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RC-08-1285Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 14, 2009 Inspector: Bruhn, Norman Owner: REINHOLM, JUTA & PAUL Job Address: 170 NE 94 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Building eit____„,a, Work Classification: Alteration Phone Number Parcel Number 1132060132950 Building Department Comments Monday, January 12, 2009 Page 1 of 1 c cP N. Passed ?7(',i.J Inspector Comments Went through rear but no answer. Please reschedule. NB d or6,09 )11Ii5 et.• MC,P0 gob ;al tot° vi oit". Ivap um._ ex Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, January 12, 2009 Page 1 of 1 Inspection Date: 10/29/2008 Inspector: Devaney, Michael Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL " Phone: (305)795 -2204 Fax: (305)756-8972 . 1 Owner: REINHOLM, JUTA & PAUL Job Address: 170 94 Street NE Miami Shores, FL 33138- Project: <NONE> Contraci.or: DAY STAR ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060132950 Lot: Building Department Comments INSTALL 17 RECESS LIGHTS, FIVE GFI, FOUR RECEPTACLES, AND THREE SWITCHES. REPLACE WIR;NG FOR HOT WATER HEATER. nCi 3 0 2000 Passed Inspector Comments ' 7?-- C.,/ Failed 2 Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, October 29, 2008 Page 2 of 2 ty;°€ Inspection Worksheet Miami Shores Village ti 10050 N.E. 2nd Avenue Miami Shores, FL / Phone: (305)795 -2204 Fax: (305)756 -8972 , oat, I Inspection Date: 10/28/2008 Inspector: Levrock, James Owner: REINHOLM, JUTA & PAUL Job Address: 170 94 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: PLUMBING SOLUTION Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060132950 Lot: Building Department Comments ADD NEW SINK AND NEW SHOWER IN MASTER BATHROOM. REPLACE EXISTING PLUMBING FIXTURES IN KITCHEN. NEW FIXTURES IN POWDER ROOM. Am Passed ily Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 28, 2008 Page 2 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 APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple itleholder) Owner's Address 1' d City i•-Ci SMoZ"S Tenant/Lessee Name JUL 1 5 2 Permit No. i C O )2 5 Master Permit No. Electrical Plumbing Mechanical WP.4t . ',le a s6cA- State(_ Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Roofing Phone # 3o57 527. 'ba9' S Zip �3i2,g. Phone # /U(A Alf County Miami -Dade Zip 2 A Is Building Historically Designated YES Contractor's Company Name Contractor's Address NO x Phone # City State Qualifier Name Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition iteration Describe Work: 1 t s � Mar a r 4 1t 'mil i Phone # Square / Linear Footage Of Work: ❑New Submittal Fee $ Notary $ Scanning $ Radon $ Permit Fee $ ❑ Repair/Replace ❑ Demolition 111..01 tirrAN Li►I JI / IIC �� tti • Training/Education Fee $ DPBR $ Bond $ Code Enforcement $ Double Fee $ CCF$ CO /CC Technology Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if Bonding Company's A n City =y z n r Mortgage Lender's N Mortgage Lender's Ad City Application is hereby commenced prior to construction in this jur WELLS, POOLS, FU)� OWNER'S At II applicable laws regula "WARNING TO OVu PAYING TWICE F CONSULT WITH COMMENCEMENT. Notice to Applicant: A promise in good faith whose property is subj4 w v G) Z O WN34 /S21H :S31va Iviiuu ns ?i :31ya iv111W8f s : oiov iNO3 for the first inspection inspection will n. t be approved and a reinspection fee will be charged. Installation has ws regulating ING, SIGNS, Hance with all LT IN YOUR FINANCING, ' OTICE OF applicant must 1 to the person at the job site ed notice, the k Signature \ _ Signature 1 h, Owner or Agent q Contractor The foregoing ins + ent was acknowledged before me this �1' The foregoing instrument was acknowledged before me this day of 20 63 by J U (I En 0, f • (et- , day of , 20 _, by , ho is personally known to me or who has produced who is personally known to me or who has produced f-- As identification and who did take an oath. as identification and who did take an oath. NOTARY P . NOTARY PUBLIC: ign: Print: My Commission Expires: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) ?� `/% 6 Plans Examiner Engineer Zoning MINN MINIM MOM ✓ 4n MEN ✓ an, izza MOM rrrn MOM MOM This instrument Prepared By: Address C7c. 44,4 eS, `CZ _ s� t !g OPermit No. ` -1 6 STATE OF • • COUNTY OF T lr/IWII- F- NOTICE OF COMMENCEMENT Tax Folio No. THE UNDERSIGNED hereby gives notice that Improvement 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. Description of property: (legal description of property, and street address if available) `t4 &AA . 54...,2t S . 3343 2. General description of improvement: Fa fcC4 112c,o.Vl p CyL S>�"`�� 3. Owner Information Ae'" ? a t V t. �`r t Y�v,u � ' a. Name and address: c rc'V2 - ?�, N ✓ �`.�� b. Interest in property: cc,>: -rt-. c, Name and address of fee simple titleholder (if other than owner): 1�f 04% 4. Contractor: a. Name and address: Lo6.0/2 --6i. -RY ` b. Phone number: 3 'Sf r✓' 27 5. Surety a. Name and address: b. Amount of bond $ c. Phone number: 6. Lender a. Name and address: b. Phone number. C ?