453 NE 102 St (10)Inspection Number: INSP- 7777
Inspection Date: 01/30/2006
Inspector: Perez, JanPierre
Project: <NONE>
Building Department Comments
Thursday, January 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
PlAe: (305)795 -2204 Fax: (305)756 -8972
Owner: KELLUM, ROBERTA
Job Address: 453 102 Street NE
Miami Shores Village, FL 33150-
Contractor: SEARS HOME IMPROVEMENT PRODUCTS, INC.
Block:
Permit Number: MC2005 -141
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060170810
Lot:
Phone: 561 - 732 -6614
Page 2 of 2
-_`�
► �
Passed 'I I �� �
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP- 7777
Inspection Date: 01/30/2006
Inspector: Perez, JanPierre
Project: <NONE>
Building Department Comments
Thursday, January 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
PlAe: (305)795 -2204 Fax: (305)756 -8972
Owner: KELLUM, ROBERTA
Job Address: 453 102 Street NE
Miami Shores Village, FL 33150-
Contractor: SEARS HOME IMPROVEMENT PRODUCTS, INC.
Block:
Permit Number: MC2005 -141
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060170810
Lot:
Phone: 561 - 732 -6614
Page 2 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) )Qob # Vf Phone #
Owner's Address 45 3 N
City /'n(Ar&e State Zip 3 3 13 g`
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 46 ft) /0 5T
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City
Qualifier
s
Architect /Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
1 5O.
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 3313
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical
SEARS HOME MAR PROD,
LONGW004 MN 0750
QUAL. ALFRED Ny p
❑Alteration
Code Enforcement $ Structural Plan Review. $
Phone #
Permit No. H0.05 iLl 1
Master Permit No.
Plumbing Mechanical Roofing
Phone #
Zip 33138
CT i
.4
IIP
Zip
_
State Certificate or Registration No. Certificate of Competency No. e �1 / a' '/'6 7 0
Square Footage Of Work:
❑New Repair/Replace ❑ Demolition
lotF.orf.rir — 3 7 — /a. Er 'Skc.,c) —
SpLi -I- S A lm.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ I ACI Dr) CCF $ 3 .00 CO /CC
Notary $ Training /Education Fee $ 1. CO Technology Fee $ 3 •
Scanning $ 3. CO Radon $ Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Signature
Chc 05/13/03
Owner or Agent
NOTARY PUBLIC
Sign _10�/.r/
Print: /e- 7°t,�Qct® te r( "Ape. 4A,
APPLICATION APPROVED BY:
State
j
State
The foregoing instrument was acknowledged before me this.)
day of5Qp , 200S,by Ro )QRto /fe ®flatm
who is personally known to me or who has produced ,C 4
IV G As identification and who did take an oath.
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: 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 'r' Jancement must be posted at the job site
for the first inspection which occurs seven (7) days after the st , $it "e absence of such posted notice, the
inspection will not be approved and a reinspection fee will be 11100
0 a $ $ 414 " :"Via r j
A ft" •,.r--,'��d
Contra
The foregoing instru ent was acknowledged before me this If
day of , 20� y T l d ilc .
w personall known to or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
tit
Zip
Zip
i*Comrn on F +es Nc 16, 2038
My CommissieU if uo a ue n yl , pa uo G
$' � g a Pv p u n My Commiss €¢n"�41 }� i t'rrs:Bonded By National Notary Assn.
* * * * * * * * * * *60OZ *27* *'Y *.�Sattc *
Z9Z£Ztaa # uoissiu1111o3
ouendeD Malpew
* * * * * * * * * * *1Q1w#RM /d00 .POTI'Hl *ffiffilit1
***************************************************
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(E) Lt/
Plans Examiner
Engineer
Zoning
•
rEM
VTH TU3
UNIT
FEE
ITEM .
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) '?1&J
3
SINKING FOUNTAIN
SERVICE SIZE IN A PS
DUCT WORK
LOOK DRAIN
SERVICE REPAIR/IETER CHANGE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE GROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
;INK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
EMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS.
1RINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
iATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
•
A/C WINDOW
REINSPECTION
LATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER 6 t
S'
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
;EWER CONNECTIONS
SIGN TRANSFORMERS
JTILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTLRES
;EPTIC TANK
ANTENNA
(ELAY
TELEVISION OUTLETS
)RAINFIELD, 4' TILE/RES.
VIOLATION
'DR & ABANDON SEPTIC TANK
REINSPECTION
;OAKAGE PIT CU. FT.
:ATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
•
,_
100F .INLET ,
'SOLAR WATER HEATER I .
