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437 NE 102 St (15)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) t'lt, State Owner's Address LL J 1 City t ; dW 51 - Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Phone # Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) I u ' $.4n 0. '`' ° v4 $ Value of Work For this Permit Type of Work: Describe Work: ❑Addition (Continued on opposite side) Notary $ Scanning $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical A I. ' eew✓t.44 I41( k Phone # 1 tJ "G �✓e¢.�t' q N5 1 0 L 5f County Miami -Dade NO Y 13> 000 Total Fee Now Due $ ❑ Repair/Replace ❑ Demolition l l L.% 5f 11" 4 3. P Ma Irg 44 Alteration ❑New •A c Zip 33(3 Phone # Zip * * * * * * * * * * * * * * * * * * * * * * * * * * * * F * * * * * * * * * * * * * * * * * * * * * * * * * * * * O. cC 33 (3 $ Permit No. n .5" 5 Submittal Fee $ OCIO CO Permit Fee $ CCF $ Training/Education Fee $ Technology Fee $ Radon $ Bond $ Structural Plan Review. $ ) • en -+ ` = l40 c l Master Permit No. Roofing 3DS '; c $► w o ) 9144, -1 -3OS - KV-4557 Square Footage Of Work: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be a''roved and a reinspection fee will be charged Signa :hc 10/14/03 tai APPLICATION APPROVED BY: Owner or Agent Contractor The foregoing instrument was acknowledged before me this ► ' The foregoing instrument was acknowledged before me this day of / r L , 2005' , by k. I (t R.00.-ft d F}� Q � o� d .� , day of 20 by who is personally known to me or who has produced `VI E""0 who is personally known to me or who has produced As identification ' '$ as identification and who did take an oath. NOTARY/PUBLIC: � ?' ' "11 '•= i =: "' Expins Auq, 111, ". ARY PUBLIC: Sign: //(4-1/.. � ,,,,, Atlantic Print:ikL, L 1:94.4" r,e,e., a��`nY0��� / Ruth A. PalrrsBpi IALommtssion 4 DI • Print: . My Conuni9ion E Expires Aug. 1£1 My Commission Expires: 1 ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************* * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** ) 219' /17/05 - -7 - 4 -4 1 Plans Examiner Signature Engineer Zoning /2 /5 • . v 4 ( ? os) 6 is - 4 138% Alejandro Barreras 437 NE 102 St. Miami Shores FL 33138 Building Dept. City of Miami Shores. June 7, 2005 I•aagree to hold the City of Miami Shores harmless from any claims related to permit # Fits- - 5s4 l" Q cu c r k 7,5 (31 ;O ,�ppY P IViabel V -�igas ? 9 0, Con ' ■csion ')D231984 -�, -,R,... .,.4- 3,2007 ,4 f.oP�. onded Pir antic Bonding Co Irc R ►r-'E VE JON 072 Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET Permit No Job Name Date sl 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 JOB ADDRESS: APPLICANT: APPLICATION: 5 7 N /O) ZONING CRITIQUE SHEET PERMIT # ( ( . e dy e a.r t e DA E COMMENTS INITIALS ` 41e Je -, 6 rvr CG7C. 7 r/ `'/ C' I f Y1 e 5 514-01 641-Ki ti16 ou 5 Fr G y) Ft.ti T Abo f 2v Li NI I ? I2 TO /s Po JOB ADDRESS: APPLICANT: APPLICATION: DATE ZONING CRITIQUE SHEET X 57 N g k-e, ((1-4y ar e 2suN, o,l PERMIT # COMMENTS INITIALS S� ��y K e ' 0 �. e e a C� /o�v c�(ff c4 K u - � � Q Tr) J ye.00 _ I is to uie Ti c e�� icL Q to • Miami Shores Village Building Department Pa »- Z 0 ( 4 howp on ,S'- /) . 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. D5' - 554 Job Name fl ark 437 Nk lo S¢, STRUCTURAL CRITIQUE SHEET ///5- ¢/ /or f L O " o, �� / �� r19 0i;f7 /; /PJ7il w4J11 re-f; i;- e /roll ii / 7ie Col fide, 9r eQ� ,5 b.n il pro w dows i4vrs 9/ti b1oe2k � $>'2r pavi,e4 / rt ,I e'fr c1 uc- r',& Miami Shores Village Building Department -- Permit No. Job Name ELECTRICAL CRITIQUE SHEET i/� 4'7,5 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 -Ae , 1771 Q - . /,ate � nr, 1 /I •ems ,Y,42 -eI z/xa �� s/;r t6' f Y C.oc/ +p . /1z g-/- 0,4-Y; /55J e? G e' -rte " y- �h �u� 4 - -- /W r� ��! e • Miami Shores Village MECHANICAL CRITIQUE SHEET Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date Imumme a r ommumaraumemnowasimmeatosiimea ms ess2 N.V..' 11 3 SUM 20Z VailinIMMENS/INNEY2021.2 MIAMI. 