Loading...
RC-09-1449BUILDING PERMIT APPLICATION FBC2O Permit Type: BUILDING ROOFING City Miami Shores Vi11a l e FOLIO / PARCEL # Contractor's Company Name Contractor's Address City 44/0 Iii inrc_O cOr t Is Building Historically Designated YES Notary $ 5 a ® Scanning $ Z D% Radon $ Double Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Owner's Name (Fee Simple Titleholder) • or ( N. (lJ Owner's Address 0....95 ( I 01- 5 Cit .-t ( tcsim l 5 (1V as5 State -- Tenant/Lessee Name Email Job Address (where the work is being done) l'5 N( e (o 4 s T County Miami -Dade NO MEOW State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ (_ZDQ - Square / Linear Footage 0 ork: Type of Work: ['Addition ['Alteration EINew Describe Work: tir %c**************************************F ees ********************* t 1 ee $ �4 'Permit Fee $ CCF $ c C _ Training/Education Fee $ Eli© DPBR $ Violation date: Phone # 7 5 cos 5 Permit No. PC) V 1 144ct Master Permit No. Zip 3 (38 Phone # Phone # zip S3(38 Repair Flood Zone place ❑ Demolitien Technology Fee $ Bond $ Structural Review. $ Total Fee Now Due $_ W 2 r ,(•-, See Reverse side --+ bj Ajt 3 t 2009 B Y: _ ��.✓ 'Pi 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 COMV MENCEMENT 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 approved and a reinspection fee will be charged.. Signature Contractor The foregoing instrument was a, s wledged before i s e this S I The foregoing instrument was acknowledged before me this day of Ai C , 20 b A I I / I day of , 20 _ , by wh is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. 6e= NOTARY PUBLIC: N 1 TARP UBLIC: • ' ..• '. " ` Sign: ;op 4 5;�69 r... �c�... Print: ,• 9 ' A1 My Commission Expires: %09 Print: My Commission Expires: APPROVED BY Owner or Agent (Revised 07110 /07)(Revised 06/10/2009) 1 f • Plans Examiner Zoning Engineer Clerk checked Inspection Number: INSP - 153217 Scheduled Inspection Date: November 10, 2010 Inspector: Bruhn, Norman Owner: TIMINSKY, JOHN Job Address: 1285 NE 104 Street Project: <NONE> Miami Shores, FL Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RC -8 -09 -1449 Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number (305)495 -0055 Parcel Number 1122320300010 REPAIR WINDOWS Passed ``/T) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 09, 2010 Inspector Comments CREATED AS REINSPECTION FOR INSP- 152588. CREATED AS REINSPECTION FOR INSP- 123380. No plans or permit available for inspection NB For Inspections please call: (305)762 -4949 Page 23 of 23 VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: S IC DATE: t / JG i ADDRESS: 1285 N F [04, .S . 1 V-4(kmi i -L 33138 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to.be done by a licensed contractor. You have applied for a permit under an exoeption, to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction youraoif. You may build or improve a one - family or two- family reaidtnoe. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use acid occupancy. It may not be built for sale•or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation Of this exemption. You may not hire an unlicensed person as it contractor. It is your responsibility to make sure the people employed by you havelioenses required by state law.and by county or mwilotal licensing ordinances. Any person working on your building who is not licensed Must work under your sypelvision and must be employed by you, which means that you must deduct F.LC.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction . • must comply with all applioable laws, ordinances, .buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold. title to the above property and I am planning on doing this construction Myself. Initi Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. •Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required. to be issued for reinstatement of the permit., 1 I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I. understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. Initial Initi 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of kn attorney. The department will not mitigate any contract disputes. 6. I understand that if I compensate any person or company for work performed they are requited to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation.. