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DEMO-09-43Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: February 12, 2009 Inspector: Bruhn, Norman Owner: MOSHEIM, ROBERT Job Address: 1285 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: DOWER CONSTRUCTION INC Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132050100100 Phone: (305)986 -4999 Building Department Comments February 11, 2009 Page 1 of 1 `6 Wit Passed pd Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 11, 2009 Page 1 of 1 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): ( Buil g > Roofing yep -er Owner's Name (Fee Simple Titleholder) Owner's Address / 1 S BY: m .aomo �oo. ®oao Permit No. CEmn 09 ° Master Permit No. wic ? = fi'r C'� Phone # City 6�'� .�d State �� Zip i ` 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 / NOS; Contractor's Company Name / (cx of 4/46one # g�: Contractor's Address City / / 1 ,/ State Zip Qualifier Name t t/k /)J Phone # State Certificate or Registration No. C-12(--I3,7 7/ / 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 Demolition Describe Work: � �� j ******** *** ** ****** ****** * * * * ***** ** *** Fees *a x******* * ******* *** * * ** * **** ** ** * ** **** Submittal Fee $ Permit Fee $ / "-- CCF $ 0'00 C Notary $ 5-CD Training/Education Fee $ 1 Technology Fee $ 3'3 Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement Double Fee $ Structural Review. $ � Total Fee Now Due $ I (.��1 ' J , -j Ced) • ✓' , 3 'e.,+ . ;.�' YomV 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 TI 20 4 , by /2I � MSAri is personally known to ho has produced NOTARY PUBLIC: Sign: it "11 Print: LkW1 cr 74 • =.,,,. +��rP DANIEL P. DOWER MY COMMISSION # DD463852 '4.0f Fl eQ EXPIRES: Aug. 21, 2009 (407) 388 0153 Florida Notary Service.com My Commission Expires: Q e 7/! APPLICATION APPROVED BY: (Revised 07/10/07) Signature Contractor The foregoing instrument was acknowledged before me this' 0 day of F , 2006, by : l if P uair , who is personally known to me or who has produced f/ .-071,44 i 5 -, i as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commis c2' 7 Plans Examiner Engineer Zoning Miami Shores Village Building De jattment 10050 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. IMOTEEVal JAN 3 C 2 9 BY: C_ 01-145 Permit Type: e• Electrical QQ1VTt11'1 Owner's Name (Fee Simple Titleholder ) 4g� egifeeirif Phone # ac3- - 9 Owner's Address p'% - P5 0,10,e —o c City G ; z State ,,04:7—/ Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) / c' 5- f/v1' 74i , City Miami Shores Village County Miami -Dade Zip . FOLIO / PARCEL # i Is Building Historically Designated YES Contractor's Company Name �� ?b'� -/ /9 e. Phone # 30 m 6 :a Contractor's Address ;5-.2.--/5— 6 st)-- / 3 - 4 iv& • City Qualifier Name State State Certificate or Registration No. & "3 Ica / 7o E -MAIL: Zip a 3 r''4 Phone# 3c 5" - -a 1;9'7 v Certificate of Competency No. t — I3 " "/de 7c3 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ems' /O?4 Square'/ Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration [New Describe Work: 442/ 5 g c5e7 c 71 6, ❑ Repair /Replace [Demolition xKxxxxWWWWWWxrx�xx�xxxxxxxxxx�x�xxxfxwK Fees wYw *wWw Submittal Fee $ Permit Fee $ /' L� G xxW Y. flW XWW Y.X XXX%XXXY.'XY. W wwww CfWXWW Notary $ Training /Education Fee $0.' Scanning 6•00 Radon $ DPBR $ CCF $ 0' Coo CO /CC Technology Fee $ SO Zoning $ Bond $ _ Cagtc Ei fo en Double Fee $ Structural Review. $ Ti tai Fee Now Due $ ao �O FED 1 0 M9 �S`T5 MIAMI SHORES VILLAGE 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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly 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 /L/ wner or Agent The The foregoing instrument was acknowledged before me this 2S The foregoing instrument was acknowledged before me thi? 7 day of .110/ , 20 0I , by £h f /1100/ ?j , day of 200 �, by L f— who nown to me r who has produced who is personally known to me or who has produced As identification and who did take an oath. . is�"- as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBIL €euec MIRIAM FUNDORA * * MY COMMISSION # DD 712966 PIRES: December 30, 2011 Sign: '� r: MY co o v..l� Sign: ieoF soP ndedTM Budget Notary S 'cos Print: My Commission Expires: )(Signature Contractor Print: / ' 477 My Commission Expires: XXXX XY.