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RC-10-9 Y 3.F L 31i� 4 t . .� Miami Shores Village Q , 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 $ y y Phone: (305)795- 2204..kw t f. Expiration: 07/13/2010 a. Project Address Parcel Number Applicant 117 101 Street 1131010220150 Miami Shores, FL 33150- Block: Lot: KATHRYN HAMILTON Owner Information Address M Phone Cell KATHRYN HAMILTON 117 101 Street MIAMI SHORES FL 33150 - Contractor(s) Phone Cell Phone Valuation: $ 2, 900.00 KINGS PLUMBING SERVICE Total Sq Feet: 127 Approved: In Review For Inspections please call: Comments: (305)762 -4949 Date Approved:: In Review Available Inspections: Date Denied: Inspection Type: Type of Construction: KITCHEN CABINETS AND BATHRC Occupancy: Single Family Final PE Certification Stories: Exterior. Drywall Front Setback: Rear Setback: Miscellaneous Left Setback: Right Setback: Window Door Attachment Bedrooms: Bathrooms: Tie Beam Plans Submitted: Certificate Status: Final Certificate Date: Additional Info: Framing Bond Return: Classification: Residential Insulation Truss Insp Fees Due Amount Invoice # Total Amt Paid Amt Due Columns CCF $1 Foundation RC -1 -10 -36735 $ 365.08 $ 315.08 €;. DBPR surcharge $0,84 ��,.." Window and Door Buck Education Surcharge $0.60 RC -1 -10 -36735 $ 365.08 $ 365.08 $ 0.00 Fill Cells Columns Permit Fee - Additions/Alterations $300.00 Wire Lathe Radon Surcharge $0.64 Declaration of Use Scanning Fee $9.00 F. Termite Letter Submittal Fee $50.00 F. Elevation Certificate Technology Fee Total: $365.08 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. February 05, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Cop February 05, 2010 1 OR 2-k 27172 . P4 4854 QP9) NOTICE OF COMMENCEMENT RECORDED 0-1 /04/2010 15:46 :13 A HIMMOED COPY MUST BE POSTO ON TW JOB SIMAT TIME OF FIRST WSPEMON HARVEY RU'VIN t CLERK OF COURT nIMI -DACE COUNTY¢ FLORIDA AMR NO... [ZG l a - q TAX FOLIO NO.�� r v t b Z 2-� LAST PAGE STATE OF Fd omm COUNTY OF MIAMI -DADS: THE IJNDERStGNr;D hereby gives notice that Improvements will be made to cerialn real Prop". and in nc*ohiance with Chapter 713, Florida statutes, the follawtng information is Provided In this *41ce of Comrnemmmer>t. '6)4e0al d oription tof,,prrooperty and street/eddrees: / '63 41 Go � T �/'(,� ZI rg (� Desed ti n of improvement:_ _ rte✓ 1 �g �'L ) nor () nbme etc add 4i F Interest in property: _ Gp�Rt r ame and address of fee simple titleholder. . ntraotor's name and address: _I.C=4 h t JC, rety. (Payment bond required by owner r contractor If any) ame and address: unt of bond 4;ndoes name and address: o Mons within the state of Florida designated by Owner upon whom notices or other documents may be served as N o ded by Section 713.13(1)(a)7., Florida Statutes, e and add dditton to himself, Owners designates the following person(s) to recelve a copy of the Llenoes Notice as provided _ ction 713.13(1)(b), Florida Statutes. e ` it and address: �;T i►�7`°I.! �� -�� (J s U. tit e i pirstion date e t this Naticp of Oomn- 4noement:. (the. expiration date is 1 year from the dote of recording unless a 4 r ° nt date Is spool") Signatu oi'� or ameXl v�� 11 Prepared by Sworn to and subscribed before me this I day 20 t O , Address: Notary Patblic_!!