21.00104 was PAN ME) 2VH:E29 TELEPHONE r206) 214-2000 Num Apojint LAND SURVEYORS BQUNQARY SURVEY_ Scare Vt.= / r Op a st14 ItOCX V1 btetA .9 tol IC uGr.sb • tar (7 I‹_92 bops I Ottet -VE�b LTttt-C Itte Q tiT o "a3ECT 3 E0 3d room C6kcR. E t�E rt C R. l R:re, 93 fw7 lime any be Esserde PE& ]tatooeds act 'item as dais &um. The purpoee of this Survey is for use in obtaining Title insurance and F"msncrng end *mid sot be used for Caaebructiior purposes. S316.1cP3 311I1 tl'II6101. waver t10. �- . + �� I TZ,80L6b28L TE :6T 000ZfhT /Z0 • RR N.W. 7l. issuffirr, RMATS roc . - . PUMA *ma MN mess allitAkninant LAND SURVEYORS Survey of Lot: 17••18 Block: 92 Subdivision: AMENDED PLAT OF MIAMI SHORES According to the Plat thereof as recorded in the Plat Book No. 15 at Page No. 14 of the public records of MIAMI -DADE County, Florida. Property Address: 437 NE 102 ST , MIAMI SHORES FL1 For: KELLEY ROARK +■■■+�M...a777.1.. j YP DOA114P gm NO • ASR COPRTIONE R PAL. Ai. MOOR SASDAIR ASR. ALU MIUMMOOP. A8 • RJMAAP SHED. N.F. KOOK COMM O RAL. SINCtA@ IAA • ISJCNMNK SAIL • SWOP NIARN LS 0.0 OALOO &Tea • WON IRK C. 5 C0IQKTE MOM sTRlxLAS Cew: CONC ITri sumo WAD- *. • 0040 latIAN t cm. s. • OTRORD EENSNO O.•OMAR OLP. • CRON LON PP. O.ME. CANAL PAP IIMANCI °P. 001•0. POPON. C. •OONO NTS AM. 01.ORNPIN S E ACIDAPNT CA4& • ORPAPCNI 01UNT61UPA'E EA M2W WAYWAY. ORM • O. • WORM S.. EMT. ETP. • SLECTRC TMNSPOPWQR PAOA DEP. • BSVAT1O5. EA10R, . ENCROA05MFM. ON, . AIE NYMANT. P.LP. . POJPD OOM RPl. P.1.R -mope WONROO. PPE. - AINOkW PtOM ELEV Z0 39Gd L.P. • NOM PORN LPa. • LOWEST R.00R RIJVA TK4T. 1. M.& MKMe1R si OS - EASFAENT. • M. MARINO DINT•MOS. MON • MOAAENT. MM. • 14 LSL • MDNUNINT UR I M.A.P.. NOT A PART Or. MVO. MATTCMAL ammo V8RRCAL 0A7v L D ate: 05/30/2003 LOCATION O 1Q Y • TR4T IR NT AL • NOT TO IONS. I • NO. .ISLlER da • WNW . ON.. PIDOMO. O.w L. OVON *AO U'1LTTY UN!! Mt • OVYMI•q. 0.411. • ORVAL REOOR0 NOOK MAT.. PAVEMENT. pa. .PROPERTY EMS. P,O.O • POINT a CONFOUND OVATE. P.O • POUR OF CURVE. PT. • PONT OP TAMMY. POO. .PEIS4r co. 001 /D4e.v 4T POI. • POINT Or SEONOMO. P.NA.. POUND NAIL s U K FR • MIME. PT.. PEST. MP. • MOM NATIONAL aoluRANf PIWORAu P.N • FOOD NAIL I. .14014 01111/0Nn. FN. A IR. • NORM P O !ORM PA .0 • POINT OPPiwBRO! CURVE PROP. CON • PROPERTY CORNER P.8. • PLAT S 01L PO. • PPM'. •wY • PARKWAY. PI51. PERSIPASPO REP!RDA:P PLS. • PR OPRS IDNM LAIC SURVEYOR. R.. REMOPOEO DISTANCE. RR. •w+oAO, RES. RENCNNOIS. NYC • 103141%0PAWAV. RAM RIOfVI OR RAO AL R.P.. RAMIS PONT. RES. • RAMS. K,C.. S OOP. sTT. • 81 ewe • sRWALA. ALP. •SET IRON PIPE Ll 8E044 a. • SOUTH &N.D. • SET 115L & CRP La.M0R4 SP • SEEN® PORCH T.. /MUM TM, .TCIMEMP. U.R.. u11UTY EAN0MENT. IU11L. UTITI UP.. UTLaTY POLE. w,M .WATER ASTER. w.F • 5000 PS11OE. we •YACmS . CENITMI Alms. W.. WEST. CE(PEA LIME. • AP41E. /, y01 I). IP PV71IAA NARROW AM SlIfiPiIE0 TO AN AUIMQID WPM" NY 5NO •LA' 15 TM oltsolPTloro OP TIE PRDPERPY. IF NOT. R'ST. SSARP AS AAE pans uo TO COUNTY TOwNSMP IMPS. LIOAL NCYSTO ACCOMP/MY WPM OP soma pVRYEYp earANMTIO4 OP TIE PRAYRACP OP SSA TELRNTSTONMASS TL DITEM4 RED l b s, IP 4"11"1448 PROPORTT. TIN NONNI 1S SWINT TO OEOCAT10•11, N/TAIE7Pi, IM1IVlfTp4a, Rpa4ATKINS OR11ASMNK1a OP AEDOSTI MAL OssosPTP)NS PIQADSO SYaA WM Armpit/6 