1301 NE 101 St (3)O kp,/bd 118-1-1, .
3 r - 6q f- 3g/6 .
l t
Passed
4
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 11/06/2006
Inspector: Grande, Claudio
NUV 0 7 2006
Owner: FEILITZEN, JAN VON AND CARMEN
Job Address: 1301 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
Building Department Comments
Friday, November 3, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
lnspecttoniNur 31`5�3
rt ter: NS -
F � `� " - � � Fermi #
" R C -11 -0fi -2722
CL
Block:
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Re- Occupancy
Phone Number (305)754 -8683
Parcel Number 1132050230090
Lot:
Page 1 of 2
Rev. 10/02/03)
Miami Shores Village
Building Department
RE- OCCUPANCY
APPLICATION Permit No. I F(Try- 22
ID
Date l\ 2 Zoo co . Loc
Contact Name �--I I 1 1O Phone #
(c 3 i .
Buyer Seller ealtor Company Name Olhamc
Property Address NE 10 ( 5 -
Cit Miami Shores State Fl Zip 53}
I hereby certify that I understand that the zoning of the property is for single- family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single - family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Na
Ern Go v
Sig ture ' ►� /n .
The foregoing instrument was acknowledged before me this 2 day of NO Je ') , 20 0 C'
by E(U 1 / 10 Ve a
✓ , who is personally known to me or who has
produced Pei V 'S It C,r= N as identification and who did take an oath.
N
Sign:
Print: ��- �ilP�' i ✓�-
My Commission Expires:
6313) (D9
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Re -Occ. $60.00
Notary $5.
CCF $0.60
Total On- jr7_
DATE:
Acknowledged by:
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
FILE RETURNED TO: INITIAL
PLEASE PRINT
TIME:
/7,o ,96 pry
NAME OF PERSON REQUESTING FILE: 06(D i (9D 1l��Olf
PHONE #:(,qQS ygl 35 ( ADDRESS: VO' 416 /D Ad 'Mg/ 6)ieS
ADDRESS OF FILE REQUESTED: / 30/ lV E /0/ 5T ,, ij /
INFORMATION REQUESTED: a e Po o
I understand that all documents in this file are property of Miami Shores Village and
that NO documents may be removed from this file. You may get 4 complementary
copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not
including any blue prints. If blue prints are order please be aware that we are not
responsible for the quality of the printed documents.
IgLe
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I, ( 0,1 p l a� V �C , hereb a 1 for a certificat �� hereby apply e
to re- occupy the single family residence known as : (address)
30/ /114 /0/ , Miami Shores, Florida.
Legal Description:
Lot: Block PB & PG:
I hereby certify that I understand that the zoning. of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant
Print Name
Comments:
Date r -i 3 ' 4)
Application Fee ($50) paid: Cash
PAGE 1 OF 2
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: / or c/P)z � 4, Telephone: 305 7
Buyer Seller Realtor Company Name
Check No. 23 7
Inspected by: F. LUBIEN / f Approved X Denied Date 8/24/00
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
By:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY M IAMII SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification: 8/24/00
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / (7 / 7 11% Job Address ( � 17) 1 D 1 Tax Folio
Legal Description ` /� Hiisttorically Designated: Yes No
Owner/Lessee / Tenant l (' ^1 "� I ,-�-� - J t , I� OW Master Permit # �3 7
Owner's Address Phone
Contracting Co. / S i Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle on ILDIN � n ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION P ' L OJfiJ I �
FEES: PERMIT
Square Ft Estimated Cost (value) 7 )
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 accur: • that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above contractor t • do the work ' • .
alo/1L.rf
G U1 l 1 1
• •n l
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
otary as
My Commission Expires:
�
C.C.F. /' 8Q NOTARY 7 l
BOND
Date
APPROVED:
Zoning Building ` ' 1 11 Electrical
Mechanical Plumbing Engineering
• •
NO1t5:
-measurements to be checked on-stte
-existlnq soffit to be modified according to kitchen design
-pantry size needs to be as large as possible
- electic layout to be redone according to kitchen design
-plumbing will remain as -is
- kitchen sink to be centered with window
possble dira cdAtt
0
0
10' -7"
11' 6"
PASThI. 5It2 NCB
scale: 1 / 4" - l'-0"
Work. 90 9/3'1
14iYn a. 3 o S 1 7 58 0 6 2 (o
Patni
(56")
F U M I G A T I 0 N N O T I F I C A T I 0 N
Orkin Exterminating Company, Inc.
•1960 N.W. 27 Ave., Miami, Fla. i
Address /
Date and Approximate time of Release
Location of Structure:
Owner's Name and'Address
Type of Structure:
Approx. No. Cu. Ft.
ona 856ort ut33 ru4t$c„aaQv
.)y
Name and Quantity of Fumigant:
Length of Fumigation Period: 18 _,- 24 hrs.
Distance to Nearest Building:
Certified ( or Special ID.) Fumigator in Charge:
Name: • L. Weinberg
Telephone: 633 -3421 538 -7183
Day Night
FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S.
REGISTERED•.LABEL SAND FLORIDA STATE BOARD OF HEALTH RULES 1701 -2.
NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY' PRIOR TO RELEASE
OF THE FUMIGANT BY:
0- County Health Dept.
.
0 -Fire Dept. 0- Other':'.
Nylon Tont
4.■
• '7
New Building
To be constructed of
Maximum live load to be borne by each floor._
be sent to...
101 St.,Miami Shores
Remarks._ ........
Disapproved
(Signed) 4 -"?.
Chaihnan
Member
Member
Council Approved
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of $1.00 will be charged
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 all rules and
regulations of the Building Division 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.
Owher's Name and Address
S. P - Us
.. . Ketter 3301 NE 101 St.Miami ore
Street
Orkin Exterminating Co., Inc. 1970 N.W. 27 Ave Miami
Regittered Architect and/or Engineer
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot.. Block Subdivision
E.
Street and Number where work is to be done
1301 N.
State work to be done and purpose of building (by floors) Nylon Tent Fumigation Vikane 18-24 hrs. 39# $447.60
Remodeling
and for no other purpose.
Addition Repairs.. No. of Stories
Kind of foundation Roof Covering_
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required _Plan Cubage_
Distance to next nearest building__ Size of Building Lot
.... -
I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an emplOyer
of labor under the Florida Workmen s Compensation Act. being Sec:ion 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontravtors, on work to be performed under this
WEET maiERG
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Permit No._ / (4" Date.... r__C
Read, Sworn to and Subscribed before me.
Date.
Building Inspecto
P. ANNING BOARD.
.Date
(Signed)
Date 6112168 , 19
Notary Public, State of Florida
My Commission Expires..
DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re-inspection is made necessary by improper notice for inspection or faulty
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Tic
Architect
MIAMI SHORES VILLAGE, FLORIDA
❑ Date — f I I -
❑ PERMIT N9 10108 Contractor's
❑ License No - 4 74 e )
Owner of
*
Building r r r � I�
Contractor
or Builder 4>P — � i *-.0i •ri "� t , '1 , i ;4. l .! G 1 l 7 ► + 4)- - 2
Legal Lot II
Description 11 BI
t o :�
Address of d►, , - ' Project I I Amount of ..�:
Building a# !� II Permit H
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether gh wn on the plans or drawl $s or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, rvants or rtployees.
J
Signed • •N6•PECTOR) BY
In consideration of the issuance to me of this permit I agree to "form the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, st tegts or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done b either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
Work to be performed under this Permit
f 4 00
Subdi-
vision
Sq. Ft.
Value of
BY
AUTHORITY
19