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RC-09-672 >> ...e Miami ml Sh � • a ores Villa { . e r 10050 N. E. 2nd Avenue • a> >x Nh. M5 • t -:-• Miami �{ I Shor !' es FL 33138-0000 ��'�� �' >` > >:.. ` -'� .<:���� '�'''�' :. �' �s>>>::: r:::'::.>::::::::: �:`:<:;:<: �:> : >:<::: »: >: >: »:: »:: >: >`::: � f ' : i;:.::.;::::;:::::; i::=: ::::...::::.:::::::• i;•;:::::: ::::::: :::: :::::,•:::• : :...:::: iii;- ii;- ;:.;:;;;::;;: »::- ::::- ::»>::.:: - :. •.• .. 4 ,6 Phone: H.. 305 795 -2204 • s R ` i� ....•... .110` Ex (ration. 20 Q Project Address Parcel Number Applicant ,....,.. .......... ......,... ....... ......... ........ ......, .........,........... ,, . . 1263 101 Street 1132050250040 Miami Shores, FL Block: Lot: PAUL SHANNON .............. ....... . ......... ...................Q...x::,..�. ::; i' �:.:::::'. �•...:::::•.• �.:,::+.. �s+ s�.?:•',^. gx.:. i::: Sak,�:;....:.........::>::•�ia> -. ::...>�n,:.fiae..r¢. >?;e�:?:•r:• .. ::::::: ::..>i;: :.: ..•�:�&a......:ieaz :.:.... @>•;'.e• - .:.e .�",ti':ti 3 ....:.... Owner Information Address Phone Celt PAUL SHANNON 1263 NE 101 ST MIAMI SHORES FL 33138 -2608 ..... , v,{ r,4} :•:•:4:. {:':•:.b:•:.T: }y } %.p;,. ry}oy:;:•:•:•:• • :•:Qi}i>Poi::•:. +,gyvx.•. a•.•.•.•.•.•.vvv4;:.•�r.:...v , u4, v n n v :.• ....... ........:X. .. .•.•.•.•.•.•.•.•4fiibi}} •.•.•. v.•.•.•.•.•.•.•. •. »v:vvvv.•.•.•.:.•.•.•:.•...•. •. v:•x:r,.•r,•�,x}:k$is ii:::: ii:::: :: + •':Y.'•.::•.:{:ji' . ' . : {' pie.: y' r v:•: t: pf»:;•: . :t:•X . >vv..:v.•.•. >• ...............v ,.+nS:evShvM...d +.,'E••.�2'.:A. .•.•.vvvV .•..+ ..... ........... vY,v1FFptiti:, {'f. !,v'+SQA ................. ...... .,.. w..... +1!u•. u.S.•..., .., ;. +.n.,.,...,,,.,,,,..�.: Contractor(s) Phone Cell Phone ++.,,.,.........+ +.r,,,..........,.M,..,,,.... +. ......... Valuation: $ 3,000.00 MIAMI SKYLINE CONSTRUCTION COF (305)899 -9696 (305)216 -2224 ..................................... ............................... Total Sq Feet: 0 :•:< Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved:: In Review Final Date Denied: Electrical Type of Construction: BATHROOM REMODEL Occupancy: Single Family Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Certificate Status: Certificate Date: Additional Info: Bond Return: Classification: Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ 1.80 RC -4-09 -34619 $ 218.90 $ 50.00 Education Surcharge $0.60 Notary Fee $5 RC - 09 - 34619 $ 218.90 $ 218.90 $ 0,00 Permit Fee - Additions/Alterations $100.00 Check #: 15826 Scanning Fee $9.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.50 Work without Permit Fee $100.00 Total: $218.90 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. May 06, 2009 Authorized Signature: Owner / Applicant i Contractor / Agent Date Building Department Copy May 06, 2009 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 112306 Permit Number: RC -4 -09 -672 Scheduled Inspection Date: October 23, 2009 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: SHANNON, PAUL Work Classification: Addition /Alteration Job Address: 1263 NE 101 Street Miami Shores, FL Phone Number Parcel Number 113205025004 Project: <NONE> Contractor: MIAMI SKYLINE CONSTRUCTION CO RP Phone: (305)899 -9696 Building Department Comments BATHROOM REMODEL Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 22, 2009 For Inspections please call: (305)762 -4949 Page 2 of 22 aR�, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 t , , Scheduled Inspection Date: May 12, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Underground Rough Owner: SHANNON, PAUL Work Classification Addition /Alteration Job Address: 1263 NE 101 Street Miami Shores, FL Phone Number Parcel Number 113205025004 Project: <NONE> Contractor: CPS ELECTRIC, INC. Phone: 305 -607 -8221 Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. ■L_.. AA nnnn Inspection Worksheet Miami Shores Village rnw y -- 10050 N.E. 2nd Avenue Miami Shores, FL ' Phone: (305)795 -2204 Fax: (305)756 -8972 :.: vw.,,. a+a�'*�"? '*.