*X *%Y.*XXIY Y.XX %XY.XXXXXX %XXY.%XY.X XXXXXXX XX X XX XX X X X X X %Y. XXXY. XXXX )4)-9 y APPLICATION APPROVED BY- (Revised 02 /08/06) • XY. XX XY.XXWWWX XXX 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: Plumbing QO)I) lijilg(gl_c\v/LEil MI JAN 302009 BY: — Permit No. 171 1 aq - Master Permit No. Q tJ Q64 %� /t� //J,L r as-106 �l y Owner's Name (Fee Simple Titleholder) %K/ C / i o#cil Phone # Owner's Address a- SC ire- 9 A if fi / City /1 /��f c State /�� Zip Tenant/Lessee Name Phone # E- MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name (J 4 Contractor's Address 4 « s city /V( i /.t41 t Qualifier Name 4 f J Th N% 0 L tT 4 e 1 A State Certificate or Registration No.e, PC- 05'6 90g" bu $4QFilats6 e (9P6 State.-` (. /- • Phone # 3C5-/ 9,6 E -MAIL: Architect/Engineer's Name (if applicable) Zip 33 z Phone # .3oyj -777- 0-27 Certificate of Competency No. Value of Work For this Permit $ Phone # Square / Linear Footage Of Work: Type of Work: /❑ /Addition ❑Alteration ['New ❑ Repair /Replace Demolition Describe Work: /ffZI ?2V, / ii / 71L Mfg '� turf ri Jt /r�j%V,viont I4 oltiLy /Ito ***xx**xxxxx &x x********** *X**xx**Fees' xxx*icxx*aYxxx xxaYxxxxxxxxxx x*x * xxxxx xx wwww*ww Fee $ Notary $. Training /Education Fee $ Scanning $% •Radon $ Permit Fee $ Bond $ Structural Review. $ e 0-2,0 DPBR $ CCF $ 0* 00 / CO /CC Technology Fee $. 4 -- Zoning $ Double Fee $ j, FEB 10209 MIAMI SHORES VILLAGE Total Fee Now Due $ / M 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 lie approved and a reinspection fee will be charged. Owner or Agent QQ The foregoing instrument was acknowledged before me this Al 5 V day of A✓ , 20 / ', by l itiire ✓ et %l , who i .ersonally known to me who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 34/4filtel ■ 4•\°R14. DANIEL P. DOWER " �' OF roe MY COMMJSS :ON # DD463852 EXPIRES: Aug. 21, 2009 My Commission Expires: xxxxx xxxxxxxxxxxxxx APPLICATION APPROV (Revised 02/08/06) D Signature Contractor The foregoing instrument was acknowledged before me this,�,� day of J#W , 20 O, by,�✓Mere �jeefIl who ' ersonally known to me -0 has produced as identification and who did take an oath. NOTARY Sign: Print: Io ., DANIEL P. DOWER MY COMMISSION # DD463852 EXPIRES: Aug. 21, 2009 v My Commission Expires: xxxxxx *. �xxxxxxxxrxxxxxxxxxxxx /3 ********* ***xxxxxx.** *:w xww**,wxxx If''' Plans Examiner Engineer Zoning • itt .411:e4A\ 1 new. t\c. ;el Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -8972 •..w,.: Yep;; gsr: ..:.:!�;wit•7:;9!:!Y,.:i:.F:.>R Scheduled Inspection Date: February 11, 2009 Inspector: Devaney, Michael Owner: MOSHEIM, ROBERT Job Address: 1285 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: MESA BROTHERS INC �:Of.*,.fi:!v.,�Tit.,., ;: R1 1� !IFI!; {:?.i7i5:7/.•:!A/.•F;R:y Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050100100 Phone: (305)345 -1974 Building Department Comments liTF6 Inspector Comments Passed 1' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Pi- a- 649- ,' G p-J Pizeerce lea February 10, 2009 Page 2 of 16 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Cemo Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: February 11, 2009 Inspector: Levrock, James Owner: MOSHEIM, ROBERT Job Address: 1285 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: USA PLUMBING & SEPTIC, INC. P• Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050100100 Phone: 305 - 856 -1696 Building Department Comments Passed Failed co Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. cos' February 10, 2009 Page 3 of 16 tititook nl. 9tkoWI. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date (?:)7 / 7 35 STRUCTURAL CRITIQUE SHEET C