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MC-08-753 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 136164 Permit Number: MC- 4- 08-753 Scheduled Inspection Date: March 02 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: CARUSO, BERNICE Work Classification: Addition /Alteration Job Address: 1050 NE 105 Street Miami Shores, FL 33138 -2106 Phone Number Parcel Number 112232028006 Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Phone: 305 -865 -1220 Building Department Comments INSTALLATION OF NEW 4 TON SPLIT SYSTEM & DUCT WORK REPLACEMENT AS PER CONVERSATION BETWEEN HOME OWNER AND MC INSPECTOR, OK TO EXTEND PERMIT UP TO 12/31/09 AND DO A CHANGE OF CONTRACTOR v� 54 vol Inspector Comments Passed Failed Correction a Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 01, 2010 For Inspections please call: (305)762 -4949 Page 14 of 27 Miami Shores Village D M2V M R Building Department DEC 1 200-9 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit NOP PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type Mechanical Owner's Name (Fee Simple Titleholder) � , f'uso Phone # 30,�_- Owner's Address 15 Q j �r City-'A 1 Sf�O S State- Zip _ 3 f ,3 Tenant/Lessee Name Phone # E- MAIL: cbrtL B nAz IwGIC a c &wL Job Address (where the work is being done) C44u e- City Miami Shores Village County Miami -Dade Zip 33 1 -3 9 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name )PA �L a � " °Z� d Phone # Contractor's Address N k� City , I"� lyv� ; State Zip 3 { g Qualifier Name h �,® (' T9 i \ ,4 Phone # State Certificate or Registration No. QACC Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ �' Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair /Replace El Demolition Describe Work: Co VA 0 � jYIS ) j D� �� l�- >�7$ �► 4 41 Pee: - f ;Dn A x$oY dr sYxxekxoYoY sY t4nYxxxsY oEY oY deY 4axx &xxda 9edr oY de 9e 8rxY� 1'`eeS * oYxxak eY 9cxxdr +ede$cxvYde'xxx4e sY okxxcY aYxnY etrdr aY aY zk eYxaY ale skxeY Y aYxx Submittal Fee $ Permit Fee $ Is Do CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ 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 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 roust 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 abs ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur y,.A.� Signature Owner or Agent C ctor The foreoing instrument was ac wled ore me this The foregoing instrument was acknowledged before me this ilk. day of A k , 20n by 0 day of D t e , 20! a, by who is per onally known to me or who has produced ho is personally known to me or who has produced •aVilentification and who did tak an oath. as identification and who did take an oath. NOT PUBLIC: o� �� ti�ti NOTARY P o a4s �d+ NoVen ubllic Stat of Florida • � commi r 0411312012 Sign: 1i Sign: ' Q a� , �' ..s �• �+� Print: Print: My Commission Expires: My Commission Expires: &xde a4t aYxnY4evY4s Y 9reYxxet otx4rx4rY iex4exeYx•k �e��de dexa4xxx •ie•Y &xxa4xxxxoYxxxxatuxxxde ee oYxdexxxx ee 4exxu &4e4t' ' x &xdtoruat aYxxu' $¢•x deak�e 4cxx &�dr zY tY9c'+e APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised. 02/08/06) i v Don Caruso Cesar Sanchez CECO Air Conditioning Corporation 12140 SW 123 Place Miami, FL 33186 Date 12110 Sent via: LISPS Certified & Regular Mail Mr. Sanchez, po eoR 5606 kft d , FL 33256 -06s It was April 25th. 2008 when the contract was signed between us to replace the air ' o ' Addrem conditionin system 1050 NE 105 ST g sy em at my mother's house In Miami Shores. As you know, the job was neroer Warra Sh ores, FL33138 completed and my repeated attempts to contact you have gone unariswered. When the latest permit renewal was about to expire and there was still no response from you I caw for a final inspection by Miami Shores Village. The job failed the final inspection on November 3rd, 2009. The inspector said he woad try to contact you to resolve the Issue. I gave him your phone numbers. Over the next several weeks he told me that his repeated attempts to contact YOU went unanswered. After giving you the benefit of the doubt and exhausting all efforts, I have contracted with another company to complete the job which will cost me over $2000.00. This is to notify you that you are in breach of