taxes Detail Tax Information: Real Estate Tax Info 2009 Taxes Prior Years Taxes Due 2009 Ad Valorem 2009 Non-Ad Valorem 2009 Back Assessments 2009 Enterprise Folio 2009 Historical Abatements 2010 Quarterly Payments 2009 Tax Notice /Memorandum © 2002 Miami -Dade County. All rights reserved. Real Estate Tax Information Today's Date: 06/10/2010. Last Update: 06/08/2010 Tax Year: 2009 Folio Number: 11 32060171640 MIAMI SHORES Owner's Name: JAMES WILLENBORG &W IRMA Property Address: 650 NE 97 ST Mailing Information : JAMES WILLENBORG &W IRMA 650 NE 97 ST MIAMI SHORES FL 331382471 Legal .Description MIAMI SHORES SEC 4 AMD PB 15-14 W1/2OF LOT 4 & ALL LOT 5 BLK 100 LOT SIZE 75.000 X 130 To view 2009 Tax Notice/Memorandum click here 2009 Taxes are in paid status. Amounts due are subject to change without notice. Proverb( Tax Home I Real Estate Tax Info 12009 Takes I Pti r Years 12009 Ikon -Ad V 2009 Back Assessments 12009 Enterprise Folio 1 2009 Hlstodoal Abatements 12010.Quarteri : 2009 Tax NoticalMemorandum Miami -Dade Home 1 Using Our Site I About 1 Phone Directory I P 1 Disdain' E -mail your comments, questions and suggestions to Webmaster http: / /egvsys.miamidade.gov :1608 /wwwsery /ggvt/txcaw01.dia ?folio = 1132060171640 Page 1 of 1 Downs 140 Al Rc Miam Offit M' 8:00 a Rel. Ta Props Florid; 6/10/2010 06/18/2010 11:17 3056739944 Retard and Return to: Joanne R. Urquiola, P. A 708 South Dixie Highway write Ito Coral Gables, FL 33146 Tax Folio Number: Tab immanent prima& iv Joseph C. Frechette, Jr: 10800 Biscayne Blvd., Suite 620 Miami, Florida 33161 BARON CORP #1176 P 001/002 111111111111 111111111111111 11 111 I I l f I N 1 1111 CFN 2010R0326$oo OR Bdr 27283 Pas 2586 - 2587; (2080 RECORDED 05/14/2010 15:17:32 DEED DDC TAX 2:850.00 HARVEY RWIN, CLERK Of coat MIAMI - DADE COUNTYfr FLORIDA AM flay o of f May, DEED THIS INDENTURE, INDENTURE, made this day M between Irma M. Widlerrborg and ,saes B. Wildenboeg, s =flied couple, whose address it 1819 SE 17 Street, Unit 606, Fort Lauderdale, FL 33316, Grantor*, and Sylvia Flora and Chad W. Berkshire, wi& and husband, whose addrms is 650 NE 97 Street, Miami Shy, }g, 33138, Gamer', WffNESSt37W: That said Grantor, for and in consideration of the sum of Ten and OW100 (81 0.00) Dollars, and other good and valuable consideration to said Grantor, in hand paid by said Grantee the receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remiss, releases, conveys and confirms unto the said Grantees, and Grantee's heirs and assigns forever, all that certain land, situp lying and being in Miami -Dade County, in the State of Florida, to -wit: The W h of Lot 4 and all of Lot 5, Block 100, MIAMI SHORES SECTION NO. 4, (a/k/a AMENDED PLAT OF MIAMI SHORES SECTION NO. 4) according to map or plat thereof as recorded in Plat Book 15, Page 14, Public Records of Miami -Dade Calmly, Florida. more commonly known as; 650 NE 97th Street, Miami Shorans, FL 33138. SUBJECT TO: 1. Taxes for the current and subsequent yam. not yet due and payable. 2. Conditions, restrictions, reservations, easements and limitations and fining ordinances, if any, but not to reimpose name. TOGETHER with all the tenements, hereditament and appurtenances thereto belonging or in any wise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND the Grantor hemby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby Bally warrants the title to said land and will detbnd the same against the lawful claims oral, mo + and that stud land is free of all encumbrances. "Grantor" and "Grantee" are used for singular or plural, as context requires. ./ . (ohs *fulled /1 kit 114. 06/18/2010 11:18 3056739944 IN WITNESS WXEREOF, the said grantor has signed and sealed these presents the day and year first above written. L BARON CORP aLn.r4ce de. —&•sot r Inca M. WI _ Ilenbarg 11176 P 002/002 OR BK 27285 PG 2587 LAST PAGE State of Florida ) County of MiamNpade ) 1 HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgments armed Irma M. Willenborg and James B. Willenborg, a married couple. who am personally known to nte. WITNESS my band and official seal in the County and State last aforesaid this of May 2010. For Inspections, CaII (305) 932 -0744 ext 400 Tax - Folio: 19 -1235- Property Owner Address: (fall jOLOE-g.1 EC41 Dffr &C JOB -SITE ADDRESS SArtLE Legal Descrip 'on: Lot s) Contractor I _ -;: Qualifier: State No Cert. Architect/Engineer: Address: MASTER PERMIT NO: