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925 NE 98 St (8)BUILDING PERMIT APPLICATI FBC 2001 uildin RECEIVED NOCT 1 2004 Permit Type (circle): Electrical Owner's Name (Fee Simple Titleholder) op. Owner's Address /()0 90 f E- 12 / v &MJE Zip - 13Z Tenant/Lessee Name Phone # cit /P I S HO .5 state p1© e D Job Address (where the work is being done) c9, & /u E 98774 City Miami Shores Village Is Building Historically Designated YES NO ✓ Contractor's Company Name )(1.A4 ✓ Contractor's Address City State $ Value of Work For this Permit A g Type of Work: Describe Work: Total Fee Now Due $ (Continued on opposite side) 3 ilppAiviv Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plumbing Permit No. t 0 Master Permit No,SP — / (D Mechanical Roofing Phone # 2J gg T 2224 County Miami -Dade Zip 3 313 8 Phone # Zip Qualifier Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ['Addition ❑Alterationiee► . ,,,4214Elair/Replace _ rt 1 t z. 1 \ � �� 'v � � � 1 ( S � j 4 Nt.i LNF ltN j ,. Technology Fee $ ROA S D Bond $ ❑ Demolition ^ O ************* * ** ** * * * ** F ees ***** ** * ** *eras *sari * *s *s * ** * *s* Submittal Fee $ Permit Fee $ av CCF $ I t i V CO /CC ,""` Notary $ Training/Education Fee $ 1 < D V Scanning $ 3 Radon $ Zoning Code Enforcement $JCS .Q () _ 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 apd-a -refit spection fee will be charged. My Commission Expires: Signature Signature Owner or Agent Contractor The foregoing instrument was ackn wledged before me this 2/(0 The foregoing instrument was acknowledged before me this day of ¢ V �J,15 20 Q by n 01D10 10 DiijUEZ , day of , 20 _, by APPLICATION APPROVED BY: Chc 12/15/03 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 oath. as identification and who did take an oath. / NOTAR �'UBLIC� � i �. � : r Print. � �/ 3 NOTARY PUBLIC: nwumrrrwuurw w►ruN r. Inwo Eli a 2/1/20011 (eOO)43242e4 F,orid. Ntra Inc rr rrtH (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****************************************************** ****************** : * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Sign: Print: My Commission Expires: OCT 13 2004 Plans Examiner Engineer Zoning •r `-9 k'her Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I L. 13.) , 'i ra . A •• ; s2,-, e— z being the legal property owner, for the property Located at: 1 f l l Sf i • i S., .'z 1 Legally described as , 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 understand the following disclosure Statement, which entitles me td *brk as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that 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 or a farm out - building. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Ttie foregoing instrument Was acknowledged before me this fe " ;- day of CC'761322, 20 Ci q By ef ,O !fl `p ti; .. who is personally known to me or who has Produced • • as identification and who did take an oath. o ary r """' bAYLLxr Y. Comm* DOMINO Wins IM MO O f te r „„ Fl«la: N�o1�INa, BU RECENED OCT 2 4 2003 PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 El a.a:r I Permit No. �•. Master Permit No. Permit Type (circle): Building lectrica Plu ing Mechanical Roofing -� O 4 wner's Name (Fee Shnple Titleholder) C k au i9 � T"�Z Phone # S 2/4- Z Z 2 4 C-4 Owner's Address / Q 2 S A E $ 51: Cit I t ; Me re--5 State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 5 2 S A/ FL ' g S t City Miami Shores Village County Miami -Dade Zip 3 3 1 31 Is Building Historically Designated YES NO Contractor's Company Name C Ps E. G tr S c. Contractor's Address ( / c A/ bt1 30 e _ City �J� State �-- Qualifier i h Fl i��rii f' zZ,o Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State S Value of Work For. this Permit 9 1j16a1'e'Footage quAS 4 ,0 m '0'41 e e. .oJu I' 0.1 ; Number of: Bays Stories Type of Work: ['Addition ' a Alteration Describe Work: /ZJ. 74 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** D) County Escrow Fee $ 0 Permit Fee $ 1 U Notary $ Education/Training Fee $ k Code Enforcement $ Bond $ QNew Tech $ . S D Scanning $ Struck $ Minus Plans Check Fee S Total Fee Now Due $ .5 3 � � D Phone # 7 1 t] 5) (07 c:? 