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include lass of wages during recovery from injury. Produced there License or OWNER Initial 8. •I understand that under state and local laws ' I can not do . any Electrical, Plumbing, Heating, Air & Roof work on my 'property with out first obtaining the proper permits by licensed contractors. Was .acknowledged before me this 31 day of �,8 ' , 2009 who was personally known to me or who has as identification. NOTARY NOTP% aLs TV aloe ,, � 3 l,D717 s ' ` Cart X i Q s ° e.3, 2011 J T -: iTIP A I gp M am l Shores Village APPROVED BY DATE ZONING DEPT W A'L- WITH ALL RULES AND REGULATIONS .,,A FEDERAL BLDG DEPT SUBJECT TO COMPLIANCE STATE AND COUNTY •. • • • • •• •,-• •• • 1 ,C�EWM` SR 01 2009 J BY: Building Department The Village of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 -2382 Subject: To whom it may concern, In 2003, Dade County Type Approved impact windows were installed at my residence with Miami Shores Building Permit Number BP 03 -1212. Subsequently, the lamination of the impact glass failed. We entered into a warranty settlement with Jeld -Wen, the manufacturer of the windows, to replace all the sashes at my residence with exact replacements. The Jeld -Wen sashes provided to me are to the same or better pressure and impact specifications as the original sashes. No alterations to the existing openings or frames are being done. Sincerely, Enclosures: •• ••• • • • • • •• • • • ••,.• , • • • • • •• •• • • (; ? , •• I• \ • • •.i . 0 • • • • • • • • • • • ••• • • w'• • • ••• • • • Window repair at my residence. Window Layout Schematic (1 page) Jeld -Wen Repair Recap (5 pages) : • • • • • • • • • • • •• • • • • • • • • • • • • •• •• John E. Timinsky 1285 NE 104 St. Miami Shores, FL 33138 305 495 0055 — mobile iohn@timinskv.com 28 August 2009 John Timinsky 0000 • • • • • 0• • • •• • • • • • 0 • • • • 0041. • • • • • • • .17...1.13 •--• 1.19 1.02 • •• 4141. r • • 1.16 1.01 1__ 103 4141 • • • • • living entry • •1.15 • • 1.04 • 4141 • • . • din • • •. • •• 1.14 •... 1 ' • 1 1.13 .05 1.06 1.12 1.11 - 1017 -- 1.09• -. 1. °8 1L 1.07 1 2.11 .- 2.12.,2.01 office 2,10 2.02 master bath 2.09 2.03 .2.03 2.07 2.06 bed 2.04 L2.051 b1.01 b1.03 garage b1.02 Timinsky 1285 NE 104th street Miami Shores, FL schematics This drawing is not to scale. Repair Recap for Home Owner JELD -WEN, inc. company Pozzi Metre Address 1285 NE 104th Street Miami Shores, FL 33138 * *Please see the attached drawing to identify the window location in the home ** Impedes Mulls Based upon our recent inspection of your windows and patio doors, it has been determined that certain laminated glass in your home should be replaced. Each opening in your home is listed below with a description of any issues found. JELD -WEN will offer to provide replacement product for openings noted below. Please note however, that our Inspector was unable to get product measurement on unit 2.05 due to interior shutters and no exterior access, thus was unable to determine correct product to order. JELD -WEN will provide replacement sash if correct product size can be provided. Labor to install is not included in this offer. If requested, JELD -WEN can provide the name of an independent service provider knowledgeable in the replacement of your JELD -WEN product. Our inspector noted several units with missing lock arms and stops. These parts are included with every unit sold. Typically you would need to contact your installer or distributor to request they complete the installation of the product you purchased. As a courtesy, JELD -WEN will provide on a one time basis the missing parts as noted below. OTHER ISSUES: During our inspection, 'other issues" were identified, not covered by our warranty, which may affect the performance of your windows. These "other issues" are described here and noted at the specific opening. Installation Issues: Units identified in this Repair Recap appear to be installed incorrectly and could be a source of water intrusion into your home. Specifically our inspector noted several units with separated frame comers. Care and Maintenance Issues: The units identified in this Repair Recap have not been appropriately maintained. Specifically, our inspector found a lack of adequate paint film on the full perimeter of some units. Lack of paint does not provide wood protection from moisture and can be a source of fungal infestation (wood rot). Future warranty claims may be denied if it is determined a lack of paint is the cause. Informational material on care and maintenance of your JELD -WEN product will be sent under separate cover for your review. Sveloe Failure Rests Woe Repair Rent Newhall!!! / Other Isms A1.01 Not JELD -WEN Product ❑ A1.02 A1.03a1 A1.03a2 A1.04a1 Glass Delamination Glass Delamination Glass Delamination Glass Delamination • • • • .04a2 • 9Igss DAlamination • • • • • • • • • • • • • • • • • • • .• •• • • • .