our contract and that arty further obligation to You Ls hereby rescinded. Sincerely yours, t d Don Caruso Miami Shores Village Building Department Change of Contractor Permit No. owner's Name (Fee Simple Titleholder) F ® n a r us ® Phone # .3 0S - j a � ° q L/,3 y 1 Owner's Address O F 1,91 sy City M , e id_ ._F 1 �tB PeS State P L zip 3 3 1 -3 9 Tenant/Lessee Name Phone # Job Address (of where the work is being done) 5 &M e_ City County zip Legal Description Contractor's Company Name L P/ �T CQ k Phone # 6-0. Contractor's 2 � � tor's Address � M yj L L l City �" ®® C I � State _ Zip _.S Qualifier A Describe Work: LLQ Qr 4L r"1 ) G t2 ! N f A40!Y— I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. �8 f Signature i - Signature Owner or Agent �nt The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 14 06 , by day of &4 ° D) c- , 20 vI by , who 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. NOTARY PUBLIC• NOTARY P Sign: Sign: &4x Print: Print: 9� 6 My Commission Expires: My Commission exp' gi StatB of Florida rgh E 21y h'�liitC 5tacc �iontla n DD778217 /201? COMMIS3lon uu77 @217 Rev. 09 /19/03) iezcU403 /2Ui2 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305.795.2204; Fax 305.756.8972 www.miamishoresvillage.com DATE: y HOLD HARMLESS PROPERTY LOCATED AT: 1 5� N E 1 05 - ST As legal owner of subject property, I request the cancellation of permit number issued to for the following reason: -d, led :f ) pul Date of last inspection: 3 NO V ,4 0® q I hereby apply as owner - builder, or authorize (new contractor) 14)e-Le 19 ncez-e O tt , to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for whi h I am requesting cancellation. s P F (Owner's Signature) (Prime Contracto , my if subcontractor holds permit or if change of qualifier) Fsl. �''I.LSD /YN - 9= i 14- (Print Name) (Print Name) N fir st 4sWb of Flori da State of Florida D778217 County of Dade: 2 The undersigned, being ty , eposes and says that he /she is the legal owner of the above property. Sworn to and subscribed before me this 4 day of 2 Notary Public, Sate of Florida at Large Li C3 a " C3 F" FlestriCted 00 y r" C3 ru $ n CC ToW Pastap & Few ni 0 arPO W" FL 23 1 Fro bDn Cairus6 105 NE 105 ST . ...... 4. �. M iami t Shor > es Villa .. 10050 N.E. 2nd Avenue Miami Shores, '} es FL J 33138-0000 M1 !\�Q Phone. 305 79 N 5-2204 r 1 - Ex iration:11 888...... p 0204 Project Address Parcel Number Applicant .... ........ .. ........ .......................... .. .............................. ,.......... ........................... ......... ...... .......... 1050 105 Street 1122320280060 Miami Shores, FL 33138 -2106 Block: Lot: BERNICE CARUSO Owner Information Address Phone Cell BERNICE CARUSO P.O. BOX 562992 MIAMI FL 33256- Contractor(s) Phone Cell Phone CECO AIR CONDITIONING CORP Valuation: $ 10,000.00 ...................................................................................................................................... ............................... Total Sq Feet: 0 Tons: 4 Available Inspections: Additional Info: SPLIT A/C SYSTEM Inspection Type: Classification: Residential Ventilation Approved: In Review Final Comments: Date Approved :: In Review Rough Date Denied: Type of Work: Hood Rough Duct Smoke Test Smoke Det Test Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $6•00 MC -5 -08-31989 $ 411.87 $ 411.87 Education Surcharge $2,00 $ �'�� Expired Permit Renewal Fee $382.31 Permit Fee - Additions/Alterations $382.31 MC - - - 34702 $ 382.31 $ 382.31 $ 0.00 Scanning Fee $12.00 Technology Fee $956 Check #: 1690 Total: $794.18 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 04, 2009 Authorized Signature: Owner / Applicant I Contractor / Agent Date Building Department Copy May 04, 2009 1 Inspection Worksheet Miami Shores Village 10060 N.E. 2nd Avenue Miami Shores, F as Phone: (305)796-2204 Fax: (305)756 -897 1Z Im N& '130A Mit Inspection Date: 1111212008 Permit Type: Electrical - Residential Inspector Devaney, Michael Inspection Type: Final Owner: CARUSO, BERNICE Work Classification: Addition/Alteration Job Address: 1050 106 Street NE Miami Shores, FL 33138-2106 Phone Number Parcel Number 1122320280060 Project: <NONE> Block: Lot: Contractor: COPE ELECTRIC INC