PERMIT TYPE: Buil ing lectrical New Building Remodel ESTIMATED COST: WORK DESCRIPTION: gnalur' of Pro ( Owner Print N l ame of Property Owner NOTAF 4 /2, , ./ - 4 1 91 -- ' 69/ / / Permit Application TOWN OF GOLDEN BEACH One Golden Beach Drive Permit Number Golden Beach, FI. 33160 (305) 932-0744 Obtain Certificate of Occupancy /Completion Before Using the Building AJI Blk Golden = each Sect PB dress Phone Competency License No.: Phone: Paving Fence Roofing Plumbing Mechanical Additi r Sq Footage Date: 6 f6 • it) Date Phone: 3f1S Lie G 9 - 5' amid r) OEM ax Municipal Other WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT WITHIN 7 DAYS FROM ISSUANCE OF PERMIT OR NO INSPECTION SHALL BE GIVEN, AND YOUR FAILURE TO DO SO 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) OWNER'S AFFIDAVIT/ CONTRACTOR'S AFFIDAVIT: Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMIN.POOL work. I certi that all the foregoing information is accurate and that all work will be done in compliant 1th all app s regulating construction and rthermore, I authorize the above -named contractor to do the work stated. Daatee: & � // A. Ter or •w;xer7= rr / � ual ter i Nota Public — State of Flori U)LIC- STA'T'E OF FLORIDA Alba P.guila mmission #DD682830 Permit Fee: Permit Imaging: Street Sweeping - Trash Hauling: Education: BCCD: Radon: Fine /Permit Fee Sub -Total $ Process Fee: Total Fees: $ %,„,„,„.$ Expires: JULY 2 lrOWN USE ONLY BONDED THRU ATLANTIC BONDING W., 11W. LIC -STATE OF FLORIDA Alba Aguila Nota Public — State ;k: f- x. DD682830 ' , ' Expires: JUIY 26, 2 BONDED THRU ATLAN l'1C RONDLNG CO., INC. APPROVED BY: Zoning Building Official Building Structural Electrical Plumbing Mechanical DRAINFIELD. 4" TILE/RES. UNIT FEE VIOLATION UNIT FEE M II NI BIDET DISHWASHER ... PUMP & ABANDON SEPTIC TANK ( LIGHT OUTLETS REINSPECTION CENTRAL HEATERS SOAKAGE PIT CU_ FT. AIC ( 4VINO) NI . . DISPOSAL Ill CATCH BASIN AiC CENTRAL., DUCT WORM DRINKING FOUNTAIN fphc/%/�/i sex 7 � j / SERVICE SIZE IN AMPS FLOOR DRAIN N= III --- DISCHARGE WELL REFRIGERATION DOMESTIC WELL I APPLIANCE OUTLETS , � -- INTERCEPTOR AREA DRAIN ROOF INLET j �_ �_ LAVATORY gill ABOVE GROUND TANKS SOLAR WATER HEATER LAUNDRY TRAY WATER HEATER — U.F. PRESSURE VESSELS - FIRE STANDPIPE MOTORS 0- 1 HP III STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS POOL PIPING SINK. POT ;3 COMP MOTORS OVER 3- 5 HP MECHANICAL VENTILATION S+NK. RESIDENCE MOTORS OVER 5- 8 HP LAWN SPRINKLER SYSTEM TRANSPORT NG ASSEMBLES SINK. SLOP MOTORS OVER S- 10 HP ELEVATORS:ESCALATORS GAS RANGE MOTORS OVER ¶T- 25 HP Fi RESPRINKLERSV.S EMS URINAL MOTORS OVER 25 100 HP METER SET (GAS; WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES GAS PIPING REINSPECTION .--_..-__ /DATER SUPPLY TO: A!R CONDITIONERS ITEM BATH TUB UNIT FEE ITEM SWITCH OUTIE T S UNIT FEE ITE1v1 SPACE HEATERS UNIT FEE BIDET DISHWASHER -� LIGHT OUTLETS CENTRAL HEATERS RECEPTACLES AIC ( 4VINO) NI . . DISPOSAL SERVICE TEMPORARY AiC CENTRAL., DUCT WORM DRINKING FOUNTAIN E— SERVICE SIZE IN AMPS FLOOR DRAIN N= SERVICE REPAIRI'METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS — PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP �_ UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER -� U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP III STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK. POT ;3 COMP MOTORS OVER 3- 5 HP MECHANICAL VENTILATION S+NK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORT NG ASSEMBLES SINK. SLOP MOTORS OVER S- 10 HP ELEVATORS:ESCALATORS TEMPORAFYWATER 0 LOSET MOTORS OVER ¶T- 25 HP Fi RESPRINKLERSV.S EMS URINAL MOTORS OVER 25 100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES ! .A.CWINDOW REINSPECTION .--_..-__ /DATER SUPPLY TO: A!R CONDITIONERS A:C UNIT I STRIP HEATER F RE S ?RINKLER I GENERATORS TRANSFORMERS HEATER- NEW 1NST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL -_ _ OUTLE COMMERCIAL ........... WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY - SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES cG )T3rTAAll? I ANTFMNa1 PtZOPERN ADDRESS: 4 P IC ( - )CileN 6 ( 4 o r . 3 3 (b ° TOWN OF GOLDEN BEACH ADDENDUM TO BUILDING PERMIT APPLICATION DATE 16•( PERMIT# AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM, IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNERS NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING 1 TE OUTLETS ELECTRICAL CONTRACTOR: MECHANICAL