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390 NE 101 St (8)Inspection Number: INSP -4569 Inspection Date: 12/29/2005 Inspector: Devaney, Michael Owner: DORSCHNER, JOHN Job Address: 390 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: O &J ELECTRICAL CORP. Building Department Comments Thursday, December 29, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2005 -136 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132060135260 Lot: Phone: 786/205 -2344 Page 1 of 2 Passed Inspector Comments �j gp� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -4569 Inspection Date: 12/29/2005 Inspector: Devaney, Michael Owner: DORSCHNER, JOHN Job Address: 390 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: O &J ELECTRICAL CORP. Building Department Comments Thursday, December 29, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2005 -136 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132060135260 Lot: Phone: 786/205 -2344 Page 1 of 2 MYAMI H RES VIMM 2005 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 4 \ \ * Type Insp'n -\ Permit No. �`° 1 J)�� P e ` AZ Name \ Address J W ,I\ ' Company v im,` k \%6'i(fi,\ Phone # (15 Inspection Date A06 roved pproved Correction Re-Insp'n Fee ❑ l � �Gr dG.S /J% (P e/tlel-C e Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/12/2005 Applicant: JOHN DORSCHNER Owner: DORSCHNER JOHN JOB ADDRESS: 390 NE 101 ST Contractor O&J ELECTRICAL CORP. Local Phone: 786/205 - 2344 Parcel # 1132060135260 Permit Status: APPROVED Permit Expiration: 10/24/2005 Construction Value: $4,200.00 Work: KIT REMODELING CHANGE FROM OVERHEAD SRV TO UNDERGROUND Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -136 Contractor's Address: 3081 SW 19 TERRACE Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 39 LOT SIZE 102.650 Fees: Description Amount FEE2005 -5974 Building Fee $250.00 FEE2005 -5975 CCF $3.00 FEE2005 -5976 Scanning Fee $3.00 FEE2005 -5977 Training and Education Fee $1.00 FEE2005 -5978 Technology Fee $6.25 Total Fees: $263.25 Total Fees: $263.25 Total Receipts: $0.00 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: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 04795.2204 Fax`(3O5)756.8972 L BUILDING PERMIT APPLICATION L_ FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder Owner's Address _390 J ,, 10/ :5 City AAi/ 'glnr'-lao to AtNA// Zip 33/3) Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 ?O Vim /40/ $1 City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name 'I `' Sl b rp Phone # (.;\, Contractor's Address City yt1 i ; ,,.• 1 Qualifier d State Certificate or Registration No. EC C 0 O 4, / r t 1 Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: 1 t? L? P • L�f r7 ci e r. /` • v N Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side ❑Alteration * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Training /Education Fee $ Radon $ Miami Shores Village Building Department States 1 (6%! i ds e/ b4 County Miami -Dade NO L/ ['New Structural Plan Review. $ Permit No. 10 —' 13(0 Master Permit No. ft C Plumbing Mechanical Roofing Phone# 36 7$y y? 69 Zip Phone # Zip /3? YY / Square Footage f Work: Repair /Replace ❑ Demolition 7o CCF $ CO /CC Technology Fee $ Zoning Bond $ 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 pproved and a reinspection fee will be charged. t- t Signature tF I �C. ( (t Signature �Y �t / Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY BLIC,,,,. iMar' ,.. Lora Sign: Ns " ° " miss bx Print: < 3 °;/ t_B ended p P" CR . z, o. r °r Atlantic Bonding Co., Irn. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **************** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: Chc 05/13/03 t 2/ Contractor The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced as identification and who did ke an oath. NOTARY PUB Sign: '�'1VII`ta E. �,Qra ` _�o,Inmiss DD 15725 i r— Print: J 4 �•_``FFff pires. ct 10, 200 v My Com(n' . 