° hJ Ltt . $ • 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: b. Phone number. li. in addition to himself, Owner designates the following person(s) to receive a copy of the Lienar's Notice as provided in Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 8. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CON ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO j ENCEMENT. Signe - f Owner or Owner's Authorized Officer /Director Partn: anager Signet. ry's Title/Office t was acknowledged before me thls 0 day (name of person) as auth6TTi y, ...ojg. officer, trustee, attorney In fact) for behalf of whom instrument was executed). p�I,ICSTATE OF1 LORIDA audia Y. Cubillos Commission # DD717923 %,,." �c= Expires: SEP. 23, 2011 p8rc1 t7 nt ttf ATf,A vtil Btlt ma em, eV. Verification Pursuant to S NOTARY C1 Sl.!fre of Notary Public .- State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Com baton Number Personally Known or Produced IdentlficationF Q,Q / 010-0 ection 82.,525, Florida Statutes (type of (name of party on Under penalties of perjury, I declare that l have read the forego knowledge and belief. a • d EGZ8Si'i'SOE and that the facts stated in it are true to the best of my 1 Sign a of Natural Person Signing Above H a.an2 e2E :TT 80 zT 2nd • . • . . . • . . . • • • 141RM RtNOVTIQ''' R . -F-LE -C€1 • •.. r • • • • • • •, :JULIEN • • *TEL: 345'/'371.3098 SCOPE OF WORK: - NEW KITCHEN COUNTERTOPS AND NEW CABINETRY - RENOVATION OF THE MASTER BATHROOM - NEW PANTRY - NEW LAUNDRY ROOM LEGEND: `.: a , _, '_ ?.; L 3 a b Y: EXISTING PARTITION TO REMAIN NEB PART ION AREA NOT IN CONTRACT ® JUNCTION BOX . DOWN LIGHT SCALE: 3/3t = 1' -0° --rpo< _.,(2_ k -. v k Vi 6 )6\ - tki *et. t L-L 0 S -T-440.-A, -. ___0%C.... exl 1.0\24'-tew._. (2.--E- 7 r7e, )4(- 9 4fe- 4. '.61"- 1P1`), -1\--ki,A) heASe 41/4,..). A-7'zr4c,ft� its XJD'L-2. tr oF• 60,- kk-te)s.sc.erp-t2li■dt". -rit A-idt.04- "7 ,L) ____-\A)% 00 bey-416/2- - I'd E626SivirSOE H a.an2T J e2E: T T BD ZT 2nd Miami Shores Village Building Department 185 Nr E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date 09— i - C BUILDING CRITIQUE SHEET ttQ �/L/lPC Tows Th ` -e c% AA/1(4-C, lee..,;(). c/to, S uhm <�� . elo cz'2t'c4-t /e/a� //c4iio.4) o A. t �.P .cJ /L�CC.7� 2 _ ( t S1 J ©,v 10 /44) s )ova -c.Q 4aerw..�.a4t) 674,2,4? e �vZ .c�c`vtli -O' �l,,�cJ Good 7"a �e 4 "i u /#, vfi, IT �f<< 4 6i4f2 t2 J 32 vL4's4.0 )4o. -76 4e vse0. Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: AL, ► fix/ 3E—R .l • DATE: COS ADDRESS: 17o AID. e 4 ILA:t ,Ac t,-.6-% 5464 S 'CL . 33► 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 useand 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 etnployee, 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 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 3j 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. Initial 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. Iffor any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed'companyor person. Initial 33 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. Initial J3 Was acknowledged before me this Jnd day of , 20 By\Jvl/6,,0 Produced th fbe-61 ek who was personally known to me or who has bg_i ous . as identification. ANDRES A. VANES Notary Public, State of Florida Commisslor# DD593000 My comm. expires Sept 7, 2010 Jul 31 08 01:32p DNA Design & Architecture 305.438.1754 7 , p.1 c_ cut i- L-a s EW.9- 30,g( 5n 3Dsg 'In C°ti ."..A.∎- ■-x- le.+..A • rue_ 5 Pfk_Va.. uL sW.. IJ L, ES u$6S S 1 TL 4cL-r .3RQ Q L � Q.a,r rilej (/(t. 1a ok,wt.r Sc c �4 -e i s 1 teis,L,s .IL;.g s�T.s A-ees 34-'16.r 7/15/2008 15 :16 FAX Pt�oared by anLamar inaid Safzarbitoria Attorney at 1,aw INAKI SAIZARBITORIA, ESQ., P.A. 21 SW 15th Road Suite 200 Miami, FL 33129 305-374-4106 File Number: i3ERGLER- liEiNROL Will Cell No.: INAKI SAIZARBITORIA ESQ fm 001/010 corns , Mono Above TWA Line for Recording flam Trustee's Deed This Trustee's Deed made this j2 day of J!9IN 2008, between MICHAEL CHIODO, a single man, whose post office nddresa is 1940 N.E. 119th Road, North Miami, Florida 33181 and MALLE SALUSAAR, a single woman, whose post office address is Pirita tee 26S-l$ 10127, TaMn, Estonia, both individually and as Summer Co- Trustees arm JUTA EtBRE RE1NHOI.M TRUST DATED NOVEMBER 12,1998, grantor, and Julian Bergier and Carolina Calderon, his wife whose post office address is 1 NE 40 Street, Suite D-2nd 'k`ioor, Miami, PL 33137, grantee: (Whenever Wed herein the Loans grantor And arenas include, ell rho parties to this Immanent And die heir% legit repreeenmtives, and Assigns of indtvlduels, and the euaceseors and assigns of cage rotas, tows and trustees) Witnesseth, that said grantor, for and in consideration of the atau TEN AND NO /100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantees heirs and assigns forever, the following described land, situate, lying and being In Miami- -Dade County, Florida, to-win Lots 6 and 7, Block 22, of an AMENDED PLAT OF MIAMI SHORES, SECTION NO, 1, according to the Plat thereof, recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida, Grantors warrant that at the time of this conveyance, the =bidet property 