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1100 NE 99 StMIAMI SHORES VILLAGF BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Q I l� 1 Type Insp' n 00 ateA- Permit No. P D6 Name I�J� Address y ' I ( 0 0 ' E q9 ST - Company 1�t RoMuyl,d Phone # 5o (43" - scN 3 Inspection Date Approved Correction Re- Insp'n Fee .51e) w Type Insp'n Permit No. Name Address Company Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE , BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request (-) Date / -4 7 ) ) Phone # "' 3 0 1 • (S / LI Phone # Correction MIAMI SHORES VILLAGE BUILDING DE$ARTMENT C 305- 795 -2204 j/I !�ns ection Request Date �/ a L 7 p l O Cd C Type Insp'n /( a L Permit No. e p 05z �`s^ 7 Name Q y - it e) /0 ---- Fl s-7 Address Il /� / Company ii 1 ` '-' ` 49 C, 3os - �`.s .‘8 0 3 Inspection Date G/ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build'ng Inspection Request Date r ,Q Type Insp'n 6 Lec - Rlc2� / Got Permit No. 6t 900 (— /T3 Name COmeAf Address Company //__ Phone # 7, V o3 99 Inspection Date 1 Approved Correction Re- Insp'n Fee (too Nt q 9 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ,! O' 4( Type Insp'n ! 9t < 'e <° Permit No. P V /g Name p r Address l / ® , C! S/ Company Phone # Inspection Date 2...) /t''!%!/' d 17 Approved Correction Re -Insp' n Fee 7:1 _g_. ❑ y3,44*1 9‘7/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n p Permit No. Y C. <9 0 --` cag/ Name Address Company 1 /� /�, Phone # - 784/ ,o•J - `7 q 7 Inspection Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspectio Requst Date $ll�J\t 7 p Type Insp'n ?C�uCp.• Permit No. EL ca<504 = 4o- 1q 3 Name Address 1 I 0 0 1LE ? s1 Company Phone # - �� - 5943 Inspection Date Si I (ot 04 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date q IOt lO`{ Type Insp' n /S de"�l� L Permit No. °L - ( 6' Name Address act sT Company 1 7 ' e Phone # 505 ' &'7 / � '- 5 1 4 Inspection Date Approved Correction Re- Insp'n Fee o 7i .5'4 c 5 /`i / V40' A- /y, 'cc / — MIAMI SHORES VILLAGE BUILDING DEPARTM T 305- 795 -2204 Building Inspection Request Date 3D6fpq Type Insp'n / )e) / � /7 P 9 Permit No. /r c / Y Name Address // 0,0 A/C 99 Company /91W / i'om b1 n G '( - e P� Y - 7o 7 b oy Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # 30s- Inspection Date a Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date �S k31 Type Insp'n L Permit No. 9UO(4 18(.. Name 5 Ct - Address \ t E. got_ ST • Company Phone # ?OS - 4 { 3 � - 5G43 Inspection Date FSf llJO -- - Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART ►4 T 305- 795 -2204 Building Inspection Req -st Date AV 1 7CtL / i 1 Type Insp'n Permit No. a ' ° L, — G7_t =� R✓_ Name i f � i /`r `- --/," Address /AO D Company Ag' Phone # 3 " — *Y 7 V3 Inspection Date _ �.l ��LY d V Approved 71 Correction Re- Insp'n Fee ❑ 1 RECEIVED !t 1 2 2804 BUILDING PERMIT APPLICATION FBC 2001 Owner's Address Total Fee Now Due $ S S , (Continued on opposite side) Miami Shores Village Building .D►ep * Y ent 10050 N.E.2nd Avenue, Miami _�;� �, Flit 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit NZ).- O' f\ P4 Master Permit No. Plumbing ce ecbanical Roofing Permit Type (circle): Building + t - �' J� / .� ° Owner's Name (Fee Simple Titleholder) 79,41 es /tom , .J / f- e Phone # 5d -: /. // = City /YI/iyl�'I / . 4/ � f ff Tenant/Lessee Name /1 zip 3 3 Phone # ' Job Address (where the work is being done) //a O lr' , 9 7 5 7 City Miami Shores Village 4,77 County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name © lame Phone # Contractor's Address .5/`l ni City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permi 500 0t Square Footage Of Work: Type of Work: DAddition ❑Alteration ❑New � ❑J Z/. Repair/Replace ❑ D Describe Work: //V$7 // • r 2©© / c /?