TM/ OS14NRY. PCNDMT WNW IMAM A SAIAMP OMPOP ANWAR PIPRIRNTATION EP 114.1URVIT WORK PPe posieA M NI gem Apo Ad Tr4 RSIO.001A RA COMP AT A WAIN M ANOOR ROT 10=A B. .8. IRE I S INVIOR01sAT71N IEM / Y MIO mom CPS11s1O MORO101S4'1 T R. AROMA DTS 14MiL WW1 P INSULA1OPla IpT8CIKAM AND OSTIA O044O1RAY mu. OF WtIpmArnPIO OUR KAM NMI INN CONROY INPOPIMTIM 714 11 1 R sI NR101YAT1o11 TO AYTOISr1P$ M A NEW CMITRUCTION, IAMB CrrierNII! IQIVO. TMs RPM W14 NOT AriIIAPMT0I.00ATE FOOTINGS MOIOP P0A[IA11CN6 POP 01OM1A'N ROT OSIOP11sPM. OR RAN OPSURVII, NM SUN NalPH E 40 MU T MAMA 111101 PO DORM rumen 1 48 p 8 5 TWA OpP14ROAR! coos 11DT me TO Y WWAID PART'. TM P ROOM Wifeowe 0115101 weo NO M O W OIOpUaO LAID TOM Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 - Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: KELLEY ROARK AND ALEJANDRO BARREPAS ATTORNEYS TITLE INSURANCE FUND, INC. FLORIDA TITLE EXPRESS WARSA OII�_ 841841SEDIx4 S3dd{3 31ii1 Va18013 SURVEY No. WEE? No. / a WOOD FQNC& CRAM 4.IN 1 FENCE C.8$ WAU.(C.b W.) mO111NO ELEVATIONS. PROPOSED ELEVATION& w °I/OW. EL/VOWA: Mt 4EPEMFD TO 8884 SUN. OP N.C.V.°. OP 1 MS. 11. NS IS • SipiPIC PURPOSE SURVEY. 42. ire =OURS Al TIM DOLPOARY SI4w8715 ABOVE 1:IEO0 PT. • I NTRN81 GIMPY: T1 AT TWS 4OA11OMY SURVEY OP THE PROPETTIT 01/054060 I131CON. PS 448014(44.848.548454804410041418044.1444588884 ��y�SgP� COMP w4 11E mowed 'E01#4CAL 5fANOAMS Al s!R PORTN ST THE FLOM/A HOARD OF PROFEIEIOIML LAND suicAmRN DI OIAPTEN $45 ROPID• ADMN/NTRATw8 coos PURSUANT TO 472041.8.OP STATUTES IAM U •- TS OF C11.0 LAND , . OR ht /Q STATE OP FLOEOA. tW4JC 00PIRB OP TH CURTSY w1.1. SOAR T4E EMBOSSED SEAL OF 'Pn12 ATTESTPO LAND SURVEYOR. 7801.61)98L TE:8I 00GZ/ 7T 191 16 '`� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 11 Zg /QS Type Insp'n ECX-� h Permit No. E L®5 - IC/ 3 (i3R - 879 Al, j o ndro ea rrcro , Address 431- / C7Z SY Name Company X X x 2( Phone # (3)5 ) 6 r 0 -4 3& Inspection Date 7 Z 9 /0.6 .. Approved 173 ' Correction ❑ 49✓74-Y P Re- Insp'n Fee El Inspection Date: 06/09/2006 Inspector: Devaney, Michael Owner: BARRERAS, ALEJANDRO Job Address: 437 102 Street NE Project: <NONE> Contractor: Building Department Comments Thursday, June 8, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Lot: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -8182 Parcel Number 1132060170800 Page 2 of 2 Passed Inspector Comments _ S r i — ',' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 06/09/2006 Inspector: Devaney, Michael Owner: BARRERAS, ALEJANDRO Job Address: 437 102 Street NE Project: <NONE> Contractor: Building Department Comments Thursday, June 8, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Lot: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -8182 Parcel Number 1132060170800 Page 2 of 2 EL2005 -193 Project: <NONE> Owner: ALEJANDRO BARRERAS Phone: (305)754 -8182 Job Address: 437 102 Street NE Parcel: 1132060170800 Miami Shores Village, FL 33138- Block: Lot: Scheduled lnsp # Inspection Type 0712912005 INSP2005 -3192 Electrical A/C 0610912006 INSP -19582 Final Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 co Inspection Status APPROVED Inspector None None Imported Permit Date Completed 7/29/2005 Pending Inspection Michael Devaney Not Complete Thursday, June 8, 2006 Page 1 of 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/15/2005 Applicant: ALEJANDRO Owner: BARRERAS JOB ADDRESS: 437 NE 102 ST Contractor Local Phone: Parcel # 1132060170800 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -193 BARRERAS ALEJANDRO Contractor's Address: Legal Description: MIAMI SHORES SEC 4 AMD PLAT Permit Status: APPLIED