19 not the Grantors' homestead within; the meaning set forth in the constitution of the state of Merida, nor is It condgnous to or a purr of homestead property, Grantors' residence and homestead addresses are as set forth bereinabove, Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the stone in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby !hilly warrants the title to said land and will defend the same against the lawful claims ofall persons claiming by, through or under grantors, but no other. (TFit SPACE INTENTIONALLY LEFT BLANK) Page 1 of 2 07/15/2008 15:16 FAX INAKI SAIZARBITORIA ESQ Xn Witness Whereof grantor has hereunto sec grantor's hand and seal the day and year first above written, Signed, sealed and delivered in otrpresence: WI, : if -. ____ +/i i MICHAEL CHIOD., ndividualiy and Successor Co- Trustee State of Florida County of The foregoing instrument was acknowledged before me this rZ day of d IOGY , 2008 by MICHAEL CHIODO, a single man, both individually and as Successor Co-Trustee of THE JUTA ELBA REWHOLM TRUST DATED NOVEMBER 12, 1998, who [j is personally known or [ 1 has produc - a driver's license as Identification. MALLS A SAAR, Individually and Succes or E o- Trustee [Notary Seal] State of County of Notary bi o Printed Name: My Commission Expires: The foregoing instrument was acknowledged betbre me this day of by MALLE SALUSAAR, a single woman, both individually and as Successor Co•Trastees of THE IUTA ELBRE REINHOLM TRUST DATED NOVEMBER 12, 1998, who [i is personally known or [ 1 has produced a driver's license as Identification, [Notary Seal] Notary Pu he Printed Name: My Commission Expires: Page 2of2 07/15/2008 15:16 FAX INAKI SAIZARBITORIA ESQ 0003/010 SI NOTARY'S INSCRIPTION. Tallinn, on June 25, 2008. 1, Annika Kuimet, the Notary Public of Tallinn, at my office in Tallinn Tartu mnt 10/Pusukese tn. 2, do hereby certify that the signature affixed in my presence by Malle Salusaar, personal ID.45811275713, date of birth 27.11.1958, is genuine. Declarant's identity has been established by identity card. In certifying the genuineness of signature, the facts presented in the document by thfj declarant were not verified. This document consists of 3 sealed pages Notary's Official Procedures Book registry no.: Notary fee 10.- Kroon (Notary Pee Act § 31 p 13) VAT 1.80 Kroon. Total 11,80 Kroon, 0 07/15/2008 15:16 FAX t• bald Saizarbitorla IIYAKI SAIZARBITORL4, ESQ., P.A. 21 SW 15th Road Suite 200 Miami, FL 33129 305-374-4106 File Number. BERGIER REINROL INAKI SAIZARBITORIA ESQ _fSpe eAbowThitLineporRaeordfesDeal Trustee's Affidavit iA 004/010 S (Thin document may be executed in any number of each of which will be deemed an original, but a complete set of which together will constitute one and the same instrument. The signature of any party may be delivered by telefax and shall be deemed an original signature) BEFORE ME, the undersigned authority, personally appeared MICHAEL CFHODO and MALLE $ALIJSAAR, as Successor Co- Trustees of THE JUTA ELBRE REINHOLM TRUST DATED NOVEMBER 12, 1998 {hereinafter the "Trust"), who, on oath, deposes and says as follows: 1. That the Trust is the owner of the Iblloveing described property (the "Property"): Lots 6 and 7, Block 22, of an AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1, according to the Plat thereof recorded in Plat Book 10, Page 70, of the Public Records of Miami Dade County, Florida. Parcel Identification Number. 11-3206-013-2950 2. The Trust is in fall force and effect as of this date and through the dare hereot and same has not been 3. The Settler, JUTA ELBRB RHINHOLI,(, died on ianuaty10, 200S, 4. A successor Trustee, PAUL WILLIAM REINHO M, who was also the epees* of the Settler died on July 9, 2002. 5. The estate of the Settler under the Trust, RUTA ELBRE REINHOLM, does not owe any Federal estate taxes and, ifit does, all Federal and State taxes lave been paid or will be paid. 6. The Co- Trustees have 1.i1l power and authority to sot en behalf of the Trust and no contrary powers er restrictions appear in the trust document or its amendments, portions of which are shown on Exhibit "A" attached hereto and made a part hereof. 7. The property described herein above is not now nor has ever bean the homestead of the Co-Trustees, nor contiguous thereto. 8. The Settler was not survived bya spouse or any minor children. 9. The Trust provides in Article 'au (3) that every Successor Trustees appointed to succeed, shall have all the powers ache Original Trustee, revoked. ooubtaTtmee 07/15/2008 15 :17 FAX INAKI SAIZARBITORIA ESQ 14005/010 FURTHERAPFiANT SAYETH NOT MICHAEL CHIODO and MALLS ALUSAAR, as Co- Trustees of THE JUTA ELBRE RE1NHOLM `. DATED N9 M ER 12,1998 By. MICHAEL >3yl MALLE SAL STATE OF I. W4I[0.A COUNTY OF ∎1.s3,/1.. 