/ R Xe/f /�1'eT/fa'',v j /ec7 Q�/ / C /97 SPI/c ,e l-"/P10t?f /z . * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fe * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C C Submittal Fee $ Sa bO 0 Permit Fee $ / r ''4 CCF $ C Z CO /CC Notary $5.to Training/Education Fee $ t 1j Technology Fee $ Scanning $ Radon $ Zoning Bon Code Enforcement $ Structural Plan Review. $ 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. Chc 05/13/03 / .eLt Signature/ / f, e Owner or Agent Contractor The regoin instrument was knowledged befo me this , The foregoing instrument was acknowledged before me this day o 2®1 , by ► / : , day of , 20 , by 11D' who is personally � known to me owho has produced FL.. L _ who is personally known to me or who has produced B t, ° 0 — W ° + l 5 identification and who did take an oath. � ww P4 ngaie Q!, �c'cx My Commission Expires: o, ., . ..r NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** as identification and who did take an oath. ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY / /�%l� �Y_ /-' = _ / 3 f G4 plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY 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 INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MJTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM4ING POOL OUTLETS COMMERCIAL 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 PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 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 A (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI -DADE COUNTY BUILDING CODE COMPLIANCE OFFICE 140 W. FLAGLER ST., SUITE 1602 MIAMI, FL 33130 (305) 375 -2527 PERSONAL W t EXPIRES /30 /2 0ENCY 09/30/2005 BA ILEY JAMES H SSK: 261 -46 -1795 0 Certificate Not Valid For Contracting 7 RADE: ELECTRICAL SKILL: JOURNEYMAN CATEGORY(S): ELECTRICAL ignature of Ce rtificate H "Property of Miami -Dade Building Code Compliance Office" Sil M. ne Tree NZiArt FES Pi E A PLACE PHOTO HERE DRIP LOOP io BE 30' AEG CMIN) .' 6' •�i • ''00A METER 1 2' MOVE ROOF 1 fft 111TS11ED GRAVE • • .••••• Z' 20tArK1 miaow • rtAsic Ott y rr F 1 � Fe l. r: �• ▪ - I V C SL.EC CL.UIP MAIN CI3 PANEL U'O' H IN 11EP TI I 1 awe 1Eivl )ctty J IP ant Rill QUID M••d N SUB CB PANEL PER S.F.1).C. lu :LK ul: • h`It;S I' • • ' I Icipht Vii eX 7A.1° N Conductor sue_ T o ' Condul'i stzr_ Condit . •typp•��jt� oit/ v1T Thi roof „.. Y • Ground wk :;•�r� 1._ —_ —_ —_ HAr1I. DIS ONIIECT Ra•bn) 2 c nr,ps Hatt Sub 23rROlcer's Amps • SUB -FEEDER � / New Exlslinp Typo SIM*? ._ Bond t11S [DE PANEL Rntin0 2 : ° Tiond $ Lag s Yes _No • Loctetbn _ GJ J 7 `P --- 4506,20) • C0N7R o2.1.1.i=.L' NS c.:... _..6 [� SIGH ! 'IIRI: OF COHTRACToR ni BY NOTARY • • 4•10"r /� ✓ �``y d' `� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/14/2004 Applicant: JAMES BAILEY Owner: BAILEY JAMES JOB ADDRESS: 1100 NE 99 ST Contractor Local Phone: Parcel # 1132050180150 Electrical Permit Permit Number: EL2004 -186 Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Permit Status: APPROVED Permit Expiration: 1/8/2005 Construction Value: $500.00 Work: ELECTRICAL 200 AMP WORK UNDERGROUND FOR POOL Page 1 of 1 PB 43 -69 LOT 6 Fees: Description Amount FEE2004 -6987 Building Fee $100.00 FEE2004 -6988 CCF $0.60 FEE2004 -6989 Notary Fee $5.00 FEE2004 -6990 Technology Fee $2.50 FEE2004 -6991 Training and Education Fee $0.20 Total Fees: $108.30 Total Fees: $108.30 Total Receipts: $0.00 - Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 179 LOT t , Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/4/2004 Applicant: JAMES Owner: BAILEY JOB ADDRESS: 1100 NE 99 Contractor MK ROLLAND Local Phone: 786- 306 -9510 Parcel # 1132050180150 Building Permit Permit Number: BP2004 -957 BAILEY