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RC-09-258Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 107102 Scheduled Inspection Date: October 05, 2009 Inspector: Bruhn, Norman Owner: KNUTT, JAMES Job Address: 321 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: ORONI INC Permit Number: RC -2 -09 -258 Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060135350 Phone: (305)685 -0412 Building Department Comments BATHROOM REMODEL Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments • October 02, 2009 For Inspections please call: (305)762 -4949 Page 1 of 21 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shor Phone: (305)795 -2204 Fax: (305)756 Scheduled Inspection Date: June 03, 2009 Inspector: Devaney, Michael Owner: KNUTT, MARI Job Address: 321 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number P -. cel Number 1132060135350 Phone: (305) 551 -4043 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. 3 4,9e Miami Shores Village 0 ©��vE g IR FEB 2 3 200g 101 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): Building Permit No. d 0 C V Master Permit Nor,/ 0 9— 25 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) E ary crti . Phone # OS 1 S8 S63 c1 Owner's Address 32,1 t e 100 s4- City'r c.d."A 5 or State 'Ft, Zip a31•6 Tenant/Lessee Name Phone # Job Address (where the work is being done) 321 !C_ too S-}- City Miami Shores Village County Miami -Dade Zip jf`ayli FOLIO / PARCEL # r9° i3 -3 sSO Is Building Historically Designated YES NO Contractor's Company Name f 4 tavvt. nn (+G�-� a c. Phone # 2 Owl -65 - q 002, Contractor's Address 1�O ? sit) .2o -U(! City MIC1`M% State -'% Qualifier Name : CP° Co PerP} State Certificate or Registration No. .60°1;001g IM Zip E r7 S Phone # 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: DAddition ❑Alteration ❑New [ xepair/Replace ❑ Demolition Describe Work: krYYD62,1 6 * * * * * * * *, * * * *** ** * ** * * * * * * ** * * *, * ** Fees * *, * *, * * * * *, *** * * * * * **** *n *** ** * * * * * * * * * * * * ** /®eid Submittal Fee $ Permit Fee $ AP CCF $ O'VGO /� jC�%O/ /CC Notary $ - Training/Education Fee $ ©'o (O Technology Fee $ 4{3 Scanning $ 3'� Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1101 See Reverse side —s 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature . AI /1 . . _i� d _4' Signature 21 7-6y*r'-r or Agert -, Contractor The foregoing ', s ent was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: /. ;, , I : 1; Print: s v emission # 766456 -, r' Expires: MAR. 10, 2012 My CommissionpsesRUnrtazaoxptxaco „arc APPLICATION APPROVED BY (Revised 02/08/06) NOTARY PUBLIC: Sign: �9 << x A OF FtA Print C zni'io0 ” �.D766456 z•,,,,,,,,.J 11Qir� R..10, 2012 My Commiss$�iP$eTC BONDING co, INC. Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami S Phone: (305)795 -2204 Fax: (305)7 Scheduled Inspection Date: June 03, 2009 Inspector: Levrock, James Owner: KNUTT, MARI Job Address: 321 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: NELMAR PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number rcel Number 1132060135350 Phone: (305) 261 -3942 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. 0 Miami Shores Village FeromEr Building Department FEB 2 3 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. Master Permit No. O 1-25 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Tom, �c._ 4j OO* Phone # Owner's Address O2.1 NC 100 bT City Qc*A Dce State -f-C, Zip 13i3 Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) ' Ne 100 S4 OOS-7SS -3S Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # , 52,06- Qi j- S3S0 Zip °a34313 Is Building Historically Designated YES NO Contractor's Company Name Net Contractor's Address Phone # 30E- 2-6 City KO ! I i h"'` ( State EL Zip 3 / Tr Qualifier Name L. v (5 �jFT DC: 0/Z1 j 0 Z Phone # State Certificate or Registration No. / F co 3(.2O6 Certificate of Competency No. 0 0000 51' 6 E -MAIL: C- Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: Addition ['Alteration ['New I VJ Repair /Replace ❑ Demolition Describe Work: ¥Q oc kV\ rr1 - huff luxxy * * * * * * * * * * * ***** ** * * * * ***** * *** **** * ** Fees* * * ** **** ** ** *** *** * *** * * ** ***** *** *** ***** Submittal Fee $ Permit Fee $ / 9t CCF $ 000 CO /CC Notary $ Training /Education Fee $ ICJ Technology Fee $ 413 Scanning $ 3.00 Radon $ DPBR $ Zoning $ • Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due 