1pAD ) I hereby certify that on this day, before me, an officer duly authorized to signed under oath, to administer oaths, and take acknowledgments, personalty appeared MICHAEL CWODO, AS SUCCESSOR CO•TRVSTEE OF THE JUTA ELBRE REINHOLM TRUST DATED NOVEMBER 12, 1998 known to uw to be the person described in and who executed the foregoing instrument or who produced Siogifjp_a_ge as identification and who acknowledged before me that he executed same and did/did not take an oath. Witness my hand official seal this 2 day of 2008. STATE OF COUNTY OP } I hereby certify that on this day, before me, an officer duly authorized to signed under oath, to administer oaths, and take noknowtedgments, personally appeared MALLE SALUSAARh AS SUCCESSOR CO- TRUSTEE OF THE JTTTA ELBRE REIIVHOLM TRUST DATED NOVEMBER 12, 1998 known to me to be the person described in and who executed the foregoing instrument or who produced as identification and who acknowledged before me that she executed same and did/did not take an oath. Witness my hand official seal this day of _ , 2008. My Commission Expires: NOTARY PUBLIC Notary Name: TWa.dnwh !Stay - Yage 3 Pik, Rumba: HERfirl;it•REINHOL Double Timex 07/15/2008 15:17 FAX INAKI SAIZARBITORIA ESQ 000E /010 cAatee t5 eL4(' Q2) to xr »ss OF SIGNATURE given name and surname 1. gnoturel NOTARY'S INSCRIPTION. Tallinn, on June 25, 2008. 1, Annika Kuimet, the Notary Public of Tallinn, at my office in Tallinn Tartu mnt 10/P8 sukese to 2, do hereby certify that the signature affixed in my presence by Mahe Salusaar, personal ID 45811275713, date of birth 27.11.1958, is genuine. Declarant's identity has been established by identity card. In certifying the genuineness of signature, the facts presented in the document by the declarant were not verified. This document consists of 3 sealed pages Notary's Official Procedures Book registry no.: A94 Notary fee 10.- Kroon (Notary Fee Act § 31 p 13) VAT 1.80 Kwon. Total 11.80 Kroon. 07/15/2008 15:17 FAX INAKI SAIZARBITORIA ESQ aluakeummumbutuat This agreement rrrede this Ise day of , 1398 between JUTA i #LBRS REINHOLM, herofnefter referred to es the Settler, end JUTA ELBRE REINHOLM and PAUL, WILLIAM RE1NdtOUM, hereinafter referred to ea TruQtecs. ARTf¢L �p({g{ip n of Pra�,B„rry Tren8larrerl The Settler hoe paid over, assigned, granted, conveyed, trerrsfdrred end delivered, end by this agreement does hereby pay over soden, grant, convoy, transfer and deliver unto the Trustee the property deecrlbed in Schedule A, annexed hereto and made a part hereof. Any other property that may bo reoelved or which has been received by the Trustee hereuAder, se invested end reinvented {hereinafter referred to es the "trust estate % shall be held, edminlater d end distributed by the Trustee ne hereinafter riot forth. The term ' Trustee shell also mean "Trustees' wherever the context may require. AMC! gYnvdatorts urtr� Bald is The Trustee shalt invest and reinvest the trust estate 111 any raguiree such management taro( lnveatrrtentl and Eitell dispose of the net Meta.) and principal es follows! U1 During the life of the Settior, the Trustee shalt pay to or apply for the benefit of the Settler all the net income from this trust. i21 During the tffe of the-Settler the Trustee eltail ply to or apply for the benefit of the Settler *milt awry from the principal of this trust lie in her sole diecration Is neeeessry or edvfeeble for the median! oars, oomfortebie maintenance and welfare of the settler. in exercising this dieerettonery power, the Trustee may but need not consider any other resources of the Settler. (31 The Settler may at any time during the Settlor's life, withdraw old or any part of the principal of thiN trust, by delivering to the Trustee B written instrument, shined by the Settler, deeerIbtng the property to be withdrawn. (a) The original Trustees may; not independently and the signature of only one orietnei Trustee shoal be sufficient to act. ARTICtg Ii>( fiallpziaghtst e Amen ,�R_eyatre gr hartge The Settler may, by signed instruments delivered to the Trustee during the gatttor's life; i11 vyithdrew property from this trust in any arneunt end at any tints upon giving reasonable notice in writing to the Trustee; (21 add other property to the trust; 131 (Mango the benefioiertea, their respective shares and the plan of distribution; (41 emend this trust agreement hi any other respect: IaI revoke this trust M its entirety or any preulsion therein; provided, however, the duffel or responalbilitlee of the Trustee shell not be etlerged without the Trustee's consent net without setlsfactoty adjustment of the Trustee's compensation, E (FefaiT "A"t 1007 /010 07%15!200$ 15;17 FAX INAKI SAIZARBITORIA ESQ ARIL. 1<-.K erov slo far_Trus ge to t Ra fait oeftcisry under_ A 2 If any income or principal payment hereunder becarnes distributable to a beneficiary who hoe not attained the st10 of twenty-five yaerr auoh property chell immediately vest in such beneficiary, but norwithster+d ng the provlelons herein, the trustee shall retain possession of such property In trust for such bor efioiary until the beneficiary etteins Ma age or twenty -five, using ao much of the net Income and prinalpel of cuch trust u the trustee deems necessary to provide for the proper support, mddloal are and education of such beneficiary. In exercising this dlaoreflonery power, the trustee may but need not consider any other resources of such