JAMES ST Contractor's Address: 9510 BISCAYNE BLVD. Legal Description: REV PL MIAMI SHORES SEC 8 Page 1 of 1 PB 43-69 LOT 6 Permit Status: APPROVED Permit Expiration: 1/10/2005 Construction Value: $16,000.00 Work: POOL ,SPA AND DECK NO HEATER Fees: FEE2004 -7829 FEE2004 -7830 FEE2004 -7831 FEE2004 -7832 FEE2004 -7833 FEE2004 -7834 FEE2004 -7835 FEE2004 -7836 FEE2004 -7837 Description Building Fee CCF CO /CC Notary Fee Training and Education Fee Technology Fee Scanning Fee Radon Builders Bond Total Fees: Amount $480.00 $9.60 $50.00 $5.00 $3.20 $12.00 $12.00 $5.38 $300.00 $877.18 Total Fees: $877.18 _ 200 oa Total Receipts: 0.00 AU61 Signed: (INSPECTOR) 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 Miarpf Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 179 LOT Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -193 Printed: 7/26/2004 Applicant: JAMES BAILEY Owner: BAILEY JAMES JOB ADDRESS: 1100 NE 99 ST Contractor Local Phone: Parcel # 1132050180150 Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2004 -7522 Building Fee $150.00 FEE2004 -7523 CCF $0.60 FEE2004 -7524 Notary Fee $5.00 FEE2004 -7525 Training and Education Fee $0.20 FEE2004 -7526 Technology Fee $3.75 Total Fees: $159.55 Total Fees: $159.55 Total Receipts n 01 Permit Status: APPLIED Permit Expiration: 1/10/2005 Construction Value: $500.00 Work: ELECTRICAL WORK FOR POOL Signed: (INSPECTOR) 1 Page 1 of 1 PB 43 -69 LOT 6 AUG 10 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 179 LOT BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address // 7 S r City /f /(/ / 7) 5A9 d'S State Tenant/Lessee Name D e/ /v+-° n Job Address (where the work is being done) /po /x • 4 5 VI a. City Miami Shores Village County Miami -Dade L Is Building Historically Designated YES NO State Certificate or Registration No. Certif • Architect/Engineer's Naine (if applicable) OQ $ Value of Work For this Permit Square Submittal Fee $ 50 .0 Permit Fee $ Are Total Fee Now Due $ 1 0 ct (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2ad Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 736.8972 Elect Permit N Master Permit No. Phone Plumbing Mechanmai oofing,S1 �., Phone#ce// 3e5— ..y3?- S Zip 3 3/ 3 S' Pkone # .54 ft7 e Zip 3 3/.3 F Type of Work: ❑Add ition OAlteratian ON 0 Repair/Replace Describe Work: e/e C 71e/G /9/ �!/ Old i� t // **************************** Fees**** *** * *** * ** * ** * * **** *** ** ** Notary $ S_ .o a Trainiug/Education Fee 3 , 7) Scanning $ Radon $ Zomba Code Enforcement $ Structural Plan Review. $ Contractor's Company Name ©ig/ /Ye Contractor's Address City State Qualifier Zip tnpetency No. Phone # otage Of Work: 0 D Cti r••.i • t) CZ CCF $ 4 6 CO /CC Technology Fee $ 3 . Bond $ REG C01 071404 1353 MC #01 019124 CHARGE 350.0 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 pennit 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 sire 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 2 - 4 / Signature 2-/i` Owner or Agent , t Contractor Chc 05/13/03 The foregoing instrument w s ac owledged befor day of 20 t by 4' NOTARY: Sign: ` Print: �Mea__IT r 4. ■ My Commission Expir known to a or ho has produced k As identification and o did take an oath APPLICATION APPROVED BY: Wif on D * * * * * * ** The foregoing instrument was ackno day of _ . .1 ,2 by who i'. per•.nally / dentification to me or who has produc ;. ,, NOVialbtlEV and who did take an oath. f. Expi s es t D 1 __ *° Expire1` . t Bo 1 pil �i�P _ M,�C�a�k Atlantic mg . My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************************* 4*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 2/ ,7liLye r INO ged b; fore me thi Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/4/2004 Applicant: JAMES