1 Zip • 7j/-s — Phone # Zip Baths Repair/Replace ❑ Demolition Radon $ (Continued on opposite 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 abs w. e of such posted notice, the inspection will not be approwand a reinspection fee will be charged. Chc7/7 /03 Signature — f Owpei or Agent ontractor The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this 20 • day of O(„ j' ^C , 20 , by 01,60.1 6. am ,60 60 , day of / 0 , 20123, by #4,e/ 120h'1 e ro, who is personally known to me or who has produced wh is personally knows to me or who has produced As identification and who did take an oath. NOTAR PUBLIC: Sign: Print. My Commission Expires: Signature X as i • - u l ica : i and who did take an oath. NOTARY PUBLIC: Sign: Print: 11 Powesly Known leper 1.0. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY:.W' Plans Examiner Engineer Zoning ••• *EM ,TH 11B UNIT FEE ITEM SWITCH OUTLETS UNIT A FEE ITEM SPACE HEATERS UNIT FEE DET LIGHT OUTLETS CENTRAL HEATING WASHER RECEPTACLES / WC (WINO) SAL SERVICE TEkPORARY A/C (CENTRAL) LINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK _OCR DRAIN SERVICE REPAIMETER CHANGE REFRIGERATION TEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING , ITERCEPTOR RANGE TOP UNDERGROUIfl TANKS WATORY OVEN ABOVE GROUND TANKS ;TORY TRAY WATER HEATER U.F. PRESSURE VESSELS _OTHES WASHER MOTORS 0- 1 HP XA•cozZ1 / STEAM BOILERS 10WER MOTORS OVER 1- 3 If HOT WATER BOILERS INK, POT /3 COM'. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS EkPORARY WATER CLOSET kOTCRS OVER 10- 25 If FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 FP COOLING TOWERS ATER CLOSET MOTORS OVER 100 FP VIOLATION ItIRECT - WASTES A/C WINDOW REINSPECT ION ATER SUPPLY TO: AIR COIOITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE STIRRING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TI)€ CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS RRAINFIELO. 4' TILE/RES. VIOLATION - _ - •- UkP.3 ABANDON SEPTIC TANK REINSPECT ION - . __ ;OAKAGE PIT CU. FT. • 'ATCH BAS I N IISCHARGE WELL )OMESTIC WELL kREA DRAIN 100F INLET I ;OLAR WATER HEATER `, 'IRE STANDPIPE _ 'OOL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE TER SET (GAS) ;AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION sal APPLICATION FAR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. )BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL 925 I`I r 1 g. Strut \'i z evi S ms O vs t: / f C t z 1/4) c< i o � o�d r L¢ t o C Z T k.► sizAU f lePor f; k.. Q 2 ,f F 9 $ S ft' G / n i Z wti , • p,�v►'e..� C d z o Ks, dr-ZS --e.z. J e. l E x; s - L Mt-5 1- e- r t i � . SLgare-s az ©,,lyP air 11)< ��v►�r ; c ` ck a clr;f(-- e 0 - ctcl re. s ; 9 2,s NE 98 St. S /-)c,r e_.s ' Lovr is 4 (X IVr S a17d t( 3a -l ..*1 n - Rcicir&ss 925 / Is, 3tre-4,1 to re-5 2 . baviivoovv-, _ 0 _t• sGic)re-s. av%.:31 tl irs Signed: (INSPECTOR) Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -321 Printed: 10/27/2003 Applicant: CLAUDIO RODRIGUEZ Owner: RODRIGUEZ CLAUDIO JOB ADDRESS: 925 NE 98 ST Contractor CPS ELECTRIC Local Phone: 305 - 607 - 8221 Parcel # 1132060143430 Electrical Permit Contractor's Address: 1315 N. W. 30 AVE. Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 16 &17 BLK 80 LOT SIZE 100.000 X 103 Fees: Description Amount FEE2003 -6504 Building Fee $100.00 FEE2003 -6505 CCF $0.60 FEE2003 -6506 Training and Education Fee $0.20 FEE2003 -6507 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $103.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/21/2004 Construction Value: $450.00 Work: REMODEL KITCHEN AND BATHROOMS 3.3c NOV 19 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: BUILDING PERMIT APPLICATION FBC 2001 S Value of Work For this Permit 6 5Oo" and 2 e.Xt6U ►xit hrmrnc. Mia u • Shores Village Bui ent Permit No. Master Permit No. Permit Type (circle). Building Electrical Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) C 1 a i ( g o r i hone # 9 S Z 1 (, - Z 2. _ . Owner's Address I Z 5 NE l g City 11 t Lw, i S Lc e- 5 State 1 1. Zip 3 3 1 L IS Tenant/Lessee Name Job Address (where the work is being done) 1 2. 5 NE g S City Miami Shores Village County Miami -Dade Zip 3 1 3 8 Is Building Historically Designated YES NO Contractor's Company Name Own E 12, Phone # Contractor's Address City Qualifier State State Number of: Bays Stories F -. ,a, I Type of Work: ❑Addition ❑Alteration ■ ew Describe Work: Phone # Zip Phone # 10050 N.E2nd Avenue Miami Shores, Florida 33138 795.2204 756.8972 Architect/Engineer's Name (if applicable) Architect/Engineer's Address City Zip Square F. , Of Work: Demolidon ** ************************** F ees ** ** * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ 4. e . )0 Permit Fee $ 1 • a) Notary $ 5 • Education/Training Fee $ 1 (7 • Tech $ Lk- Scanning $ 5• CO Radon $ Code Enforcement $ � CC MM Bond $ Struct. $ Minus Plans Check Fee sM• W .W Total Fee Now Due S (Continued on opposite side) X 26(1 Bonding Company's Name (if applicable) IV' Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) o'/ 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 a provedzn3d a reinspection fee will be charged. Signature Signature Own re or Agent Contractor The foregoing instrument was acknowledged before me this 23 The foregoing instrument was acknowledged before me this day of cOCTOP3 &_, 20 03, by 0.1)kl2 5 • K \ VICh k JE - Z. , day of , 20 , by 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 oath. as identification and who did take an oath. NOTAR, PUBLIC: Sign: CL.- Print- I Aj L .. L11 i) My Commission Expires: C1)- State Certificate or Registration No. APPLICATION APPROVED BY- chc717103 NOTARY PUBLIC: ID Sign My Comm Exp. 1/26/04 Print No. UD 007575 f1 PonOnally Know 11oM.rll r ommission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /,e-4! _- Plans Examiner Engineer Zoning q 2 s I\I r 9 g S remit, S1arC.5. � w r►¢.r C l Z v c < o '� c� r i ��.9 Q Z &S) 21C- Z, Z 2ti . e.. laces ��. , . � G z I L A A s - k t +(:?a fi `t. 19 zs 1\1, F 9 g Sfre-J, 1‘q■aw,t,' S LA2-r 42- S. 0 1-.-?..LA oh 0 - -e..1.-y-,4,41 , eA L. lf)< a ` a l, J ct i o 4f ;- v .2- Z e - G Ue - e, - s 5 9 ZS NE ci g St., l i, .. S l o c- e-s S ce , v,z, of • U- Y< : ' IZGe_. /X I Vr S a ✓ - )d tl I cz, 1 95 , 3 a•f ilrooWI l c v n I_a 9 a uk, - Pckeire , s5 92. NE 0 18 5 tre-a-t 3GCle„ t— ilroovvI 2 (V/ toyi .Se t e__ 5 • • • • re, 0 yv tot Ilgiv SA. G ) e. s ev% 1 e.- V 4 CT% Produced Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I C / „J , " 2,2 d being the legal property owner, for the property Located at: ° l 2, A g , ! Legally described as - 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 understand the following disclosure Statement, which entitles me to' Vork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit wider an exemption to that 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 or a farm out - building. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this c2. day of 0 � , 20 0 3 who is personally known to me or who has • as identification and who did take an oath. ., P ` ` - , abet Vargas •' • • : Commission #DD231984 *; ..'= Expires: Jul 13, 2007 ,,� F;o Bonded Thru ' ' '' Atlantic BondingCo., Inc if BUILDING CRITIQUE SHEET Miami Shores Village Building Department 10050 N.Eind Avenue Miami Shores, 'Florida 33138 Tel:1305) 7952204 Fax: (305) 756.8972 03-Mqd JobName • ; MO • • •