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RC-06-618Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/20/2008 Inspector: Grande, Claudio Owner: BURKET, MICHAEL Job Address: 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number Parcel Number 1132060130570 Lot: Building Department Comments KIT REMODELING, REMOVE DOOR WAYS ADD MASTER CLOSET CHANGE TO POCKET DOORS ADD SINKS TO BATHROOM a trAr Passed Mir Inspector Comments fla Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, March 19, 2008 Page 2 of 2 BUILDING PERMIT APPLICATION �008 FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. RC b6 -616 Master Permit No. Permit Type (circle): wilding Roofing / Owner's Name (Fee Simple Titleholder) I� a it (& . C\yc Phone #36-C 75t- - (b 8 G i Owner'sAddre ss '7- 91-1+111 S City H1 Q141 1' State � L zip 33/ 3 Tenant/Lessee Name Phone # 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 ie Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ gl Square / Linear Footage Of Work: Type of Work: ['Addition DAlteration ['New ❑ Repair/Replace D Demolition Describe Work: KTC�.Lit r((lkfed (/l i Nttt ,t/ C(0Srf! c f pudwU7 do, • t0) c ` 4tit Chtektai ; row frig rliic ****** *** *: x***:x**** *** *** * * ** * * * * ****** Fees ********* * * *** * ****** ** : ******* **** *:x:x*:x**** Submittal Fee $ Permit Fee $ 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 --* 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 firs ;inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectio %ill not be . pproved and a reinspection fee will be charged. Signature 0 er or Agent Contractor The fo gooing instrument was ackn wledged before me this /71 The foregoing instrument was acknowledged before me this day of #14 , 2001 , by _fivut rilllttk ar tC day of , 20 _, by who is personally known to me or who has produced f ?P1itte3l°S 14Cwho is personally known to me or who has produced 45 9310 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: � � , �`�'', v � - Print: My Commission Expires:: yi My Commission Expires: ** ** * * ** ************** * * , *** * * * * *********** *** *** :****** * *** **+x** ** ******** :******:x** ***** ** * **** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT a NAME: i Ctln • DATE: 3 1 6 6" ADDRESS: t7 /JI 01 9 54 j 3/3 ?` Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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 - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this co t r� ction Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. 5. I understand that as an owner- builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial ), 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial )(I 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this day of , 20 By who was personally known to me or who has Produced there License or OWNER as identification. NOTARY Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/18/2008 Inspector. Devaney, Michael Owner: BURKET, MICHAEL Job Address: 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: LS CURTIS INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060130570 Lot: Phone: 305 -892 -0115 Building Department Comments Monday, March 17, 2008 Page 2 of 2 Passed Inspector Comments 40,1 Alf,-,, /8 / W ° Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, March 17, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/18/2008 Inspector: Levrock, James Owner: BURKET, MICHAEL Job Address: 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contracto HOME OWNER Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060130570 Lot: Building Department Comments ADDING DOUBLE SINK AND NEW FIXTURES Passed In' -. ct _ r omments - Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, March 17, 2008 Page 1 of 2 1, 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 (0/ Inspection Worksheet Miami Shores Village Inspection Date: 03/17/2008 Inspector: Perez, JanPierre Owner: Job Address: BURKET, MICHAEL 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: DEACO CENTRAL NC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060130570 Lot: Phone: (305)443 -9615 Building Department Comments A/C CHANGE OUT Qu 0 ''Svs - ekkv --Sas - 0W* 3 :,k. 1 ylit,407 Passed Inspector Comments V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Monday, March 17, 2008 Page 1 of 2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO 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. 