Owner: BAILEY JOB ADDRESS: 1100 Contractor ABC PLUMBING Local Phone: 305 - 969 - 5656 Parcel # 1132050180150 Signed: NE 99 Plumbing Permit Permit Number: PL2004 -221 BAILEY JAMES ST CONTRACTOR, INC. Contractor's Address: 13275 S. W. 135 AVE. Legal Description: REV PL MIAMI SHORES SEC 8 Page 1 of 1 PB 43-69 LOT 6 Fees: FEE2004 -7825 FEE2004 -7826 FEE2004 -7827 FEE2004 -7828 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $1.20 $0.40 $3.75 $155.35 Total Fees: $1 5 Total Receip V Permit Status: APPROVED Permit Expiration: 1/23/2005 Construction Value: $1,500.00 Work: PLUMBING FOR POOL (INSPECTOR) C AUG 1 0 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 179 LOT cio?- BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Perrin No Permit Type (circle): Building Electri r'' Plumbing `) Mechaniicai Owner's Name (Fee Simple Titleholder) Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) I / CC, _ ` l City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name L Contractor's Address \ ,,,?cam - +,, .� City W Qirv\ ∎ State $ Value of Work For this Permit I „S` e 4 , Type of Work: ❑Addition ❑Al aeration Describe Work: - , 1 1 1''1 Total Fee Now Due $ / 0s (Continued on opposite side) 1 Le" `Lir�Ilh .mot Cierv-Aorte County Miami -Dade Zip Square Footage hone # (F f.6 Q - Zip ❑New ❑ Repair/Replace State Certificate or Registration No. F(C) 72" R' Certificate of Competency No. qiciPoe,co 1 . Architect/Engineer's Name (if applicable) Phone # q -- 4._ * * * * *** * ** * *** ** ***** *** * ***` I 1 q Submittal Fee $ W Permit Fee $ / 53 CCF $ I M 0 co /CC Notary $ Training/Education Fee $ l 0 Tecknology Fee $ , . 7.___S Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Pian Review. $ 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. Signatur Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by day of , 200g, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Sig �_- Print: My Commission Expires: Chc 05/13/03 The foregoing instrument was acknowledged before me this who is personally known to me or who has produced as identification and who did take an oath. • NOTARY PUBLIC: My Commission E • • 3 ��� Commission $ DD116405 ,,;> Bonded By National Notary Assn. Print: ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** rr rr+ 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * ** * ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED A`at( 7' Plans Examiner ` Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 X ermit Type (circle): wuer's Name (Fee Simple Title o Owner's Address O City /L Tenant/Lessee Narne Value of Work For this Permit I13 Submittal Fee $ Notary $5' 0 C� Scanning $ ioA 0 a Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) ..y! trical er) fy ,fit es — e tate ,r . ",4 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name A4 1 `, LLI,I t /4 Contractor's Addre State Certificate or Registration No( (' �d tt (7` L Ceftificate of Competency No. Architect/Engineer's Name (if applicable) Phone # /" X Type of Work: ['Addition ['Alter Work: / he4 ii"/? /po/ SP$ * * * * * * * * * * ** • ( Permit Fee $ (.,J, •,. 00 CCF S k to 0 coiCC . C Training/Education Fee >3 • O Technology Fee S L , k 01) Radon $ r. mg Bond $ 2 a 4 r Miami Shores Village m Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)•795.2204 Fax: (305) 756.89-72 Pho 9 JQ //too 4 ' 7/ 57 County Miami Dade Zip 33/3 g" a 0, 0 a NO � — on DNew ** * * * * * * * Fe * * * * * * * * ** * * * * * * * * * *,* * * * * * * ** Structural Plan Review. $ .M s Plumbing Permit No r Permit No. Mechanical ne C'E �0$ 71—/7.21 3 "$ 3 3 7 ' /7.2 Zip 33/3 g Phon # / 3" 7 -i.