Phone: (306)9344486 Building Department Comments A/C REPLACEMENT RELOCATION ELECTRICAL WORK REPLACE OUTLETS AND REPECTACLES ALL AROUND THE HOUSE. ALSO GFI FOR KITCHEN PERMT RCOF -1820. ACV Inspector Comments Passed Ee/_ Failed Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Monday, November 10, 2008 Page 2 of 2 900/V000 SHOIAUHS MIA NVOS VJVa 099L 999 009 T YVA ZV:§T 9002 /9T/TT y Miami Shores Village�� 10050 N.E. 2nd Avenue' �? Miami Shores, FL 33138 -0000 Phone: (305)795- 2204r ` ` y Expiration: 11/26/2008 Project Address Parcel Number Applicant 1050 NE 105 Street 11 22320280060 Miami Shores, FL 33138 -2106 Block: Lot PETER CARUSO Owner Information Address Phone Cell BERNICE CARUSO P.O. BOX 562992 MIAMI FL 33256 - Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 COPE ELECTRIC INC (305)934 -4486 Total Sq Feet 0 Type of Work: ELECTRICAL Available Inspections: Additional Info: AIR HANDLER Inspection Typ e: Classification: Residential underground Rou gh Fire Alarm Alteration Meter Box Final Service Change Relocation w. w Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee - Additions/Alterations $159.99 Payment Type: Scanning Fee $3.00 Technology Fee $4.00 Total: $172.79 D i �9 f 10008 MIAMI BLOKES VILLAL"3E 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 30, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, May 30, 2008 1 Miami Shores Village g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 --I BUILDING RE Z4ster Permit No. PERMIT APPLICATION; Permit No. FBC 2004 Permit Type Electrical Owner's Name (Fee �imple Titleholder) B KA/lCc-, .D CA 2 USo Phone # Owner's Address City - _ _ State Zip Tenant/Lessee Name Phone # E -MAIL: ` Job Address (where the work is being done) f O ,Td oy F 10-15 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 'I I 1 -^ 6e ig'" ®®60 Is Building Historically Designated YES NO Contractor's Company Name COPF- 67t :Zi(/4n. Phone # _3DS - S ^ q 'Contractor's Address . 5T - r- (12 City M A M ( State EL Zip S3 b6 S M Qualifier Name DA l_9,;' H e,'O P1✓ Phone # - -lo-5P - T3 Y° 4 1 If State Certificate or Registration No. F-6 l L I %:5 Certificate of Competency No. E- MAIL: DALG( , - - o t'r g? isi1i_ ipr Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 00, 6 1 * 5 Square / Linear Footage Of Work: Type of Work: []Addition []Alteration []New epla New Rep ' ❑ Demolition Describe Work: A JZ 1 P Pfr=FA � E L0(5 7 A l 14 A 61) LC-7 P� 16 K A) 11 eb l &&e, o of l G�' rec'P� 1�eeLGc C_� ste) i .PS ad cra tdu J ` xcl- Submittal Fee $ Permit Fee $ 10 0r ^P CCF $ 0 40 1 CO /CC Notary $ Training/Education Fee $ r ( Technology Fee $ - Scanning $ 3 on DPBR $ Zoning $ P Bond $ e e Double Fee $ Structural Revi $ AMU Total Fee Now Due $ nLi L ` See Reverse side � MIAMI' SHORES VI L LA GE Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address a City State Zip Application is hereby made to obtain a permit to do the, work and installatjons . ip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature ' 6 y r L o Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The fore oing instrument was acknowledged before me this day of , 20 by 7�ll Ctau3 D day of 20 y who is personally known to me or who has produced F? - pow's w ersonally known t e or who has produ L f C , 46007 0 As identification and who di Aix e - °7 ,rip NOTARY PUBLIC: , P O / upIIC � P •p. ,I l� � /idCR Ul'.Fi III HN W CRd H III. . 4 IYIy i,arl ml� >an DDti78t fib > 'Ay Comm on 0087872$ ** �o` Expires 06�2412u , Mph \�' g \pN g�sQ t /tu,2ui1 ®�� Sign: Print: ' c +t Fie \ � NN Print: My Commission Expires 'sj�Rc � My Commission Expires: L APPLICATION APPROVED BY 7— 0o0 9 :F4R Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village 10050 N.E. 2nd Avenue�#IdAet� Miami Shores, FL 33138 -0000 d Phone: (305)795 -2204 �� I��R�pp• �t28� Expiration: 1112fi12008 Project Address Parcel Number Applicant 1050 NE 105 Street 1122320280060 BERNICE CARUSO Miami Shores, FL 33138 -2106 Block: Lot Owner Information Address Phone Cell BERNICE CARUSO P.O. BOX 562992 MIAMI FL 33256 - Contractor(s) Phone Cell Phone $ 10,0 00.00 Valuation: CECO AIR CONDITIONING CORP _.. _ __.:.:.:..._...._r Total Sq Feet: 0 Tons: 4 Available Inspections: Additional Info: SPLIT A/C SYSTEM