} _'�fif� lae-t7 � Print Notary's Name o�� + °• (� My commission expires: IAIM -5: PAS 4 SW �� � EONS: ALIG, 20 2010 •unn ++ www,AmaNNoTMY.ca. Ed WdEZ : eO WOE 8Z ''-ter TGG2 BSSLSA£ T : *ON XUJ 5308 *!0N 3 SWtI - 1d*S k JN 1 >I : W08A Miami Shores 'Village Buildin De artment g � JAN 0 5 RECD v � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. 0 PERMIT APPLICATION Master Permit XO. FBC 20 Permit Type BUILDING ROOFING - Om+nzr_'g- Fee Simple Titleholder) K&Thi Vn HMM_ 1 ( W Phone # 3Z 3 9 Owner's Address I S0 ZVO- Ave- S w , 9 0 ) City M ( x - n 1 State F L_ Zip 3 '-3 1 Tenant/Lessee Name ' Phone # _ _ _ ^ Email "(' �t j 1/1 V '° 111�?Nl i Vl law . a7v) Job Address (where the work is being done) 11 WNN DI J City Miami Shores Villaae County Miami -Dade Zip 331�� FOLIO / PARCEL # tl- 31 01-- 0?-Z 01s® Is Building Historically Designated YES NO Flood Zone Contractor's Company Name \<n9b *MNd C ne..Cl3i LO., Phone # '25Cr-_:,- (62. - S<) !r0 Contractor's Address Mai • � City N W.� State Qualifier Name N ® t 1, Phone # State Certificate or Registration No.CCk<_ l� cu_ B Certificate of Competency No. Contact Phone A 1 66 - 2.S I -. 9 !b E -mail K'P Architect/Engineer's Name (if applicable) Phone # Id cot) Value of Work For this Permit S Square /Linear Footage Of Work: 12 F RET Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolid ' Describe Work: � E7: �oTnn l k) . CAB? t 11 &I 0 0 /Vl 'Submittal Fee $ Permit Fee $ (�0 CCF $ CO /CC .$ Notary $ Trainin 11,,ucca�ation Fee $ Technology Fee $ Scanning $ Radon $ () - (o4 DPBR $ 0 4 4 Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ ILS 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 occurs seve 7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approvganreinipecRb9fee will be charged. 1 Si Signature ° wne or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 10 day of fi r, 20C'Pi , by V\ eAwXT . day of _3�sLC�,rnbx' , 20 by who is personally known to me or who has produced _ts -t-C who ia known to me or who has produced �--: csL�sc.• As identification and who did take an oath. as identification and who did take an oath. NOT Y PUBLIC: ®% � o �o��o�ttlipt ® ���� NOT Y PUBLIC: BqHil®��� <�® . M�SS10N i ♦ �s ®/ Sign: o ��� 4, �'�,/� i .,,,v , ®`` ° ( • � �AIQ�j °.� Ai .r Sign: s • Print:. Print: L �+• VaS �oe��S _S�, w �. My Commission Expires: 0� #DD 919thi4 P. Q My Commission Expires: : >aa • X so Brit Rsi 5 1 \`` ®a • StATE�� #1q 1__r_www APPROVED BY -Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) t 11113/0910:14 AM OMS No. 2502.0265 A. U.S. Do it of Housing of Loan and Urb" .velopment 1. I I MA 2 ( } t•MHA a. (I Conn U*46 4. ( IVA S. f I Cmrt. $re. S. Me Number 7. Loan Number 20080981 Settlement Statement L faort9a9e Case No. C. Note: This form Isfemisbed to Omyou a statement of a*W wttiemest costs. Amoants