1 See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In j; e absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged. Signature Omer or Agent Signature Contractor The foregoing strument was acknowledged before me this The foregoing instrument was acknowledged before me this Z) day of FE`o , 20 0 �1 , by Li/ t'S F I2- o0-15 w2 who is personally known to me or who has produced who is personally known to me or who has produced day of ,20,by As identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: as identification and who did take an oath. NOTARY IC: Print: _ .. Print: Expires: MAR. 10, 2012 My Commissid P im?ATLANTIC BOhDLNCCO.,INC, My Co WAR Ex pi *r. * * * * * * * * * * * *Xrxxx *X aF*,4jrdr,:** ** d;** ti**tr >1•******atXX %Y. %*X tF*** ]F****** X,4Xi ****,tX%XXX%XXr %******* ******** Comm iirt? # OW' 45ri ✓ COM1`MISSION # DD542766 APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB / SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY / APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET j+ MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE. SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELO, 4" TILE /RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL • DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: June 02, 2009 Inspector: Perez, JanPierre Owner: KNUTT, MARI Job Address: 321 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: AG MECHANICAL INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132060135350 Building Department Comments June 02, 2009 Page 1 of 1 T)4 64 -2/M Passed Inspector Comments its Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 02, 2009 Page 1 of 1 Miami Shores Village Building Department F z 2D° 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Bid: - - -- --=------------ Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. I\ q Master Permit No. og- 25 Permit Type (circle): Building Electrical Plumbing Roofing Owner's Name (Fee Simple Titleholder) Z'Qmcs R, Moot 14d4 Phone # T 1S -S 3 c{ Owner's Address` t_ 3 E1 'e, IOO 64- City !Atari hOre--5 State la. Tenant/Lessee Name Zip 33 L 38 Phone # Job Address (where the work is being done) ZI t\ . i00 S{ City Miami Shores Village County Miami -Dade Zip 331 �8 FOLIO / PARCEL # I -32-06 -0137 S6So Is Building Historically Designated YES NO ✓ Contractor's Company Name pt G Mtn i C Phone #5-- c -jq6 -14 3 Contractor's Address 283( .0 City 1.4 t C wit State FL, Zip 361541 Qualifier Name Phone # State Certificate or Registration No. CAA.GQS°]q - S Architect/Engineer's Name (if applicable) N /A. Certificate of Competency No. Value of Work For this Permit $ L4• ��. Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ]Alteration- ❑New F Repair/Replace ❑ Demolition Describe Work: Qp,Mccie (tr ('SCI -1- t X.1 11(.001 icrAi Korn. ******** * * * * * * ** * * * * * * * * * * * * * * * * * * * ** ** es * * ** * **** * * * * * * * ** ** ** * * * * * * * * * * * * * ** * ** Submittal Fee $ Permit Fee $ \ C CCF $ D•� ` - CO /CC Notary $ Training/Education Fee $ D' gQ Technology Fee $ Scanning $ ' 01) Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1 1 'SS 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. I the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature g % /; , ._1,...._,...., Signature 0 ner or (gent The foregoing ' strument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. C NOTARY PUBLIC: Sign: Il''% - t , >� 62 DA ,, :Coo.: lsslon • 7 :• Print: %, ,.1. E +Tres: 10, BONDED THRU ATLANTic BONDING Co.,1N(. My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) NOTARY PUBLIC: Sign: Print: %PUBLIC 4 vs -Do ri ORM Co, ssio R.1 BONDED AvTICBNDINGco,c My Commission hxp Plans Examiner Engineer Zoning 3 \\L \0°l\ A- ju��r�w� Miami Shores Village Building Department 10050N.E.2nd Avenue, Miami Shores,. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. PO V 251C Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Roofing FEB IMOMEVElt It 2 3 2009 Owner's Name (Fee Simple Titleholder) LYG Ai4K .r 4 Phone # 7S '1St- S S Owner's Address c 5-v ei f ei too City4OrseNt State g/' Zip ''� I S'; Tenant/Lessee Name Phone # Job Address (where the work is being done) 321 Mc t oC sit City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1 l ° b2 GI- CA ® S ,S.