4 ' " "n�Vliren tic'cnded ng Thro C r a a Bonding Ct1., Inc aloe. Zoning ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** e l L l �� ' Examiner Engineer ITEM BATH TIE UNIT FEE ITEM SWITCH OUTLETS UNIT 3 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS $ CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ALPS DUCT WORK FLOOR GRAIN SERVICE REPAIRJ} TER CHANGE REFRIGERATION GREASE TR.& APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / UNDERGROUND TANKS LAVATORY OVEN / ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 P ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMG URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET ( MOTORS OVER 100 If VIOLATION DIRECT WASTES- I A/C WINDOW REINSPECTION WATER SUPPLY TO: f AIR CONDITIONERS A/C UNIT I I STRIP HEATER FIRE SPRINKLER I I GENERATORS TRANSFORMERS I 'HEATER -NEW INST. I I GENERATORS TRANSFORMERS I HEATER - REPLACE I I GENERATOPS TRANSFORMERS I I LAWN SPRINKLER -WELL I SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER I FIXTLRES I SEPTIC TANK I ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, S' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. aan4<r SeAA U1 P CATCH BASIN ,4nii tit)P g. hie d DISCHARGE WELL < A u,r e/ t r .iJ4(' e,W i ) DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATU NF'Fn T BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 'Inspection Number: INSP -4571 Inspection Date: 01/03/2006 Inspector: Grande, Claudio Permit Type: Imported Permit Inspection Type: Final Owner: DORSCHNER, JOHN Work Classification: Kitchen Cabinets Job Address: 390 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ADRIATIC CONSTRUCTION, INC. Building Department Comments Thursday, December 29, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: BP2005 -542 Phone Number Parcel Number 1132060135260 Lot: Phone: 954 - 661 -6737 Page 2 of 2 Passed ( H d Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -4571 Inspection Date: 01/03/2006 Inspector: Grande, Claudio Permit Type: Imported Permit Inspection Type: Final Owner: DORSCHNER, JOHN Work Classification: Kitchen Cabinets Job Address: 390 101 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ADRIATIC CONSTRUCTION, INC. Building Department Comments Thursday, December 29, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: BP2005 -542 Phone Number Parcel Number 1132060135260 Lot: Phone: 954 - 661 -6737 Page 2 of 2 MIAMI. SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date e-)1 Type Insp'n Dc (.k' I Permit No. ,3/ 5 — 54 Name HO I -' Address A'E (C! S Company PO (t4lal Phone # J.J &G Inspection Date Approved Correction Re- Insp'n Fee MOrn 2651 c l5& T MIAMI SHORES VILLAGE S j BUILDING DEPARTMENT 305 -795 -2204 Buildin: Ins.ection Request Date,...., — Type Insp' (0A, Permit No. 9 \ on 6 .es4L Name K \V\ Mk V\ VAS - Address 3 ‘0‘ 4 S - Company Q� ��Ek� Cu :gi�� °. U V i - Ek� Phone # MC 1c3 4 - ( k (f Insn r ion Date bi Ll 0 Correction Re- Insp'n Fee :7-45'ci 7k r BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building/ Electrical Owner's Name (Fee Simple Title older) \fS J.� \ (A`( (1, -- C Owner's Address 39 0 N z \ 4 \ ST City Atikrtt SW 45 State C Pr Tenant/Lessee Name Job Address (where the work is being done) 310 13E o S l City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO !/ Contractor's Company Name 14 S Contractor's Address 14c. M.\ J City 1411.4,1w pr State pt Qualifier \I kLER t a \ `N (h State Certificate or Registration No. t (, () 5 ( al 8 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: EAddition lAlteration d 5 ‘ Lf.'C\ O Describe Work: J Total Fee Now Due $ (Continued on opposite side Permit Fee $ Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: _ ( 305 ) 756.8972 50 - `3, ad Structural Plan Review. $ Certificate of Competency No. ❑New 043 t,Jvis umbing Mechanical Phone # Zip 33( Phone # Phone # Zip Zip 3 2y Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Submittal Fee S �t Notary $ Scanning $ Radon $ Code Enforcement $ Zoning Permit No. Master Permit No.