paN to and by the settlemed agent are s hown. ftMmeftdCPOC')WMps$d*utsWeft ttrey ace stsovat tsarefor Hzformafw MOOM OW am not ud D Name of Bonrower: Katlu" Hamilton 8. Name of Soften Mimi Soatre F Name of Landis: G. Property Location: 717 NW 101 St„ Miami Shares, FL 33160 R. SettlementAgent: Infinite Tie Solutions 1305} 892 4028 TIN: Place of Settlement 0249 NW 36 Street, Sub 120•A, Miami. FL 33166 1. S ettlement Data: 11713!2009 Proration Date: MUM 00. Groan wouddue from bw wvor. 400. Gros amount due to setter 101. CaMMd sates 90.000 W 401. Colhaet Sam 9O.OWA 102 PwswW rope 402. Personal Propeft 103. Settlement to tarro►rer e 1 BAMW 403. 104. 404. 108. 408. Seder credRfor (Kroh Really} 427.12 109. ChOlO r! taxes 408. CVtMVntW8 107. Coup *w 407. 108 Assns 408. Assessments 109. 409. 710. 440. 119. 11. 112 1 120. Gross amouotdue tram borrower. 99.99297 420. Grossemount dus to seller: 90427.12 201. popuk oreaniestMo W 501. E=M d Law 4) 202. P*WPW amount of new IMPAN INZ SoMment ch"astos (Qae4400} 21.7003 203. Bftft tm s} taken to 803. Ita&enaui_yWo 204. 504. F!"Woffirstmoftaplean 60.128.00 805. of stand mo Taaa 3AMOD 209. 80L 207. 807. 208. 808 Ok 209. 8tI8. 218 C tormtaxea tO. C itawntaxes 217. tmtas 1H72009 to 177tSt2009 6.094 89 811. tones 17772009 to MUM $.084.69 212 Assesamenb 12 � 213. 873. 214. 514. 218 818 218. ISIL 217. 817 218. 878. P19. 619. Total pM byHor borrower. 8,094.69 Total reduaeon in mount due seller: 8042712 a'. .zit 301. agessemoumduefr bormvW 120) x.96297 tT91. Gmssemoust due tosoft 90427.12 302 lase emowd W banovter Sine 22 6.094.69 R2. E427.42 CAM IXIRM OTO I- RROVOM 93.89939 803. CASH OMOM OTO SELLER 000 SU8STITMMRL11 e89S HMM TAiEWff- thek4'= W5==* ftdlatdodd6.ONrfd glad '01 Se "ft m4re%d4M4W.407aW 4st&412 (appSwbte pmts LuSKS real ersteteliut repatab� ioit� Oitr7 to taxhr?ontse�s snd Is l � 6te ICJ Revenue 8eMea 0yatenaregedted to» a + stun* a neg3Berbaper�yoratrldt6eiml� atydtBdds$aats teQa6edlo be regaled endd�stii3d�eraUeestltat $Tmse�Leattaporled SI R OQSIRi1 6TWN- N$ d8tadestetewasyartpitstpiemslder '. %ftf=MIS.Setsor6zptrdowor"d at Res' derma. iwor9BU4a8n)Vm'ft- asrextetum;to 00- sne. teeepyi+ xb; 9pancoftontt4767 ,Fo:ns8252andforst0 s Ie40} rat�ta re�area m7taxttoD� inoums rntet�9azs(�+l strtzvmuron}ofroarenttumoer ltyoado ootPtovfdel�Ps1$Is8{S0� 582•se28�'p 1� � aar�t, � be Ito eiv➢o; aUt�l. bucheal Seems A f 1t1310910:14AM File 20 -0881•: 700. Totes sa%slbmker ' _ based art: $14000.00m S5.00O.00 Petri From PGU Fmtn Divlsfonofcommisdon m sto6ows >�nomes, Seers 701. o0 to Kroll Res Foade at Fords at 702. .00 to KelW WMM Rea Ssttienmm Sattiamord 703. Commission at ss8tememt$6AO0A0 D00.o0 704. 745. 801. Loam origlnotim tee 80Z Loan dlaorntnt 803. Appraisal lee am. caft 806. Leader's tea 898 Mattaose insurance oppilcallon tee 897. AssumpOon fee 806. �9. 810. 11. 812. 813. 914. Yield §gMLd Premium NOW WL YM htteaeatiram G10 6+avrarme pmxbm for 803. petard tasumm for 906. 906. VA Furrtq Fes 9m. Retard braamarxe 10n vadminswalm 4993 awpnw 18K cmtym&twn 1009'. Ammaf essessmerde atabrt 1009. lo07. 