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BPP-07-933Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/31/2007 Inspector: Grande, Claudio Owner: OR OWNERS, CURRENT OCCUPANT Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Project <NONE> Contractor: AGH CONSTRUCTION COMPANY Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060140575 Lot: Phone: (305)799 -7095 Building Department Comments CONSTRUCT A NEW POOL Passed (96 1 Inspector Comments CREATED AS REINSPECTION FOR INSP - 48451. 1) Missing hand holds on wall by spa. 2) Gates need to be self closing and latch to be at 54" from floor. 29/07 CG. cc Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 30, 2007 Page 2 of 2 Miami Shores Village OT:V SEP 2 F 401 QY:m�aq_ _ .......... Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING l Permit No Q p p b ti - 6/33 PERMIT APPLICATION FBC 2004 Permit Type (circle): Roofing Master Permit No. Owner's Name (Fee Simple i eholder) '/V 9 NE' 96 t f Sf � L G C Phone # 3 0,5-2- 79'9- 70? f Owner's Address '7 'l ?- 1 ileac £V, City /(orf It day Ut /(apr State GC- Zip 3 3 /ci /"goof Tenant/Lessee Name Phone # Job Address (where the work is being done) ¥V //tom )'''t 5/r e City Miami Shores Village County Miami -Dade Zip 33/3 8 FOLIO / PARCEL # Is Building Historically Designated YES NO x Contractor's Company Name _4/6 if (Od4S 7r u c t }o h do • Phone # 365 9 99.- 70 9C Contractor's Address 7'7 2.1 Aea o 4 �//.@c--i DriVe City NG . gay Vt. t ( State IBC Zip 33/4// -Ya09 Qualifier Name —dell/ 6, ..//04.00,-01 Phone # State Certificate or Registration No. ( 6 C 1,59 6 3 a Certificate of Competency No. Architect/Engineer's Name (if applicable) ken Al e /4 iq..,1 ,- Phone # 3 45 .5-- -2 7/ - .0 66 Value of Work For this Permit $ 0 Square / Linear Footage Of Work: Type of Work: QAddition / Describe Work: C �t 4a - .d �t C �4a eC/ ['New ❑ Repair/Replace 5 4 r0 +••■ root -i ******** * * * * * * ** * * * *** * * ** * * * * * * * * * * * ** ********** * * * * * * ** * * * * * * * * * * * * * * **** * * * ** ** Submittal Fee $ Permit Fee $ � CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ q ` Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 44 CO /CC See Reverse side --+ Bonding Company's Name (if applicable) /// Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) l44- 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this ? 7 The foregoing instrument was acknowledged before me this day of g r' t , 20 09, by "...wore( a, 4 rd , day of 5e / , 20 D %, by icrarreed who has produce r who has produced As identification and who ± +, ri oath. as identification and who did �� ; a j a i NOTARY LIC: v ..R. s7 ,,$) NOTARY P Sign: '•<s Sign: Print: ," Print: 0 114 ",o, , My Co • • ssion Expires: �°� My Co ssion Expires: ,�n,.;, * * * * * * * ** ******** * * * ** * *** * :•x * * *: **** : * * * ** **** * :**** :****: * **** *** ** :***** ***** *** *** *:x* *** *** * * ** APPLICATION APPROVED BY: (Revised 07/10/07) Plans Examiner Engineer Zoning o0 lo=1IcsAL: mce-f Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y: Tel: (305) 795.2204 Fax: (305) 756.8972 MAY '1 3 2007 J BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Permit No. 007 133 Master Permit No.I Electrical Plumbing . Mechanical Roofing Owner's Name (Fee Simple Titleholder) VV S E q6 4 S7`/'eeI hone # 36S— Owner's Address rP7) 1 IG'( J-u Or,'Ve City ,i&/4 // (41/41 f State f C Zip 33 / 4'/ Tenant/Lessee Name /(wy -e Phone # Job Address (where the work is being done) gra Ne- 9‘) Slree / City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1/32 o &( 4r0 S% Is Building Historically Designated YES NO X. Zip 3 3/38 Contractor's Company Name 4i /I (7d /f )%NCT ` dh (L /' Phone # 3 05.