Inspection Type: Classification: Residential Smoke Det Test Approved: In Review Smoke Test Comments: Date Approved:: In Review Rough Dud Date Denied: Hood Rough Final ventilation Fees Due Amount Total Amt Paid Amt Due CCF $8.00 Education Surcharge $2.00 $ 0.00 $ 0.00 Permit Fee - AdditionatAlterations $382.31 Scanning Fee $12.00 Payment Type: Technology Fee $9.58 Total: $411.87 CC D l UMUD 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 30, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, May 30, 2008 1 rs. Mi ami Shores Vill � age Building Department 1 C,f J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te 305 795.2204 Fax: (305) 756.8972 E vv BUILDING APR Permit No. PERMIT APPLICATIO Master Permit No. FBC 2004 Permit Type Mechanical Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City rn 1D Yy) State Zip - .;�, r +� Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) . City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name _ 95R ;4' Q"X Phone # Contractor's Address z„ 5i^/„ � j P — 21", City State Zip Qualifier Name Y " Phone # State Certificate or Registration No of Competency No. E -MAIL: Architect/Engineer's Name (if apple able) Pone # • .I 4 '9 �.. Value of Work For tUis $ Square / Linear doge Of R�or�C t : Type of Work: iteration ONew . °'Repair /Replace a ❑ Demolition Describe Work: G} xoY�Yu�Sr4r iY kY 4exY atexxdr$e�dexk is s4 nY scxic arxYuxrYxxY Y� 4xY4ex xdr re nYxeYx�c Yxdcxudr eY oYatx�r 4r ntr da Y Y afrxnkxe4 *eYaYr Submittal Fee $ Permit Fee $ rM CCF $ CO /CC Notary $ ' 1 ' nn '� MM Training /Education Fee $ Technology Fee $ ' Scanning $ IO�W Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ 11 y -� Structural Review. $ Total Fee Now Due $ 4 - U l See Reverse side -� I 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. 1 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: l certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws 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 $2500, the applicant roust promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature // Signature Owner or Agent ontractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before m is day of _�, 20 aQy by mac. r.�so day of , 20 �by 1 11 who is personally known to me or who has produced who is personally known to me or who has produced ication and who did take an oath. identification and who did take an oath. NOTARY P R�3 N ••G X0551159 005511 c4I'� 5111/1010 511 10 Sign: .••••• " S1 Print: Print: My Commission Expires: / / / //� My Commission Expires: dexx4t@rxdaxetx�Y dr�xoY Y de eYoY a4,gx,4,fr,Yxxxdr tie a4$sY 4e e4 u3e na aerie sraYxoY�xkxxe:x�e frx' ' drx4exxxxnle de �rx &uxtk t&$oY vkxae4rxxyez4txx�4e ,YxxtG tt &tiaxxxeaacxa4kat APPLICATION APPROVED BY: Plans Examiner Engineer 7,oning (Revised-02/08/06) NAY 2 9 - v _ Y - x.19-:7r4 Y'(�? cf!5;- _ t 40 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 0 DISCIPLINE APPLIED FOR: PERMIT # �ZS PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE 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 ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER.SYSTEMS INDIRECT WASTES MOTORS OVER U -100 HP COOLING.TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP ION A/C UNIT A/C WINDOW VIOLATION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER k y HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER TSIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELO, 4" TILE/RES. JANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELLIL�� AREA D RAI N ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE ., ea tit AO LG POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 12140 SW 123 Place Residential C Air Conditioning Miami, Florida 33186 Commercial Corporation T 305 969 2730 Insdustriol F 305 253 9722 Scales • Service • Installation • Licensed & Insured CAC 1814520 April 22, 2008 DON CARRUSO 16101 SW 87 COURT MIAMI, FL 33183 LOCATION: MIAMI SHORES HOUSE. WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PROVIDE THE NECESSARY LABOR FOR THE COMPLETION OFTHE AIR CONDITIONING PROJECT AT DON'S HOUSE. • FURNISH AND INSTALL NEW 4 TON AMERICAN STANDARD SPLIT SYSTEM. • UNIT TO HAVE ACCU -CLEAN FILTER SYSTEM. • UNITTO HAVE 17.25 SEER. • INSTALL