Permit Expiration: 12/10/2005 Construction Value: $100.00 Work: UPGRADE OUTLETS TO GFI'S MASTER BP2005 -879 Page 1 of 1 PB 15 -14 LOTS 17 & 18 BLK 92 Fees: Description Amount FEE2005 -8267 Building Fee $150.00 FEE2005 -8268 CCF $0.60 FEE2005 -8269 Notary Fee $5.00 FEE2005 -8270 Training and Education Fee $0.20 FEE2005 -8271 Technology Fee $3.75 FEE2005 -8272 Scanning Fee $3.00 Total Fees: $162.55 Total Fees: $162.55 Total Receipts: $0.00 JUN 2 4 P AID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) A A-NPR° P.A R Phone # 30 5 .9 $q gi ez t q 3 NE loz 5r. City I 1 / 441 Aim ( s tiv State Owner's Address Tenant /Lessee Name Job Address (where the work is being done) 1 3 9. NI E. l o2 Sr. City Miami Shores Village County Miami -Dade Zip 33l 3 k Is Building Historically Designated YES NO 7' Contractor's Company Name Contractor's Address City State 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: Submittal Fee $ Notary $ '5. CD Scanning $ 3.� Code Enforcement $ (Continued on opposite side) log ❑Addition ❑Alteration Total Fee Now Due $ 1 '0.55 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756 8972 al��E \I ❑New J P6 E O}7Lti3 7 FFi Radon $ i Zoning • Structural Plan Review. $ aster Permit No. Plumbing Mechanical Zip 5 3 l 5 g Phone # Phone # Permit No. Z-105 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip Square Footage Of Work: ❑ Repair/Replace Permit Fee $ J r ow' CCF $ CO /CC Training/Education Fee $ 9-0 Technology Fee $ 3. - 16 - 5 Bond $ Roofing ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip ' a 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 APPLICATION APPROVED BY: Chc 05/13/03 Own='or Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of , 20 OS, by t / 11 mu - day of , 20 , by who is rsonally kno to me or win ias produced who is personally known to me or who has produced f As identification and vy14441 take an oath. as identification and who did take an oath. NOTARY PUBL� _ g ` - NOTARY PUBLIC: Sign: . i _ t �` ', : C_ fL. Sign: Print: - '�� Print: My Commiss on Expires: . -. o o . � q My Commission Expires: 9 °a O * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * * * * * * * ** *. e,4 co********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' 'x ***************************************************. iii�l********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature U� 13 J1i1— — Plans Examiner Engineer Zoning (AN APPLICATION FOR BUILDING PERMIT MUST ACC IS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED ED NOT PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL ITEM BATH 112 UNIT FEE UNIT " E ITEM SPACE HEATERS UNIT FEE ITEM SWITCH OUTLETS BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR . RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR COIRDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUIM? S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACC IS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED ED NOT PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL OWNER BUILDER DISCLOSURE STATEMENT I LtJ X17! MI being the legal property owner, for the property Located at: L i - N 102 Sr. Legally described as - 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),.nd I have read and understand the following disclosure Statement, which entitles me to *brk 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 licensed contractors. You have applied for a permit under an exemption to that 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 yourself. You may build or improve a one - family or two-family residence or a farm out - building. 