11111111111111111 1111111111111111111111111111 CFN 2006803313 6 5 OR B1: 24375 Ps .4531; (1P9) RECORDED 03/29/2006 15:24:49 HARVEY RUVIN , CLERK. OF COURT MIAMI -GAGE COUNTY, FLORIDA LAST PAGE *1. Legal description of property and greet/add ess: t7 qq Q01,-,4, FL 332 2. Description of improvement: 3. Owner(s) name and address: /f LV14 4 13 vrk , 96( Q . c+ 4 3 _c4t+ fi`4)w 0, 6A gy%o3 a Interest in property: Re St G4'✓1 Cc) Name and address of fee simple titleholder: c. 4. Contractor's name and address: 01-4 1f OL'r IV\ 1 01.1 Sav\ F)1me,sco } ('„A 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 9GC SA 6i91o3 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 da a ; • is, ecified) Signature of Owner V Print Owner's Name tc. oc V`r`IC°' Sworn to and subscr'•ed •afore me this "-'day of Notary Public Print Notary's N. me My commissio expires: 123.01 -52 PAGE 4 8/02 Prepared b . J t li f SW/LI- 00& P Y Address /17 At ISU Mabel Vargas Commission +DD2319P E Ex :',. ii ui 13, 200" Funded f• ',Hutt% \ Ariaitic Bonding Co., Inc . STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is ;w spy of the pit; /m fil. Iti this off' _. nn 9 day at Gi/iI w �oe4 �, .Wris ; (2, D.C. Miami Shores Village Building Department BUILDING PERMIT APPLICATI FBC 2004 Permit Type (circle): hores, Florida 33138 tog • ■305) 756.8972 Permit No. RCO - 1 j Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) pic,\A R L{ r3yel<er Phone # .» 6 -3 it 6 LICl _Si'. City c ANN f rAh Li SC A. State cft, Zip / 9 to i Tenant/Lessee Name Phone # Owner's Address 1( Job Address (where the work is being done) 67 lv.e' 9 VA f-4, City Miami Shores Village County Miami -Dade Zip '3313 'i FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name CDWN is 12 Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Q Square / Linear Footage Of Work: Type of Work: ['Addition DAlteration DNew Describe Work: exit_ r Ye ck ,c2:I rrcip1-er Repair/Replace ❑ Demolition ee Ric) ***************************************pees*** * * * ** *** * * *** * * **** * *** ** *Fees *** ******** ** ** * ** ** * * * * * * * * * * * * ** ** * ** * ** Submittal Fee $ Permit Fee $ I/04 a lid CCF $ CO /CC Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ Technology Fee $ DPBR $ Double Fee $ DOObL ree. Zoning $ Total Fee Now Due $ See Reverse side -4 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature r Owner or Agent Contractor The foreg pg instrument was ackn wledged for me this I�CI The foregoing instrument was acknowledged before me this day of �Jl ' l.! ,� 2(C , by � lC day of , 20 , by who is personally known to me or who has produ who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. \x,111,,, NOTARY UB C: , wovo," NOTARY PUBLIC: Signature Sign: Print: My Co . ission Expires: * * * * * * * * * * * * * * * * * * * * * ** Sign: Print: 0a2 9Y My Commission Expires: c, * * * * * * ** * * *,2* *** *,k,t,k ****nk9e,t,ir,kati,Y$ *** *, Yak &9t,k9 **** 9e# 7k, 4** * **vk #,tit9e4t,Y**'inY***** APPLICATION APPROVED BY: (Revised 02/08/06) 3 -3/ Ob Plans Examiner Engineer Zoning GARAGE EXISTING Additional Notes: Replace existing tile, flooring, and fixtures in all bathrooms Replace existing tile flooring in rear west bedroom Replace existing wood flooring in kitchen (atta BEDROOM Ref KITCHEN refer to kitchen drawings Change to Double sinks Change door to pocket door Delete Doorway Convert existing (covered and abandoned) window to doorway LIVI! G OM Add Pocket Door Delete Doorway BEDROOM • • . .•.y • • • • •• Delete Doorway'. • • • • • • • • . • •• 00•!