NEW 11/8 X 3/8 REFRIGERANT LINE SET. -- • INSTALL NEW DUCT SYSTEM TO CONSIST OF: 11 NEW SUPPLY DIFFUSERS AND NEW EQUAL BY -PASS RETURNS. • PERMIT INCLUDED. • INSTALL NEW ALUMINUM AIR HANDLER STAND, AND NEW CONCRETE SLAB. • ELEC TRICAL BY OTHERS. • INSTALL NEW DIGITAL PROGRAMMABLE THERMOSTAT. • ALLWORKTO BE DONETO EXISTING CODES. • ALL WORK TO BE DONE IN A NEAT AND PROFESSIONAL MANNER BY JOURNEYMAN CLASS TECHNICIANS. WARRANTY: ONE YEAR PARTS AND LABOR, TEN YEARS ON COMPRESSOR PART, TEN YEAR COIL PART. TERMS: 50% DEPOSIT, 30% DUE UPON DELIVERY OF EQUIPMNET, 20% DUE UPON COMPLETION OF WORK. PRICE .................................. ............................... ....................$10,923.00 - 635.00 FPL REBATE-10,288.00 PRICE FOR GIBSON UNIT ............................................................... $8589.00- 190.00 FPL REBATE= 8399.00 Sincerel 1050 € _ IDS��'" yw �CJL 44 cmr f 1?jcn� * �� DURABLE POWER OF ATTORNEY BY THIS DURABLE POWER OF ATTORNEY, 1, BERNICE DYKES CARUSO, of 1 ; 050 NE 105 Street, Miami Shores, Florida 33138, which address is my homestead pursuant to Article X, §4, of the Constitution of the State of Florida, appoint as my attomey4nfact to manage my atiairs my son, Don Caruso: If Don Caruso should become incapacitated, i appoint my daughter, Brenda D. Andersen, as my alternate attomey- in -fact to sere during such period of incapacity. If Don Caruso should predecease me, i appoint my daughter, Brenda D. Andersen, as my alternate attorney4n fact. This durable power of attorney shall not be affected by any physical or mental disability that 1 may suffer and is not affected by my being adjudged to be incapacitated, except as provided by Sec. 709.08, Florida Statutes, from this date. All acts done by my attorney-in-fact pursuant to this power shall bind me, my heirs, devisees and personal representatives. This power of attorney is nondelegabie and shall be valid until such time as I shall die or revoke this power. Any act that is done under this power between the revocation of this instrument and notice of that revocation to my attorney-in-fact shall be valid unless the person claiming the benefit of the act had notice of the revocation. All of my property and interests in property are su*d to this durable power of attorney. I hereby authorize my attorney -in -fact to do and perform all and every act whatsoever as fully to all intents and purposes, as I might or could do if personally present Without limiting the broad powers conferred by the preceding provisions, I authorize my .attorney -minfact to: 1. BANKING AND SECURITIES AUTHORITY. Handle all my banking and other financial institution transactions, including but not limited to, opening and closing accounts, transferring funds between accounts, withdrawing funds from any savings account, checking account, money market fund, and' c ertific ates of deposit, investing and reinvesting the proceeds of any redemptions or sales and any other of my money as my attorney - infact shall think fit, and drawing, accepting, endorsing or otherwise dealing with any checks, drafts, or other commercial or mercantile instrument, to sell, purchase, exchange, convert, tender,_ trade, redeem, and otherwise dispose of in any manner stocks, bonds, debentures, any other securities, and any certificates of deposit or other similar assets belonging to me; vote at all meetings of stockholders of any company and otherwise act as my attorney - infact or proxy in respect of my shares of stock or other securities or investments that now or hereafter belong to me, and appoint Durable Power of Attorney of Bernice Dykes Caruso/" Page 1 substitutes or proxies with respect to any of those shares of stock; execute stock powers or similar documents on my behalf; delegate to a transfer agent or similar person the authority to register any stocks, bonds or other securities either into or out of my or my nominee's name. 2. AUTHORITY TO COLLECT AND SETTLE ACCOUNTS. Settle any account in which I have any interest and to pay or receive the balance of that account as the case may require; coiled all.sums of money and other property that may be payable or belonging to me, and to execute receipts, cancellations or discharges. 