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MC-07-2189Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 602 NE 96 Street Miami Shores Village, FL 1132060141410 Block: Lot: MIAMI SHORES Contractor(s) UNIVERSAL HOOD TECH INC Phone Cell Phone (305)687 -7099 Tons: Additional Info: KITCHEN HOOD Classification: Commercial Approved: In Review Comments: Date Denied: Date Approved: : In Review Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $8.40 $2.80 $464.00 $15.00 $11.60 $501.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy F rara;t Sfa s : APPR OVE D Expiration: 04/26/2008 Parcel Number Total $ 0.00 $ 0.00 Payment Type: CA I Amt Paid 1 Amt Due $ 0.00 V 1 41 Applicant Available Inspections: October 30, 2007 Date Inspection Type: Final Rough Duct Rough Smoke Det Test Hood Smoke Test Ventilation Tuesday, October 30, 2007 1 REPLACE OF EXISTING HOOD 70 6 Passed Inspector Comments e- VI, z°/ I 5 �W� \ iAr C 4 & �61A a ()AAA t e C40.t/ - 0' Pew" S t c ' — * e-t\A"-aA Uv�. qun 9 v �,- 4.AA I C' VITA Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 01/23/2008 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES PRESBYTER!, Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: UNIVERSAL HOOD TECH INC Building Department Comments Tuesday, January 22, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Commercial Inspection Type: Rough Work Classification: New Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: (305)687 -7099 Page 2 of 2 BUILDING RECEIVED PERMIT APPLICATION OCT 2 9 2007 FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) 4/ .2_40 ( oYe.. r s ra w' Phone # Owner's Address Lo ,-. /lle 96 5tre. -t`" Cityhitanz, ayes State Tenant/Lessee Name E -MAIL: • Vhs pe.) heIIsc,TA. net Job Address (where the work is being done) . 64.�. /r/J g 6 5t. City Miami Shores Village County FOLIO / PARCEL # /f —,;3 � —ON — /V /® Is Building Historically Designated YES Contractor's Company Name Address 1 0d ® �7 `�3 5 to S L Ai Cit State 44 • Value of Work For this Permit $ / 3/ 40.o0 Submittal Fee $ Permit Fee $ Notary $ Scanning $ * &xx* xxxxx*x*xx**.* xx xxdcicxxxxxxx^.***xx*u Fee Training /Education Fee $ Radon $ Bond $ Code Enforcement $ Building Department Miami Shores Village lox) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO 1 DPBR $ Zip Miami -Dade Master Permit No. Phone # Qualifier Name Jose State Certificate or Registration No. CS -) ( 1 0 2"j Certificate of Competency No. E -MAIL: LIT)i hoc cjteGh 4) (. Co rn Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Double Fee $ Permit No. K. [ -Z..l •& ( &®J 1ST - Irv/ Zip .? /3g --- a >y.- Phone # (mss) Leg') ---i o q q zip 33 Phone # (3 W 7 — ) 0 9 Type of Work: ❑Addition ['Alteration New' : Repair/Replace 11:1 Demolition Describe Work: DA2 x x**x*xxxxxx* **x*w***** **x**xxxx x** **x*x*9c ** CCF $ p ` / CO /CC 9 Technology Fee $ 11 -0 Zoning $ Structural Review. $ Total Fee Now Due $ 50 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. 1 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. 