�;� �yv�: •w�v,\ ,.;.,h`.:c+. .a:+.u'�..w�. y.,w,3i"'**^*„^ �� R n t, �^ak � „ C Scheduled Inspection Date: May 14, 2009 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Drywall Screw Owner: SHANNON, PAUL Work Classification: Addition/Alteration Job Address: 1263 NE 101 Street Miami Shores, FL Phone Number Parcel Number 113205025004 Project: <NONE> Contractor: MIAMI SKYLINE CONSTRUCTION CO RP Phone: (305)899 -9696 Building Department Comments Inspector Comments Passed 40 Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Miam=i Shores Village p '�? Buildin Departme t AP 2009 g 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 � r BUILDING Permit 4 PERMIT APPLICATION Master'' Permit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) C 1 a j CA i CP 94 e'" i out hol'ne # 30 7 ?_ Owner's Address ?t S We A 7 City _ 'd State Zip - 5- t a g Tenant/Lessee Name Phone # Job Address (where the work is being done) ` �' �► / V i..� City Miami Shores Village County Miami -Dade Zip , FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Com Name � Phone''.# � � — Contractor's Address City A rlla"g State .(�ualifier Nanke L. r 1_' Phone # ® 2. Sta e�Cert t�icate or Registration No. G ! ' � ertific��e+bf Competet� y ',No. �� ~ Architect/Engineer's Name (if applicable) Phone # Value of Work For this Pdrmit $ .1 Square i Linear Foot ge Of Work4 "7. ^ Ft • Type of Work: [jAddition , Alteration ONew Repair/Replace O] Demo ition Describe Work - 1 ' e a k.% e, C; C I f%-; 7f_4 s If "* * *Fces *�x A 2 a ^�. Submittal Fee $ �� Permit Fee $ J� CCF Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zonine $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side - I', Bonding Company's Name (if applicable) Bonding Company's Address City * State zap Mortgage Lender's Name (if applicable) d " . ; , Mortgage_Lender's AddresA­ 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 absen of such posted notice, the inspection will not be approve a reinspection fee will be eharged w Signature Signature Owner or Agent Contractor The fo egoi instrument was agno +ledge before The for goin instrument was ackn ed ore me � b C day o , 20 by nw Iday'o f , 20 by who ersonally known to me o o has produced wh y known to me who has produced As identification and who did take an oath. as identification and who did take an oath. NOTAIA I V PUBLIC: NO TAIRLY PUBLIC: q, � Sign: Sign: ' 'a C' o rto Si n: I T a Print- Print: My Commission Expires: & �,� My Commission Expires: �yp'to e • aya APPLICATION APPROVED BY: Plans Examiner S Engineer Zoning (Revised 07/10/07) if/ i a• •• ••• °•• ••••• • •� • e e i i•• •• t i � P t i a; u } l 1 a I ' t tl E R IT w Miami Shic c s Villa e APPROVED DA ZONING DEPT BLDG DEPT 7Vf SUBJECT TO COMPLIAN ALL FEDERAL STATE AND COUNTY RUL E AND REGULATIONS Ist" f ? t tx CID ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT # PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER ILIGHTOUTLETS CENTRAL HEATING DISPOSAL IRECEPTACLES JAIC (WIND) FLOOR DRAIN ISERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN JABOVE GROUND TANKS SHOWER IWATER HEATER I U.F. PRESSURE VESSELS SINK. POT /3 COMP. IMOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. IMOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. I MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET IMOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP IFIRE SPRINKLER SYSTEMS INDIRECT WASTES IMOTORS OVER 25 -100 HP I COOLING TOWERS WATER SUPPLY TO: I MOTORS OVER 100 HP IVIOLATION A/C UNIT JAIC WINDOW IREINSPECTION FIRE SPRINKLER JAIR CONDITIONERS HEATER -NEW INST. ISTRIP HEATER HEATER - REPLACE IGENERATORS TRANSFORMERS LAWN SPRINKLER -WELL IGENERATORS TRANSFORMERS SWIMMING POOL IGENERATORS TRANSFORMERS WATER SERVICE I SPECIAL PURPOSE SEWER CONNECTIONS IOUTLETS COMMERCIAL UTILITY -SEWER ISIGN TUBES UTILITY -WATER ISIGN TRANSFORMERS SEPTIC TANK I SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, , V TILE/RES. JANTENNA PUMP & ABANDON SEPTIC TANK ITELEVISION OUTLETS SOAKAGE PIT CU. FT. IVIOLK11ON CATCH BASIN IREINSPECTION 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 �.... 4 _ Q � MI • > b Mia Shores Village I/ C 10050 N. E. 2nd Avenue Miami aml • Shores, FL 33138-0000 :.:; »: : >.: : » »: e P ,�.. hone . (305)795-2204 Qto r Ex irat'o p I n. `i'O` 20Q Project Address Parcel Number Applicant - - - -- ............................ ....... -... .,.. 1263 101 Street 1132030250040 PAUL SHANNON 2: Miami Shores, FL Block: Lot ........xass:,,,•.S,•.,, .. ..: �Sa..::., �'•'•:... : , •,a°eax?...,.��.c...:::. - � .... +G:•:xdi•e. :......::..:.sxn:: „3.. , : <, >:•:•:�' .... •.•:.w•:,.'s'::.... , ::.•: Owner Information Address Phone Celt PAUL SHANNON 1263 NE 101 ST MIAMI SHORES FL 33138 -2608 Contractor(s) Phone Cell Phone Valuation: ....$ .....' PLUMBERS ENTERPRISES (305)633 -9994 ............................ ............................... Total Sq Feet: 0 Type of Work: PLUMBING Available Inspections: Type of Piping: BATHROOM REMODEL Inspection Type: Additional Info: Bond Return: op Out : Re Pipe Classification: Residential Main Drain Underground Rough Heater Water Service Final Water Main Lavatory Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0•60 PL- 4- 09-34620 $ 193.30 $ 143.30 Education Surcharge $0.20 > = ' Notary Fee $5.00 PL-4 -09 -34620 $ 193.30 $ 193.30 $ 0,00 Notary Fee $0.00 Check* 15775 Permit Fee- Addftions/Alterations $180.00 Scanning Fee $3.00 Submittal Fee $50 Submittal Reversal Fee Technology Fee $4.50 Work without Permit Fee $0.00 Total: $193.30 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. May 06, 2009 Authorized Signature: Owner J Applicant / Contractor ! Agent Date Building Department Copy May 06, 2009 1 in Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 A In spectio n Number: INSP 112323 Permit Number: PL- 4- 09-674 Scheduled Inspection Date: October 20, 2009 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Final Owner: SHANNON, PAUL Work Classification: Addition /Alteration Job Address: 1263 NE 101 Street Miami Shores, FL Phone Number Parcel Number 1132050250040 Project: <NONE> Contractor: PLUMBERS ENTERPRISES Phone: (305)633 -9994 Building Department Comments PLUMBING FOR BATHROOM REMODEL it ec Comments Passed E�f Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 19, 2009 For Inspections please call: (305)762 -4949 Page 3 of 12 LA; J All AM Miami Shores village 2 3 20o9 Building Department BY .__�_ ODCO�6 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ...° Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 9 o r orli PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING ,( J� Owner's Name (Fee Simple Titleholder) Z CPA 0 RO d v" i v GZPhone # 3C:0 5 - Z t 4 - Z Owner's Address 2 S City - [ • 4 5 L.i:DT m -S State Zip 3 l 3 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) a) E .L 5 f«.f City Miami Shores Village County Miami -Dade Zip g FOLIO / PARCEL # / Is Building Historically Designated YES NO 1� Flood Zone Contractor's Company Name PL—Urn gl✓rn- 6k3 i • �?