3. SAFE DEPOSIT BOX AUTHORITY. Contract with any institution for the maintenance of a safe deposit box in my name, to have access to all safe deposit boxes or other place of safekeeping standing in my name alone or jointly with another or with respect which 1 am an authorized signatory; and remove the contents and to make additions, substitutions and replacements. 4, AUTHORITY TO BORROW AND INCUR OBLIGATIONS. Borrow money on such terms and with such security as my attomey4n -fact may think fit and to execute all notes, mortgages, including mortgages on my homestead real property, and other instruments that my attorney-in-fact finds necessary or desirable, incur obligations for the maintenance, support, health, care, well- being, comfort and :welfare of me and my family and to satisfy such obligations out of my money or property. 5. AUTHORITY TO DEAL WITH ASSETS. Purchase, acquire, sell, lease, maintain, repair, manage, alter, exchange, buy, assign and convey my interest, whether I own it alone or jointly with any other natural or artificial person, real property (including homestead real property), personal property, intangible property or mixed property, upon such terms and conditions as my attorney -in- fact deems appropriate; execute all deeds, assignments and other instruments necessary or proper for effectuating the property transfer; use any credit card held in my name to make purchases and to sign such charge slips as may be necessary to use such credit cards; and repay from any funds belonging to me any money borrowed and pay for any purchases made or cash advanced using credit cards issued to me, pay and satisfy all mortgages, encumbrances, taxes, and assessments that may be a lien or charge upon any of my real property; receive rentals from and the proceeds of sale of any of my real property; and receive payments on all accounts receivable, notes receivable and mortgages receivable. 6. SPECIRC REAL ESTATE POWERS. The attorney in fad herein named and histher sucoessor(s) are all granted the authority to sell, to convey, to maintain, to Durable Power of Attorney of Bernice Dykes Carusoa C, Page 2 t mortgage or to dispose of, the following described property, and to execute any and all documents necessary to effectuate the sale and/or conveyance, and to encumber, and to dispose of, the following described parcels of real property, to wit: Lot 6, in Block 1, of MIAMi SHORES ESTATES, according to the Plat thereof as recorded in Plat Book 47, at Page 58, of the Public Records of Miami -Dade County, Florida; West 15 feet of Lot 1, and all of Lots 2, 3, 4, 5, 7, and 9, in BIRDS SUBDIVISION, according to the Plat thereof as recorded in Plat Book 4, at Page 82, of the Public Records of Miami -Dade County, Florida; and West. 10 feet of Lot 4, East 40 feet of Lot 4, and all of Lots 4 and 5, in EDGEWATER SUBDIVISION, according to the Plat thereof as recorded in Plat Book 2, at Page 31, of the Public Records of Miami -Dade County, Florida, and such documents shall include, but riot be limited to, contracts, deeds, affidavits, bills of sale, dosing statements, mortgages, notes and such other instruments as may be required to cant' out the purposes herein expressed, and 1 hereby, give and grant unto the attorney in fact named herein and histher successor(s), said attorney, full power and authority to do and perform all and every act and thing: whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as I might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming - all that said attorney or his/her successor(s), shall lawfully do or cause to be done by virtue hereof. 