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DEMO-09-1083Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 118050 Permit Number: DEMO -6 -09 -1083 Scheduled Inspection Date: August 27, 2009 Inspector: Bruhn, Norman Owner: Job Address: 253 NE 101 Street Miami Shores, FL 33138 -2422 Project: <NONE> Contractor: B &K CONTRACTOR SERVICES INC Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132060134800 Phone: (305)989 -2363 Building Department Comments remove only finishes like carpet, wall coverings, tile plaster walls, finished wood, flooring to be removed for purpose of discovery. scope ofdemolition does not include structural walls, rafter orany structural Inspector Comments Passed -- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. e...,...* 'a Irmo For Inspections please call: (305)762 -4949 Germ d ..f 1c MEI MIN N M= W WI - yANMI wasMIN riowerwe IMO A OINIMINO co u 7 �� pp ee � GC 4 i r-4 I% vr p„ a °man , t•QLs- O ix. n-t -I LL. 1 �' d �tac' f®1 11) Q Lei )- ham 0,1/4 a7 L' C-4 C.3W 1a7raCC.:: 9CFW c eC •-a L7 }• 1 1 t6 C4C:Wra �,fv . .c . esa .i. 4.: t.� Q eJ7 0 IX Ce C3 This Instrument Prepared By: Name Montiud 5MA lift Address 253 A1 E. rot ,S'ti'lt. Permit No. BAV 09-10w STATE OF FL COUNTY OF 941 41W - Dat .� NOTICE OF COMMENCEMENT Tax Folio No.M1001300 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) SINGLE FAMILY - 253 hLE , 101 S++ree4'r M iami Shores, FJ 33138 2. General description of improvement: mArE21Ce DEMOLir(ap4 3. Owner information �lot'iClVQ. H Sw A L a. Name and address: b. Interest in property: oW c.`Name and address of fee simple titleholder (if other than owner): 2,0 NE to fi1r€.e-( 1-tam ► dopes/ 33/: 4. Contractor. a. Name and address: 8 a 1K e01,17-12-ACTOR SERV ICES 1 K1C b. Phone number: 2821 (1.18s{ •rG S ree+ t Geri¢ 202, Hiateoi, F( 33018 s. Surety 78G- 2.10- 71488 / 3 05 - e189 - 2363 a. Name and address: b. Amount of bond $ N/A . c. Phone number: 6. Lender a. Name and address: b. Phone number: �f f� 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. e. In addition to himself, Owner designates the following person(s) to recelvo a copy of the Lienors Notice as provided in Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 9. Expiration date of notice of commencement (the explraUon date Is 1 year from the date of recording unless a different date Is specified) 14 /A 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 PAYI G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDS AND POSTED ON THE JOB SITE •_ THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, SULT WITH YOUR LENDER ATTO NEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE O b0 MENCEM ENT. Signature of Ow r or Owner's Authorized Officer/Director Partner /Manage Signatory's Title /Office ©W The foregoing Instrument was acknowledged before me this day of JVAy, 214 (year) by (name of person) as (type of authority, ...e.g. officer, trustee, attorney In fact) for behalf of whom Instrument was executed). Notary Public State of Florida Antonella Plana Ay My Commission DD845262 or Or Expires 12/14/2012 Velnc:Ion uraua • (name of party on Igna MEW' tary Public - State of Florida Print, or Stamp Commissioned Name of Notary Public Commission Number . Personally Known g. or Produced Identification Sec on 92.626 ° o ida Statutes Under penalties of perjury, I declare that I have read the} knowledge and belief. or oing and that the facts tat in v 1 the best of my Sig- ature of N r ural Pe on Signing Above 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 i$..)