• .. . • r_• • • • • • WedW esdev JuIv 3© • • • • •• • • • • • • • • ••• • • •• • • • • • • • • • • ••• • • • • • • • ••• • • • • • • • • • • • • •• •• • • • • cif c PW28D08D17 D iller Name John Timinsky tn1 Non -Pozzi Product Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Our unison lock arm. As a courtesy, Provide replacement sash. Our unison lock arm. As a courtesy, Other Dues Other: Inspector Doug MacGarvey Inepegtlop Date 6/9/2008 inspector also noted a missing JELD -WEN will provide. inspector also noted a missing JELD -WEN will provide. Page 1 of 5 • • • • • • Compaey Pozzi A1.05a1 Glass Delamination A1.05a2 Glass Delamination A1.06a1 Glass Delamination A1.06a2 Glass Delamination A1.06a3 Glass Delamination A1.07 No Product Issue Found A1.08a1 Glass Delamination A1.08a2 Glass Delamination A1.09a1 Glass Delamination A1.09a2 Glass Delamination A1.10a1 Glass Delamination A1.10b1 Product OK - Previously Replaced A1.11a1 Glass Delamination A1.11 b2 Product OK - Previously Replaced Glass Delamination Glass Delamination Glass Delamination A1.12a1 A1.12a2 A1.12a3 •• ••• • • • • • •• • • • bIass:Delamination • •• • • • • ••• • • • • • • • • • • • • • • 0 A1. 1 t2b2 • GIdSs•Delamination • •.• . • • ••• • • • • • • • • • • • • • •• • • • • • • • •• • • • • ••• • • • Fare Demrbtim • • • • • • • • • • • Wectiesday, July 30,200 •• • • • • • • ••• • • •• • • • • • • • • • • • • • • • •• ••• • • cif! # PW28D08D17 hop Name John Timinsky Repair Repair Drlptbo / Other Issues © Provide replacement sash and labor. Perform a preventative Wood Care Systems treatment on the frame. Other Issues Other: Curtain preventing closure of window • Provide replacement sash. Our inspector also noted a missing unison lock arm. As a courtesy, JELD -WEN will provide. ® Provide replacement sash. Other Issues Care /Maintenance: lack of adequate paint on full perimeter of sash Provide replacement sash. Our inspector also noted a cracked lexan cover. As a courtesy, JELD -WEN will provide. Otter Ism Care /Maintenance: lack of adequate paint around full perimeter of the sash Provide replacement sash. Our inspector also noted a missing unison lock arm. As a courtesy, JELD-VVEN will provide. ❑ Unit OK ❑ Unit OK - Previously Replaced © Provide replacement sash. Other Isuues Installation Issues: separated frame corners Provide replacement sash. Provide replacement sash. Our inspector also noted a cracked lexan cover. As a courtesy, JELD -WEN will provide. Provide replacement sash. Our inspector also noted a missing unison lock arm. As a courtesy, JELD -WEN will provide. Provide replacement sash. Provide replacement sash. Provide replacement sash. Unit OK - Previously Replaced Provide replacement sash. Provide replacement sash. Provide replacement panels. Provide replacement sash. Page 2 of 5 • .• • • • company Pozzi Solos Failure Descrgrtlon A1.13a1 Glass Delamination A1.13a2 Glass Delamination A1.13a3 Glass Delamination A1.13b1 Glass Delamination A1.13b2 Glass Delamination A1.13b3 Glass Delamination A1.14a1 Glass Delamination A1.14a2 Glass Delamination A1.14a3 Glass Delamination A1.14b1 Glass Delamination A1.14b2 Glass Delamination A1.14b3 Glass Delamination A1.15a1 Glass Delamination A1.15a2 Glass Delamination •• ••:AZ 0a3•• • • • • • • • • •• •• • • • •••• •• • • • • • • • • • • • ••• • • • • • • • •• •• • • ••• • • • L;IOs.Dglamination • • • • • ••• • • • • • • • • • • • • • Wec•esdl, July 30 + 200 • ••• •••• • • • •• • • ••• • • • • • • • • • • • • • • •• •• ••• • • al' c PW28D08D17 mow Nam John Timinsky Repair Repair Description / Other Issues © Provide replacement sash. Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Other Issues Installation Issues: separated frame comers © Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Provide replacement sash. Other Issu Installation Issues: separated frame comers • Provide replacement sash. © Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Other Ilea Installation Issues: separated frame comers Provide replacement sash. Other hues Installation Issues: separated frame comers Provide replacement sash. © Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Our inspector also noted a missing operator covers and stop. As a courtesy, JELD -WEN will provide. © Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Other 1 Installation Issues: separated frame corners Page 3 of 5 Cepmaey Pozzi SymLm Failure ueso emu® A1.15b1 Glass Delamination A1.15b2 Glass Delamination A1.15b3 Glass Delamination A1.16a1 A1.16a2 A1.16a3 A1.16b1 A1.16b2 A1.16b3 A1.17 A1.18a1 A1.18a2 A1.18a3 A1.19 A2.01 a1 A2.01 a2 A2.02a1 A2.02a2 A2.03a1 A2.03a2 A2.04a1 A2.04a2 A2.05a1 •• ••• • • • • • •• •• • • • • • • • •• ••• •• • • • •• •• • ••• • • • • • • • ••• • • • • • • • • • •• • ••• • • • • • ••• • • • • • Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination Glass Delamination • • • • • • • It • ••• • • ••• • • • • • • • • • • • • • • • •• ••• • • d Cue # PW28D08D17 Owner Nam John Timinsky Repair Repair Dese rlptbu / Other Issues 0 0 © Provide replacement sash. Rtler Dues