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1177 NE 100 St (15)Inspection Date: 07/17/2006 Inspector: Grande, Claudio Owner: RODRIGUEZ, JUAN CARLOS Job Address: 1177 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments F ri . +\ 1 \ Y 14 , t■. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 1 9 RECD Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (786)251 -7913 Parcel Number 1132050190350 Lot: Page 1 of 2 Passed n / Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 07/17/2006 Inspector: Grande, Claudio Owner: RODRIGUEZ, JUAN CARLOS Job Address: 1177 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments F ri . +\ 1 \ Y 14 , t■. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 1 9 RECD Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (786)251 -7913 Parcel Number 1132050190350 Lot: Page 1 of 2 Date // Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �� cf Job Address //77 /2 5< Tax Folio (1 326 1 1 035 L , 4- / '3 . t / 71 74;4.; . t . ? 6 7 7;;;;)/ Lessee / Tenant Owner's Address //:77 /0/ Phone 7 0./1 5 - 4r 2 ,/ r Contracting Co. ��C.LrZ /) , Address 9 9 � ST Qualifie ;e41 /S 4�v6 SSit / - „ Phone 7J .7- 27O / State #44011o.24,80Municipal # Competency # Ins.Co. Architect /Engineer /94 Address Bonding Company Address Mortgagor d4 Address Permit Type(circle one)<Digfil6i1 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - 1 ''. -'9 PZ ' If 1/4.47 AX-L/--' -72 d2 6 ) £r_ /4 ,c a2 . e-4- Joy_i=T .0,4.r .4 CE,.) r 7 S�awEe Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Sig ature ofowwnei) and /or ondo President Date: Z - , .,,,rI ,,5.4';4%. VERONA L. BUDWAH Notary as to Owner and r'''� (Ado do ..,. ,. • �� 1997 ' My Commission Expires: , a „I Boodud Thru Notary Public Undenxdtn ** * APPROVED: * FEES: PERMIT 0 7.0 RADON C.C.F. • .SD NOTARY SIdo a TOTAL DUE :6'00 Fire Zoning Building Mechanical Plumbing Master Permit # 3c,or7 Estimated Cost(value 1 . Signature o C ontractor or Owner-Builder Date: • df1)! s � Notary as to C nu z+� ` � ct �6r e oif` r�,� w��`��� My Commission xpi ` COMMISSION NUMBER „ , COMMISSION ' <<gIl °: CC255237 `S> -' nU MY CRx'MMRt7N EOM Other Electrical Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN JJ Nl COP Y Date 3 / Job Address /1) ? r. E • /00 s7L ' Tax F lio Legal Description Master Permit # Owner's Address WORK DESCRIPTION Ovate Ft. Lessee / Tenant /QA J 4 . - / / 7 7 4 / . . _ E - / Contracting Co. 1/4,(�91I A2 c / 7 s 7 ° o � ,✓7 /6-C ,ddress /Q6 sJ / Qualifier�4 7 4 // /4, 4, e s ss #. - - Phone 6 026 -/3/3 State4 /3,7 Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN 40 too e - 4u rn ;5a - h'o&J WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signat ur of Owner and /o Condo President Date: G I DTARY pUBLIC. STATE OF FLORIDA; MY COMMISSION EXPIRES: SEPT. 21. 1998. PQNDEq,jMRU OTARY PUB ,O UNDERWRITERS] Vota as / tt 1 � o Owner and /or Condo President Not ly C. ' Expires: M * . * * * * * * * ERMIT FEE: APPROVED: Fire Estimated Cost Phone 74 0 / Signature of Cont Date: Z / ctor or Owner- Builder iCg(AA4,44 as to CoM PATE OF AVq.1141.1tifiON fiXPIRSS1 SEPT: 21'1902. ommission Other 746W Zoning BuildinA / .") I S Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur me Titans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and 111 and regulations of the iiciilding Diviainn of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. _ Date t'r\ t4 Nrc V. Owner's Name and Address m e Ow\ Res T CA .A ) .. _ No.1 S S ...._. Registered Architect and /or Engineer C v �sra.�t..„ Name and address of licensed contractor 1 t'���� t C lttrytta � 7� N•LJ /(air Lk udsy1, ,_ Location and legal description of lot to be bull 9 Lot /3 Block._.._. _�.._ Subdivision al) �p�� e /C / p l �.�QS' /y 3 �' Os? 1 Street and Number where work is to be done "7 7. N. E. /C'O S State work to,ke done and purpose of building (by floors) Pre° SSr,,r e'$ _ r __ ..5t`^` New Building.. Remodeling...... ....__ Addition To be constructed of ............. }:ind q( foundation....... _. _..._._ Roof Covering Estimated Total cost of improvements S••._.... _ Amount of Permit S, .._�_.. �.. Zone cubage required.—. ...... __.... _ plan Cubage. — _._ Distance .to next nearest building Size of Building Lot._. Maximum live load to be borne by each floor ..._.........._ _� .._ .._...._...__ ..._.._. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. - -•• — .