1 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." Signature APPLICATION APPROVED BY: (Rev ised•02/08 /06) Signatur 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 1 ued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. �.)a0i .'S/_ Zeio . fro Owner or Agent The foregoing instrument was acknowledged before me this aZ C day of ® t , 20 D%, by it.hYd t. Ge itierneie , who is persona y known to me)or who has produced As identification and who did take an oath. NOTARY PUBLIC: 7 4 B NOTARY PUBLIC-STATE OF FLORIDA Sign: Ca �',,•,..,, Sylvia Halter Sign. fz Contractor The foregoing instrument was acknowledged before me this Z c day of g25 2007, by who is personally known to me or who has produced 'fd�1_ ° e f f l id cation and who did take an oath. NOTARY PUBLIC: - S_SIXE OF r1 ORMA is J. Colon 'ssion#DD70S t: _ � / ! 1 T S E xpir fission E 08, 2011 P a �� ��� � „ r �, , � �� + Expires: JIlAIE OS, 2011 �, Print: Sy /v t My Commission Expires: vai TM ATLA TICBONDING C . My Commission Expires: c ****** ***** ********* ** *** * * * *** *** *** *** ** ** *** *******x* * icteivkw.sc.w xxxxxicx / 1,1) Plans Examiner Engineer Zoning nr Lt1btKJt I I UNIVERSAL HOOD TECH, INC 13700 NW 19th AVE, BAY 6-7 Opa Locke, FL 33054 Phone: (305)687 -7099 Fax: (305)687 -7095 www. universalhoodtech.com Customer Name Miami Shores Presbyterian Chruch Address 602 NE 96th Street City Miami FL ZIP Phone 305 754-9541 Fax: 305 758 -9597 $13,260.00 $13,260.00 $13,260.00 $0.00 $13,260.00 SAV AIR U.L. Hood 10' X 24 X 42 model CL -OX-42 fabricated with stainless steel 18 ga. To include: Exhaust duct system. Range guard fire suppression system. Sealed shop drawings. Filters and light Permit fee up to $300.00 Take down existing hood & duct work. Payment Details O Cash Q Check O Make check payable to: Universal Hood Tech, INC. Name Check # Unit Price TOTAL Thank You For Your Business/ Date 9/6/2007 Job # Rep J. Baluja SubTotal Shipping & Handling Taxes State TOTAL Office Use Only RECEIVED OCT 2 9 zoo/ BY:__ 9 50% depost4 40% upon Installation, 10% due at final Inspection. All equipment remains the sole property of universal Hood Tech Inc. until balance is paid in lull. We reserve the right to remove any,equipmenf if pa /ante is not paid. IF YOU AGREE TO THESE SIGN HERE:& C(� p. 1 Proposal eabse AWN MOMMINNI asa ess i UMW wise erars' This Instrument Prepared By: Name i/, t.. µ/o el%.e.f Address 6 n f a ,t/'c" 44 gi� G,�7,aw ,. SGlv.e.s , /_ 'L 33i3� q Permit No. �°f C ® - 2/81 STATE OF Fi- COUNTY OF 44.4n e'— 44 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencerrent. 1. Description of property: (legal description of property. and street address if available) eit er re-A Co 1. /% f6 51: � ht . a n.: %A-0 -0 res d/ ` 2. General description of improvement: 3. Owner information m tZm; .7 a V V.* i d s Y ' ' d a, i14 ft , S7` a. Name and address: b. Interest in property: D or c. Name and address of fee simple titleholder (if other than owner): 4. Contract cor of I fl C `g S,+�C., 11%°° :J c C// 2 $tQ a. Name and address: eeJ T�v� b. Phone number. / aB 3 4't 1 04 11 ( 7 t 7 3 /7 5. Surety a. Name and address: b. Amount of bond $ c. Phone number 6. Lender a. Name and address: b. Phone number. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address: b. Phone number. 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lianor's Notice as provided In Section 713.13(1)(b), Florida Statutes: a. Name -and address: b. Phone number. 