� • Phone # Contractor's Address 2 /vkJ 3 3 —J AV& City /�') / q"y►') +' State �- Zi C' � T Z P Qualifier Name M 4117 t lV .4 L L-AI - j Phone # 3 OJ ( 3 - 9 S y State Certificate or Registration No. CF' '- ®Z /Y7 Z-- Certificate of CoippetincytNo. Contact Phone Architect/Engineer's Name (if applicable) Phone # O� rV tt Value of Work For this Permit $ Square/ Linear Foo'tage,Of Work: �7 Type of Work: ❑Addition ' ,J t ❑Alteration New. Repa�r/lteplace 15emolition Describe Work: v - A�6 � -, m9N9 $ y Permit Fee $ ® CCF $ 0 40 0 CO /CC Notary $ 5' Training/Education Fee $ Technology Fee $ 4'`-O Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee � - Structural Review. $ Total Fee Now Due $ _ See Reverse side Bonding Company's Name (if applicable) Binding Company's Address City State Zip Mortgage (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 ged. Signature Signatur eq Owner or Agent Contractor The for goi n. instrument was a led before th' The foregoing instrument was acknowledged before me this day of 20M by day of !U , 20 0, by �j �2;7/�✓ 4 !.0 A,.vv ersonattyknown to who has produced who is personally known to me or who has produced s i entification and who did take an oath. " ' °',.'.", as i l0oHERNAD id tal¢ an oath. NOTAR Y? PUBLIC: NOTA Y CO",n"# DDO ® �p9 3 � s Expires 3/21 1 1g� lodda Notary Sign: G�'St+ �• ;1 -! , Si n: �yn n� ...... ........: . , Print:" Pri MY Commission Commission Expires: r �P My Commission Expires: / '••.,,.��yy`� •ter 0 APPLICATION APPRO ED B 6 P 7JsE mm kr Zoning Engineer _ Clerk checked (Revised 07/10/07) �.„ e Miami Shores Villa F �. 9 4 10050 N.E .2nd Aven Mia mi Shores, s i : FL 331 38-0000 2 :.:.:.:_ ii>:::. i>::.::::::::: i::::..:.:. :;.::.::.:iiiiii::i: i:::% is 2::i ii:=:: i::: ��::::::::: �::- ::vi:.::.i:.i:.i:.i:.. :.. :iii: 4f.�.fA.�.. � =?k p .eP Ph N, one. 30 57 x� «. 95 -2204 i m �. R E xpiration: (ration: 1'i/0`2 OQ Project Address Parcel Number Applicant .. .....,, ......,. .... ........ .,.... 1263 101 Street 1132050250040 Miami Shores, FL Block: Lot: PAUL SHANNON ......... ......... • -- ......... .; i� :..: }:54 "v': "vii�r�:::xx{:5: " >i .........v G•y ....:i. :ao...... W .:....... ..... .. . .......... ..... ..... Owner Information . Address Phone Cell ............ PAUL SHANNON 1263 NE 101 ST MIAMI SHORES FL 33138 -2608 ........ .. •• :• .e...vhe�: :..a. ....•.•.• r..,. �,^.,• Sovnvava.?T:•::...•:: .;m�•::•.vo::va'...•.•.•.•...:; p:A�:v °S: . ........ e .. ..a..... a..a..v:9n .a.......•n:•.. .roa.:vv.....,..•a4:•3 .x...::..aa..a.•...:.e .... ...........: ..:,•:. :.. Contractor(s) Phone Cell Phone Valuation ~f " $ 1,000.00 CPS ELECTRIC, INC. 305- 607 -8221 A:: Total Sq Feet: 0 Type of Work: ELECTRICAL Available Inspections: Additional Info: BATHROOM REMODEL Inspection Type: Classification: Residential Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W.W. Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.50 ELA 09 -34618 $ 172.79 $ 50.00 Education Surcharge $0.20`'' Notary Fee $5.00 EI- 4-09 -34618 $ 172.79 $ 172.79 $ 0.00 Permit Fee - Additions/Alterations $159.99 Check #: 15826 Scanning Fee $3 00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $4.00 Work without Permit Fee $0.09 Total: $172.79 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. May 06, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 06, 2009 1 A J ,, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C ) 1 _ 0q — � - 7 Z Inspection Number: INSP - 112314 Permit Number: EL -4 -09 -673 Scheduled Inspection Date: October 20, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SHANNON, PAUL Work Classification: Addition /Alteration Job Address: 1263 NE 101 Street Miami Shores, FL Phone Number Parcel Number 113205025004 Project: <NONE> Contractor: CPS ELECTRIC, INC. Phone: 305 - 607 -8221 Building Department Comments ELECTRICAL FOR BATHROOM REMODEL Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 19, 2009 For Inspections please call: (305)762 -4949 Page 2 of 12 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 to (0 — 0 Inspection Number: INSP- 115407 Permit Number: PL -6 -09 -902 Scheduled Inspection Date: October 21, 2009 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Underground Rough Owner: LEVY, BRIAN & STACEY Work Classification: Add! 'o /Alt ra ' n Job Address: 1051 NE 93 Street Miami Shores, FL 33138- Phone Number Parcel Number 1 50090 Project: <NONE> Contractor: SHEAR SERVICE INC Phone: (78251 -9810 Building Department Comments DEMO Ins or omments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 20, 2009 For Inspections please call: (305)762 -4949 Page 1 of 7 Miami Shores Village M0017m .Building Department [APR 2 3 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. I o3 PERMIT APPLICATION Master Permit No. _ FBC 20 Permit Type; ELECTRICAL f Owner's Name (Fee Simple Titleholder) �j.` f1 2 2J hone # 3-95: 5 Z C/ —Z ZZ Owner's j Address Z s A 5 City 1. 434.0 <GS State 4 e Zip 3 J (3 g Tenant/Lessee Name Phone # Email Job Address (where the work is being done) A C City Miami Shores Village County Miami -Dade Zip / 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name C : �5 9--z -7 Phone # w ,30s - - C3 0 Contractor's Address ZI -, � City State Zip 3 J Qualifier Name one # ;b 3 �jc C7 State Certificate or Registration No. 0 CD t 1 O- Z 0 Cerfificate of Competency No. 000 ... Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # i Value of Work For this Permit $ 2 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New El ❑Demolition Describe Work: a � r Submittal Fee $ Permit Fee $ G CCF U CO /CC Notary $ �' Training/Education Fee $ Technology Fee $ " I' Scanning $ 3 Radon $ DPBR $ zom $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 I Bonding Company's Name (if applicably) Bonditig Company's Address City - , State _ Zip Mortgagee 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 ha commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatin; 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 ai applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUP 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 $2500, the applicant muss promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the persot whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site fnr the first inspection which occurs seven (7) days after the building permit is issued. In th nce of such posted notice, the inspection will not be approve reinspection fee will be charged. Signature Si g nature Owner or Agent d Contractor The for coin nstrument was a led before th• OZ The foregoing instrument was acknowledged before me this 2 - P — day f . 20 /GOrY1 �, y ay of , 20, by — 2._• who is person y known to me or who produced _ who i personally know to me or who has produced_ s i e and who did take an oath. as identification and who did take an oath. NOTARY LJBLIC: g5� NOTARY PU Sign: _ ,���wy. ° Sign: Print: __ ti • �° Print: -- My Commission Expires: ,,, � My Commissio My(;OMMISSION #DD 495070 0 �. - EXPIRES: December 15, 2009 . 4J ` BMW Tin Notary PAk urift -l" �O wit - x gx: �: u:r: Y:: ��- •Mx��:k�����= k�kkk #a'��� =k# # �W�* ��* �z�# �3�# �S�Y�##* S$# �# �# ���###* ak����������� *ka������ # ������ = k � r ' =.: APPLICATION APPROVED Plans 8kaminer Zoning Engineer _ Clerk checked (Revised 07/10/07)