beneftciary or his or her parents. Such beneficiary's share or property shalt be distributed to such beneficiary upon straining age twenty -fwe, or if ho or she anal( sooner die, to his or bar estate. Whenever the trustee determines It appropriate to pay any money for the benefit of a beneflolary for whom a trust is created hereunder, then such amounts shell be paid out by she trustee in such of the following ways es the trustee deems best; ftl directly to auoh benefitstery; 17) to the legally appointed guerdlen of such berieflolaryl (3) to some relative or friend for the ogre, support and education of auoh beneflatcryf tai by the trustee wing ouch amounts directly for such beneficiary's care, aupoort end education, The trustee shall have with roapeat to each trust or property so retained all the powers end discretionn herein conferred. AMU - Emma Sy way of Illustration and not of limitation vnd In eddklon to any inherent, implied or etetutory powers granted to Trustees generally: the Trustee lo epeollionity authorized and empowered with respect to any property, renal or persona', et any time held under tiny provision of this trust: to allot, allocate between principal and inaernaa, atssign, barrow, buy, cure far, ooliec4 compromise claims, contract vkl ronpect to, continuo any buetnee. of the Settler, convey, carver#, deal with, drspaeo of, enter into, exchange, hold, Improve, inoorpereta any buelnaoe of the Settler, Invest, lease, manage, mortgefta, grant and exercise options with respect to, take poesassion of, .pledge, raaeivn, release, repair, sail, sue for, tb make distributions In yeah nr In kind or perrtiy in each without regard to the incones tax bass of such tweet and in general, to exercise all of the powers in the management of the Cruet estate which any individual could Ferniest In the management or limiter property owned in its awn right, upon auoh term a and conditions ae to the Trustee may deem beat, and to axe", and deliver any end ail Instruments, end to do all loth which the Trustee may daunt proper or necessary to carry out the purposely of this trust, without being limited in any way by the speolflc grants of power made, end without the necessity of a court order, The 'Nette is authorized to retain the nervlane of a Mandel advisor, attorney, accountant or financial inatitutlon to perry out Ma provisions, of the trust. ea'ta 1 e vin sCt� The grant of rlahter powers and authority to the Trustee by any prvvblon of this trust or by any statute shell not be effective if and to the extent that the tame would diseivatify the marital deduction as established hereunder, The Settior'a 6 • :XF4181 i "AO a008/010 07715/200$ 15:17 FAX INAKI SAIZARBITORIA ESQ Q009/010 spouse under the prb'iisions of Trust B shall have substantially that degree pi beneficial enjoyment of the trust estate during such spout:Vs ltro which the artnolales of the few of trusts accord to v person who is unqualifiedly designated as the fife Income beneflolery of at trust and the Trustee shell not exeralse Its discretion In a manner which Is not in aaoord with this exposed intention. The Trustee shall Invest the trust estate so thin It will produce For the Senior's spouse during the spouse's life en Income or use which is consistent with the value of the trust estate and with Ito praasrvation, The Trustee shall not mike any determination Inconsistent with the foregoing, Tt C i payments te.incaooeitated pkort in dose en income or principal pevrnent udder env trust created hereunder or any share thereof shall become payable to e'person under the age of 1'wertty.one 12 I), or to a person under legal dlsebiltty, or to a portion not ad}udioated incvmpatant, but who, by reason el mental of phyeleel disability, le, in the opinion of the Trustee unable properly to administer such amounts, than each amounts shall he paid out by the Trustee In such pf the following w$ye eri the Trustee darns best: 111 directly to ouch beneficiary; (2) to the legally appointed guardian of ouch beneficiary: 13) m some relative or friend for tho care, support dtrd education of etroh boneficleryt 14) by the Trustee aaing ouch amounts directly for Stroh benaffolary'a care, support and education; provided, however, that no distribution shell be made under fat above from Trust B, j]'w XIIi • tea ienat1O_n Aemovol as 9ucrteseet TnJttM IUMACT)1! Ss 3. every aueenfelor truetec shall have all the powers given the originally named Trustee, Upon reoeIpt or notice of appointment of a euccessor trustee, the Trustee shell transfer to audh euooeeser trustee (which accepts the appointment es Ttuetee) the trust property and make a full and complete n000unting to the Settler if living, otherwise to sit beneficiaries entitled to the income from the trust, whereupon the Trustee shall be discharged and have no further reepanstbility under tale trust agreement. 