9. Expiration date of notice of commencement (the exptradon date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ,OR AN ATTORNEY BEFORE COMMENCING WORK OR' RECORDING YOUR NOTICE OF COMMENCEMENT. The for ing Instrument was acknowledged before me this-67 day of / ) h'i`s id'if CSf - . - -- (name of party on ,1 % 4- s! l.zi, E. (name of perso authority, ...e.g. dicer,- trustee, attomey in fact) for behalf of whom instrument was executed). NOTARY PUBLIC4TATE -4F FLORIDA l" " "' . Sylvia Halter 4 -; 1 Commission #DD665957 4,,. S Expires: JUNE 08, 2011 BONDED TM ATLANTZC B0NDZNa came JNC' • /i/A NOTICE OF COMMENCEMENT 64.44- , G� - Signature of Owner or Owner's Arjthartzed Officer/Director Partner/Manager Signatory's Title/Ofijce /1440..l e�iva d?j'ei2 -481- y 71 /(year) by n) as (type of Tax Folio No. Dj 43-5 Signature dV , . tary Public — State of Florida Print, Type, Stamp Commissiorjed Name of Public . Commission Number Personally Known ✓ or Produced Identification Verification Pursuant to Section 82.828. Florida Statutes Under ,penalties of perjury„ I. dedare that 1 have read the foregoing and that the facts stated In it are true to the best of my knowledge and belief. 1 Signature of Natural Person Signing Above Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 602 NE 96 Street 1132060141410 Miami Shores Village, FL Block: Lot: Owner Information Address Phone Cell 602 NE 96 ST MIAMI FL33138 -2742 MIAMI SHORES PRESBYTERIAN Contractor(s) P&M ELECTRIC INC Phone CeII Phone (305)949 -6373 (305)588 -9724 Type of Work: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $150.00 $3.00 $3.75 $163.35 Wednesday, March 26, 2008 Building Department Copy ........................ ............................... ......................... ............................... ......................... ............................... ............................... .............. Expiration: 09/22/2008 Total Payment Type : $ 0.00 $ 0.00 Amt Paid I Amt Due $ 0.00 Parcel Number Authorized Signature : Owner / Applicant / Contractor / Agent (305)754 -9541 Applicant Valuation: Total Sq Feet: MIAMI SHORES BAPTIST CH March 26, 2008 Date $ 2,000.00 0 Available Inspections: 1 Inspection Type : Fire Alarm Meter Box Underground Rough Alteration Final Service Change Relocation W. W. 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 . 14211og kPrKchi . 4kokuiAL BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Q Owner's Name (Fee Simple Titleholder) M5I 6 Phone # y Owner's Address mt /� 9/0 City Tenant/Lessee Name E- MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name � State Contractor's Address / 9 36 d 1 / `/f City 44 1 % ^ 0 ••■ 1 Ste 4h Qualifier Name Se�27 State Certificate or Registration No. Ems do i f e7.s E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $�� , S j eD Type of Work: DAddition Alteration ['New �� �� / El Repair /Replace El Demolition Describes W . ork: lam✓® k, e- �.7 ST4- / -7 - B o / i e7,77 / / aa ?e- ,44 �r. / - St / ✓i <, I /J ,. 4 JU / S F'/9 ! Adf, �� /2d �/S° /•z /� �TC/.d� 44 Submittal Fee $ Notary $ I� Scanning $ Bond $ * * * * * * * * * * * * * * ** Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECiOVED MAR 2 it 2008 gy " ®tS VD : //e„. County Miami -Dade NO DL Permit Fee $ /.5 ' 0 0 Training /Education Fee $ 0 AO Radon $ DPBR $ Zoning $ Structural Review. Code P2R 0 3 1 2008 M I A M I I Double Fee $ Permit No. r— ..c- 08 - 512•. aster Permit No. h,( 01 ` ZJ VI Phone # Zip l.f Phone # Phone # u s 9c/?4S 7_7 Zip ,'„Y /d Phone # s yf— 5"7....). 