• Roofing 3x -154 - i4 WO,V a)5 (3'/G 33 $ - ❑ Repair /Replace ❑ Demolition 1 n qv, t (03 IJ T lo ' CCF $ / CO /CC �V Technology Fee $ 1 1 , /� Bond $ W 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 . ence of such posted notice, the inspection will not be approv d and a reinspection fee will be charged. Signatur i 1/(4, etre ;A_ ' Signat Owner or Agent Contra The fore oing inst ment was acknowledged before me t ' ) The for o g inst iment was acknowledged before me,xlj►i day of , 200f `((14 Y) pen O r I day of , 20 Cry �r i ? fir l who is personally know • me or who has produced who is personally known to minor who has produced /L. /)(� identification and who did take an oath. , /, j3 E 75 - as iden cation and who did take an oath. NOTARY PUBLI NOTARY PUBL Sign: Print: My Commis on Expires: * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 )32 r Ammoir •::‘: pi sOpn Expires: c. c96 tr , 44 44A*************************** * * * * * * * * * * * * * * * * * * ** * * * * * * * * *x* * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ss1 ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** rr 12 2 C25 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -542 Printed: 5/12/2005 Applicant: JOHN DORSCHNER Owner: DORSCHNER JOHN JOB ADDRESS: 390 NE 101 ST Contractor ADRIATIC CONSTRUCTION, INC. Contractor's Address: 1457 VAN BUREN ST Local Phone: 954 - 661 -6737 Parcel # 1132060135260 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 1 & 2 BLK 39 LOT SIZE 102.650 Fees: Description Amount FEE2005 -5965 Building Fee $450.00 FEE2005 -5966 CCF $9.00 FEE2005 -5967 Notary Fee $5.00 FEE2005 -5968 Scanning Fee $3.00 FEE2005 -5970 Technology Fee $11.25 FEE2005 -5971 Training and Education Fee $3.00 FEE2005 -5972 CO /CC $50.00 FEE2005 -5973 Submittal Fee ($50.00) Total Fees: $481.25 Total Fees: $481.25 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/12/2005 Construction Value: $15,000.00 Work: REPLACEMENT OF KITCHEN CABINETS AND GRANITE COUNTERTOPS Signed: (INSPECTOR) Page 1 of 1 i 6 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: MARTIN oi G x s t i,�� 112" 'I + ""c'gi ro 't � � H Pr Y f y3 4_ + I y �r A t E ags r ✓6? , u:,�;1¢rr_ra�..�� Pk�';,_�.''�- ,w,;!4`Y. ;r� }s�r.�?:,^.��1� 51- -� :�'i ... ?;�:i"5,,:'�r W3642BUTT t-) W3027 All nsions size designations given are 20 20 , subject to verification on job site and 1l0MNOLOGIu f�' adjustment to St job conditions. B36.2FWT W2142R .L9634 - EZ This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. WA2442L 0) 0) Designed: 12/14/2004 Printed: 12/21/2004 All Drawing N: -0 crta 1 O Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. 2020 fL 7(01NOI000S Designed: 12/14/2004 Printed: 12/21/2004 MARTIN I MARTIN I Drawing H: 1 A Ag L LZ ( . 0L- i c1 " yz ° 3 " l L 1J - r 'c- (LOo L- ICE (z3 -2_ Le / U / ‘7 - o ff Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. 2Q 20 i TECH OLOGIES Designed: 12/14/2004 Printed: 12/21/2004 Q 79/__ . ./ V-11( Q Note: This drawing is an artistic • interpretation of the general appearance of the design. It is not meant to be an exact rendition. 20 20 TECHNOLOGIES s l r • T elnr, T Designed: 12/14/2004 Printed: 12/21/2004 - Ti p _r 2. o �-►' 7,)„,,i t/(4 . /- - g - 1ZOT" Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. A A TTTA 20 20 � TECHNOLOGIES Designed: 12/14/2004 Printed: 12/21/2004 IT,ARTTN I Tlrwwinc •A /2,1,1 1/ 11 11 1 orp 11 0 0 0 0 0 00 0 O G O C. U * U0 U U U U U 0 U 0U 11 0 0 0 U 0 U 11 U U U 0110 U 0 L UEVILF$. ! • 1 n 11 WI). L. S. Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. 