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 and 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) Was acknowledged before me this 8 day o By Produced t, Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT initial of reviewing clerk. The foregoing instrument as identification 20 VV'O who is personally known to me or who has who did take an oath. • N IOC N1. be1 141)23198A �P�� Commissn g. ,: , .• _ Expires: Jul 13, 200 [tonded� Co . Ins Atlantic Bonding i o 187 2 " r arPt / r co- 187 2" 437 NE 102 St Existing Kitchen Layout i 1 6 V 1/V1242- W3024 W1242- B1 2 /_\ C 3 - rollouts 1 RS7190E0 4 W3624 BSIFIE Pint 2-ROLLOUTS TRAS H -TILT- • UT -TRAYS- UC2496 -24- v � o 187 -i" O M W3030 1874' 24.DISHW W3942BPD W3030 1 B 15 -1BN S 12$4 - R 1 UC2496 -24- S'12 124 -L All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. 20 ,, -E- %�, f ,: t TECHNOLOGIES: This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. KELLY - ROURKE- KITCHEN Designed: 1/27/2005 Printed: 6/11/2005 All I Drawing #: 1 Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. KELLY - RO U RKE - KITCHEN j TECHNOt0GIES lJE KELLY -ROU RKE- KITCHEN Designed: 1/27/20051 Printed: 6/11 /2005 1 Drawing #: 1 • Alt f/.717 /fiPPG /ode - PS I /3P `D, a/779/ Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. KELLY - ROURKE- KITCHEN 20 TECHNOLOGIES: KELLY- ROURKE- KITCHEN Designed: 1/27/2005 Printed: 6/11/2005 Drawing #: 1 / Passed / Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -19588 JUN 1 2 ENTS � Permit Number: BP2005 -879 Inspection Date: 06/12/2006 Inspector: Grande, Claudio Permit Type: Imported Permit Inspection Type: Final Owner: BARRERAS, ALEJANDRO Work Classification: Kitchen Cabinets Job Address: 437 102 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: TRIMLINE DESIGN Building Department Comments Thursday, June 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number (305)754 -8182 Parcel Number 1132060170800 Lot: Phone: 305/666 -7609 Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/15/2005 Applicant: ALEJANDRO BARRERAS Owner: BARRERAS ALEJANDRO JOB ADDRESS: 437 NE 102 ST Contractor TRIMLINE DESIGN Local Phone: 305/666 -7609 Parcel # 1132060170800 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -879 Contractor's Address: 10001 SOUTH DIXIE HWY Legal Description: MIAMI SHORES SEC 4 AMD PLAT Fees: Description Amount FEE2005 -8253 Building Fee $450.00 FEE2005 -8254 CCF $9.00 FEE2005 -8255 Notary Fee $5.00 FEE2005 -8256 Training and Education Fee $3.00 FEE2005 -8257 Technology Fee $11.25 FEE2005 -8258 Scanning Fee $3.00 Total Fees: $481.25 Total Fees: $481.25 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/10/2005 Construction Value: $15,000.00 Work: NEW KITCHEN CABINETS Page 1 of 1 PB 15 -14 LOTS 17 & 18 BLK 92 JUN 2 4 PAID �.� t i0. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Issue Date: 6/13/2005 Expires: 12/1012005 Owner's Name: ALEJANDRO BARRERAS Permit Type: Imported Permit Work Classification: Kitchen Cabinets Job Address: 437 102 Street NE Miami Shores Village, FL 33138 -2304 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) TRIMLINE DESIGN Phone 305/666 -7609 Primary Contractor Yes Comments: NEW KITCHEN CABINETS REVISION: ADD TWO NEW CABINETS Additional Information Perm Type: Building Alpha Four: KITCHEN Alpha Six: SINGLE FAM Pay Amount: 481.25 Bond Return : Alpha Two: KITCHEN CABINETS Alpha Five: RESIDENTIAL Pay Date: 6/24/2005 Pay Comments: PD BY CK # 1064 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BP2005 -879 Phone: (305)754 -8182 1132060170800 Lot: PB: Total Square Feet: 0 Total Valuation: $ 15,000.00 Required Inspections Fees