DEMO-08-564Inspection Worksheet
Miami Shores Village
cL
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 11/04/2008
Inspector: Bruhn, Norman
Owner: KOKIEL, JOEL
Job Address: 1431 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ARENAS CONSTRUCTION
Block:
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 1132050240280
Lot:
Phone: (305)300 -3103
Building Department Comments
INTERIOR DEMOLITION
Passed /
EEEE \IJY
Inspector Comments
CC
ei---
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, November 3, 2008
Page 1 of 2
4:1188
1■40>lKS
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
APR 1: 1 X6918
Permit No. 12910 05- 5g 4
Master Permit No.
Permit Type (circle): wilding Ro ofmg
l 'i' ( Phone # 7
\ Owner's Name (Fee Simple Titleholder) I
� �`
tf Owner's Address 1 #3 1 10 E— 1 Cat
cf-
City State
Zip 3. 3/ 3g
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 0 q 'S k v O k
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name It c�AS C OiAs7 l-1,3G" -ka LtC Phone # 0 5
Contractor's Address C 2.: t4
City M l eickVti l State i�
Qualifier Name 2 i C . P.42.AaRrA (>(6c., • Phone #
State Certificate or Registration No. 1�`°'i 1 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 0 00
inear Footage Of Work: ! CO /('
Type of Work: DAddition DAlteration ['New pair/Replace ll' Demolition
Describe Work: t \ e- ®cam •- Cam;
ice`— t�A.M.)t
******* ******* *********** ************** Fees***** ******:x*********** ** x******************
Submittal Fee $
Permit Fee $ s� •
Notary $ S' 0 Training/Education Fee $ o� 40
Scanning $ Cp .00 Radon $ DPBR $
CCF $ `tO CO /CC
Technology Fee $ S 00
Zoning $
Bond $ Code Enforcement $ Double Fee $ !j
Structural Review. $ Total Fee Now Due $ 2.25 '40
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 /bsence of such posted notice, the
inspection will no be app ved and a rein, ction fee will be charged.
Signature
Owner or Agent
oin instrument was ac owl befo e me this The foreg g instrument was ackno !. edged befo a me this
2a, by +, , day of , 200 U , by
,rye
h. is personally known to me or who has produced T.) 11/1#
who js personally known to me or who has produced
Contractor
As identification and who did takean oath.
N ARY ' UBLIC:
A,/
.A. k J '4
Sign:
Print:
My Commission Expires:
** *** * *** *** * * * * *** * *** * *** ** * **ht
447 0
IZ
entification and who did takoa„ nth.
NOTAR ' UBLIC: 4'��`o� 1°','ti�
Q" v
Sign: u.,uI ,/' ��1;; 0 off
g
Print: �%:j M II % i`k .`�'` .:
My Commission Expires:'
************** * * * * * * * * * * * * * * * * * * * ** * * * * * * ** ** tksk S * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning
Inspection Date: 11/04/2008
Inspector: Levrock, James
Owner: KOKIEL, JOEL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 icrEiyo
NOV 0 5 2000
Job Address: 1431 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132050240280
Lot:
Building Department Comments
PLUMBING DEMOLITION
Passed
In . •
"'
. or Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, November 3, 2008
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
► =k
ECCI VEC
APR o e
Permit No. FL big -565
Master Permit No.
Owner's Name (Fee Simple Titleholder) --j i� N.(1 e,1 Phone # 30C / J' 7 ).
Owner's Address 3 l ( 0 l
City N\ State F(
Zip
3 ,38
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) Vj t N kQ\
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 13'1/4? CD \i'V eiz Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 3 Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ['New c] Repair/Replace Demolition
Describe Work: .1\OI_ S. 'I`\S
****** xxxxx xxxxxxxx* xx ,cxxnxrxxxrxxrx:rx Fees xxxx *rxrx nYxrrrxrxxxxrxr x x x xxxxx r xx r xrxrxr
Submittal _Fee $ Permit Fee $D® CCF $O.Q40 CO /CC
G
Notary $ J'00 Training /Education Fee $ 04-0 Technology Fee $ 2SO
Scanning $ `2vCD Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 111. U':./
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 co ncement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a c tified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) .ays of 'r the building permit is issued. In the absence of such posted notice, the
inspection will .t be ap and a reinspectisn fee ill be charged.
Owner or Agent
The fore ing instrument was ac owledge bef
day o �� , 2006 , by
Signature
Contractor
The foregoing instrument was acknowledged before me this
, day of ,20_,by
h is personally known to me or who has produced T. et, who is personally known to me or who has produced
As identification and who did take i4ath.