-1(om-zwIEN La JUN 2 9 2009 jg BY: Permit No. D6 OR" 10K5 Master Permit No. Permit Type (circle): Building Roofing gg�� Owner's Name (Fee Simple Titleholder) V g_PA St 1 TH Phone # 2S3 2&643 Owner's Address 2.5'3 NE" lo 1 CT-. City (4M I 8' U °DES state FL_ Zip 33/3F Tenant/Lessee Name ON J I ( OE g 1' 1 ( 77i CO f U c, I+ 1 ) Phone # -)84:7 2.S.-7 T2d 3 K A-i L = 1-1 ®lsl i Q UE. d M 177-1 a SO u 114 CRAW fAI ,Corsi Job Address (where the work is being done) 2S3 AE tot £'T' City Miami Shores Village County Miami -Dade Zip 3 313 ` . FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 13 e K CorarRAcrc. S\J C 11.1C Phone # 3 05 — "� 89- 23 G3 Contractor's Address 7-821 o_s4- TG 1 54 :_ . ?oz. City Ai aleail' State FI Zip 33018 Qualifier Name Le(Dr1CLIA Gor nQ z Phone # 305 89 - 2363 State Certificate or Registration No. G 671 C 15 13 9 2G Certificate of Competency No. Architect/Engineer's Name (if applicable) 114 [C OC d 6 Q-10Ce Phone # 305•- 310 -5030 Value of Work For this Permit $ 4,500:L2 Square / Linear Footage Of Work: 4500 .F• Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace Demolition Describe Work: RE-140 VS 0-L-.'? Ft 4.3 , 4 E 1 I KE CA21eT , WALL- C 0,3 Pt..0:S-T°Ea l3 ALL. S , Fl /JI SH-eb U3 E F 406 I3& "TZD BE R-E4+ tO e D PO POQ..POSE OP- Di r SCOPE OP o r'\0U T1 UDOS NIOT tocLE,De STQ- )CTOD2.6.La Lt.) LLS P�VTEl? 66-1 f N2�T2lC7F -&1la *** * * * * * ** * * * * *ax *x****xx **** * **** Fees ** ** * *** ** * * *** **** * *** * *** * * * * ** x** * ***** Technology Fee $ 1:1-(C;3 u mittal Fee $ 6O -OD Permit Fee $ Notary $ Training/Education Fee $ � Scanning $ 9 ) Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ IIII Structural Review. $ Total Fee Now Due $ 6 04.03;5 See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) NV IN 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose pro erty is subject to attac - 'nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the fir: t i spection which oc' u s seve (7) . ys after the building permit is issued. In the absence of such posted notice, the inspectio > /wil not be approved a rei spectio ' fqe will be charged. Signat wner or Agent Signature`- '=�- -- Contractor The foregoing instrument was acknowledged before me this 2,01 The foregoing instrument was acknowledged before me this 2`b' day of June. , 20 Oq , by Leon ctrl° GO , who is personally known to me or who has produced Di-a6520 52® 61 406 as identification and who did take an oath. day of Tu &IC , 2001 , by fal Old1Qt,P L 14 c!4 lT14 , who is personally known to me or who has produced FL. ' 104 D iatVOkS U CC Ng As identi NOTARY PUBLIC: an wot Notary Public, State of Florida Commission# DD876702 My comm. expires Apr. 1, 2013 My Commission Expires: APPLICATION APPROVED (Revised 07/10/07) c NOTARY P L_,r °,, . JAZMIN CHOW € Commission #131:18713585 otary Public, State of Rorida Sign:, Print: JCtttM t v\ C \' \c J SQ:= My Commission Expires Ap 01, 2013 My Commission Expires: A r , 1, 20 1 3 'Plans Examiner Engineer Zoning Permit No: 09 -/4063 Job Name: 6 .. gd , 2009 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 aS24244/ aize,Z ze-eg& genet...et_ it to log DF_MQLIrIGni PE-42-MIT WILL r.1cLuDE (^1•1L'? T— —tuu OF 7- A Q-T1 AL, wAl q. FLL Q2 FOP_ xPL f2ATORY PUePoseS Oklos 1`10 pLut -te1eQG ilxrueES MILL REKOVCD ©QTOUCI4o N© EL.ECcl 1c DE 'JIc1=S WILL_ BE esMOVab og_ TbuC4 Maya. 300, Geore Cis (Ne be k CO.3i crT2 secs- • Proiecl- Manger. 78G- 2 l o -'TU 8$ • Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204