7. AUTHORITY TO HANDLE MY LEGAL AFFAIRS: a. TAX MATTERS. Make, prepare, execute and file for me and on my behalf any and all required tax returns and tax estimates, as well as any waivers, affidavits, schedules or other forms required or permitted to be filed in connection therewith; and act for me In any examination, audit, hearing, conference or litigation relating to taxes, including authority to file and prosecute refund claims, and enter into any settlements. b. AAUTHORITY REGARDING LEGAL PROCEEDINGS. Prosecute, defend, supervise, intervene in, abandon, dismiss, arbitrate, mediate, appeal and settle any and all actions or otter legal proceedings involving me in any way; to seek Durable Power of Attorney of Bernice Dykes Caruso . Page 3 on my behalf and at my expense (a) a declaratory. judgment from any court of competent jurisdiction interpreting the validity of this instrument and any _af the acts authorized by this instrument, but such declaratory judgment shall not be necessary in order for my attorney4n- -fact to perform any act authorized by this instrument; (b) a mandatory injunction requiring compliance with my attorney -in- fact's Instructions by any natural or artificial person obligated to comply with my or my attamey4n- fad's instructions; and (c) actual and punitive damages against any natural or artificial person obligated to comply with my or my attomey-in- fac rs instructions who negligently or willfully fails or refuses to follow such instructions. The foregoing litigation authority which I give to my attorney- In-fact shall include the statutory remedies available to my attomey4n -fact to seek damages, costs, and reasonable attorney's fees as permitted by Florida Statutes §709.08(11). C. AUTHORITY TO EXERCISE ELECTIVE SHARE RIGHTS AND OTHER RIGHTS UNDER FLORIDA PROBATE CODE. To elect or take against my spouse's will and conveyances of my deceased spouse and/or any other person, if appropriate, to obtain and retain any property that 1 have the right to elect to obtain or retain, including but not limited to a family allowance, homestead property, and automobile owned by my deceased spouse; to file petitions pertaining to the election, including petitions to extend the time for electing and petitions for orders and judgments; and to take all other actions that my attorney- in-fad deems appropriate in order to effectuate the election; provided, however, that If such actions by my attorney -in -fact require the approval of any court, my attorney -in -fact is authorized to seek such approval. 8. AUTHORITY TO RETAIN ASSISTANCE. Engage the services of and compensate attorneys :-at -law, appraisers, real estate brokers, accountants, real estate managers, investment counsel and such other persons as may be proper or convenient to advise and assist my attorney4v -fact with respect to anything regarding my estate, property, affairs, and person. 9. OTHER FIDUCIARY AUTHORITY: Unless otherwise prohibited by Florida law, to do anything regarding my estate, property aril affairs that I could do myself. 10. FUNDING OF TRUSTS. Transfer property to the trustees of. (i) any revocable trust created by me before or after the execution of this document, and (ii) if I am a- primary income and primary principal trust beneficiary. The property which my attorney -in -fact may transfer includes all my: (1) oafish, (ii) property, or (iii) interests in property, including any rights to receive income from any source. I authorize my attorney -in -fact to execute such instruments, documents, -and papers to effectuate these transfers. My attorney -in fact may make such transfers: (i) Durable Power of Attorney of Bemire Dykes Caruso Page 4 absolutely in fee simple, or (ii) for my lifetime only with the remainder or reversion remaining in me so that such property will be disposed of by my Will or by the intestacy laws of the state in which I shall die a resident. 11. AUTHORITY WITH RESPECT TO GOVERNMENTAL BENEFITS. Apply for and receive governmental benefits, including but not limited to Social Security, Medicare and Medicaid, to use all lawful means and methods to recover such assets andfor rights, qualify me for such benefits and claim such benefits on my behalf. a. With respect to Medicaid: To utilize all lawful means and methods to recover such assets andfor ruts, qualify me for such benefits, and claim such benefits on my behalf. The authority herein granted shall include but not be limited to converting my assets into assets that do not disqualify me from receiving such benefits or divesting me of such assets. In any divestment action or assets conversions, I direct that my Attomey --in -fact, to the extent reasonably possible, avoid disrupting the dispositive provisions of any estate plan of mine known to my attorney-in-fact whether or not such