=IRE STANDPIPE
'COL PIPING
•
_AWN SPRINKLER SYSTEM
3AS RANGE
METER SET (GAS)
3AS PIPING
ADUM TO BUILDING PERMIT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
•
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed:10 /12/2005
Applicant: JEFFREY CHARLES
Owner: KELLUM
JOB ADDRESS: 453 NE 102
Contractor SEARS HOME IMPROVEMENT PRODUCTS, I itractor's Address: 3020 High Ridge Rd., Suite 300
Local Phone: 561- 732 -6614
Parcel # 1132060170810
Signed: (INSPECTOR)
Mechanical Permit
Permit Number: MC2005 -141
KELLUM
JEFFREY CHARLES
ST
Legal Description: MIAMI SHORES SEC 4 AMD PLAT
Page 1 of 1
PB 15 -14 LOT 19
Fees:
FEE2005 -13430
FEE2005 -13431
FEE2005 -13432
FEE2005 -13433
FEE2005 -13434
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$140.00
$3.00
$1.00
$3.50
$3.00
$150.50
Total Fees: $150.50
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/5/2006 Construction Value: $4,013.00
Work: NC REPLACEMENT
10 14- 05A10:35 PAID
cle_ z34-73
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:
BLK 92
AJE MIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date
Job Address 4 /S3 N /D S T Tax Folio
Legal Description Master Permit # 3607
Owner's Address
Contracting Co.
Qualifier e.„ A 14 Alb SS#3DS - 4 1 1 - 390 Phone 2SS -3S9S
State# 6A &b 33 (o 1. Competency# Ins. Co. c EAJ .Qc.c, b‘Letkr
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION SN STA [, L ,'/ 02
Square Ft. Estimated Cost/ 47/69o"
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
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.
Furthermore, I authorize the above -named contractor to do the work stated.
Signature o
Date:
.11./
tary as t. Owner
My Commission Expir
* . * *
PERMIT FEE: APPROVED:
1
S
Lessee / Tenant i . F'f= /� l- [.t ✓Y)
'TAy - I Ay A/c. 4 1261" /Arc, Address
'ys 3 A/ /Ooh ST Phone 75S'- 3 /
Zoning
Mechanical
nd /o-r -Condo - °Prtsiderit
* * *
Fire
Building
umbing
Address
Address
Address
/07 /S 5`.l /46 sr*7., mIA 33/s 7
igna
Dat
ractor or Owner - Builder
Not as to C tracto or O iriecrB.iti ?1�de:rJ
My Commission Expires: NOTARY Pl 113 LICST/17F:OFF(.OKIDA
* * * C01 4 1SSION P. CC31331
MY CO MISSION FXI', 54:1'1 1_7, p
Other
Electrical
Engineering
cJt Liami cJ pores / 111age
• L 0 A 1 0 A
Sec. 5-1.1. Air conditioning regulations.
(a) All individual air conditioning units installed in walls or
windows shall be securely anchored to the walls by approved
methods. Units installed over public property, paths of egress or
more than ten (10) feet above grade shall be secured to the struc-
ture by bolts or screws to resist horizontal wind Loads. Such units
cantilevering more than eight (8) inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following special requirements shall apply to the con -
trol and regulation of noise nuisance from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless
of location, shall be maintained in good working order.
Equipmer.t so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided v- ith soundproofing, or sound - absorbing baffels, or
enclose es, as approved to insure maintenance of a rea-
sonable noise level.
(2) All equipment on outer walls, on roofs, or in other exposed
locations, which are unduly noisy, and which causes valid
complaints from adjoining property owners or occupants,
may be required to be relocated, redesigned andior en-
closed in noise - retarding materials when, in the opinion of
the building official, such enclosure is necessary or would
be effective.
,(3) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining property owners or occupants, and the building
official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a noise nuisance.
(c) Violation of this section shall be punished as is now or may
hereafter be provided by law. (Ord. No. 299, §§ 1 -3, 2- 21 -61)
I have read the above ordinance and will ccr1y with the
regulations thereof.
Owr .r s S ignatu= e
Contractor Srnature
STATE OF FLORIDA, COUNTY OF DADE
11 HEREBY CERTIFY t.5a' this is a true cop, . the
wiSical Hod in Th off ce on . / a d of
, A 0 19
W NESS ray h nd c d 04 Trial Socl.
IARVE{ Rtojr•LERib, of it and CountyCou -tn
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF 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: .Zot // /o r .��
/' // / /5 % / / �/J /
3 /1) -F . /O �� �1/
5!4 ' 7A4M/ <Cl�loi'c,rc 1=1_,
2. Description of improvement: ,4'ffa MA;7 ( —rit2A / /9i k
3. Owner(s) name and address: - -46 v! A rs1(1 /e -12.T4 ` %�c
q. 3 N F Ina ,( � ,�,��s r — �r
Interest in property: <2iry» ,.,/ sic � `=
Name and address of fee simple titleh G_ n
/ .r�A
g . ?Pc 6a?, � , .�.� (km k j 3 3 /L'
g e t'
4. Contractor's name and address: : 7 7'
107 / t q t') :
5. Surety:(Payment bond required by owner from contractor, if any)
f
Name and address:
Amount of bond $
6. Lender's name and address: t l N�aF >r�� A / Ae/C
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. A' �
Name and address: A /
8. In addition to himself, Owner 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 specified)
Signature o1 Owner
Print Owners Name
N /�
Sworn to and subscribed before me this /l day of \Tu
1
Notary Publ
Print Nola. a e • • Cv 272523 My Commission Expires:
k �L
94R335469 1994 JUL 12 11:08
NIA
z
/ - -
Prepared by:. ' n
Address: L/3?, /_)- . , ,