`:._00 • • • •••• • • • • •• • • ••• •• • • • •• • • • •_ ••• •••• ••• • •• • • • • • • • • • • • • • • • • . •• • • • • 00• • • • • •00 • 0 • • • • • • 0 • • • • 00• • • • • • • • • • • • • • • • • 00 041 • • • •• •• 600 • • • ••• • • m • •• • • • • • •••• • •• • • • • • •••• • • • • •••• • • • • • • • • • • •• •• •• • • • • • • •• • • •••• •••• • • • • • • •••• •••• • • • • •• •• • • • • • • • • •• • • • © •••• • • • • Home miner 2' 1" 1' 6" 94th street existing kitchen Drawing2/23 /2006 NumberPrint to scale 1:50 Revision13' 8" x 12' Note • •• • • • • • •••• • •• • • • • • •••• • • • • •••• • • • • • • • • • • • • •• • • • • •• •••• • • • • •••• • • • •• •• • • •••• • • • ••• • •• •• • • • • • • • • •• • • • • •••• • • • • Home sever 2'1" 1'6° 94th street existing kitchen Drawing2/23 /2006 NumberPrint to scale 1:50 Revisionl3' 8" x 12' Note w w • •• • • • • • •••• • •• • • • • • •••• • • • • •••• • • • • • • • • • • • • •• • • • • •• •• •• • • •w •••• •••• ' • • • • • • •••• •••• • • • • •• •• • • • • • • • • •• • • • • •••• • • • • Home Sennett 94th street existing kitchen Drawing2/23 /2006 NumberPrint to scale 1:50 Revision13' 8" x 12' Note GARAGE SHOWING CHANGES Additional Notes: Replace existing tile, flooring, and fixtures in all bathrooms Replace existing tile flooring in rear west bedroom Replace existing wood flooring in kitchen 4-aid Atee- eG';( 5f' /i2c 67/04"-Ai /1 eta c eivie 1 'T fe47 CA -?-f e A/2-4 /tBe-"lr , BEDROOM /311)1,12,,, 11 AV a 71 7- re PJtl'7 aV-7- t' KITCHEN refer to kitchen drawings WALK -IN CLOSET BEDROOM 11,47-Az P/ A a« vf- /wA- 31)�( e'Y'rz ,'Vee ,i',41/ (tade LIVING ", ' j ,D1*ki. :........... • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • •• • • • ••• • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • 00 00 • • • •• •• 41410 • • • 000 • • • •• • • • • • •••• • •• • • • • • •••• • • • • •••• • • • • • • • • • • • • •• • • • • • • •••• • • • • •••• • • • • • • •• •• • • •••• • • • • •• • •• •• • • • • • • •• • • • •••• • • • • •••• me Planner 2' 1" 1' 6" m in 2' 94th street final.2 Drawing2/23/2006 NumberPrint to scale 1:50 Revision13' 8" x 12' Note 3' • • • • • • • • • 2'1" me Pierinor 1'6° • • • • • •�.•. • • • 2' 2' 94th street final.2 Drawing2/23 /2006 NumberPrint to scale 1:50 Revisionl3' 8" x 12' Note 1 k 3' 2' • •' • • MPe • •• •• • • • • • • • • •• • • • • •••• • • • • •••• 94th street final.2 Drawing2/23 /2006 NumberPrint to scale 1:50 Revisionl3' 8" x 12' Note w (AO - 2' 6° • • • • • • • • • • • • W armor 94th street final.2 Drawing2/23 /2006 NumberPrint to scale 1:50 Revision13' 8" x 12' Note ff I `iii, • • t_f? M Q i sh cx�s V 0pL olra 5 Mia mi SUn= putrx� . ss 79-2207/P **Please note: The lien search fee is only good through 12- 29-07. Please sub q it a n w lien search fee if any sanitation, code enforcement, or building information , • r payoff updates are needed after 12- 29 -07. SANITATION *Please advise the closing agent of the following: All yoffs Must be accompanied with a copy of the settlement st .. ement and this Tien disclosure ,prod must be sent to the atte = tion of Clara Bender for proper credit, and in order to upd g to our property records for all properties sold or refrnanc de Our address and fax number is noted above. As of today's date, 11- 29 -07, the above property has a total balance due of $784.39 for garbage and stornw;'ter fees of which $$596.76 is delinquent, and $187.63 is current for the upcoming servi period of 01 -01-08 through 03-31-08. The total balance is only good through 12 -10- . Please contact us for a new payoff amount if not paid by 12- 10 -07. Any delinqu s t amount constitutes a special assessment lien on the property. Interest continues to ace a until the balance is paid in full. -- (For further information in this section, please call a Bender at 305 -762 -4857) CODE ENFORCEMENT There are currently no Code Enforcement violations on the property. -- 1 (For farther infonnation in this section, please call Valerie Bierley at 305 -795 -2207) BUILDING *Please note: If there are any open or expired permits listed in this sectio advised that all open and expired permits must receive final inspection in closed out. As of today's date, please review the attached parcel