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MC-09-878Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL Inspection Number: INSP - 115150 Scheduled Inspection Date: November 12, 2009 Inspector: Perez, JanPierre Owner: RUFENER, JANN & DAVID Permit Number: MC -5 -09 -878 Job Address: 1234 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AIRTOUCH SERVICE INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Pho Number 30S "ZVI 71 04 Parcel Number 1132050080030 Building Department Comments REPLACE OUTSIDE UNIT Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 10, 2009 For Inspections please call: (305)762 -4949 Page 1 of 31 owl Q-pf. Miami Shores Village ��g� MAY 2 72009 ZUJ 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. MC" 09 ^r Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) ,SAUM �UF*a( etc Phone # 30S —9 Sct^ -(04- Owner's Address 2 34- fl E 10 City Nit p'(tt1 l 3 votes State °I_ Zip 35 f 3,8 Tenant/Lessee Name Phone # E -MAIL: .,.i P4 be_g Ic,*j d. (e corn Job Address (where the work is being done) 1'1_34 ne [cal ST City Miami Shores Village County Miami -Dade FOLIO / PARCEL# (1 <3205 ° ®® 8- 0030 Is Building Historically Designated YES NO Zip 33138 Contractor's Company Name »P2i ✓Z,4i rcvic t Phone# 30 n -2-- 22-VZ. Contractor's Address /S-V7 W AAA/ 77 C-- 1 / S City H /4.1' LOf State f7 Zip 3 3 0/ 4, Qualifier Name J4 a s,, i-it 6 Z Phone # 1 or- iP 2.2. L.z, y Z, State Certificate or Registration No. e-a a- lP 13I'gfi -( Certificate of Competency No. E -MAIL: A Na.- vc. (N Sssav I e.0- Q et_ LL rrgM . Ale- - Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 700 o a () Square / Linear Footage Of Work: Type of Work: ['Addition ' ['Alteration ['New Repair /Replace ❑ Demolition Describe Work: ;Q , ®.aJs a rLP.A Uw4 e4 r a} xxxxx** xxxx*xxx*x**rxx****** *****xxaex eesx*** x******** *xx*xxxxxxx**xxx*xxxxx **xxxxx*x MAY 2 7 P4 R Submittal Fee $ SD 'ti� Permit Fee $ �O ' v� CCF $ _ J, CO /CC Notary $ Training /Education Fee $ r-vo Scanning $ 3-00 00 " Radon $ BR A$_ Zoning $ tlt Technology Fee $ 2.%) Bond $ Structural Review. $ Code Enfox 2009 CC, 1015 It 56.6D MIAMI SHORES VILLAGE oubleFee $ Total Fee Now Due $ 54 60 See Reverse side -4 5\ 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 :. : nspection fee will be charged 'inspection will not be approved a Signatur Owner or Agent Th ing instrument was acknowledged before me this oR day of pat , 20 09, by '0"-ClVi VI R "-Pen P it who ersonally known to m' eor who has produced As identification and who did take an oath. Sign. Print, Fdifis frl�1w1�1!■!wI • • 4t �: My Co ' x f I4RES December 04, 2011 407 398-0153 FloridaNata ww, /***,,, itlew** u,c***tcx,E***A Signature Contra The foregoing instrument was acknowledged before me this . 3 day of 1 , 20 Oct , by 4k rructrde , who • ersonally known-Z-9 r who has produced as identification and who did take an oath. NOTARY PUBLIC: My Comm APPLICATION APPROVED BY: (Revised 02 /08/06) • •' ph96MILLE M. LINARES on MY COMMISSION # D0739207 `�p , x E FII ' i9 December I)'�u1 ***** �.�� I,, / (407) 398 015533 FlaridaNOtaryServlce.com Plans Examiner Engineer Zoning CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: .,,SPtiltaV FEleJ4. PERMIT #(l 8 Tv ADDRESS: UM 4 RE [o[ ST FOLIO NUMBER: //3020 aok°'©7001) D ZONE:t VecS BASE FLOOD ELEVATION: FREEBOARD: COST OF PAST IMPROVEMENTS (12 MONTHS): j COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) EAST OF FL.CCCL: Itipa TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): di VALUE OF PRINCIPAL STRUCTURE (attach appraisal): 34 OWNERS SIGNATURE: PLAN REVIEWER: PLAN REVIEWER SIGNATURE: 11 -12 -08 DATE: 4 647 DATE: Property Information Map My Home Miami -Dade County, Florida la ee. o,; Property Information Map Digital Orthophotography - 2007 This map was created on 5/27/2009 12:37:00 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 0 1�I 14 ft Page 1 of 1 Summary Details: Folio No.: 11- 3205 -008 -0030 Property: 1234 NE 101 ST Mailing Address: DAVID C RUFENER &W JANN S 1234 NE 101 ST MIAMI SHORES FL 33138 -2609 Property Information: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: /2,280 $726,463 Lot Size: 10,600 SQ FT Year Built: 1954 Legal Description: 5 53 42 GORDON SHORES PB 45 -8 LOT 3 BLK 1 LOT SIZE 100.000 X 106 OR 18053 -1582 0498 4 Sale Information: Sale O /R: Sale Date: Sale Amount: /1998 0 Assessment Information: Year: 2008 2007 Land Value: $275,590 $391,160 Building Value: $335,303 $335,303 Market Value: $610,893 $726,463 Assessed Value: $293,678 $285,125 Exemption Information: Year: 2008 2007 Homestead__ - $25,000 $25,000 2nd Homestead: YES NO Taxable Value Information: Year: 2008 2007 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $243,678 $25,000/ $260,125 County: $50,000/ $243,678 $25,000/ $260,125 City: $50,000/ $243,678 $25,000/ $260,125 School Board: $25,000/ $268,678 $25,000/ $260,125 http: / /gisims2.miamidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade.go... 5/27/2009