5 Certificate of Competency No. Square / Linear Footage Of Work: Total Fee Now Due $ Zip **********xxx xxx* F xxxxx* xxxxxxxxxx *x *xxx * * * * * * * * * * * * * * * * * ** CCF $ 1 2_0 CO /CC Technology Fee $ 3r !63. See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City APPLICATION APPROVED BY: (Revised 02/08/06) State Sign: Print: My Commission Expires: der, xxxxxxdedex st> Ydede xdeeY****oYxxxr**** &x &x4e** ** :xx xxxxxxxxxxxx Sign: Print: COYirrael PlUfr O��ayrt -a mr7 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 Pir Signature al:64 4. it1 4 ' . Signature f . Owner or Agent Contractor 1lv 0-4' 700 7.3 Y-T-O The foregoing instrument was acknowledged before me this The foregoing instrument was ackno , led day of , 20 , by , day of VOA ,20 ©0, by who is personally known to me or who has produced who is p rsonally known to me or who has produced As identification and who did take an oath. 456 1 - identification and who did take __ NOTARY PUBLIC: OTARY PUBLIC: before me t i)) Engineer Zoning My Commission Expires: s••' • >tixxxxxxxxxdcxxxxxxde do dexde d: ok de de dexdexxdc>Y>ti �-''' xudedexdc�Ydexde ham4 , S d5' Plans Examiner Project Address 602 NE 96 Street Miami Shores Village, FL Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Building Department Copy Address Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount 01.20 $0.40 $150.00 $12.00 $3.75 $167.35 PRO V_ Expiration: 09/01/2008 Parcel Number 1132060141410 Block: Lot: Phone Applicant MIAMI SHORES COMMUNITY Cell MIAMI SHORES PRESBYTERIAN 602 NE 96 ST MIAMI FL 33138 -2742 (305)754 -9541 Valuation: Total Sq Feet $ 2,000.00 Contractor(s) SECURITY FIRE PREVENTION INC Phone Cell Phone Tons: Additional Info: FIRE SYSTEM Classification: Commercial Approved: In Review Comments: Date Denied: Date Approved: : In Review 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, 1 authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Total I Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type: CIA 6 4 3 !ft 2 o PAaD Available Inspections: Inspection Type: Rough Smoke Det Test Smoke Test Rough Duct Hood Final Ventilation March 05, 2008 Date Wednesday, March 5, 2008 1 kra. 10t3 Cc 1AC (IA C BUILDING PERMIT APPLICATION FBC 2004 E -MAIL: JcG e-e. / Cl` , 00 14/7 Miami Shores Village Building Department 10 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Alamo! / ✓ ic4eS Owner's Address 6 2 - /0Z pd City ' 4i'tt State Zip 3 3/3y Tenant/Lessee Name Phone # 3c1S 75/_ '5 z// Job Address (where the work is being done) aO a ti d� City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1/3z 6 6 /V /1/ /® Is Building Historically Designated YES NO State Certificate or Registration o. �S�ZZ �� COO E -MAIL: S� ec,4 Y--e G) /c / , Co yv-' Value of Work For this Permit $ � j♦' 0 G3 Type of Work: ['Addition ❑Alteration Describe Work: 5 Architect/Engineer's Name (if applicable) phone # aster Permit No. 114c 0`7 • — 210 a Contractor's Company Name 5jf'CVtY/• , /' )j�,e rt'Ov"� Phone # 300— Z6 S/— y 2 ,r Contractor's Address 72'Si wPs/ ,z 7 s f City fl-11, State / C- Zi Qualifier Name /e 1 /P/ d Phone # �30.�- Z6 e Certificate of Competency No. Vc‘2.3 Square / Linear Footage Of Work: Permit No. 11 zip 33/.3' ['New y�� Ill Repair /Replace ❑ Demolition v jSs 1 \ /4.-.c / !