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PT-10-674Inspection Number: INSP - 141111 Permit Number: PT -4 -10 -674 Scheduled Inspection Date: May 17, 2010 Inspector: Bruhn, Norman Owner: BACHMAIER, JOHN Job Address: 26 NW 96 Street Project: <NONE> Miami Shores, FL Contractor: JOHN G DONAHUE LLC Building Department Comments PAINT ROOF WHITE Passed Failed Correction Needed Re- Inspection Fee May 14, 2010 tci No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments d � For Inspections please call: (305)762 -4949 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010330440 Phone: 305 - 945 -0374 Page 18 of 32 Inspection Number: INSP - 141111 Permit Number: PT -4 -10 -674 Scheduled Inspection Date: May 17, 2010 Inspector: Bruhn, Norman Owner: BACHMAIER, JOHN Job Address: 26 NW 96 Street Miami Shores, FL Project: <NONE> Contractor: JOHN G DONAHUE LLC Building Department Comments May 14, 2010 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: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010330440 Phone: 305 - 945 -0374 PAINT ROOF WHITE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 18 of 32 Protect Address 26 NW 96 Street Miami Shores, FL Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) JOHN G DONAHUE LLC Phone 305 - 945 - 0374 CeII Phone Type of Work: Exterior Color: Additional Info: Classification: Residential Color: _Approved Color: _Approved_ Code Comments: ROOF - WHITE ONLY Color: _Denied Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $1.20 $0.40 $60.00 $1.60 $63.20 Address Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Permit Permit NO. PT -4 -10 -674 Permit Type: Paint Work Classification: New Permit Status: APPROVED Issue Date: 4/28/2010 Expiration: 1 0/26/210 Parcel Number 1131010330440 Block: Lot: Phone Pay Date Pay Type Amt Paid Amt Due Invoice # PT -4-10 -37643 04/28/2010 Credit Card $ 63.20 $ 0.00 Applicant JOHN BACHMAIER Cell Valuation: Total Sq Feet: $ 1,500.00 0 Date Available Inspections: Inspection Type: Final 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. April 28, 2010 April 28, 2010 1 (305) 795.2209 Fax: (305) 756.8972 BUILDING Permit No 1( ( 0 1 4 — PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT � / Owner's Name (Fee Simple Titleholder) �` //L��C/�C.�6 /e/@ Phone # J0 J '7Y7 61 ‘%. Owner's Address p2,b " , � e Cit / 1 1 M/ \Q 4! S State cwOBJ Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) oZ6 ' i 2 d g r J �/ � City Miami Shores Village County Miami - Dade, Zip ' /.7e FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name C r41) Contractor's Address rbo2 tier' City /U P �'Z/r VJ' f I,IC ' State Ge /e/� le Qualifier Name • ®/��1�� State Certificate or Registration No. Miami Shores Village pASS Building Department Tel : w . OWNER BUILDER: Value of Work For t is Permit $ Describe Work: Aill/ 10050 N:E.2nd Avenue. Miami Shores, Florida 33138 NO Zip c33f�f Phone # Phone # Wi t:33 71i Zip t�.3/44 Phone #,t, (-- 901 —z). Certificate of Competency No. Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair /Replace r7 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 WOVk will he performed to meet the standards ofall laws regulating construction in this jurisdiction. I understand that a separate permit must he secured tier ' El CTRICAI. WORK. PLUMBING, SIGNS, WELLS. POOLS. FURNACES, BOILERS. HEATERS, TANKS and AIR CONDITIONERS, ETC "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 :I pplicanl: As a condition 10 the issuance of a building permit with an estimated value exceeding $2500. the applicant must promise in good Pith that a coin 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 ofthe recorded notice of commencement roust he posted at the job site for the.Trst inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice. the inspection will .not he approved and a reinspection fee will be charged. rxxxxx**** Yw'-****x ar*** *xxxxxx***********Feesxxxu *** ** ******** ****otxuxx Scrxmxxx********* 'Permit Fee $ CCF $ Technology Fee: Training /Education Fee $ Notary $ Code'Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side —a Directions: ('lease circle corresponding number to appropriate color sample. Walls: Fascia: Soffit: Roof: Flower Bins: Shutters: Awnings: Chimney: Fences: Drip Cap /Drip Edge: Stucco Banding: 1 1 Doors and Door Jams: Garage Doors: 1 Railings: A ny other Stucco Features: Accessory Buildings PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 2 2 2 All brick (simulated or regular): 1 2 3 3 4 3 4 3 4 3 4 3 4 3 4 3 4 3 4 3 4 3 Other: 4 4 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. Signature Signature Owner or Agent // Contractor The foregoing instrument was acknowledged before me this The fore oini stivment w ekn led d bbefor ye this day of .20.hy day of IJ .20 b I 1 v J / ��` , who is personally known to me or who has produced who is p As identification and who did take an oath. 0 NOTARY PUBLIC: NC/TA Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: Attach color samples with name and number. rsonally known to me or who has produced identification d who dial take an oath. APPLICATION APPROVED BY: Plans Examiner �Q I Preservation Board Code Enforcement (Revised 04 /24/0', BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N_E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) < J o' r \ -2 3 C L V•‘ ; Phone # 3 o - 1 S i —(0 y) 7 Owner's Address City State Zip Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village County FOLIO / PARCEL# Is Building Historically Designated YES NO Miami -Dade Permit No. Master Permit No. Phone # Zip Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit $ Type of Work: ❑ Addition / ❑ Alteration / ❑New / ❑ Repair /Replace Describe Work: 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 wilt be performed to meet the standards of all laws. regulatingconstruction in this jurisdiction. I understand that a separate permit must he secured for EI.EC'TRICAI. WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC "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 WITFI YOUR LENDER OR AN' ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: .4s a condition to the issuance of a building permit with an estimated value exceeding $2500. the applicant roust promise in good. faith that a copy oldie notice of commencement and construction lien law brochure will be delivered 10 the person whose property is subject to attachment. Also, a certified copy of the recorded notice oj commencement must he 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 he approved and a reinspection fee will be charged. u* xxwww* w******** x* x** x* x******** u* x*** F ******r Permit Fee $ • CCF $ Technology Fee: Training /Education Fee $ Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side —* Directions: Please circle corresponding number to appropriate color sample. Walls: Fascia: Soffit: Signature Flower Bins: Shutters: Drip Cap /Drip Edge: Roof: 1 2 3 4 Awnings: Chimney: Doors and Door Jams: Garage Doors: Railings: l Fences: All brick (simulated or regular): Stucco Banding: Accessory Buildings PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 4 4 3 4 3 4 4 2 3 4 2 3 4 2 Any other Stucco Features: I 2 3 3 4 3 4 Other: 4 Attach color samples with name and number. 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. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this al The foregoing instrument was acknowledged before me this day or"'S Qoi L... 2(1— . b N S �(w ( . day or . 20 . by who is personally known to me c4Mh Nf tquced �� t ( who is personally known to me or who has produced \ ' , As cch t 4orrt d. who Gast take an oath. as identification and who did take an oath. NOTARY ' LIC:: - `::�:' � ''' ��': / NOTARY PUBLIC: Sign: _ ` �� \` � Sign: • Print: ti $ : O Print: My Commission Expires: �' ,,�� r/ •.S I' •• ' t (Z4 \"� My Commission Expires: ri�,,� TA . /d ‘‘ ******* drek4r #•3reY** ** ***** ***** � *sh9ri ******* aYsedr********* if***** 4ekde4r4' eieskdt*+ Yhihet*4**drieolt*ir4e*+ h' k 4 ra 4 ak 9 ttktkdr 9 toY # APPLICATION APPROVED BY: Plans Examiner /) Preservation Board Code Enforcement (Revised 04 /24/0; 000008819 JOHN DONAHUE PAINTING D.B.A.. DONAHUE JOHN G Es certified under the provisions of Chapter 10 of Miami -Dade County ALIO FOR CONTRACTI UNTIL 09 /30/2010 TAX RECEIPT V1vMA Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY NER OHN G DONAHUE LLC Type of Business 196 SPECIALTY BUILDI ONLY A LOCAL (NESS TAX RECEIPT. IT S NOT PERMIT THE A TO VIOLATE ANY I0. REGULATORY OR LAWS Of THE NTY OR CRIES, NOR IT EXEMPT THE R FROM ANY OTHER OR LICENSE RED BY LAW. THIS IS A CERTIFICATIONS OF HOLDER'S. OUALIFICA- ENT RECEIVED DADE COUNTY TAX TOR: 07/07/2009 60000000681 000045.00 SEE OTHER SIDE ALEX SINK CHIEF FINANCIAL OFFICER EFFECTIVE DATE: PERSON: DONAHUE FEIN: 830443200 BUSINESS NAME AND ADDRESS: JOHN G DONAHUE LLC 3862 NE 171 ST #4 NORTH MIAMI BEACH FL 33160 SCOPES OF BUSINESS OR TRADE: 1- PAINTING DO NOT FORWARD JOHN G DONAHUE LLC 3862 NE 171 ST -4 NORTH MIAMI BEACH FL 33160 111171I1f111tt1lr31111111111d1 tflrrrldetl1t1rnrrrr urlltri YhAfAM1 -0 AE COUNT'1°" TAX COLLECTOR 140 W. FLAOLER ST, Est FLOOR MIAMI, FL. 33130 t11AIi1I- A EX DE PIRES E, COUNTY - STATE OF FLORIDA . , 010 €v1UST BE DISPLAYED T PT PLA 30 CE OE BUSIN w ' URBUANT TO COUNTY CODE CHAPTER 8A - A R`)'a 575791 - RENEWAL SINESS NAME / LOCATION RECEIPT NO, JOHN G DONAHUE LLC CC # 000008819 3862 NE 171 ST 33160 NORTH MIAMI BEACH WORKER /S 1 CONTRACTOR 10 6772 -3 05/16/2008 DO NOT FORWARD JOHN G DONAHUE LLC 3862 NE 171 ST -4 NORTH MIAMI BEACH FL 33160 1 11'I11Alll 111H 11 " 11 111{, 111111111111,11 II111111/ M1 0500-467 - GARY DONAHUE NE 1718I' 1 Mt ?F1, FL 33 01 -2 111311 �.` STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Horida Workers' Compensation law. EXPIRATION DATE: 05/16/2010 JOHN G 04 -15 -2008 IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election fo be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609