4, Ih the event of the death or disability of the 9ettlor than the Settior'e spouse, PAUL. WILLIAM RBINHOLM, MICHAEL. CHJOlq and MALLS SALU9AAi3, Shell become the aucoesior Co•Trustee* and they shall fame without bond. The Sottlor shalt be presumed to be diiabtad if her spews and two of her phyeiclans have determined that the Sottlor la Incapable of taking care of her sHalre en e day to day basis. Nu person need to question this and The cottons of the new Trustee In eating as fiduciary shell be accepted by alt persona, No et aaessor Trustee shall be responsible for eats or omiselarta of miry prior Trustee end no sueeesaor Trustee shall have a duty to verify the records of the prior 7ruetae, 7 X41,13iT 07715/20013 15:17 FAX INAKI SAIZARBITORIA ESQ pit00F, Ng STATE OP FLOPIOA cOVN'r t OF t_', 40e We, .t,JTi yrs REINHOLM, ,_,,, t ,h'st i m and (Vdt‘e the Settfor anti the witnesses.'reapaollualy, whose names are signed to the attached or foregoing Instrument, having boot sworn, daolated to the undo/signed ofrbar that the Settler, In the praaance 01 the witnesses, sighed the Instrument as for own Trutt Agreement, that she signed, and that each of the witnesses. In the pretence or the Settfar end in the presence or oasis other, signed the Trust Agreement u wfineases, Whnaso The lefpgoing fns meth oa acknowledged, aabsotfbed end sworn to bot to ma this day of j,, 1859 by JUTA E B8 REINHOLM who la parsonsify known to rn or who has produced �„f.,'. • • se Identlfieutian. LN, P. SEAL! TalcurrolOgo * M�aginma.ten401011s4 +rn °.te Kull/tam LW. 4�,�0C$ ?tint Or stamp nano of notary panne, sonunhatan mamba? Ortd dote of aspiration • 10 E )Ut-I !.StT "P.'' Notary 6(nbfla, State of Flerlde lb 010/010 ■ IKEA File name:Unlitled Date:7/7/2008 Scale:Choose 1/4 scale Dimension:13' 2" x 12' 8" Your note: • • • • •• • •••• • • •••• ••• • •.• •• • •••• •••• • •• •• • • • • •• •••• • • • •• • • • • •• • • • • • • ••• • • • •••• • •••• • gi JUL 1 5 LI BY: PERMIT # :fC -) Miami APPROVED ZONING DEPT 6 DG DEPT Shores Vilia9e BY DATE UBJECT TO COMPUAN aF WITH TATE A. D COUNTY RULES AND REGULATIONS m9 Y File name:Unlitled Date:7/7/2008 Scale:Choose 1/4 scale Dimension:13' 2" x 12' 8" Your note: • • • • •• • •••• • • •••• ••• • •.• •• • •••• •••• • •• •• • • • • •• •••• • • • •• • • • • •• • • • • • • ••• • • • •••• • •••• • gi JUL 1 5 LI BY: PERMIT # :fC -) Miami APPROVED ZONING DEPT 6 DG DEPT Shores Vilia9e BY DATE UBJECT TO COMPUAN aF WITH TATE A. D COUNTY RULES AND REGULATIONS RIt: A File name:Untitled Date:518/2008 Dimension:13' 3" x 12' 8" Your note: • •••• . • • • • • • • • • •• • • • •••■•■ •.. Of.' •.•••• .. 1 • r••••• w • • .. •••• • •••• . ..••- ..OS •■•• ? ..'• • • ;• .• •: . ■ IKEA! File name:Untitled Date:5/8/2008 Dimension:13' 3" x 12' 8" Your note: •••• • • • • • •••• •.• • • • • •• • • "• ••;s• • • •`-... •• •• • • • • •• • • • • • • • • • • • • • Ilt- File name:Untitled Date:5/612008 Dimension:13' 3" x 12' 8" Your note: •••• •• • • •••• •.• • • • • •• • • •••••• ••• • •.•* • • •• -•• •••••• • • • • • •••0 • • • •• • • • • • • • • • ••• • •••• • • • • • • DEMOLITION OIORPOLV�T10N LOCATE D AT: • • Z • • 17O.ar 24TH SauF.ET • MIAIOIStIORES, FL. MIN KITCHEN OAC Si • C & JULIEN•gRGIER • . TEL:'3Ab' / 52 Z,3098 • • • • • • • • . • • • •••. • •• SCOPE .0F \jORR:...' • • TERT01 • .4 + - 1141 KITCHEN •CQlfl� AND NEW CABINETRY• - RENOVATION OF THE MASTER BATHROOM - NEW PANTRY - NEIN LAUNDRY ROOM LEGEND: EXISTING PARTITION TO REMAIN etamonamessmas *ALL TO BE DEMOUSHED EXISTING PLUMBING , FIXTURE TO BE REMOVED EXISTING IQOR TO BE REMOVED AREA NOT IN CONTRACT SCALE: 3/32" = 1. -0" INTERIOR RENOVATION LOCATED, AT: ••,•• • 170.41! $4TH SI ET , MI,4LS:1 RES, FL, 35,1s8 ▪ • • •••• ZC•• • • • • • • & JULIE,QF,RGIER • • TEL: '3,05" / 5213998 • • • • • • • • SCOPE lJF *OR1C:.... • • -" NCB KITCHEN •13Qlii,TERT001"" AND NEW CABINETRY* - RENOVATION OF THE MASTER BATHROOM - NEW PANTRY - NE* LAUNDRY ROOM kvAte Att ?GA_ v i,114/4p6 #12- AA-reap LEGEND: =I EXISTING PARTITION TO REMMN NEW PARTITION AREA NOT IN CONTRACT SCALE: 3/32" = 1' -0" • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • 0 • • • • •S • • • • • • ve GYP. BD ON METAL STUD FRANNO. SEE PARTITION SCHEDULE . . DOUBLE METAL STUDS SEALANT 4 ANCHORS PER MOB HOLLOW METAL FRAME iormasin j 8 DETAIL ,t. SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS 3 NOTE PROVIDE ANCHORS AT HEAD 0 2'-O" O.C. MIN. WHEN DOOR FRAME FOR PAIR OF DOORS IS GREATER THAN e-o- 5/fr GYP. HO ON METAL STUD FRAMING. SEE PARTITION SCHEDULE METAL STUD RUNNER CHANNEL SEALANT CLEARANCE AS FtEo'D BY DOOR MANUFACTURER HOLLOW METAL FRAME HOLLOW METAL DOOR HEAD DETAIL APPLIED FINISHES SEE FINISH SCHEDULE /PLANS GB - 1 LAYER EACH SIDE METAL STUDS ACOUSTIC INSULATION WHERE SCHEDULED BASIC PARTITION THICKNESS NOTES: * SEE DETAIS FOR BRACING OF PARTITIONS TYPES A_3 & A_4 peg_ '/ L hi& sr PARTITION! SYSTEM PLAN IDENTIFICATION SYMBOL A2_ `' A4_ STUDS TO STRUCTURE ABOVE (SEE DETAILS) 1 HR. RATED WITH GB TURE ABOV /A N/A �0 A40 NO • . r .. TO STRUCTURE ABOVE i Ali A31 A41 NON . RATED WITH GB TO 6" ABOVE CEILING Al A22 12 A42 NON RATED WITH STUDS & GB TO FINISHED CEILING (SEE DETAILS) _ . A13 A23 A33 a A43 NON RATED PARTIAL HEIGHT PARTITION WITH GB TO X' -O' AFF (SEE DETAIL) * Al 4 A24 A34 A44 STUD SIZE 2 1/2" 2 1 3 5/8" 3 5/8" GB THICKNESS 5/8" 5/8" 5/8" BASIC PARTITION THICKNESS 3 3/4" 4 7/8" 4 7/8" STUD GAUGE (INDICATED OR SEE SPEC) 22 22 22 STUD SPACING (INDICATED OR SEE SPEC) 24" 24 24" F 24" ACOUSTICAL INSULATION NO YES NO YES ACOUSTICAL RATING (STC) 40 49 40 49 NC. talif ICAL .TESx. NUMBER • SIM. U' 8608' SIM. SA 870717 IM. USG ' SIM. USG •60808: 870717 FIRE •TEST 400E/ (WHERE APPLICABLE) DES i UL DES 65 F U465 ‹Orit• CODE VEMIREMENT - - �2. MRKS .e.e • •• •' ,Q C. 01, •,• :22A0_. e . • • 'k Jul 31 08 01:33p DNA Design & Architecture 305.438.1754 p.4 -ex.; Miami Shores Village Building Department 1.0050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Yax: (305) 756.8972 Permit No. Job Name Date BUILDING CRITIQUE SHEET te ,/mac 7iv vs To d -e.