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RC-10-465BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) J jSe-- Mai J b/ Phone # Owner's Address l'i O i City_ A_Via .S State rt.._ Zip 25138 Tenant/Lessee Name Email Job Address (where the work is being done) #3o .NE 100 Sr City Miami Shores Village County Miami -Dade FOLIO / PARCEL # l / 32126 (2 /q; 014.0 tic !!. City Quali Certificate NO IC Flood Zone Zip 137.9# Phone # Is Building Historically Designated YES Contractor's Company Name ± Its , Contractor's Addre Contact Phone Architect/Engineer's Name (if applicable) N ,fA- Type of Work: DAddition . Fee $ 57-©.. Sl Notary $ Scanning $ c1' Miami . Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 E -mail Training/Education Fee $ - V 0 Radon $ O� O DPBR $ D� 4 DO Master Permit No. Phone # Phone # Permit No S LC \ ® r 9L2S Zip 3338 ,/S Value of Work For this Permit $ Square / Linear Footage Of Work: 9 DAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: #/yto[tQ / 20,4,40 iwg *f/4Ye) m / `sg. dw * * * * *-* *.* * * * * * ** , a ** * * * * * * * * ** * *.i * *** F ees * * * ** * * *** * * * * + * * * * * * * ** * * * * * * * * * * * * * * * * * ** Permit Fee $ ® CCF $ 300 o v Tec inology Fee $ 4 Bond $ BY:— Violation date: 1 �c Structural Review. $ Total Fee Now Due $ ' )1400 See Reverse side - Double Fee $ p la MAR 2 2 2310 'di CO /CC $ 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 o rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection • ! < of be approve and a rei ection fee will be charged. Signatur Owner or Agent The foregoing instrument was acknowledged befor day of_40, 20 /a , by who is pe wn to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ei IVia. 1 v.ut My Commission Expires: to /t��oi o inau aalIO etcr S 041714), �.� '� n#D�600285 Signature NOTARY PUBLIC: Sign: My Commission E too so ; y,. Florida Notary .b :7C Ph ec: .. ._.cr-_ ❑ €ar.oeve ^ seen -a _ .- ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07XRevised 06/10/2009) Plans Examiner Engineer actor me this The foregoing instrument was acknowledged before y� t v me this) day of , 20 &, by 1N1fefm4 r ed who is per . a ' to me or who has produced as identification and who did take an oath. Print: StIJk burart laatainwaae 811VIAfIt DW pNuessau 1 Comm#000600285 ,:- 10/1/2090 • - -• O eooeeooae_i meeeaae; Zoning Clerk checked --7///i0 6oluft.erto BUILDING PERMIT APPLICATION FBC 20 Permit Type: Owner's Name (Fee Simple Titleholder) ,Ite_c - goThor Phone # 395 — 926 —© 21 3 Owner's Address , /i it O ill /00 g' City /620 re-c State pL Zip ?3(58 Phone # Tenant/Lessee Name Email Job Address (where the work is being done) /30 /1/. /00 S1 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES _, NO Contractor's Company Name Contractor's Address City Qualifier Name State Certi . Cots Value of Work For this Permit Type of Work: ❑Additio Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ROOFING *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F Submittal Fee ' $ Permit Fee $ Training/Education Fee $ Permit No. Master Permit No. R.6-1 0 - 4 5 Certificate of Competency No. j eration * * * *** * * * * * * * * * * * * * * * * * * * ** CCF $ ❑ Demolition IIQPDIAP Square / Linear Footage Of Work: ['New ❑ Repair/Replace Notary $ Scanning $ C A/ 60 Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ 60.0414 66 -4 4 ? 2.40 ,•'4 Total Fee Now Due Zip Flood Zone * * * * * * * * * * * * * * ** CO /CC $ 2101 Technology Fee $ Bond' $ 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 ; ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection t be approve and rei , pection fee will be charged. Signature \ \.