*Co Is Building Historically Designated YES NO Contractor's Company Name N t 8 Contractor's Address City tki `4tUAi lypy® ttt) 6 crt State FL• Zip Phone # %OS _ 66 -O9 1 2 Qualifier Name (PDflona o State Certificate or Registration No. (-SC t CS I Zip B t60 Phone # Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 570 0 . Type of Work: ['Addition Describe Work: ['Alteration Square / Linear Footage Of Work: �Repair/Replace D Demolition h��rel ***************************** ** ** ** * *�x *Fees�x ****�x:x *a:�x� **** :* *axe �x *** *:x�:**** * *** *e�x�:**** 0 Permit Fee $ ����� CCF $ S'( CCU $ Training/Education Fee $ '&.O Technology Fee $ Submittal Fee $ Notary Scanning $ 9- Bond $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ ri dal Structural Review. $ 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 MR 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 41, lir Air er or Agent Signature a Contractor The foregoing nstrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of , 20 _, by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an NOTARY PUBLIC: OTART ,b. I Sign: Print: n COATE ,e1 I01, IPA 10, 12 ED WU ATf A TPiCE 0' ROMA z oath. My Commission Expires: ************ * * * * * * * * * * * ***** **** *** * ** ** *** APPLICATION APPROVED BY: (Revised 07/10/07) as identification an ivho did take an oath. NOTA�l OF '6 F. 1�0�7� C tti�tu T c 4 )8; s I My Commission txprrsa:u AT .fig' ******************************** * * * * *** * * * * * * * * * * * * * * * * * ** * * * ** 4,1 tr- vre Ott T A 41,7,' E o , t o 1, nr s Ta ?feZ 1)76 0, Plans Exami i ner '. Tr7q* T44'7.�lol'9.''.C.p:,'::i > %�GCf Engineer Zoning 11111111111111111 1111111111 11111 111111 1 111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT T1ME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. (1- V06-01-Mt) 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. This Notice of Commencement should be recorded at: The Clerk of Courts MlamI -Dade County Recorder Courthouse East, 22 NW First Street, let Floor, MMmi, FL 33428 1. Legal descnpptiqn of property and street/address: MIcmt Short EeG { AMB Pb t0.7O 1o(S IS tt. 16 Fitt, 3q lM SING 101.000 h I I S Of 11S 14 -W-7 05+a2. (. 321 tic 100 S4 M Grit Mcen. , f, 3i 2 • 2. Description of improvement CF14 2009R0139596 OR Bk 26765 Ps 4361; (1es} RECORDED 02/25/2009 13:46:40 HARVEY RtJVIN: CLERK OF COURT MIAMI-DADE COUNTY: FLORIDA LAST PAGE 3.Owner(s) name and address: Nil VS s+ miov.1 Interest in property: Name and address of fee simple titleholder. 04- e iu►1l .., 3;IA155 4. Contractor's name and address: '° P-Or31 , IAJ C,, V-1040 t4(j) E c; k V 33168 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons with the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Comme cement: (the expiration date is 1 year from the date of recording unless a Clifferent date is specified) Mauch /2.0t 1 L n/i Print Owner's Name Prepared by taprettir Sworn to and subscribed before me this 7- II day of e.c 20 d • l '41.,,,,,t) •STATS NMI* Notary Public Print Notary's Name My commission expires: CALM IfIT FLORNASMONTY OF DADE 11 HEREBY CERTIFY dud this s copy of the GARAGE BEDROOM 00 Oo HALL WAY BEDROOM KITCHEN OFFICE LIVING ROOM LIVING AREA CLOSET BEDROOM BEDROOM I \/ BEDROOM NOT TO SCALE • • • • • • • • • • • • • • • • • .. • • • • • • • • • ... • • • • • ... • • .. • • • • • • • • • • • * • • .. • • • ••• • • • • • • • • • • • • .. . . . . . • . • • • .• •• • • • • EXISTING BEDROOM ......• .. •AAL AAUP FLAP L fir /e5 .. • • . "et' /E5 to r NDoM - erp Itir t.9 rN .. • • .......... ,or/r14 * 2EHAIN 2.44 @ It: a .0 • Top /r+JP 130.4 N ,t -lay. dcNtrr 3 a j)F (Od" gfi 144 rAvg 1 yi p l p /4Te 4 �P vit AP ,/7% 5. LIVING AREA 233 sq ft r taller 10, Igoo,1);_c-ep pL 4 J • • ••• •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • ••• • • • ••• • • •• •• • • • • • • • ••• • • • • • • • • • • • • ••• • ••• • • • • • •• • • • • • ••• • •• • • • • • • ••• ••• •• • • • • • • • • • • • • • • • • • •• • •• 641ElfiNG BEDROOM r � /.9 e./ 'L & LIVING AREA l89sqft 4 '-t' . vo,v jr 3Zl N, /acgt- it l,s¢a-// 9s44s/Z / 4, Ne7'� 9 d 061$ E 0X,9r,J6 Zie p soo2 mtANU SHORES VILLAGE r,',.i E ar �� fr STRUCTURAL 11 o° I 1 1 ?.*6V7 BLDG. ? -� 1 C�:, *,;?:., •.' 10E ` I i —a . SUBJECT TUa� KE�'sj�.11 °J > STATE AND COUN RU "_ESA AND •• •• • • • • • • • • • • • • • •9• • • • • • • • • • . •• •• • . • • • • • • • • ••• ♦ • • • • . • • • • • • • • •• • • • • • • •• • • • • • • • • • • • • • • • • •• • • ••• ••• •• •• •♦• • • • • • • •• ••• •♦ • • • •• • • • • • • • • • • • • • • • ••