Installation Issues: separated frame comers Provide replacement sash. Provide replacement sash. Other Issues Installation Issues: separated frame comers Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Provide replacement sash. Inspector was unable to get product measurement due to interior shutters and no exterior access, thus was unable to determine correct product to order. JELD -WEN will provide replacement sash if correct product size can be provided. • • • • Wectiesd5y, July 30.200E • Page 4 of 5 •• • • • • • company Pozzi SYmloc Fame Baser Intim Repair Repair Deseiiptloo / Other Issues A2.05a2 Glass Delamination A2.05a3 Glass Delamination n Inspector was unable to get product measurement due to interior shutters and no exterior access, thus was unable to determine correct product to order. JELD -WEN will provide replacement sash if correct product size can be provided. Homeowner is responsible to remove window treatment prior to the commencement of service work. A2.06a1 Glass Delamination n Provide replacement sash. A2.06a2 Glass Delamination n Provide replacement sash. A2.07 Glass Delamination n Unit OK - Previously Replaced A2.08a1 Glass Delamination n Provide replacement sash. A2.08a2 Glass Delamination n Provide replacement sash. A2.08a3 Glass Delamination n Provide replacement sash. A2.09a1 Glass Delamination n Provide replacement sash. A2.09a2 Glass Delamination n Provide replacement sash. A2.10a1 Glass Delamination © Provide replacement sash. A2.10a2 Glass Delamination © Provide replacement sash. A2.11a1 Glass Delamination Provide replacement sash. A2.11a2 Glass Delamination n Provide replacement sash. A2.11a3 Glass Delamination n Provide replacement sash. A2.11a4 Glass Delamination n Provide replacement sash. A2.11a5 Glass Delamination n Provide replacement sash. A2.12a1 Glass Delamination © Provide replacement sash. A2.12a2 Glass Delamination n Provide replacement sash. B1.01 Not JELD -WEN Product ❑ Non -Pozzi Product B1.02 Not JELD -WEN Product ❑ Non -Pozzi Product B1.03a1 Glass Delamination n Provide replacement sash. •• •••B1.06a2 • Glass l elamination © Provide replacement sash. • • • • • • • • • • • • • • • • • •• ••• •• • • • •• •• • ••• • • • • • • • • We • July 30 • • • • • • •• • • • • • • • • • ••• • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • CII Case # PW28D08D17 timer N8m8 John Timinsky Inspector was unable to get product measurement due to interior shutters and no exterior access, thus was unable to determine correct product to order. JELD -WEN will provide replacement sash if correct product size can be provided. Page 5 of 5 Arienis Silvers From: John Timinsky [jtiminsky @mavco.com] Sent: Thursday, October 21, 2010 11:25 AM To: Arlenis Silvera Subject: miami shores village building permit number rc -8 -09 -1449 Dear Arlene, Can I kindly be granted an extension of ten to fifteen days regarding the abovementioned building permit allowing time for the inspector to visit my residence to perform the Final Inspection. Thanking you in advance and all the best, John Timinsky President MAVCO Inc. +1 305 757 5000 - main +1 305 694 5311- direct +1 305 495 0055 - mobile 1 BUILDING PERMIT APPLICATION FBC 20 Miami Shores Village Ap Building Department k 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No.91C.f5 Master Permit No. BY: Permit T e: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) ( 1 t { I (C Phone # 3o5 S 0055. Owner's Address 2^� ( wn 1/®�� �� S� � >1' City N ( l r s Stlofts State f C— Zip Phone # Tenant/Lessee Name Email Job Address (where the work is being done)..SkAi- City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company NameJ 0 M T ( M (kD S 1(7 Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ❑Addition ['Alteration ` ['New ❑ Repair/Replace ❑ Demolition Describe Work: ( �� 1 �IA) 6\71-- 1 Square / Linear Footage Of Work: ******,* * * * * * * * * * * *** * *** * * * * * * * * * * * * ** F * * * * * * * * * * *** * * * * * * * * * * * * * *,* ** Submittal Fee $ Permit Fee $ Cr) • 03 CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: l Structural Review. $ Total Fee Now Due $ 1 c . r �J See ReversTRIQ 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 approved and a reinspection fee will be charged. Si Owner or Agent The foregoing instrument was acknowledged before me this day ofAMA( ,20(Qby Ir4 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 0 00"1u11'lio1 /4 Sign: Print: My Commission Expires: ******* ********** ** * **** ** * * * * * ***** * * * ** * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised06 /10/2009) oem /„. siva\. '"//iftilitto" ° Signature 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 take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Zoning Engineer Clerk checked