G45\N�0�,�
A. is) fi)'ar
0 ___ _ .fir, ,04 . �,� ��4 � $
Sign:
8In 4!:
,. ,�.�V.i� . 1 • Print:
N ( TARY ' BLIC:
1
Sign:
Print:
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
*xx * *** * * * * * * * * * * * *xxxxxxx rx'
My Commission Expires:
*** *xxxxxxxxx *xxxxxxxxxxxxxxxxxxxx xrxx xrxrrxxx *xxxr.xx *xxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
4/-02 —0169 Examiner
Engineer
Zoning
4170r Ate'
4
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30'5) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
APR ', 1 7e,1
Permit No. EL O8 5,1
aster Permit No.
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) it ( KOL‘L--- i Phone # O c 7 % + I°
Owner's Address ++1 q 3 ( YV E, i' o l )"-
City �" �� 1,10 e, State E- lA Zip 3 36 3
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) VAS t \ O ` ca--rv__.e- --- k-
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Zip
Is Building Historically Designated YES NO
Contractor's Company Name :pi 4D E'k ,r4 SPA()
Contractor's Address 5 67 3 L4 Sr
Phone# 306-- 836 -a
City ///4 1-( State .7:4 Zip 3 3)/ 3
Qualifier Name aS ( A- RE. 2- Phone # 305-5 )7 -- c/ c,/ 5' 2
State Certificate or Registration No. eR500/ 3g e' Certificate of Competency No. CSC e/ 3 t3 3 7
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ (2.5-2"-• Square / Linear Footage Of Work:
Type of Work: ❑Addition ['Alteration ['New Repair /Replace ki Demolition
Describe Work: \ TG k-k,Sr N�\Oq
W/)/
******* * * * ** **x * *x * * * * * * * * * * * *xxxxx * ** Fees*********** xxxxx *x * *xxxxxxx * * * ** * * * * * * * * * *x*
Submittal Fee $ Permit Fee $ ® CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side -->
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 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. o, : certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whit occurs se en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n be apprjd and a r on fee will be charged.
Signature Signature
Owner or Agent Contractor
The fore oingpinstrument was ac owledged bef re me his The foregoing instrument was acknowledged before me this
day o YC, 4 , 206, bylk n / -'tC/1 , day of /i,� " , 20 „ , by
who personally known to me or who has produced Ft ‘21 1 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 P
Sign:
Print:
BLIC:
'tai %� �i►
�L
OSMIUM.
My Commission Expires:
ic **wvexr..xxxxxxxxxxxxaxxxd:ve**
APPLICATION APPROVED BY
(Revised 02/08/06)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
x xxxxxxxxx xxxxx**,cwwww***aYxxxxxxxxxxxxx xxdc xx****xxxxx****xx*****
I
% iA,G Plans Examiner
Engineer
Zoning
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Permit No.
STATE OF (A
COUNTY OF
NOTICE OF COMMENCEMENT
3zoc oz'-O
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of property, and street address if available)
A • \.4\ - �� ®1 ST MtC I S '-] itA
2. General description of improvement:
3. Owner information
a. Name and address: °�c L`0t
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor:
a. Name and address:
b. Phone number:
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
t o r S+ ,rt- S (1.2-5
�L(y AS C. c) rr S l` 11,6 G� t a' t 15
�5 C.; Z-3 s�.. '1 C i V-1.. S �-� P\
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6. Lender
a. Name and address:
b. Phone number: /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:
•
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Ltenor's Notice as provided in
Section
7.13.13(1)(b), Florida Statutes:
a. Name and address: u /�
b. Phone number: U�
9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 TTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM EMENT.
The ft re ing histrument was acknowledged before me this
(name of person) as
authority, ...e.g. officer, trustee, attorney In fact) for
behalf of whom Instrument was executed),
NOTARY PUBLIC -STATE OF FLORIDA
o` 4% Claudia V. Cubillas
sion # DD717923
„v,� : SEP. 23, 2011
��'n, ,`'�� BONDING CO. INC.
BONDED T U ATLANTIC BOND
Verification Pursuant to Section 92.625, Florida Statutes
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my
knowledge and belief.
Sign ture of Owner or Owner's Authorized Officer /Director
Pa er /Manager K.A.
Signatory's Title /Office w
(year) b
(type of
_(name of party on
try, 1�i
Sign ure of Notary Public - State of Florida
Print, Type, or Stamp Commissioned Name of Notary Public
Commission Number
Personally Known or Produced Identification ! �+5V V
Signature of Natural Person Signing Above