(%A-"(c,47-e, 1 , • w S u,b. c4 G/ 0'4/ tO coA.Ye cZb& I 6e.Twa2.43, /44u7" /.c)c beZi,u` /VAG () -r 0 711 v 0. -2 .4 1�Jrc.�r,�v AtIbt . -ten Reviewer: Claudio Grande C.B.O 305- 795 -2204 Ext 1430 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 No. IA 06- / Master Permit No. Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) '�v ( Phone # ' f ) Lg . Owner's Address 1, r21 J t� te- City Tenant /Lessee Name State Zip 3313 _ Phone # /WA-. E -MAIL: '� �5-.. rst-, Job Address ere the i k is being done) n n n/ City Miami Shores Village County Miami -Dade l\ — 32.06 - o�3 — 50 FOLIO / PARCEL # Zip Is Building Historically Designated YES Contractor's Company Name i�� 1 h n A" - er i�;4v -1 Phone # %5/31- - Contractor's Address L yd-Z -0 . J City 3531, t State pi Zip Qualifier Name 1- f„rj2eii geo/pru Phone # 7,414. r State Certificate or Registration No. Certificate of Competency No. 040P Doe 2-3s- E-MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ❑New Repair /Replace ❑ Demolition Describe Work: ec % L 1/�rr6t �� 5h� 2�✓ . j7 /1:'& ******** * *** * *** * * * * * * * * ** * * ** * * **** *** Fees * *_* ******* * * ***** *** * *** * * * **** **** * * **** Submittal Fee $ Permit Fee $ / FD lJ`� 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. 1 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 .ot be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing i trument was k cil dged bef e me this day of At.94 9Y , 20 by ) who s personally known to me or who has produced 01 -0 ii-! NO A Sign: Print: My Commission Expires: s identification and who did take an oath. o`i,&1~ ti PUBLIC: . * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B (Revised 02/08/06) Signature L"'/ Contractor The foregoing instrument was acknowledged before me this 7 day of Rt giros , 206 , bys¢/ p „ wh erssonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: PU Ft ,S LOW' A l r �iSiON #DIA758 OF Ft- 8 My Commission Expires: * * * * * * * * * * * ** * * * ** ** ********* * * * * * * *** * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 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: Electrical Owner's Name (Fee Simple Titleholder) A0V.;■eaQ Owner's Address 170 Alm q 4 - St Permit No. 1 JUL 29mll8 BY: Master Permit No.3 OjZ. Phone # ?'752-? Deig. City t A k C 4vie State ., Tenant/Lessee Name E -MAIL: aer e Job Address here the work is being done) N/A- - Zip e7i', 8. Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # „— 32_o 6- d i, -- 24;t5o • Is Building Historically Designated YES NO X Zip 33t cJ Contractor's Company Name .V,d Y yr i �4/L IL EC77 /C /NC. Phone # .5 -off 1 - 3 / 7 3 Contractor's Address 3. i N E /2_ 2 s'T City No,/- ° ( /1'1 / A /✓1 1 State , L Qualifier Name r ,t(rz p CA U 62oiJ State Certificate or Registration Np:. Efeo 01 e/ 1 (,,g' E -MAIL: Architect/Engineer's Name (if applicable) Zip 33 1(0 ( Phone# 3o - 3/73 Certificate of Competency No. 00c'O /(a to v5 Value of Work For this Permit $ a Oc)U . ©o Type of Describe IZ U ork" AE�if��ty 6ofto w 452 - yisk*i 4 MO* noinTrfr*3 Phone # Square / Linear Footage Of Work: n ['New N. Repair /Replace ❑ Demolition e/s'SS L/6 4(75 / f 1 Vs' G-t' . l'oaA 5Gc>17e -JfEs - 4 - /2E/t4eE w/2,��y ******** * * * * * * ** * * * * * * *x *xxxxx * * *xx* * ** Fees********** x** * *xx * * * * *xxxxx * *xxxxx * *x ** * * * ** Submittal Fee $ Notary $ Scanning $ Radon $ Bond $ Permit Fee $ /00' a e' Training /Education Fee $ Code Enforcement $ DPBR $ CCF $ CO /CC Technology Fee $ Zoning $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site inspection will n for the first insp k . tion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the , app1 roved and a reinspection fee will be charged. ner or Agent Contractor The foregoing instr ent was acknowledged before me this`°+ The foregoing instrument was acknowledged b day of JAI( , 0 08 , by J\A Lket F - \�'R- , day of who is personally known to me or who has produced I— -Pt— who is TIv2A2So13O1b0 As identifi NOTARY PUBLIC: Signature Sign: Print: • "7P''�•.- JESSICAOZORE$ MY COMMISSION # DO 677243 �,2 EXPIRES: May 22, 2011 di�i" Bonded Pint Notary Pub4bcUnderwntow kCA c c My Commission Expires: 5 `2:2-`2c)11 e onall , 20Dtby nown to me or o has produced as identification and who did take an oath. NOTARY PUBLIC: x, cx aY, Y** **xxx,t,c********xxuxx,Yxxxxxxx x,ex,kde,Ydc,txxx,4xxx****,Yx xxxxx,Y**** APPLICATION APPROVED BY (Revised 02/08/06) FJ4,1-yG%6 Plans Examiner Engineer Zoning A(A16 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 Ip�R f�a LJ 759 9p B Permit No.1\40 Master Permit No. O*1 Permit Type:. Mechanical Owner's Name (Fee Simple Titleholder) .4 ? v24.