2020@ TECHNOLOGIES Designed: 12/14/2004 Printed: 12/21/2004 11 .f A T) TTT.T WA. L. / lL LL z Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. 0 0 2Q 2O Designed: 12/14/2004 Printed: 12/21/2004 I1, .f A "0 TTTT 1 T,raaa/in or • .3�i RA 3L.cfi RAM L,± 44,, A „Al . 7)77.-/-.2 5. 11 Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. 2Q 20 ia TECH OLOGIES Designed: 12/14/2004 Printed: 12/21/2004 d A 1) •TAT T "r? TIN raax'ino a• tip • , NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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. 1. Legal description of property and street/address: 3 C 1-0 / O GNi e , Co3 / _ 4 3 ' 3 / O 2. Description of improvement: V1 I - 1' C - F E n` 1-1 1S C 3. Owner(s) name and address: s 1 Ot't 1t "Q2D. G Lt (A.e'2 ( Z. E< t. tM 4 '` ' Vim• Signature of Owner � Print Owner's NameI( „ / ./ J PE - Notary Pubil Print Notary's Name M■, commission expire_ Fz-` i!(035 7 - 5 ?- 9/ - v O Sworn to and subscribed before me this Af) day of 20 Q$. %•A 111111111111111111 CFN 2005R0257974 OR Bk 23171 P9 4705i (1P9) RECORDED 03/16/2005 11:38:31 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE Interest in property: O L,JVIca..__. Name and address of fee simple titleholder: 4. Contractor's name and address: DR A-T Cot.\ Sig t J < - � 01,53- \) M 3J S 7 - F - 3 3 � z� 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a dift rent dat its specified) e� / �- L/t Gc�% Prepared by V � ' �`lO f DA F�OFt10P„C01.ISat c°pA i HER BY RTIFY that th HER EgY GE this °lti`r °” Pp 2 original file County Courts �1. ptlic�aI Seat 0 C,. C °l Circuit and CO Address: goo , � Commission #DD323870 \O.:*= Expires: May 26, 2008 Bonded Thu "111°' Atlantic Bonding Co., Inc. Miami Shores Village Building Department ILDING CRITIQU . HEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: 795.2204 (305) 756.8972 - Permit N. d J� Job ' . me i p,(44;/- e4\1 5\05 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. /= --7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address 444 Registered Architect and /or Engin _ 4:/2(' ,a Employing Plumber's Name / - <g NO..., xm..,,...m.,,....: 8t1eet�.c ^ r :....., / -!. •s a Location and Legal Description Lot. / Street and Number where work is to be performed -No ` Street > ' et. -T— 4 4 7 Repairs No. of Stories Amount of Permit $ State work to be performed and purpose of building (By Floors) New Building _. Remodeling__ __ _ ...._- Addition Size Septic Tan1c_--------- - - - - -- - - - -- - T ype of Tank.__ Feet of Drain Tile._.__ _ ___ ._- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. - _._-...__.-- .__._ -.— .....Size of Soakage Pit (Signed)- �G?� ENO._. ° r � Street N _/r 11..4 �'.! Date _ ....... __ . Capacity Gals. Plumbing lnspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) — — -- - — Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re inspection fee of ;1.00 will be made when such re4nspectfon is mede'neoessary by improper notice for inspection, or faulty materials and /or workmanship. - -_� CLOSETS BATH TUB• 6NOW[R• LAVA• TORIES SINKS SLOP SINK[ LAUNDRY Tuve URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SIW[R CONN. DRAIN FIELD SOAKAGE PIT 6 TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIIT CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. /= --7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address 444 Registered Architect and /or Engin _ 4:/2(' ,a Employing Plumber's Name / - <g NO..., xm..,,...m.,,....: 8t1eet�.c ^ r :....., / -!. •s a Location and Legal Description Lot. / Street and Number where work is to be performed -No ` Street > ' et. -T— 4 4 7 Repairs No. of Stories Amount of Permit $ State work to be performed and purpose of building (By Floors) New Building _. Remodeling__ __ _ ...._- Addition Size Septic Tan1c_--------- - - - - -- - - - -- - T ype of Tank.