owner repo information on this property. To date, there has not been a certificate of application which is required by the Village's Code prior to the sale of the pr above described property is a vacant lot, condominium or a townhouse, a certificate is not needed. — For further information in this section, please Cubillos at 305- 795 -2 4) Prepared By Clara Bender - Finance Dept. - please be rder to be for permit occupancy erty. If the eoccupancy 11 Claudia 2/8/2008 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 To: Current Owner 67 NE 94 Street Miami Shores Village, FL 33138 - Permits: RC 06 -618, RC 06 -212, PL 06 -619, MC 06- 802, El 06-803 Address: 67 NE 94 Street Miami Shores Village FL33138- Date Expired: March 10, 2007 Type: Kitchen Renovation Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, CIa . io Grande C.B.0 Building Official/Director Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/20/2008 Inspector: Grande, Claudio Owner: BURKET, MICHAEL Job Address: 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER .............. Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Block: Phone Number Parcel Number 1132060130570 Lot: Building Department Comments DEMO PERMIT SEE RC -1 -06 -618 FOR CONSTRUCTION AND REMODELING ALTERATION KITCHEN BATHROOM& AC REPLACEMENT W/ OUT PERMIT NOTICE OF VIOLATION SENT 1/26/06 "V Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, March 19, 2008 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 ICE COVED MAR 1 7. 008 Permit No. RC 0 %'Z(Z Master Permit No. Permit Type (circle): Building Roofmg . Owner's Name (Fee Simple Titleholder) M(tY (1 L "11\,F Phone # Owner's Address 14 q- Imo) 5+� - City H l Q I Y) `f'_s state 36c--- 736 -16 Q� Zip J� /3 Y. Tenant/Lessee Name Phone # 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 Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. 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 p Demolition Describe Work: 9((kt&(1v� d 'op, (bre £ �d'r b- wi/( eaegg ( &pito a- 2. bu7G1ram4,5 . (Uu..tJ Dtakdseyfoul17, * * **** ****** ***** *:x**** * *** ****** ***** Fees *** ** ** * **** * * * * ***** ** * * * ***** * * *** * * * * *** Submittal Fee $ Permit Fee $ 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 -> 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 AFT DAVIT: 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 theist inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspec n will not be ! pproved and a reinspection fee will be charged. O er or Agent The forg/ooing instrument was ackno wledged before me this f �1u day of ' , 20 d , by Ago *( Trek ere Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced /(,%fled "°3 `/C who is personally known to me or who has produced C5 7 3 L O As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Sign: Print: My Commission Expires: *************************************** * **** ** **** *** * ***** * **** ****** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING MCIEET� PERMIT APPLICATION �, MAR 2 2006 FBC 2004 B Y Permit No. Master Permit No. Permit Type (circle): Building i, Electrical Plu bing Mechanical Roofing 1 Owner's Name (Fee Simple Tit e o der) ' ) le r Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 7 NF City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Qt 4'1-e 1� Phone # Contractor's Address City State Zip Qualifier Name Phone # 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: w/ ['Addition 1000 ['Alteration Square / Linear Footage Of Work: ❑New ❑ Repair/Replace ❑ Demolition ********** * * * * * * ** ** * ** * *** ** ** *,** * * * * *F * * * * ** * *** * * * * ** * ** **** * * ** * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ l Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ CCF$ CO /CC. Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side - * 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 ap roved and a reinspection fee will be charged. Signatur•!4, Owner or Agent The fore :oin;, instrument was acknowledged be ore EDbY'�V�JV41 who is personally known to me or who has produced. day of NOTARY P Sign: Print: My Comm i .ion Expires: As identification apdW,did take an oath. C: • Co �! • Signature Contractor The foregoing instrument was acknowledged before me this day of ,20 ,by who is personally known to me or who has produced as identification and who did take an oath. *** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** NOTARY PUBLIC: Sign: Print: My Commission Expires: **_***************** * ** * * *** ** * * * ***** * ** * * ** ****** APPLICATION APPROVED BY: (Revised 02/08/06) 3/3 Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT �y� NAME: 11' l) 60triCAAL DATE: ADDRESS: Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence. You may also build or improve a.comrriercial 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 complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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 - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initia 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial "")9' 3. .I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. 1 ..-a 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial A- 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial ,),/ 8: I. understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this 2 day of Initial By 1 vI (�%vlA�'i /�( L UI who was personally known to me or who has Produced there License or C LI' as identification. abel Vargas `jd2 19 ; Ex s ": ,S. i.l! 13,200 Pended v, Atlantis bonding Co., Ins Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING IFCIEEWE Permit P0,0(a -‘62- . PERMIT APPLICATION I MAR 2 9 2006 aster Permit lvo.`' - FBC 2004 B Y: Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) itAl c k 4 LI f ON-kJ, Owner's Address LIU -.' 0 - ift 3 City Cyr N% )Er AC(j60 State CA Tenant/Lessee Name Mechanical Phone # 9/ •6 Roofing 5 °5 3c1I» Zip Phone # Job Address (where the work is being done) City Miami Shores Village County . Miami -Dade Zip 33 / a 194 Si- FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name '11 Co c ej C Phone # Contractor's Address )& L1 Q E/ O' J. City AA aktaL State -r) Zip 33a%._3 Phone # 3 o 443- k State Certificate or Registration No. CA CV 3 C , Z. Certificate of Competency No. Qualifier Name j' a:S-e t_e z i 3" Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 3 5-6 0 0 0 Square / Linear Footage Of Work: Type of Work: DAddition Describe Work: 1 Alteration New ❑ Repair/Repiace ❑ Demolition Co ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ (22 • Fe ********** ** * * * * * * * * * *** * *,* *,* *** * ** * *** CF $ 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 -- 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 The foregoing instrument was acknowledged before me this The foregoing ins day of , 20 , by , day of who is personally known to me or who has produced w As identification and who did take an oath. NOTARY PUBLIC: tractor tis. owledged before me this N 7 y me or who has produced as identification and who did take an oath. NOTARY PUB • F Hernandez • M{Clanntssion0D161082 a of Expires J ,1 Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: * * * * * * *** * *** * * * ** *** * ** ter * * * * * * *** *, ** ** *art *** ** ** r * * *t, ****** * * * * * *** *t* * * * ** * ** ** '. ,ter ** * * ** * ** * ** * ** * ** APPLICATION APPROVED BY: (Revised 02/08/06) Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. (9 Job Name Date MECHANICAL CRITIQUE SHEET Miami Shores Village cot °21 uilding Department MAR 2 9 206 r =50 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. Master Permit No. Permit Type (circle): Building t 1 Plumbin Mechanical Roofing Owner's Name (Fee Si a itleholder) ,� ,� !(, i K C; Phone # Owner's Address 6 City Tenant/Lessee Name State Zip Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address City /941-e4741-/a Qualifier Name/444./ . S /.6 r O,/?i'?,, State Certificate or Registration No. f-7:1 c Ca)8l 7j 0 County Miami -Dade Zip 331 E NO� State( Phone # Zip k'N7' Phone # etiftr- Certificate of Competency No `-(_ j'("71— Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Des 'be Work: Square / Linear Footage Of Work: Repair/Replace .