4048 100.9 Ammoto AdiusdnsM y5�tq; LEI- WORAMM 1107. Seitiement or dos fee to kolw 7 is Sotuitorrs 2MM 284.D 4102. Absimd orthlo seamO to Real Estate Title Acem loc. 1$fl 1103. Wde em"MmOon 4104. FTiOe imsumnffi bU�der 1186. Daarmerrt at81i0r1 4108 NotWfM 4107, steasto hxftdesabove86arsma: 1906. Tilt hwxmm to infmWWO'Solutlms 8 kiedidesabom netl].4mo.: 11ft tmweft colmalle 1490. Owners cavamags $e0.0RM SSW" 1144. Emiorsomem to inemna Too Boltm 45" 1112. Pam 9 to In& te7%e Salattorm also 1945. Wim pea to brfinb 1U SoluU= 30 'fig a sf£�'9i�4�.. • . � '�..' "�a�a a'- `...�w"."'�t7 �*��'.- '�r.�• 1201. RewdbV fees: basil 574 Reuse 510.00 20.00 1292 cft&cwtv twhtemps: 1245, Skate WaWnpd Deed $50.00 84000 4204. 1296. 1208. non et dosbtg afHdaurt to clack of courts 8723 d st 9381. S to M&G Serve ors 4 " 4592. Pestins 9we. Usti Search to StomMi s, Usn Seamh 13 •CO 1504. F*PE OaurierfSWnntn d Cofto l ftu Tft gam *m. LLC 2W•00 4306. MUM to Tax Collector 9.848:19 309. Adiftmel InW(at ptaoed in escwto tffgft TWO So<. ftm 2.193.18 397. 2NUM to N omiSirores 93d8lsiCit §'1= afotoetiTetStllae('� :ARiarriPSlioPssx° '�OG ✓ 4309.g's`N`1•'Bt.CIsB �:;?: ,, g�a , ; - ;::f: ,to::'`ti+6aroi'Sliores `•�.,- 'r •:s 6i::i:.,: /': :i;•::;s>- :•:F�:494:84'? 13'10:i.::iDett .. :17b1Riea. >= :. °�-' : " =;to �ASaimi:Siiaea' ^ .' . . -1 ?,! �':}�• .' `�.� -� , . . 21,704 f£i 4400. Total setttementdmm s catered on iktn 103. sewcA J MW 802, secom IA » 91192 97 V w ORTHWATOICthavewrduynh6r !dtheHUD- 1SetftaatWSta nwaaadtothe6estefmyimxvzagsandbereLittsatrtmande�aaateata lEmeetofaHrwettae aMdabosoftefft(aaf Irby luttwcw vfttthm rwhmdaow*IHUI) -15 %..a. AAA, f4�. � 1 .r , A �yv �f 5� i!-r. eyn I' 6Atohsel StOhe Totha Sat 1 eMS tedd�tltsevapo3pared�abaearotSa7atdsa�wa�toitlre0p 8vdddtvRlataoeFABdaa4hmbamorugba aeYtofthretr�seWon. date Qfsaa6�ro� t voeAr�. yaa8ce�tsesta�nents�0iauniledStaSasoatldaos�poU: arafoaa�. Pe�ml9eaupeaacav�o ¢teaat�udoa5aeaaa ( Far aeiC1�91tkus .OedeSed'an10t11aadSeetlal1010. t •• •• • • • •• •• • • • • • • • • • • • ••• • • • • ••• f ) r� 5 � • • •• • • • •• • • a .1 Y �,,,�; r; { ••• • •• �PP?GI# •• • • • •• m • • • • • •• • • *00 00 1 i 1 � t ' ® _ a -�`-- 1 PLUMEi p 3 0 G. F 1 its El 11 El I nS tJ TUB a t to e JAPE 5 RECD I - j E i I I I i GNP i Note: This drawing is an artistic Designed: 12/15/2009 interpretation of the general appearance of TECH owaiES Printed: 12/15/2009 the design. It is not meant to be an exact rendition. NOEL REMM NOEL REMM I Drawing #: 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- 132553 Permit Number: RC- 1 -10 -9 Scheduled Inspection Date: March 22, 2010 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: HAMILTON, KATHRYN Work Classification: Addition /Alteration Job Address: 117 NW 101 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010220150 Project: <NONE> Contractor: KINGS PLUMBING SERVICE Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 19, 2010 For Inspections please call: (305)762 -4949 Page 1 of 26