--73-7- 7 J Y P Contractor's Address 1717 02 1 Q c /t J4? cj ,)/'; Q City Ma r ,'4 iY U/7l/f State /� Zip 33 iy/ Qualifier Name _dnp0 / , okjer d Phone # 305- Yff- 709f- State Certificate or Registration No. C C7 C OS-7 436 Certificate of Competency No. Architect/Engineer's Name (if applicable) ke h n e /),/ Phone # 3OS- - 29 /- 0 963 Value of Work For this Permit $ ,20/ 00 0 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration New Co #S ,1r1CJ /1%Pw Ad Describe Work: ❑ Repair/Replace ❑ Demolition CaS******* * * * * * * * *** * * * *** * * * *** ** * * *** ** *Fees*** ********** * * * * * * * * * **** * * * * * * * * * *** * ** * ** Submittal Fee $ .OQ = Permit Fee $ 00 . CCF $ (3• .0C) — CO /CC U Notary $ Training/Education Fee $ 2 0 Technology Fee $ Scanning $ �' Radon $ DPBR $ 2 ,11 Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $‘60,, o» Total Fee Now Due $ ‘41---VW .(0-1 See Reverse side -+ JUN 06 2 iv Bonding Company's Bonding Company's A City Mortgage Lender's Ni Mortgage Lender's Ad City Application is hereby commenced prior to t construction in this jun WELLS, POOLS, FUR OWNER'S AFFIDA` applicable laws regulat: —4= t Cr' v w "WARNING TO OW fY 0 PAYING TWICE Ft O CONSULT WITH U COMMENCEMENT. Qa, . Notice to Applicant: A; c Z - O 0 promise in good faith ti a O U U) Q U) N W W z w a H H W 0 a MPACT FEES HRS /DERM U 0 z Z z 0 t" A stallation has vs regulating NG, SIGNS, ance with all IN YOUR NANCING, TICE OF ilicant must the person whose property is subje ted 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 Contractor The foregoin instrument was acknowledged before me this V The foregoing instrument was acknowled ed before me this day of 4, 200_, by 4 �Xr'X•tA9/ / , day of _A , 20 67, by (who is personally known to mir who has produced who is personally known to me c) who has . roduced As identification and who did take an oath. NOTARY PUBLIC: Sign: \i "el" �u,S Print: yr Cen �'' ( �P i Vincenzo Bruno _ — - tommissiou #DD431191 My Commission Expii' of Vic.° Expires: MAY 19, 2009 * * * * * * * * * * * * * * * * * * * * * * * * ***3c 4i94NOMN,Y1e.m*** ** ********** *: Fit ********* ** *** ** ****** ******* ** ******** ****** as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Y rh(Yr1 e0 My Commission Expires: Vincenzo Bruno Commission #DD431191 Expires; MAY 19, 2009 WWW,AAARONNOTARY.com APPLICATION APPROVED BY: (Revised 02/08/06) ??/,‘ Veal „,-)6,14,c,4 Plans Examiner Engineer Zoning Vefuts 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com SWIMMING POOL OWNER'S CERTIFICATION DATE .1%,7,26 7 MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL I certify that 1 am the legal owner of the property located at: '/`'$ AE 496/ ireel/ /4an4 1 aoreS/ FC- 33/3g In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that l understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected, and approved. further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner a2eilecA&J Note: This certification is to be submifted with a swimming pool permit application in duplicate. U vo Vincenzo Bruno 9 - Commission #DD431191 aFdr� ''Expires: MAY 19, 2009 'nun %" WWWAA 0NNOTNiY.co� RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: Attif "%ward DECLARATION OF RESTRICTIVE COVENANT KNOW ALL MEN BY TIWSE PRESENTS: WHEREAS, the undersigned .44 iCO�IdQ/e is/are the fee simple owner (s) of the following described property situate and being in a /Village C r� Lot (s) d l E"6 T Block 3 of Ghf( $ 6' 5 $e'X I / ' L (Subdivision), A.K.A. (address) yve /6 % 4 S/Pe, .M114414e' 64oreS F633/3? according to the plat thereof, as recorded In Plat Book /0 Page 37 of the Public Records of Dade County, Florida, and Whereas, the undersigned owner (s) �!7A f "° f1 desire to utilize said Lot (s) as • a single building site, and the undersigned owner (s) d6 (es) hereby declare and agree as follows: ` 1. That the property will not be used in violation of any ordinances of the Village , or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenant is to induce the Village •.o issue a permit for a pool where the required endosure is not on the subject property where the pool Is located. • 3. That if any of our adjoining neighbors remove any portion of their fence or wall, or If our /my property shall fall.to meet code requirements for pool barriers, we, as owners will immediately • install a protective enclosure to meet code requirements and will obtain a permit for such fence. • 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTH><R, the