- ❑ Demolition ********* * * **** *** ** * * * ** * * * * *,r* * * * * * ** Fees************* ** ** * * * ** *** * * ** * * * **** *** ***** Submittal Fee $ Permit Fee $ 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 --> 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 Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature ,r Contractor The foregoing instrument was acknowledged before me this°t77 day of MA AC.- , 2Q'%C by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: o2/ S/2t4d Plans Examiner Engineer Zoning "► ADDENDUM TO BUILDING PERMIT APPLILA(IUN 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 TEM ATH 11E UNIT FEE ITEM SWITCH CUTLETS UNIT if FEE ITEM SPACE HEATERS UNIT FEE IDET • LIGHT OUTLETS 3 CENTRAL HEATING ISHWASHER RECEPTACLES ' A/C (WIND) ISPOSql, SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN SERVICE SIZE IN AS DUCT WORK LO OR DRAIN SERVICE REPAIR/}kTER CHANGE REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING HTERCEPTOR RANGE TOP UNDERGROUND TANKS OVEN i ABOVE GROUND TANKS .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS .AUNDRY ,LOTHES WASHER MOTORS 0— 1 )•P STEAM BOILERS ;HOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS 3114K, POT /3 COMP. MOTCRS OVER 3— 5 If MECHAN I CAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING A.SSEIELIES 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 FP VIOLATION INDIRECT WASTES A/C WINDOW REI1NSPECT1ON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS 'TRANSFORMERS HEATER — REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMdING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TL&ES SEWER CONNECTIONS .*.SIGN TRANSFORMERS UTILITY —SEWER SIGN TIME CLOCK UTILITY —WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 1, ABANDON SEPTIC TANK RE INSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC ELL I AREA DRAIN ROOF INLET I ( t SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING } II t LAWN SPRINKLER SYSTEM: GAS RANEE 1 METER SET (GAS) I GAS PIPING I Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) REdEIVED MAR 1 2008 Owner's Address City VI l a Vt 1 .0-1 1° 1 State 0 7- L Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) Permit No. PUG I aster Permit No. Phone # J b 75-6 - 164-7/ Zip 33/3g City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name (},jVl b( Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ (16°° *6° Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New ❑ Repair /Replace El Demolition Ww14 VdkOJk A. rooY Describe Work: **x* * *X %XXX * %X%XXX * * * * * *XX%XX% %X %X% *Fees * * * * * * *X xx X Xx W WXr ,XXY. *X%XXX%r. XXX X *WY. Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit t4 doythe work and itiaaliatiQhs 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: 1 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 'ill not be approved and a reinspection, fee will be charged. Si ature )(-e. Signature / Oyffer or Agent Contractor The foregoing instrument was ackn9wledg /ed before me this 17 The foregoing instrument was acknowledged before me this ir` day of /WA , 20 OX , by /lu/fk ifie Cot day 20 by of who is personally known to me or who has produced y P � J7Y1v�✓,S who is personally known to me or who has produced Li(— Co5 If-3i° As identification and who did ta, loath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: xxxxxxxxxxxxx *xxxxxxxx *x xxxxxx * * * * * * * *xxxxxxx APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print: My Commission Expires: :xxxxxxxxxxxxxxxx xr. xxx xr.r.x xxxxxxxxxxxxx x x rx r. x • r. xx x x x x *xr.xxr. Plans Examiner Engineer Zoning Miami Shores Village Building • D - • •_�-! t S, 10050 N.E.2nd Aven Tel: (305)795. BUILDING PERMIT APPLICATION FBC 2004 rmit No. ' t' O Master Permit No. fp " - Permit Type (circle): Building Electrical ,Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) AI Ch4G tUr �' Phone # 91_.G-5.1-36710 Owner's Address Lit( E'-'1=- W3 City cA.N. flew^ CV, State Tenant/Lessee Name CA Zip qi .