Due Revision Fee Scanning Fee Total: Amount $35.00 $3.00 $38.00 Invoice Number imp -2 -06 -23949 Total: MAR 15 PAID Amt Due $38.00 4 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Tenant/Lessee Name City Miami Shores Village County Miami -Dade Is Building Historically Designated YES Contractor's Company Name 1124 f-41-1 Contractor's Address j 0 bt7/ So 7)t/ 1= City IV( I / ) 4A ► State Qualifier Architect/Engineer's Name (if applicable) Type of Work: Describe Work: MGt Submittal Fee $ ['Addition Total Fee Now Due $ (Continued on opposite side) .co. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 FE alp :e, t' E ❑Alteration Permit Fee $ Permit No— PC aster Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleho.er) 4AY•11 - 7V2z (2A Phone # 3°5 �,��- f{ 21, 2-- Owner's Address e{ 31 N E 1 ®Z s Q City to \ l S{{n R c 5 State 'FCC NO �C [New zip 93 t 3 S Phone # Job Address (where the work is being done) State Certificate or Registration No. Certificate of Competency No. Zip Phone # 3 L66 3 6 0 �( Zip 33 1 9 6 Phone # $ Value of Work For this Permit 4=> ( C Square Footage Of Work: E] Repair/Replace * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * *t * ** ❑ Demolition CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ 3• CO • Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning chc 05/13/03 BUILDING 0 Permit No. 'ESRDS— /57c1 _ PERMIT APPLICATION r aster Permit No. FBC 2001 Permit Type (circle): ( '`$uildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address Contractor's Address ( 0 0 0 City M ( f Qualifier $ Value of Work For this Permit Total Fee Now Due $ L. `)' 1. d``J (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue,1Viiami;Slhore ida 33138 Tel: (305) 795,22(1 Fax: (305) 756.8972 ict.E j4 Phone # ■/i= (02 cr. City M l AAA ( 5 f-fb16/(5 State Ft-- Zip 33 ( 3 Tenant /Lessee Name Phone # Job Address (where the work is being done) t-( 3)- N E (o2 5 t • City Miami Shores Village County Miami -Dade Zip 3 3 13 3 Is Building Historically Designated YES NO Contractor's Company Name TT- L( t v _ pE S( 6n1 S o v'i7{ D (Y / f-(v•-/ `y State FL Architect /Engineer's Name (if applicable) Phone # (jbD Phone # 50 5 b b (v - W7 0 1 Zip 3 /5 State Certificate or Registration No. Certificate of Competency No. Square Footage Of Work: o5 )S / Type of Work: ❑Addition Alteration New j.Re air /Re lace p p ❑Demolition Describe Work: / IN (G( rC t1r4 Cite fur TS * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** U Submittal Fee $ Permit Fee $ L fsQ CCF $ q • ©6 CO /CC /- Notary $ Training /Education Fee $ 3 . ` Technology Fee $ I I . Scanning $ 3 °� Radon $ . Zoning Bond $ Code Enforcement $ ! Structural Plan Review. $ �"' Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address Z 0 o U t'r/V 1Z-- Ml) City 411 -E .c-t)C 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of „ 20 (5by ,� � / Y / �� ,Qjday of , 20 , by who is personally k, to me or who as produced , who is personally known to me or who has produced s identification and who did to e an oath. as identification and who did take an oath. NOTARY PUB Sign: Print: My Commiss chc 05/13/03 ss.kppYP *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: As fp tl ( 14 - S i State ti `/ Zip it O L/ Z Mabel VailgaTARY PUBLIC: Commission rIDD23l984 2007 Sign: ndcd Thru Print: iur My Commission Expires: Contractor The foregoing instrument was acknowledged before me this_ * * * * * * * * * * * * * * * * * * ** * * * * * * * ** ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ******** * ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 s Plans Examiner Engineer Zoning