undersigned declares) that this covenant is Intended and•shall constitute a restrictive covenant concerning the use,.enjoyment and title to the above property and shall constitute a covenant running with the Iand and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the • Village I , or its successors, in accordance of said Village then In effect. IN WITNES� WHEREOF, the undersigned has/have caused (S hand (s) and seal {s) to be affixed hereto on this day of AO? PAZ/. WITNESS(ES) Signature and Print SIgna Signature and Print Signature and Print ,41,61474/a/ STATE OF FLORIDA ): COUNTY OF DATE ): T HEREBY CERTIFY that on this day personally appeared before me �Ii ward who Is personally. known to me or AV.* (type of identification) as identification and he/she acknowledge that e/she executed the foregoing, freely and voluntarily, for purposes there in expressed. • . SWORN TO AND SUBSCRIBED before me on this he 'm d of,4f Y 241 7 MY commission expires: NOTARY PUBLIC STATE OF FLORIDA Rey. 4/2'. 411 rpf4 Vincenzo B • ° T11110 1Commission #DD431191 .474 (f:: Expires: MAY 19 2009 '4.446 `' WWW.AARONNOTMW..com f Mame Votes fuel 'edf Veftevetotema 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305. 756.8972 www.miamishoresvillage.com NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at On NE" 4 t` 534 ee /- Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please initial the method(s) to be used: The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. CON SACTOR S SIGNATURE AND DATE Ad Au,/ CONTRACTOR'S NAME (PLEASE PRINT) 1/Ati5- Na -fuVIntenzo Bruno 'eCorrmoission #DD431191 th�`�� Expires: MAY 19, 2009 4.24,10, WWWSAARONNOTAMY'000i R'S SIGNATURE AND DATE tip /.,i O R' S NAME (PL EASE PRINT) Vii NOT e B1lI,C cenzo Bruno ;� - Commission #DD431191 #af��,� Fxpues: M o�� . 0 r, 0 N Sketch Number. 1/19/2007 8:38:46 AM EST Q: \Proj \56627 ANDY HOWARD \dwg \56627.dwg SKETCH OF AS BUILT SURVEY S89'58'55 'E N.E. 96th STREET S89 "58'55 "E 75.00' LOT 5 LEGAL DESCRIPTION: Reebber 0.300' ' 7.22' 23.42' 10.3 5 `°12.5 Nt co r 10.35' O O Z 7.6 7.6 LOT 4 2.4 K) Found Reber 0/S 0.26' North 10.27' 8.3 1 Concete r 6.5 4.6 0.12' 18.75' Found IP LOT 3 0.7 1.0.7 cV 10.34' 6.8 6.7 10.30' Concrete Concrete 0 25.5 c0 2.4 J� 2.4 24.9 29.2 S89.58' .2 "E t 75.00' 15' Alley LOT 2 Found IP 0/S 0.31' North 0,37' Lot 3 and the East ? of Lot 4, Block 53 of "MIAMI SHORES SECTION No. 2 "according to the plat thereof as recorded in Plat Book 10 at Page 37 of the Public records of Miami —Dade County, Florida. Property Address: • 448 NE 96th Street Found IP 0/S 0.12' North 0/S 0.10' East 1Found IP CERTIFIED TO: PROJECT LOCATION See Pack' Per", , - /fp "fecct.h ghM 820.E 517 ^ Pct eft Andy and Lydia / 448 NE 96th Street, LLC; Suntrust Mortgage, Inc., ISAOA, ATIMA;; Martin Wasserman, P.A., Attorney's Title Insurance Fund. LOCATION MAP Not to Scale SURVEYOR' S NOTES: THIS IS NOT A BOUNDARY SURVEY. Bearings are based on an assumed meridian where Street bears S 89°58'55" E. The scope of this survey is to show the As Built C NE 96th lding. ations a PK Street Elevations are referred to National Geodetic Verti are based on Miami Dade County Benchmark number -N -60 Nail and Brass Washer located at Northeast cornet* o' ' and NE 6th Avenue; Elevation:8. 11 feet. The National Flood Insurance Rate Map of Florida, Panel No 0093, Suffix J with and effective /revised the United States Department of Housing and Urban herein described Land to be situated within Zone X. Area is Under Construction. No. Community No 12025C0093 Date of 3/2/94, published by Development, delineates the This sketch shown hereon in its graphic form is the record depiction of the surveyed lands described herein and will in no circumstances be supplanted in authority by any other graphic or digital format of this Survey. This map is intended to be displayed at a scale of 1 " =30' or smaller. At the maximum intended displayed scale the survey and sketch's positional accuracy value occupies 1/20" on the display. SURVEYOR' S CERTIFICATE: We hereby certify thzt to the best of our knowledge and belief this "AS —BUILT SURVEY" is trim d' corri'ct ' ue based or nur field survey dated January 19, 2007, and meets the ,Minimum Tecl(rpta,l SStariaard Requirements for Specific Purpose Surveys as set: firth '"in Rule '6:1G'176 as adopted by the Florida Board of Professional Surveyors and Mappers pursuant to Chapter 472.027 Florida Statutes. Thomas Brownell Executive Vice President Professional Land Surb & °yor #2891 State of Florida - '1` 0 N P c 0 L. T a r 0 N to to to Scale: 1"=30' m L 0 0 0 z tn Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. BPP -5 -47 -933 Issue Date: Not Issued ............................ ............................... .......... .................. ............................... ............................ ............................... ......... ................... ............................... .......... .................. ............................... Expires: of issued Folio Number:1132060140575 Owner's Name: WILLIAM CATE Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Owner's Phone: Total Square Feet: 433 Total Job Valuation: $ 10,000.00 f. Contractor (s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 5/10/2007 : Yes POOL DECK MUST BE LOCATED AT LEASTIO FEET FROM THE SIDE LOT LINE. CLEARLY IDENTIFY THE LOCATION OF THE POOL EQUIPMENT 05/10/07 AMENDED SITE PLAN IS APPROVED. 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Folio Number:1132060140575 Owner's Name: WILLIAM CATE Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Owner's Phone: Total Square Feet: 433 Total Job Valuation: $ 10,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Comments: Date Denied: 5/8/2007 POOL DECK MUST BE LOCATED AT LEAST 10 FEET FROM THE SIDE LOT LINE. CLEARLY IDENTIFY THE LOCATION OF THE POOL EQUIPMENT • • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Re-06-9r7 . TAX FOLIO NO. ! / / 3'2o6 ' ON -0`r? 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. 1111111111111111111111111111111111111111 CFN 2006R1149289 OR Eris 25040 Ps 4509; Ups) RECORDED 10/25/2006 11.30:41 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COMM FLORIDA LAST PAGE 1. Legal description of property and street/address: Lol 3 4acf 714'4 1447/ ©z, 6/06k. .5-3 � Avetoit Shores , z, accaeo41,7 710 Are /'/S APPeo>; its r•ec of eot j,' P/q 13o0k /o, Pale 3'7 a, 446/•c A9ecordis o /Mr4kn/- Ahde C c #si y1 FZor,24 2. Description of improvement: New 6.1`4,1 /e a •v ly P 'mess Q 3. Owner(s) name and address: WO •6 /02. «" £,free T /Wain ; rotS , re- 33/3.8 Interest in property: Name and address of fee simple titleholder: V/4 LIAe:l # f ,ijsE CATE 4. Contractor's name and address: AGE don s if ideito al-n oot 77 A( gegc 4 Anti sbr'%Ve, A/oi- 4- &i8a y/ 1%`/fe PC 33/'// 5. Surety: (Payment bond required by owner from contractor, if any) iv Name and address: Amount of bond $ 6. Lender's name and address: Arp- 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: ` q(l jj%& 96ik cS7ree f, ZLC rjn2.1 Sevcl J' CJ Dr/ e, /ror1k 44yKYkjeFG33 / '// 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: . Hdy / /L" 4 rot 7r72.1 deec4 V'eu privep /orf4 f8a'V/ /layeR33 /"1 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is s.ecifi -• 4/1 (Act :tea re o Print Owner's Owner's Name i ellf a to1/4 ode Prepared by Sworn to and subscribed before me this 7 day of vii• /7 , 20 Q6 It Notary Public if Print Notary's Name ..4104/ O�p� YAP My commission expires: 5119/300? ,mot, ; .. Andy G. Howard �y = ; =Contmissioa #DD431205 wit /Ity Expires: MAY 19 2009 p�0 ", WWW.AARONNOTAR COr 123.0142 PAGE 4 8/02 STACK OF FLORIDA. COU ER : Y CERTIFY that mi is 011 1 On A't OGJQ/r Address: 7772( ,6eec ( /'lor)4l yaykr /F133N7 AD20 O, iki& Sesl. g ° of Circuit and Co ty Courts D.C. GOO WC IRO. osco Planning and Zoni g Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO BPP -5 -07 -933 Issue Date: 5/17/2007 Expires:5 /17/2007 Folio Number:1132060140575 Owner's Name: CURRENT OCCUPANT OR OWNERS Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Owner's Phone: Total Square Feet: 433 Total Job Valuation: $ 10,000.00 Contractor(s) AGH CONSTRUCTION COMPANY Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 9/27/2007 : Yes POOL DECK MUST BE LOCATED AT LEAST 10 FEET FROM THE SIDE LOT LINE. CLEARLY IDENTIFY THE LOCATION OF THE POOL EQUIPMENT 05/10/07 AMENDED SITE PLAN IS APPROVED. 