(/N 3 Phone # °� ti 9 �' . Job Address (where the work is being done) C7 7 City Miami Shores Vill. e County . Miami -Dade Zip '32/ ?" FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 0 PI -Y Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 71100 cc) Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑Newg tl ®l Describe Work: r A) 111 - Ica . AP 410 1 � * ►: ❑ Repair/Replace LkiLS ❑ Ilremolition Submittal Fee $ Permit Fee $ J'7 CCF $ CO /CC Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -> Technology Fee $ 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. The foreg day of Owner or Agent trument was acknowledged before me t_hi�s� 1,_0 , 2 by 2Ul.y-x -�C e 4,41 who is personally known to me or who has produced As identification and w(}p 4id take an oath. NOTARY UB : C: Sign: Print: My Co Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. alS f G01Idj r9a 20o,. 0., /no ission Expires: * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) * * * * * * * * * ** NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * *; , *, *, ********** * * * ** * * * * ** * * * * * * ** * ** * ***** * ** 3-1,1-11 6 Plans Examiner Engineer Zoning AJttENDUM TO BUILDING PERMIT APPLIUA f IUN 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 TEM ATH TLS UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET 'LIGHT OUTLETS CENTRAL HEATING ISHWASHER a RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINK1NIu FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TD° UNDERGROUND TANKS 1 OVEN ABOVE GROUND TANKS .AVATCRY TRAY Y WATER HEATER U.F. PRESSURE VESSELS .AUNDRY 1OTHES WASHER i MOTORS 0- 1 H' STEAM BOILERS {OWER 1 1 MOTORS OVER 1- 3 FP HOT WATER BOILERS $I14K, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION $INK, RESIDENCE fik MOTORS OVER 5- BHP TRANSPORTING ASSEMBLIES l 3INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY MATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-1C0 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 1-P VIOLATION INDIRECT WASTES • 1 A/C WINDOW REI,NSPECTJON WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS-TRANSFORMERS 1 HEATER- REPLACE GENERATORS TRANSFORMERS I 1 LAWN SPRINKLER -WELL 1- SPECIAL PURPOSE _ 1 SW I MA I NG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .'.SIGN TRANSFORMERS UTILITY -SEER SIGN TIME CLOCK UTILITY -WATER F I XTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPIT LAWN SPR I NIKLER SYSTEM. GAS RANGE f METER SET (GAS) GAF PIPING j + I I POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS; Michael Burket of 466 8th street #3 San Francisco, CA 94103, the undersigned, hereby makes, constitutes and appoints Christian Romeu of 10450 NE 1st avenue, Miami Shores FL 33138 his true and lawful attorney for him and in his place and stead and for his use and benefit: All matters concerning the property located at 67 NE 94th Street. Miami FL. 33138. giving and granting unto his said attorney full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the premises as fully to all intents and purposes as he might or could do if person- ally present. Hereby ratifying all that his said attorney shall lawfully do or cause to be done under the authority of this power of attorney. Dated: 2/2 : 2006 Michael Bur "e • a- CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT -.., � _.�y.: -�'.;�:�,!,•.= .<<..= ;��ir'"'e'L° � - <.4.:= Y�•'.. - �,c��y = - -:�,,�: iv_-r �- r.�^s,?. �;j^ - - ..y= „,.,.- -vim - x. �:ti .- .... - -._ —^ +�.��aK.'s�t".�,_� t-- .,- '1 ::.___ - � _ ° t`_? <..:'_a' —J_”' fir,::. .•ij, : _ . U .. .,,, .. ..e -.L . •t G`�'``�Lh'•- e- e� �i;4' �;.u'` +i' *'; /� r!;l State of California County of SSL4 »6 On i 29° before me, /eH4/ Date Name and Title of Officer (e.g.. 