/ xxxxxxx*ra:xxxx x xxxxxxx9:xxxxxxxxxxxxx y r. .ee **** rxxxxxxx Submittal Fee $ Permit Fee $ V 1 CCF $ 20 CO /CC Notary $ Training /Education Fee $ 0 .2 Technology Fe $ �•�� Scanning $ 12 .00 Radon $ DPBR $ Zdning $ Bond $ Code Enforcement $ Double Fee $ * x,* xx x* x*** x xx xxxx xxx Structural Review. $ Total Fee Now Due $ )(7 •Z 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) 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. PINQ Pao Statetl F1046 • ` A0g2#.2010 .s.t • . Commbiskei #OD setae • x..15•,'`. Bonded By Nation&l Ainink Signature Owner or Agent Con The foregoing instrument was acknowledged before me this _ The forego ins ent was ackno before me thi day of , 20 , by o ' 2 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an ` , as id NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised-02 /08/06) Commission Expires:- ; .i: -,yam �e ,a &****dear***&* uis�Tr,rak'� ' *t? *�raxarx x.,... -: zxx ac xa:aeacacaexaeaex******rxxxxxx *xxxx xxxxx * *aexeYaYaeaexx*** tk`e cx*Vitt** - rxxar*** rrzxxat'rxxricteac *s: xx't dr xxx - - � Plans Examiner Engineer Zoning • T he following pages were originally attached to plans with the following permit # iY\L - 05 PROVIDE MUNICIPAL PROCI MBER HERE h C - /®_ G: 2 / F , 2 cc a ° � E o � Job Address 4 0� d i E. a 5 4-- CONTRACTOR INFORMATION Contractor No. Erff 2.3 2 ® 0 Last four (4) digits of Qualifier No. 7 // Folio ®/ 3 2.c, ,L0 ) ti? 1 Li i 0 �i A Contractor Name Se Cu 4 I Ir°1 IC, rirC V Lot Qualifier Name � /�i71 t " Subdivision Pep Address 70 71" , ..r 7 Metes and bounds City Stat Zp 1 TYPE OF IMPROVEMENTS [ ] New Construction on ] Demolish Vacant Land 1 Shell Only Alteration Interior ] Addition Attached [ ] Alteration Exterior l Addition Detached [ ] Relocation of Structure [ ] Re -Roof [ ] Enclosure [ ] Foundation Only [ ] Repair [ ] Repair Due to Fire rent use of property v ,S"' 1 g. PS / -7� (t , Description of Work CA tit C q. Ft. Units Floors Value of Work 4 0 0 ® ® PERMIT TYPE [ ] MBLD * Category REVIEW STATUS [ ] Chg. Contractor [ ] Re -Issue [ l Re -stamp [ ] Revision [ ] Not Applicable for Fire OWNER'S NAME Owner / f Gl e/ "' l ®� e.s G Y - " Address 60z-- ArE- c G a I [ ] MELE City/ 1 State �� Zp 3 3/. [ MLPG Phone �T �'��jl MMEC Last four (4) digits of Owner's Social Security No. FIRE PERSON TO PICK UP PLANS Name ARCHITECT / I ENGINEER Name Address Address City State Zp City State Op Phone Phone FIRE SPECIAL REQUEST PLAN REVIEW (SRI) I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each addition hour in addition to the review fees. Minimum charge one -hour. 1 Request: Date: 2" Request: Date: 3 Request: Date: z 0 a D. m a s e I am requesting Optional Plan Review (OPR) to be scheduled as soon as possble at the rate of $75 for each discipline. Additional review fees may apply. 1 Request: tt Date: 2nd Request: Date: 3` Request: Date: NOTE: ALL SHEETS MUST BE REVIEWED MIAMI -DADE COUNTY BUILDING DEPARTMENT t.JC.1 y Herbert S. Saffir Permitting 1 Inspection Center 0 O ! d 11805 SW 26th Street (Coral Way), • Miz rida 33175 -2474 • (786 ? 31 00 Z / APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT YAPormsYSOIMMuateipal Permit Appiicmiondoc BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING - COMMERCIAL MBLD 02 SUB - GENERAL BUILDING- RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING &STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK -IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS / PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE YAFornsO8O1R dimldpal Permit Applkatiandx