09/27/07 REVISED PLAN OK 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 Titleholder) Owner's Address 7 77. t "leach lit' ew City A(orf4 gay VF / €cg e State Tenant/Lessee Name A// 77! 573 57777 i MAY () 8 2007 Permit No.t0 07- l Master Permit NoCE~C4 Electrical Plumbing Mechanical Roofing Cist1(' il/E96 /4 5 /ree< LGC Phone# 305 -799 -7091 Dr= ve F e Zip 3 3/ €1/ Phone # Job Address (where the work is being done) y ¥ l? Ate- e6 4t Sire City Miami Shores Village FOLIO / PARCEL # County Miami -Dade Zip .3 3'3 g Is Building Historically Designated YES NO Contractor's Company Name . ,V ( tdeerc7tio 6/0a7/ Phone # 3 OF 79,--7®Il—. Contractor's Address '7' 1 1 /gewc'( V r..j Dr, "v-e City Nod It 8.7 U`llgse State ,C4 Zip 3 3133 Qualifier Name Y Cey ,ovarol C g c 057630 State Certificate or Registration No. Architect/Engineer's Name (if applicable) ti/ Value of Work For this Permit $ /O60 Phone # 365- 7$ =74Q.r" Certificate of Competency No. Phone # Square / Linear Footage Of Work: / 00 Type of Work: ❑Addition ❑Alteration MNew Describe Work: /Du t G / ,S r WOO( 6!1X4' ❑ Repair/Replace Demolition r * ** * ** ** * * **** * *** * *** * * ** ***** **, *** Fees *** * **** r**** * ** * * * * * * *** ** * * * *** * * ** * * * * *** CCF $ 2.. 5 CO /CC Submittal Fee $ Permit Fee $ /9O 07 Notary $ Training/Education Fee $ 0 Technology Fee $ 50 Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Zoning $ Total Fee Now Due $ See Reverse side - n PAS 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 �!C f , 2009 , by dtA1C d- #4 ni Cwho is personally knolto mean As identification and who did take an oath. NOTARY PUBLIC: Sign: 14,04,0 &itim, Print: My Commission Expires: �r , Vincenzo Bruno Expires: 19, 2009 d�. iF* % www.Anit0 N©TARYcom APPLICATION APPROVED BY: * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this ell E day of 14 ' 22004), , by ...-4t/f/CAfdirrif, . 5aX° r as identification tak oa 44 00 RO�es NOTARY PUBLIC: e Sign: Print: c,P 0 � Jog. My Commission Expires: (Revised 02/08/06) Plans Examiner Engineer Zoning Inspection Date: 10/24/2007 Inspector: Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: OR OWNERS, CURRENT OCCUPANT Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: AGH CONSTRUCTION COMPANY Block: Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060140575 Lot: Phone: (305)799 -7095 Building Department Comments INSTALLING 100' OF 5' WOOD FENCE t D Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ' ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 23, 2007 Page 1 of 2 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Permit NO. DS -5 -07 -1011 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060141780 Owner's Name: TAKANOBU TANIZAKI Job Address: 707 93 Street NE Miami Shores, FL Owner's Phone: Total Square Feet: Total Job Valuation: (305)758 -5354 21 $ 4,000.00 Contractor(s) SUPER STAMP CONCRETE Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 5/16/2007 : Yes Comments: DRIVEWAY IN PARKWAY CAN NOT EXCEED 8.5 FEET IN WIDTH WITH 2 FOOT FLARES. • Owner's Side 5'-O" MAX :I I I -I I • _I =I 1.1= 1 =I 11--1 --_- H. III= =111= 111- -111 --I I =1 I I— III —I 1I- WOOD FENCES • 4." X.4" Woi x11'ost.... Wood Posts 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. 2" X 4" Wood 1?ad 1" X6" or l" X 8" Wood Pickets accrete 4 3'-O" — 1'-L'_ Hill 11 1111 2915 Fences 2915.1 Wood fences,, so located on .a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minirnum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to..meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee. -0 inches on centers, having a fiber stress .of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiogs of. this Chapter and Chapter 23. (b) Fences not .exceeding 5 feet apd 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 . feet -0 inches on . centers. for these. heights. Sketch Number: 1/19/2007 8: 38: 46 AM EST Q : \Proj \56627 ANDY HOWARD \dwg \56627. dwg SKETCH OF AS BUILT SURVEY S89'58'55 "E N.E. 96th STREET S89'58'55 "E 75.00' 0 LOT 5 LEGAL DESCRIPTION: Rebar 23.42' 0.30' to .110.3 [%,JM 7.22' N d- 3 A _d- T 0 0 Z 0/S 0.26' North 7.6 LOT 4 2.4 MI 10.35' 10.2 tO 18.75 8.3 Concrete 25.5 BFound IP CO s cJ ound IP )40/S 0.31' North 29.2 0.37' Prorsk- s-K wood Fence LOT 2 S89'5812 'Et 75.00' 15' Alley 7 POOL REQUIRE BENTS: 'SELF- CLOSING / SELF- LOCKING GATES REQUIRED FENCE: 4' HIGH (MIN.) AND NON - CLIMBABLE IF NEIGHBORS REMOVE FENCE/ WALL, OWNER MUST REPLACE Lot 3 and the East ? of Lot 4, Block 53,E Ipa� 49OR 2 "according to the plat thereof as recorded in Plat ooh 10 at age f e P blic records of Miami —Dade County, Florida. Property Address: 448 NE 96th Street Found IP 0/S 0.12' North 0/S 0.10' East —1Found IP CERTIFIED TO: PROJECT LOCATION 01AY 2007 SUBJECT TO COMPLIANC , TH ALL FEDE STATE AND COUNTY RULES AND REGULATIONS SURVEYOR S NOTES: THIS IS NOT A BOUNDARY SURVEY. Andy and Lydia / 448 NE 96th Street, LLC; Suntrust Mortgage, Inc., ISAOA, ATIMA;, Martin Wasserman, P.A., Attorney's Title Insurance Fund. • • ... • • . ... .. .. • • • .. .• • LOCATION MAP Not to Scale Bearings are based on an assumed meridian whereby tie Street bears S 89 °58'55" E. The scope of this survey is to show the As Built Con thisitl x g Elevations are referred to National Geodetic Vertioal �at m{ g ,lev\gtons are based on Miami Dade County Benchmark number NAso The m eing �`o.' PK Nail and Brass Washer located at Northeast corner ofAi s kh N 96th Street and NE 6th Avenue; Elevation:8.11 feet. The National Flood Insurance Rate Map of Florida, No. Community No 12025C0093 Panel No 0093, Suffix J with and effective /revised Date of 3/2/94, published by the United States Department of Housing and Urban Development, delineates the herein described Land to be situated within Zone X. 96th Area is Under Construction. This sketch shown hereon in its graphic form is the record depiction of the surveyed lands described herein and will in no circumstances be supplanted in authority by any other graphic or digital format of this Survey. This map is intended to be displayed at a scale of 1 " =30' or smaller. At the maximum intended displayed scale the survey and sketch's positional accuracy value occupies 1/20" on the display. SURVEYOR' S CERTIFICATE: We hereby certify that to the best of our knowledge and belief this "AS —BUILT SURVEY" is true and correct based.on' our field survey dated January 19, 2007, and meets the Minimum Technical Standard Requirements for Specific Purpose Surveys as set forth in Rule 61017 -6 as adopted by the Florida Board of Professional Surveyors and Mappers pursuant to Chapter 472.027 Florida Statutes. Thomas Brownell Executive Vice President Professional Land Surveyor #2891 State of Florida 0 N J J (0) W CO co a 0 0 m r .0 0 U N to Scale: 1"=30' A IAdd Certified To 0 L 0 0 0 0 0 0 1' 0 N I N 0 z <n Inspection Worksheet Miami Shores Village J 10050 N.E. 2nd Avenue Miami Shores, FL • `itroz: Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/24/2007 Inspector: Devaney, Michael Owner: OR OWNERS, CURRENT OCCUPANT Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: KILBY ELECTRIC CO Block: Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060140575 Lot: Phone: (305)233 -2965 Building Department Comments Tuesday, October 23, 2007 Page 2of2 cs6 9;3 Passed Inspector Comments /%/'F' , Failed i" ;"--) G� Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 23, 2007 Page 2of2 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 MAY 0 8 2007 Permit No. p1-9 4 Master Permit No.10 014 m /yr% ghee /, Ll.C. Owner's Name (Fee Simple Titleholder) 41110+/,4 ./O Owner's Address 7 72.. / e1 Viev Po 44e City /�f 4 by i%l(¢, a State F C Zip 33/cf( Tenant/Lessee Name /1/04 // / / Phone # E -MAIL: an d r / � o e , t / ® L i l e m A . c . . A . /ie /' Job Address (where the work is being done) 4/t/ 9 Alr9 `4 S -F'e 7— City Miami Shores Village County Miami -Dade Zip 33/3g FOLIO / PARCEL # //3 Z.. (,6 0/ 9() 5- 875` Is Building Historically Designated YES NO Contractor's