( _ j j Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thisa_ day of , 20 (A , by QQ,44e , day of , 20 ED , by aUl , . who is perso wn to me or who has produced who is pers all wn to me or who has produced as identification and who did take an oath. Sign: Print: NOTARY PUBLIC: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) As identification and who did take an oath. 7704 6 /Z// GW ' NOTARY PUBLIC: Sign: Print: My Commission Ex Ebes 10/112010 • Rod& Notwyksn Inc mmnnuu.u ***************** 9 e , srk* 3 t 4 e 4 c 4 r*{ ede****** 3 c***k * lr4aaY***k 9e*4cFr :F3rdadt***k***k**9r3e***** Se*dr***** k9e: k3: 3e3e3e ******:h9r4r3r,Y4e91r** **3:** Plans Examiner Zoning Engineer Clerk checked -- n® Vim.. 141 M -r;' Sh ores Vii! =ge APPROVED BY DATE ZONING DEPT -------0°— BLDG DEPT �04 SUBJECT iOCCMPI- dC TH A STAA4 �RftiD C UN CY L AND RE. { t �� E lt ABLE WOODWORKS, INC. . 423 NW 72ND AVE MIAMI, FL 33122 P: 305.716.0077 F: 305.716.0099 03 80 01 182 [03. 14.10] Room 1 10.9 PCP/ Aci /94 62 t e /'' eqz e 7;1,9 -/' +a F l i t A - a / p i g tect — (aJ DOOR; SUPERIOR RP COLOR SOLID 3141 71 i0;: 18 - -- 04 158 16 E 7/8 02 189 LISA & JESSE MAIDI3REY KIT • • ••• • • • • •• •• • • • •• •• • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • ••• • • • • ••• • ••• • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • •• ••• • •• • • • • • • •• ••• • • • • • • • • • • • •• • • • • • • ••• •• Not To Scale fiaoft 11A • • •• • • • •0 O S SO • • • CI 0• • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• - • • s • ;tr • .:•2 • • 11 • "•: . -•••••'1P-r rr . ,;;, • , • • . •••• ;‘• ,1.1 • C'77 • -14,• • . • •• • • • ••1 -•;,— • • TO; • • ilt!. 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CaF ^pe ese.o CLEAi1 SM11gf f-LL — Ad t Gattit{ 2123 ifit •lwrw act- / 20O rrM t4 t4 aC J4+. 120 wee. •14•iit 1 ° a ••14• !,. irTV`0 1• PPC.W070••■•C, tirr• 0 =104. HL T4•■ Pt X106' Rt.4 Dtp r1 0 0 , 5i 1 4.6ACON at Cd:1. u IS 1st 44 SS,4 r1'L a+r k4904 WtYN VS "F1640.d4 Aie4 • • • • • • • • • • • • • • • • t EyAP, %014-4 'AAA. i 4 &Q2VA4 ;4'4 1 t• '• • • • • • • /J.• •• •• • • • .• .. t• • • • • • • • i • • • ••• • • • .-41...........A..... ...�• • . • • • • • • • • • • • • •••• • .• .• i• •• • • • •• • •• •• k • • • • 1•• • • • • • ••• •• • • • • • • • • • • •. • • • • • • • • • • • • • • • • • • • • •.• ••• . . • RYt4,14 b 14 1 =0 WcACA$ VI $ • Sewn Ltric 11 yt}tdNUlNthC : :(4rE 1: • Pt I0 Comro (AvC) 1 6E GP kie...A.1. W 110 N.G, 100 TP ;+q,$ll4mt e°�,: ALB •. tx.'=S' -o` flnco•C3 T. :146f NOTICE OF COMMENCEMENT A RECORDED COPY MAST BE POSTED ON THE JOB SIZE AT TIME OF FIRST INSPECTION PERMIT NO. PC I O S =FOLIO NO. /I- 3l,5 ^D(' 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. STATE OF E HEREBY CERTRTI Y that original Me J n th1s . 6 Mice o 1. Legal description of property and street/address: 2. Description of Improvement: /UR ( 4 W -1 P. t reith9bb 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and phone number: 2332 tqa 14. n o 5. Surety. (Payment bond required by owner fipm contractor, if any) Name, address and phone number. /V ,# Amount of bond $ 114 6. Lender's name and address: llObl Trtle/Office Trtle/Office STATE OF FLORIDA COUNTY OF MIAMI -DADS The foregoing instrument was acknowledged before me this Zf,! day of 1 itutek ed Officer/Director/Partner/Manager who signed above: B je01 PlAki 111111111111111111111111 11111111 FN 2C)10 Fr. 02753:25 OR Bk 27261 F's 40324 (fps ) RECORDED 04/26/2010 10:39:12 HARVEY RUVIN, CLERK OF COURT MIAMI - DACDE C011PITYr FLORIDA LAST PAGE OUNTY DADE hl sA f e copy of the MTN SS it HARVE R AD200 0 ial Seal. .) a . I / fe..lrl4. 