(evL, Phone # 3.37 52-? ?jOct a . Owner's Address Oo Af'' c(44€-- City ��.t l�r � �; State f. Zip 33,39 . Phone # N Tenant/Lessee Name t All E- MAIL: .erg Job Address (wheyc 10� ' the wok') is being done) (' Ai /et Sb City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Zip 35 r; a Is Building EGstorically Designated YES NO X Contractor's Company Name A11- NI& at7fteket 2, Phone # ® S) .3(e Contractor's Address 7 9 (0 3 N LO 61 S • City V ! State FED Zip a 1 (0 6 . Qualifier Name 1 2-D , , #1 Q .. `` • Phone # 7 el.0 ' - b oZ •— S 5 'y O State Certificate or Registration No. 40 14-41(04, Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # o0 Value of Work For this Permit $ (Q 1000 Square / Linear Footage Of Work: Type of Work: Describe Work: ❑Addition ❑Alteration Re) pl a.e& e l Ll o_i A f e_ 13 Saigk I A ❑New 111 Repair /Replace ❑ Demolition A M 4 l to «Saga. Cord wla 4 xz 9cxxxxxx* xxxxxxx• vc* Submittal Fee $ Notary $ Scanning $ Radon $ x Permit Fee $ Training /Education Fee $ Bond $ Code Enforcement $ Structural Review. $ DPBR $ Technology Fee $ Zoning $ Double Fee $ 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 jj absence of such posted notice, the inspection w not be approved and a reinspection fee will be charged Signature Owner or Agent The foregoing rument was acknowledged before me this day of AA R S ,1 , 20 Nib , by \ 1tn • Ber91 who is personally known to me or who has produced ., - bZ \2"13c11OD As identification and who did take an oath. NOTARY PUBL C: Sign: Print: 041A la /• _ A o _ rptw o<, ERNESTO A. GONZALEZ ,., MY�CryOM��MISS��IO��N�( # , DCCD 440�0(,44�347 • v . .,q0 Bonded Dm Notary RacUndavafters My Commission Expires: *******************'x x*** Signature Contractor The foregoing instrument was acknbwledged before me this j day of 20143 by Re 11Obp. „, who is personally known to me or who has produced -11., as identification and who did take an oath. �. NOTARY PUBLIC: s`tGr - Juk.t t o APPLICATION APPROVED BY: (Revised 02 /08/06) ** Zoning All -Air Contractor, Inc. Installation - Sales - Services 7963 N.W 64 Street Miami, FL 33166 Telephone: (305) 436 -2242 Fax: (305) 436 -8692 Ar Proposal and Agreement To: JulianBergier Attn:Eduardo From: Lic.: Rodolfo Rodriguez CAC1814266 Fax: Phone: Date:08 101/08 Re Job:170 NE 95th St Miami, FL 33138 Work Specifications: - Replacement of a 13 seer, 4 -ton NC unit - Replacement of a 13 seer, 2 -ton NC unit Model: Work Shall Include: - Equipment - Electric and control connections - Refrigerant pipes connection - Drainage system - Duct connection Work Shall Not Include: warranty: 5 years on compressor 1 year on parts 1 year on labor Note: Due to the Maintenance given to the air handler, it is not necessary to replace the air handler. It is necessary replace the condenser's coil which is in critical condition. We hope the above information is to satisfaction and we would be pleased to provide any additional information you may require. Customer Acceptance: By: Date: Total Work Price: $ 6,500.00 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 2--e5 Job Name Date 49/G3 MECHANICAL CRITIQUE SHEET rleeA �(44atA) f4la-n Lcd1 V,n,,,�, 2-6 64- OA eA wlro do - 1 • • • • • *lb • • • • • • • • • • • • • • It • • • • • • • NEW A/C COMPRESSORS ltI • • • • ST FAN-50 CF 1,1 HAUST FAN-8O CFM IN ROOF OVER HANG IN ROOF OVER HANG it: AL6 0 CI INTERIOR RENOVATION LOCATED AT PCD-z5-1 170 NE 94TH STREET MIAMISHORES, FL. 33138 OWNERS: CAROLINA & JULIEN BERGIER TEL: 305 527,3098 SCOPE OF WORK: - NEW KITCHEN COUNTERTOPS AND NEW CABINETRY - RENOVATION OF THE MASTER BATHROOM - NEW PANTRY - NEW LAUNDRY ROOM DRYER EXHAUST iN ROOF OVERHANG LEGEND • EXISTING PARTITION TO REMAIN NEW PARTITION AREA NOT IN cONTRAcT SCALE: 3/32" = V-0° 08/08x'2008 02:21 3054368692 All Air Contractor, Inc. Installation - Sales- Services 7963 N.W 64 Street Miami, FL 33166 Telephone: (305) 436 -2242 Fax: (305) 436 -8692 AP- REPAIR & SERVICE PAGE 01 Ar Proposal and A eement To: juliannergier Attn:Viviana Cubillo From: Lie.: Rodolfo Rodriguez CAC1814266 Fax: Phone: Date:08 /08108 Re Job:270 NE 94th St Miami, FL 33138 Work Specifications: - Replacement of a 13 seer, 4 -ton A/C unit - Replacement of a 13 seer, 2 -ton A/C unit Work Shall Include: Equipment - Electric and control connections - Refrigerant pipes connection - (2) Exhaust fan installations (bathroom) - Dryer sheet metal ducts - Drainage system - Duct connection Work Shall Not Include: Model: warranty: 5 years on compressor 1 year on parts 1 year on labor Note: Due to the Maintenance given to the air handler, it is not necessary to replace the air handler. It is necessary replace the condenser's aril which is in critical condition. We hope the above information is to satisfaction and we would be pleased to provide any additional information you may require. Customer Acceptance: By: Date: Total Work Price: $ 7,200.00