Company Name �' Y G/ eC J,ti C /Q h % Phone # 305:- 233 '2.6. � Contractor's Address / g 7 2 .,0 5, (.i J . � Q r% U 9 City _ /e(b t i'' State ICC- Zip .3 3'Y '7 4& Qualifier Name 3Q ,PS not-yore/ Phone # 3 0 52- Z 3 3 - 2 ' State Certificate or Registration No. G C 000 oZ 0 6 9 E -MAIL: Phone # 3657- MPS-- Certificate of Competency No. Architect/Engineer's Name (if applicable) On n e 14 140 1— Phone # , jC3 .c 7/- a s 63 Value of Work For this Permit $ /E DO Square / Linear Footage Of Work: i1j1 Type of Work: ['Addition ❑Alteration ew ❑ Repair/Replace Describe Work: 479e {riccl / Work. For- pp / 2114;;0/44e4 i 1 Demolition xx is***** xxxxx*x* ** ** ***W** * ****x******* Feesxxxo ***** xxx*& x ****dexxxxxxxx* * **xx*x******** CCF $ 1.20 Submittal Fee $ Permit Fee $ „ZZ, i en" Notary $ Training /Education Fee $ 't Scanning $ b"--- Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ i J Structural Review. $ Total Fee Now Due $ 2`55 J5 . 2d3 06 � i-� See Reverse side -+ CO /CC Technology Fee $ 5 65 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 AO- 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 S ignatur Owner or Agent �� —/ Contractor The foregoing instrument was acknowled /ed before me this' The for �,Inng instrument was acknowledged before me this Ief4 day of�A , 20 d , by %C GxLK�� , day of M 4 , 2009, by who is personally known tom or who nas produced who is personally known to r who hams pro used As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: .� 'te sa•!•. Sign: U1.4o�or,@ s, Vincenzo Bruno Print: =�i °' =Commission #DD431191 � I�i�l g -.' '•�� g`°c Expires: MAY 19, 2009 My Commission Ex iliCt��,�e www,AARONNOTAMeem NOTARY PUBLIC: My Commission xx xxxxxxa'cx****xxxxaYuienY****xn ***x***xxx* **x vex, xx x raYxx xxxxw**wwxxxxx xxw*Iew * APPLICATION APPROVED BY: (Revised 02/08/06) Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972x Inspection Date: 10/24/2007 Inspector: Levrock, James Owner: HOWARD, ANDY Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: CONDE PLUMBING Permit Type: Plumbing - Residential Inspection Type: Final 0100. Work Classification: Pool - Private Block: Phone Number (305)799 -7095 Parcel Number 1132060140575 Lot: Phone: (954)923 -2346 Building Department Comments Tuesday, October 23, 2007 Page 2 of 2 co 2 5 2001 In to omments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, October 23, 2007 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 No. Master Permit No. MAY 0 8 2007 B Y: -6135 Permit Type: Plumbing / / �/ f (� Owner's Name (Fee Simple Titleholder) �v ' 9� t� S/ r'Pe� 4 tC 772 1 f c‘ x-0 Ori' ✓.e Owner's Address Phone # 36s ///" City /160/4 16ett 16 Aye State F.L Zip 3 3 /cif Tenant /Lessee Name J!//9 Phone # E- MAIL: ---'" /!!a Job Address (where the work is being done) ` ' / T l� /1/6-9 LSX' 6)71 City Miami Shores Village County Miami -Dade Zip 33/3 S 4- FOLIO / PARCEL # /1 33 Z D 0 / e(6 S_? Is Building Historically Designated YES NO X Contractor's Company Name co,,,', .,dit I'i' Phone # C� / Contractor's Address 2 %,2 a 'v "e e19 free 7 City Q70/ AJOcscli State EC— Zip 3 32-6 Qualifier Name 46er/a abide :n Phone # 30S- 2/6 -,;2 ?!o State Certificate or Registration No. C FC. 64 s 2_Sgv Certificate E -MAIL: of Competency No. Architect /Engineer's Name (if applicable) G# {/1-4 e7 E'/ Phone # 3 63=). ?/— 0,26S Value of Work For this Permit $ ®00 Square / Linear Footage Of Work: /P Type of Work: ❑Addition / ['Alteration ,New Describe Work: POO l /(u 6 ,17 y Q Repair /Replace ❑ Demolition * * * * * * * * * * * * * *** * * * * * * * * ** * * ** ** ** ** Fees************* * * * *** * * *** * *** * ** ** ****** ** * ** �i Permit Fee $ / r r CCF $ -2 CO/CC qTraining /Education 'ee $ 0 Technology Fee $ 4,3P3 Submittal Fee $ Notary $ Scanning $ Radon $ Bond $ Code Enforcement $ DPBR $ Double Fee $ Zoning $ 2 is 323 Structural Review. $ Total Fee Now Due $ 1 8 V "I Cj O s See Reverse side —4 Bonding Company's Name (if applicable) Al//T' Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /t/ // T 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 ,� pp, s ved and a reinspection fee will be charged. • Signature Owner or Agent The foregoing instrument was acknow edged bef e me this day of , 20 d n, by € i ,/ known to me , r who has s produced As identification and who did take an oath. NOTARY PUBLIC: rsonall Sign: Print: y/4 ce My Commission Expiro� ", s. * * * * * * * * * * * * * * * * * ** * *x Signature Contractor The foregoing instrument was acknowledged before me this ( tE day of44)! ,20D7,by /00 be0.