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(1Xa)7., Florida Statutes, ® Name, address and phone number. / /61SS /`a�n 2/ rJ&'i /Gfa ly t.2r i S 2332 4A!'004.S'f Ps��Q .1b/.s 33 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided In Section Name, address Florida Statutes. Name, Q � ! i , address and phone number. /�Y� j it�y O 9. Expiration date of this Notice of Commencement 98204 (the exp1rat1on date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNEFt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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: Signature(s) of Owner(s) or Owner(sp Author¢ Officer /Director/Partner/Manager �} / �t Prepared By Prepared B ✓r [(U /S�f`gvee, Z <• � ,,•'�'• ?6 tl . Il! ., �.� 1 i. Print Name Print Name ,1 t individually, or ❑ as 1 Y Personally known, or L7 produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92525. FLORIDA: STATUTES Under penalties of perjury I declare that I have read the foregoing and that cts stated in it : true, to the best of my knowledge and belief. U.DURAN CanmOODO E>Oes 10fft2)iO 1 Flotldet7 <::t., Inc Man onsueneneese -Meensaz-^.netaeen9 REMODEL BATHROOMS AND KITCHEN. REVISION TO ADD WINDOWS AND DOORS REPLACEMENT 06/21/10 Pass. / Inspector Comments CREATED AS REINSPECTION FOR INSP- 151580. All previously inispectiuons ll ce NB must be approved prior to final. Framing, Insulation, F (---- required Drywall, 0 7 ric) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP - 151676 Inspection Date: January 01, 2999 Inspector: Bruhn, Norman Owner. MAIDBREY, JESSE Job Address: 1130 NE 100 Street Project: <NONE> Contractor: PROFESSIONAL BUILDING Building Department Comments October 15, 2010 Miami Shores, FL 33138- 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 Number: R Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number Phone -3- 10-465 1 132050190440 (305)442 -8884 Page 1 of 1 Date: 10-12-2010 Miami Shores Village Building Department 10050 Northeast 2"`' Avenue Miami Shores, Florida 33138 Phone — 305-795-2204 Fax — 305-756-8972 Email: BruhnnOmiamiShoresvillage:com ADDRESS: 1130 NE 100 Street Miami, Florida PERMIT*: RC- 10-465 Dear Mr: Bruhn: hereby attest that to the best of my knowledge and professional • judgment, the site has been observed on this date 10-11 -2010 and the work done on the interior side of: the north wall at the above referenced property has the proper furring, fire stopping, and radiant barrier (4.1 Insulation, paper back foil over furring strips),, drywall and plaster. The aforementioned work was installed In accordance with plans as approved as per Florida Building Code 2007. My statement is based . on the following; procedure: "VISUAL INSPECTION" NAME: ADDRESS: TELEPHONE #: JSA COUP INC. 12229 SW 132 Ct.;.Miami FL 33186 .Plione 305. 251 -7923 .Fax: 305 - 251-7974 Architect * Interior Designer tuliv @isaarouta.net Julio: Sanchez, RA (JSA Group Inc.) 12229 SW 132n CkMiaml, Florida 33186 (305) 251- 7923 Architect lm pre Seal and signature: • Julio: Sanchez AR-0015751 *1D-0002171 signed byJuno Sanchez iN k ahltiho Sand . 045A Grenpinc, . a+ o Date 2010.10.1212AS.'49 . 'I 1, Julio Sanchez of JSA Group Inc., hereby attest that the method and software that has been utilized to sign and seal the plans; and specifications complies with the intent of the Board of Architecture rules. Specifically with reference to Florida Statues Chapter 481 and Florida Administrative Rule. 61G1-16.005 Procedures for. Signing and Sealing electronically Transmitted Plans, Specifications, Reports or other Documents: