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268 NE 102 St (14)MIAMI SNORES VILLAGE 61) BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date a \3 `d 5 Type Insp'n Rao! Wiefra‘te, Permit No. P g o5 Name / j'G S U c Address ( C6 4 iaQa sr Company Xe7/ 1 // Phone # Inspection Date O( ` o f� Approved Correction ❑ Re- Insp'n Fee ❑ gR BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): ; wilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) /,kei 51 Phone # (• xa✓2zj5 . , :3/. Tenant/Lessee Name i U f,Q • Job Address (where the work is being done) , (06 N � City Miami Shores Village County Miami -Dade Zip g343? Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Describe Work: Total Fee Now Due $ (Continued on opposite side) y 6 2 , i/a6VeyeePhone # fir State e au ye, eeeO iami Shores Village Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ,?7; 04a • od ❑Addition ❑Alt ati ❑New (U 1 t3 'E, U31 ` - � "Tj(/1/ 1 , Gt Submittal Fee $50 no Permit Fee $ 3?b ■ Notary $ I 3-- Training/Education Fee $ 1 4 Scanning $ "7' Radon $ T Zoning Code Enforcement $ '�— Structural Plan Review. $ Zi p 3.30/1 yr Rep * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No. 6965 Master Permit No. Phone # ‘ 737 vj' %l vs) er,e‘--W/ ,e5 3,2/ Square Footage Of Work: 107 CCF $ a3 0 CO /CC Technology Fee $ Bond $ ❑ Demolition 5a 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Chc 05/13/03 U/A Owner or Agent DL = S320_ The foregoing instrument was acknowledged before me this / day ofJ6.hvary ,20 05 ,by I4ici hac( Stoc who is personally known to me or who has produced As identification and who did take an oath. Signature 7 32/- d Con actor The foregoing instrument was acknowledged before me this 1 D day of 'X& ar y , 2005 , by e.ty � U G r r e,r 0 who is personally known to me or who has produced as identific ion and who did take an oath. NOT UBLIC: NOTARY P • o o' " ° Rosa I. Palacios •��",,, 1, . a Sign: U _ .Z ,• . ^��n =Commission # DD080001 Si Y, . �YPU�,�- Commissi Rosa I Pala # DD080001 os 28. m F ap 2005 OS ; �° Bonded Tluu Piro . LO A L.. Pei e l 9 Q��� Bond u My Conunission Expires: i,l��j� `��� Atlantic BondingCa,IaC i� t o . hG HondingCD.,I1u. I0 5 My Commission Expires: la g 05 APPLICATION APPROVED BY: i'' AAN 1 9 26115 Plan Examiner xammer Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: Ln TS 3 *1 elk 35 0f M ; aivvi i s h 0 re- S 5c 1 AmcL. Pb 10 P9 70 g-(0$ OE 10a 5f. ','� 2. Description of improvement: Fur r S Li c- Inst t.V 11 1 n d o f t3 s 3. Owner(s) name and address: ' Chae had , -oC k Sam e Address as above Interest in property: &;.0r12,r Name and address of fee simple titleholder: 4. Concractpr's ame and address: ( D M ; I F 6 1 0,s s q �.) , el SOLO S `F &C W 84 S 1-. 1-110.1e0-1'N i FL 3301 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: TAX FOLIO NO. 320 (o01 3 9. Expiration date of this Notice of Commencement: (the expiration different d t is ecifi-.) .. Signa ure of Owner 04\ Print Owner's Name � Sworn to and subscribed before me this 3 )L s 32.0, - 567- 5 Notary PubI Print Notary's fyame My commissi n expires: 123.01 -52 PAGE 4 8/02 -51 zi- day of , 20 _. .gyp 0/07 Yt v' smom tivun A �. "_ E. Iblifire5 Dec. 28. 2005 «2 t Atlantic SandingCa.Inc. l)� jsr OF o f the O F f .0Ft10A ,C O � f a e ° / da 50E. Of that on i HEREBY CERTIFY office �p 2 � original file '� nlfiWa� $eal. 11111111iiii111 I f ii IliiiIIIII IIIII IIII IBI CFN 2004-R1131688 OR Bk 2241E F's 1386 U p s ) RECORDED 12/17/2004 15:05:33 HARVEY RUVIH► CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST PAGE date is 1 year from the date of recording unless a Prepared by q t CYlot% ( si G C K Ad ress: 2t. went y Sh'v (e S, Ft 33138 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /27/2005 Applicant: Owner: JOB ADDRESS: 268 NE 102 ST Parcel # 1132060134720 Signed: Building Permit Permit Number: BP2005 -69 Contractor YAMILL GLASS & WINDOW INC Contractor's Address: 480 W. 84 St. #107 Local Phone: (305) 826 -2121 Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 35 LOT Fees: Description Amount FEE2005 -1165 Building Fee $320.00 FEE2005 -1166 CCF $16.20 FEE2005 -1167 Training and Education Fee $5.40 FEE2005 -1168 CO /CC $50.00 FEE2005 -1169 Scanning Fee $45.00 FEE2005 -1170 Technology Fee $8.00 FEE2005 -1171 Submittal Fee ($50.00) Total Fees: $394.60 Total Fees: $394.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/17/2005 Construction Value: $27,000.00 Work: IMPACT WINDOWS (INSPECTOR) UJAN 2 7 PAID In consideration of the issuance to me of this permit, 1 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: 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, whet r 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 Registered Architect and /or Engineer Name and address of licensed contractor.. .if-gate- _ t`, `'- Location and legal description of lot to be built on: Lot Block U/ bdivision 2 GF Street and Number where work is to be done ,� p State work to be done and purpose of building (by floors) LJ Lt Disapproved (Signed) Date. ...! .._._...._ ... ,19.� No Z e.1 stre , .L D 2 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ^ Roof Covering Estimated Total cost of improvements $.G G O Amount of Permit 5�...S3` 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 s ntr ctor work to be performed under this permit, as are licensed by Miami Shores Village. Remarks_ (Signed)_ � %`"��' !a' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta a are true. Permit No.. __ Date l Z r r- Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector \M y Commission Expires PLAN .NC BOARD DATE Chairman Member Mfcrnbcr Member Member 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- in.pcc•tion fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspevtitm or faulty materials and /or workmanship.