- art4OUr, is personally known to m ')r who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: V4AVAIAC> $1WO Print: My Commisi►s°.Y;IN Vincenzo Bruno #DNal 1:91 y °% n + .AARONNOTARY.com APPLICATION APPROVED B (Revised 02/08/06) Plans Examiner Engineer Zoning Inspection Date: 10/24/2007 Inspector: Perez, JanPierre Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: HOWARD, ANDY Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: FLORIDA CERTIFIED SERVICES CORP Permit Type: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Block: Phone Number (305)799 -7095 Parcel Number 1132060140575 Lot: Building Department Comments A/C NEW POOL HEATER ® %i, I Tie »JLtI7 Passed Inspector Comments FINAL HEAT PUMP 1I j Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 23, 2007 Page 2of2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 JUL 102O? d BY: W-1-1- Permit No. 01- p Master Permit No. e fPP b 7- 933 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) '/4" J/E`P '` Sire -0,5 LGC Owner's Address Pig - ( Ade4tat j'ect.y Dri V p City A!d- /,iy Gi'ff$j P, State F Zip 3 5 /q/ Tenant/Lessee Name ,y® /hay 117c J a rd Phone # 3 79�` i 69 dyGjew® ct/itto •t Z. e / I Job Address (where the work is being done) 11/V6 /Y��� « s'7`#- Phone # 3O6=7?9 -7 j,r City Miami Shores Village FOLIO / PARCEL # County Miami -Dade Zip 33/3e Is Building Historically Designated YES NO X Contractor's Company Name F(014'0(4 r— Ii'3pc/ $r.i«,Cii .Phone # ljva1 0 sec3. zf%''k City .�v/ ft4' �1 ► State ,Fi . Qualifier Name TO /3 e to. /4.g0 State Certificate or Registration No. C,lfC.. O $' r71 ft 1 E -MAIL: Contractor's Address 30S=. 98 y - g// Zip .3 3 /SS Phone# 30S -Ygy -' //j Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $®° Type of Work: ❑Addition ['Alteration Describe Work: /odl 9ei'JPr Square / Linear Footage Of Work: TANew ❑ Repair /Replace ❑ Demolition ***** *** *** *** **$u*** **** ********* ** Submittal Fee $ Notary $ Scanning $ Radon $ Bond $ Permit Fee $ Training /Education Fee $ to CC Code Enforcement $ DPBR $ uSY S CO /CC Technology Fee $ Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -a Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Ar if 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. l 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. g the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent q The foregoing instrument was acknowledged before me this `T The foregoing instrume day of 34 , 20 , by .444d- ,4 jee w-d , day of ersonally known to m tractor as acknowledged before me this 05 ,206 , by jOirp.e etPtQ!3 , r who has produced who is personally known to me ov�ho has produced FG 106 • As identification and who did take an oath. 5,$,10 — 932- 41 as identification and who did take an oath. NOTARY PUBLIC: VW NOTARY PUBLIC: Sign:K i4441/40) Print: VI AC \t 7 R My Commission Expires: "° + +,,,, Vincenzo Bruno Commission #DD431191 •'6�f'es: MAY 19, 2009 ►+ u WWW.AARONNOTAitcom Sign: Print: Po ff OF E� i.s• www AAbii o My Commissiont.ales: llegam Howard on #DD431205 MAY 19 2009 * * * * * * *r. ** * * * * * * *k*********** ** tie****, k4+ t******* **,Y,tr*********k*** *,k9r*k**** ** xxxxx ****k********,e &-0r**** ******* APPLICATION APPROVED BY: (Revised•02 /08/06) <\", Plans Examiner Engineer Zoning Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: MC -5 -07 -936 Invoice Number: MC -5 -07 -28535 Applicant: ANDY HOWARD Company Name: Owner Address: 7721 BEACH VIEW Drive NORTH BAY VILLAGE, FL Job Address: 448 96 Street NE Miami Shores, FL 33138 -0000 Date Payment Type Check Number Amount Wednesday, June 6, 2007 06/06/2007 Check 323 $112.10 Change $0.00 Total Payment: $112.10 Page 1 of 1