-/ 72 C (( 30S V 'p 73 Phone # 7Ro - 1.57 .0' Square Footage Of Work: '': P ec 0 Repair ace 0 D eau 173q 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. j mature The foregoing instrument was acknowledged before me thus 1 day of who is NOTARY Sign: Print: Chc 05/13/03 acknowledged fore oing instrument was ackno edged before me ss 200(1,by S 4 e day o 00 l b, by 4 Vo Ice ui /t ty known tom who has produced who Tonally kno to me or who has produced P As identification and who did take an oath. r who did take an oath. LIC: ; , ; M 4 . W << tIbtd Vargas NOTARY PU r o c;" MY�CO u SSI r :ca�° or ��, �1)0� Si� /I�_r. ,► - :June yrin ‹. onded Thru V' / A la !landing Co., Inc P My Commission Expires: Z Owner or Agent (' ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** . . ctod- My Commission Expires: APPLICATION APPROVE • at ✓ / ii s , / 27 %4 7 /�! O4' Via �✓ . . —.� /Ky Plans Examiner Engineer Zoning Miami Shores Village Building Department Permit No. Job Name BUILDING CRITIQUE SHEET 7VaAoc-I 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date 3..t " / .Z ° Miami Shores Village Building and Zoning Attention: Building 0 ci 1 understand and a obtaining a permit fiie/ C fl/ # / 0 e Uri In accordance with motion 33-12(f), Code of M be used or filled with wad until* swimming the pool to be barrier, and such barrier erected, ingeoeted and approved. Note: This oert ion is to be ," ;.; d with* NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at - Miami Shores, Fl., and hereby affirm that one of :he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. ;please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that corl'plies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a rninimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with •release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is cornpleted for contract purposes, will constitute a violation of Chapter 515, F.S. and w'll be considered as committing a misdemeanor of the second degree, punishable by fines • p to $500 and /or up to 60 d. s in jail as established in Chapter 775, F.S. CO 1. CT • SIG ATURE do DA - /hot,e4Tilla r BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIOA 33136.2362 TELEPHONE (305) 705 -2204 FAX (3051 750.5972 - `S OWNER'S NAME ( PL abt:l Vargas Commission tIDD231984 Expires: Jul 13 2007 441111‘.■ I I Bonded Thru NOT - ' Y PUBLIC MIAM_, _r'h Ur i RECC ' ;'rr, ' " i_', - WEST DAD■. 11805 CORAL WAY. $12.87 12.87 AL $i2.87 I I SA A -1 ANDRES A. • REC DEPUTY CLL 4 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 7 Z/ PERMIT NO.1) C � '5 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement: f Ob. , Epp, 4 Peck 3. Owner(s) name and address: ►Yl. u 1w; 5hu,r c $ FL Name and address of fee simple titleholder: Interest in property: 4. Contractor's name and address: /WC goto,it tnc. 9-/o Qis c4 y afre 5. Surety: (Payment bond required by owner from contractor, if any) rh r ' • Name and address: Amount of bond $ 6. Lender's name and address: 9. Expiration date of this Notice of Commencement: (the expiration different date is specified) gnature of Owner Print Owner's Nam ea i Sworn to and subs Notary Public Print Notary's Na e My commission expires: 123.01 -52 PAGE 4 B/02 jArrtec f-). tQile9 i l n t5 N. 6. 9 q -I`, s �F, -�•�- of F'- I ! dU N.C. 9c + hte,inc Silorer � FL Mabel Vargas - • : Commission #DD23198 _ sire 3311 CFN 200480648784 OR Bk 22530 P9 2514; Ups ) RECORDED 07/30/2004 13:55:58 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE Atlantic Bonding Co., Inc Prepared by ed before me this $4 day of, 1 11 , 20 04 Address: 7. Persons within the state of Florida designated by Owner upon whom notices o othe ocuments may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: date is 1 year from the date of recording unless a ,Y ay querd4 rr/ 5 c , /Se"'" ab97 j��n brokr #','mss