'Jane Doe, Notary Public') personally appeared /elfi4 eZ ,gbieker- Name(s) of Signer(s) ❑ personally known to me roved to me on the basis of satisfactory evidence MICHAEL A. MILAN Commission # 1473372 Notary Public - California Solano County My Comm. expires Mar 27, 2008 to be the person( whose name(' re subscribed to t within instru en and acknowledged to me tha he /they executed the same in (=4:0,---r/their " authorized capacity (i and that by ether/their signatures on the instrument the person(aj°of the entity upon behalf of which the person(s) acted, executed the instrument. WITN Smyh. d and oi,ialseal. Signe . a of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER> Top of thumb here �'.',.y'',`�`%'sti? "'�:':'� �?.�v�,:J,�..�_•'r;;t���"' P >'�:••��.`�`�' y' �v�' -`�' > �7 Yom.` `.� -:..r y. :. <> `S Wit• - '�n_.iG � ..-, - •7 � .�. -'�> .:r. =/>: ��5 {'�..::.. �k'r_: `i::�::�'.,,'.�� = � ��.�� "r= �.�'`�_.. _ ..��i+��'';k 0 1999 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 -2402 • vww.nationalnotary.org Prod. No. 5907 Reorder. Call Toll -Free 1- 600 -679 -6827 Permit Bolder OFFICE COPY Permit # F.B.0 Violation (04•' • fts.wi' In R 44 00%' Address 61 14 e Date Postal Service,. CERTIFIED MAIL. RECEIPT (Domestic Mail Only; No insurance Coverage Provided) For delivery information visit our website at www.usps.corno SE FF c Postage Certified Fee Retum Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsernent Required) Total Postage & Fees Postmark Here Sent o Street, Apt. No.; or PO Box No. My, State, ZIP+4 C PS Form 3800, 4une 2002 See Reverse for Instructions MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305- 795 -2204• Fax: 305- 756 -8972 NOTICE OF VIOLATION Michael T Burket 67 NE 94th ST Miami Shores, F133138 RE: Date: January 26, 2006 Case No: RC -1 -06 -212 Mail No: 7005 0390 0003 8152 1938 Location: 67 NE 94th ST Pursuant to the Florida Building Code Section 104.1 and Section 6-4 of The Code of Ordinances of The Village of Miami Shores, you are hereby notified a violation has been identified on the above property. SEE FOLLOWING PAGE FOR VIOLATION TEXT Failure to correct the violation within 15 day(s) upon receipt of this Notice, or failure to maintain compliance, may result in a Notice of Hearing before The Code Enforcement Board in and for The Miami Shores Village. IF YOU CORRECT THE VIOLATION IN THE TIME FRAME ALLOTED, PLEASE CONTACT THE BUILDING DEPARTMENT TO DOCUMENT COMPLIANCE AT 305- 795 -2204. COOPERATIVE COMPLIANCE IS OUR OBJECTIVE. IF YOU HAVE ANY QUESTIONS, PLEASE CALL. audio Grande CBO uilding Director 1 MIAMI SHORES VILLAGE Building Department Case Number: RC -1 -06 -212 Address: 67 NE 94th ST VIOLATION: 6 -4 DATE: January 26, 2006 DESCRIPTION: Permit Required LOCATION: Ordinance Description: Village of Miami Shores Code of Ordinances, Section 6 -4 Permit Required VIOLATION: 104.1 DATE: January 26, 2006 DESCRIPTION: FBC Permit Required LOCATION: NARRATIVE: Permit required for Kitchen Remodeling, Bathroom Remodeling, Alteration and Air Conditioning Replacement ORDINANCE DESCRIPTION: Florida Building Code Section 104.1— Permits Required PLEASE OBTAIN REQUIRED PERMIT(S), AND ALL SUBSEQUENT REQUIRED INSPECTIONS, BY CONTACTING THE BUILDING DEPARTMENT @ 305 - 795 -2204. 2 4 .Miami -Dade My Home My Home Show Me: Property Information Search By: Select Item Text only Color Aerial Photography - 2004 Digital Orthophotography - 2003 Property Appraiser Tax Estimator Summary Details: Folio No.: 11 -3206 -013 -0570 Property: 67 NE 94 ST Mailing Address: MICHAEL T BURKET 67 NE 94 ST MIAMI SHORES FL 33138 -2819 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,624 Lot Size: 12,900 SQ FT Year Built: 1948 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 20 & 21 BLK 4 LOT SIZE 100.000 X 129 OR 18300 -1143 0698 4 COC 23549 -4616 06 2005 1 Sale Information: Sale 0 /R: 23549 -4616 Sale Date: 6/2005 Sale Amount: $608,000 Assessment Information: Year: 2005 2004 Land Value: $272,592 $166,079 Building Value: $169,720 $155,577 Market Value: $442,312 $321,656 Assessed Value: $143,029 $138,863 Homestead $25,000 $25,000 Exemption: Total Exemptions: $25,000 $25,000 Taxable Value: $118,029 $113,863 Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - AirPhoto USA 2004 We appreciate your feedback, please take a minute to complete our survey. 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