estate plan is embodied in a Will, a trust, non - probate property, or otherwise. If it is necessary to disrupt such plan,. my attorney-in-fact is directed to use my attomey -in fact's best efforts to restore such plan as and when the opportunity. to do so Is available to my attorney- infact. If a transfer of cash by my attorney- infact is made to a pecuniary; legatee under my Will, my attorney -in -fact shall ensure that such transfer is deemed a satisfaction of such legacy, pro tanto. b. My attorney in fact has the power to execute an income trust in order to qualify me for Medicaid and to make such modifications to the income trust as may be required from time to time to maintain my eligibility for Medicaid or any other public benefit. My attorney4nfact shall have the power to take any and all steps necessary, in my attomey4n fact`s judgment, to obtain and maintain my eligibility for any and all public benefits and entitlement programs. Such programs include, but are not limited to, Social Security, Supplemental Security Income, Medicare, Medicaid, and In Home Support Services. 12. DESIGNATION OF PRENEED GUARDIAN. If a petition to determine my capacity is filed, I direct that this instrument be filed with the clerk of the court in such proceeding and thereafter be produced to express my desire that my daughter, Brenda D. Andersen, or in her absence or inability to serve, my son, . Don Caruso,. serve as my guardian should I be adjudicated incompetent or incapacitated. - The foregoing designation of a apreneed guardian° is made pursuant to the provisions of Florida Statutes §744.3015. Durable Power of Attorney of Bernice Dykes Caruso Page 5 13. THIRD -PARTY PROTECTION. Everything my attomey -in -fact shall do or cause to be done under the provisions hereof after revocation of this Power of Attorney shall be valid and effectual in favor of any person or entity claiming the benefit hereof who relied on this instrument and had no knowledge or notice of such revocation. No revocation, termination or suspension of this Power of Attorney shall occur without actual notice thereof to my attomey -in -fact. No person or entity who relies in good faith on the authority of my attomey -in -fact under this instrument shall be liable to me, my estate, or my heirs, successors or assigns. This instrument is executed by me in the State of Florida, but it is my intention that this power of attorney shall be exercisable in any other state or jurisdiction where 1 may have any property or interests in property. IN WITNESS WHEREOF, 1 have set my hand and seal on , 2003. Signed, sealed and delivered in the presence of: f '�&10UA PA7k -ON)0� # " U "' BERNICE DYKES CARUSO \(enia R2rk a*llq r4_&stqn11 �3 i81, � -� N BA - ��Rra �►t�a�ao RtAiw. FL STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged and subscribed before me on X /ty j ® , 2003, by BERNICE DYKES CARUSO, [rfwho is personally known to me or ] who -has produced a Florida driver license as identification. l3rj e tsor, Notary Pub lib-State of Florida (Print, type or stamp commissioned name of Notary Public) SEAL Bp' -,tog M. WILSON SK�Id a co.'"S CC991150 -*Es !AN 01 2005 7 HMXM � WYM Durable Power of Attomey of Bernice Dykes Caruso Page 6 ■ mr ■ ■ri \/■ \/ \ /1f U�fif ��/il�lrf ■ -T A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION��$��`�� PERMIT NO. TAX FOLIO NO. 1I C F N 2 �� 8 ' R 057 875 J OR Sk 26476 Ps 3076; Qps: STATE OF FLORIDA: RECORDED 07 /14.•`2008 12:05 :09 HARVEY RUUINP C LERK OF COURT COUNTY OF MIAMI -DADE: MIAMI -DADE COUHTYY FLORIDA LAST PAGE 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: 7 2. Description of improvement: j 2CXj 3. Owner(s) name and address: C2 c.. Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: u 5. Surety: (Payment bond required by owner from contractor, if any) ! Hrwd7EBY CERTIFY�ieP IS a AW DADE Name and address: ° in s Amount of bond $ � rrry ! A Dag 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 different date is s ecified) !- Signature of Owner Print Owner's Name 1"))Ce r 02 Prepared b l &t:CL �{-�' Sworn to and subscribed before me this 1 day of _ , 20 Address: 1. Notary Public qzy Print Notary's N" My commissionaezpires: 123.01 -52 PAGE 4 5106