__ Feet of Drain Tile._.__ _ ___ ._- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. - _._-...__.-- .__._ -.— .....Size of Soakage Pit (Signed)- �G?� ENO._. ° r � Street N _/r 11..4 �'.! Date _ ....... __ . Capacity Gals. Plumbing lnspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) — — -- - — Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re inspection fee of ;1.00 will be made when such re4nspectfon is mede'neoessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval 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 Outs and specifications must bc kept at building during progress of the work. Owner's Name and Address .... / l/J e € MSS, • r✓/Z / /cM4 W4V17;044/ _. N „__, St . /0/ s - 7 57 Registered AP;la.i.teet-antWr Engineer i9' � , ,s.P/77 Assoe. Name and address of licensed contractor ate._ e v e / f / ac. a. .57 ,c/ F,e.c2/5246 / t/VY. FT. L,auA Ff4 Location and legal description of lot to be built on: Lot / e Block 3 Subdivision Street and Number where work is to be done 590 N E /d/ sT 97 C State work to be done and purpose of building (by floors) �F_ 5 ,r, ,VNT /D 9i4! /M*c4 //.i - •• - - - ? Y_= _..._ ._. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of.... COW/ TZ Kind of foundation Roof Covering Estimated Total cost of improvements $ 5 °2 - Amount of Permit $. 0 O � Zone cubage required .Plan Cubage Distance to next nearest building /71 / Size of Building Lot /02_85' X i 15' 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 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the 'Florida Workmen's Compensation Act, being Section 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed und this pennit, as are licensed by Miami Shores Village. p Remarks..._ (Signed).... p UL'F_ Roc, f , A/P4A4/ 9.z/aces STATE OF FLORIDA, COUNTY OF Rxxx >BIARD Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. per,o-tally ap- peared Havi land Denike and who, being by me first duly sworn, upon oath deposes and says that he is the. Chief Engineer 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 true. Permit No.. Pi 7 7_.l Date ...J' F— Disapproved (Signed) Chairman Mcrnber Member ...... Council Approved Date Read, Swo PLANNING BOARD DATE to and Subscribed befnine. Notary Public, State of Florida 2116/73 uilding 'Inspector My Commission Expires NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the Planning Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for materials anti /or workmanship. to me well known, Member Member Member ...._- • -._-_- Disapproved Date been obtained from inspection or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval 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. Owner's Name and Address ....f•!••'• Q .MSS 6) 6 y: .. . . No . 9. 9._... Street._ / P 1 S T Registered Architect and /or Engineer g-AQ S C.,& (4-A ,K Name and address of licensed contractor Th RP I OP ° • TOI-E013 - • Q .. i -'u g)0 T . l A 8445,i L0..._.._.. peared Date Permit No._ Disapproved / ,/ Date. (Signed) Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done k.) �J State work to be done and purpose of building (by floors) PO O 4, 19- f I Building Inspector and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering a0 g Estimated Total cost of improvements $.... etorc? Amount of Permit Si. 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 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 subcontractors, on work to be ,, rformed under this permit, as are licensed by Miami Shores Village. - /n Remarks..._ ( Signed aBdCa xt LSL STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 true. 1 <fj o Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLAN C BOARD DATE Chairman Member Jfcrr,ber _.-- -... ....... ........_. -- Member Member to me well known, Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. .