• - - - •• . - ? be undersigr.cd applicant for this building pennit dots hereby certify that he undcrstan of labor under the Florida %1'orkmen's Compensation Act. being Section 5966, Compiled ne anti has complied ..ith the provisions thereof. and will require similar compliance from 1 con in the work to be performed under this permit; and will post or cause to be posted fo inspect or noticcs as arc required by the Act. The undersigned agrees to employ only such bcontra permit. as are licensed by Miami Shores Village. — .._and for no other purpose. .. . Repairs.. X • No. of Stories. L .... _....._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss' Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pr ortilly -ap _.._.. to Me well Im ti peared f.•et.hery.cr Disapproved _ . DDate. (Signed) ..._...__ _ , :!/ /L� •.... ..L • 1/1 7 and who. being by me first duly sworn, upon oath deposes and says that he is the........i . ra °e Y of the above described construction. that he has carefully read the foregoing applic ion. d that he did sign the therein by him stated are true.. / Permit No.. / �4� - � • - -••.• D ate... .), 16f _ ._ Rea Sworn nd S 'bed befor Notary Public, State of Florida Building Inspector My Commission Expires. 9 "0 (fY. / .19. Bonded Thru Troy Fain - Insurance Inc. d acre, is obligations as an employer r La of Florida, PennAnent Supplement, tr ct. s Or sub - contractors employed by him n`• th- site of the work such public notice work to be performed under this 0, and th t• all facts �lutar y Ijt,bI e;, -3f$!e -e -fleFtf#e•-••— PLANNING BOARD..._..._.. ..._ . DATE My Commission Expires Dec. 28, f440 Cwir:nan _......._ ._......._..___ .__ .___ ..._._ . __...._ Member .....___......_..._... Member Member _....._... — Member Member _.._ ....... _ _._..�_._..�.. . Council Approved _._.._...___Date Disapproved _ Date A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'I.,nnit.:4 I:u. rd. A rc•3u'pc•c tiun fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anu /or workmanship. 1.! LOCATION OF STRITCTITRE OWNER'S 7AME AND AT)MES TYPE n7 q.TRuCTNRE ORKIN EXTERMIITATINZ CMIPANY, 1960 7;4. 27 Ave. • Miami, Florida 333.25 7T.T.ar;ATION l'•OTITTICATION Mr. Teasley Same 1 Story NUMPER 07 CTTPIC FRET (AnPROXIivo:TE) NAME r AT QUANTTTY 0 FarTGANT 148,000 (cci 7 (1 n57 $450.00 1177 N.E. 100 St. Miami Shores Vikane 48# DATE A' A7PR0XTT TIT7, OF R77! 07 77. NT 5/4/72 - 10 L OF FTTIF.T r1 P, ' PIO " "' ETU OD (A7.2 T ) 18-2/4 h ours . DISTANCE TO l'7 STT)).77' X 0 L) FT. UNDER L) C PT.P OP7R4TOR X OR S!)ECM, 1.'iT7MATION IDENTIFICATT07. CAPT) HOLDER TN C1. NTAT.d.TE: V.E. Humphries, Jr. TELT770NE: D.A 633-31121 821 2/15() FTINT(TIATION STTALL PER7ORY AT ALL TIT IN STRICT ADHEREN'E TO T FTINTIC;ANT'S REGISTFRED LARET, AND FLORIDA STATE B'.../kR.D OF PEA LTTri RT TIONS. CI-TAP. 1701-2 FA C. CC: County T Department Fire Dep rtment Sberiffts Office TE',TT STATE OF FLORIDA) SS COUNTY OF DADE ) T omas H. Teasley* _ of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance Flo. 97 of the Building Code of Miami Shores Village, he desires to build a single family residence on Lot 13 _& 14 Block 177 Miami Shores Sect. #8 Subdivision, that he is the owner of said property, and will be the owner of said .residence , that he will do the work personally, and that he rill, at such times as are required by the Zoning and Building Director:- 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSC� IBED AND SWORN TO B: FORE ME this 19 X70 A F F I D A V I T OWNER NOTARY PUBLIC A. D., Wf ��� y �� ���y�� ���y_� ���y��lJ.• ��yy•• 1J. ��y��lJ. ��y��1J• ��y��kJ.• ��y��1J• �•• �. y.. �• 1J, �.. �.. �, 1J, �.. �. y..• �tf ,�..�.y.�•�lf.•��y��11���y��1! al.•�•.�.y.�,1J,�a��J,�..�. ...... i aalicpi4�if 5kbult vimi * IIZ4ii il?:; sfibulfwvait�ioJSicV3v� :iC�T4�iiGOi�ti�T�:i�Vi4�; lic�T4�i/Wi� cgt;� i This License Expires- - In consideration of the sum of elmosewrrialTY itiCit AND j4u/100'r "". 'a Paid to Miami Shores Village, Dade County, State of Florida, a is hereby licensed to engage in or operate the business of nl........>a ~'M For the period beginning and ending _ te subject to the Provisions of all ordinances. T.it2su^ u. T Address - ( SEAL ) Date Issued J.sar cp THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business TRIPLICATE VILLAGE LICENSE By 134 N. Dollars $ 4.Q0 39yi gw..t MIAMI SHORES VILLAGE, FLORIDA VILLAGE MANAGER THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER 3`48 e tt t I itePaW Y .' . Jtni i - 4 O�f tcD� Q? l� f I Feis c �7f :' teM .� ° err`•°$°. i `•°�•'•1i`•°�•'•i .fir jr••... ! r•....: fr�.....�l �r• l i• Jr•.....�r >r �.....�lr• r'I� ►••..