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RC-11-267Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 156093 Permit Number: RC -2 -11 -267 Scheduled Inspection Date: August 01, 2011 Inspector: Bruhn, Norman Owner: WEAVER, MARK Job Address: 10619 NE 11 Avenue Miami Shores, FL 33138- Project <NONE> Contractor: BROWN DEVELOPMENT LLC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1122320280370 Phone: (305)510 -8539 Building Department Comments REPLACE 8 FLOOR JOIST AND REPAIR FOUNDATION FOOTER CRACKED AS SPECIAFIED IN DRAWINGS. REMOVE AND REPLACE BATHROOM FLOOR AND WALL TILES. BATHROOM REMODEL AFTER FOUNDATION WORK IS DONE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments C/c-- July 29, 2011 For Inspections please call: (305)762 -4949 Page 7 of 30 a �IY Miami Shores Village pOglIVIS Building Department FEB iy 2011 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 C �')� ---g(0-1 (0-1 Permit No. �' ���J l BUILDING PERMIT APPLICATION FBC 20 BY: Master Permit No. Permit Typ BUILDING}ROOFING C Q Owner's Name (Fee Simple Titleholder) " `�l.�t�t, Gleitt heA, Phone # 30 g-13 - S� Owner's Address (0 (91c1 N + E. 11 T 4\ hue City)_6 S State Zip Tenant/Lessee Name Email Mu.) betlsott%4 . rItt Job Address (where the work is being done) S'ukQ, 4- wa NIA City Miami Shores Village Phone # County Miami -Dade FOLIO / PARCEL # C 1L 2 :CZ_ "' 0 oa8 . - O 1 O Zip Is Building Historically Designated YES Contractor's Company Name `. , Contractor's Address 1+ 3/ s `�V City litti2eaLt n i Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Id I ft 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. , Sienature���� Owner Agent The foregoing instrument was acknowledged before me this /t n day of 20 G / , by A a'r 61Z 4t,',7‘,7/ . , who is- personal known to me or who as,produc.P /z identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: NOTARY MIX STATE OF FLOWN Content/ MOM Expires 4 , The f day of who is persgna11ykno to me or who hks produced_ identification and who did take an ao th. q g instrument was ackno led ed bef 1I .j me this 1 20 , by (L OTARY PUBLIC: Sign: Print:, • My Commission Expires e1e' sittoopooDiske- r00 APPROVED BY ///J' '2e 2� i l J r Z2 `PYans Examiner Zoning Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Clerk checked CUMULATIVE SUBSTANTIAL 'T VERHICATION WORK 1m act with )EIS "et and Nand Wars if Floral Da Onfmaace the cons of all inqtrovenneats waist be costs. of any 0 ® ihepant 1.2 nutarbs and ii•c7; ants otie army proposed inprovermatts �w IUD ibe of t Mall and man :rids Imcln& Anise ,ilyi,,; i:,r),, labor (fig volunteer and ion and coperbesd and A fist of bents the costs :whielt a®e to be included as well as, I is atnand for your rolierme. (A. Cory of Rye Contract mud bey cdtarhedD PRO'.ER'TY P * `` i ADDRESS: t0(0 l N.E. L�- . Av.t. . FOLIO NUMBER: II-2232:1a ~v3r o (FLOOD ZONE: /6,c -' g > OlF1rCXL > ELEVATION: FRET OAS �CS PAsr IMPROMIENTS i,2 No4e cow OF PROP° B 13, 933 (ATTACH COPY OT CONTRA.CT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past Ind proposed) VALUE OF PRINCIPAL STRUCTURE Wads ap. /34/ 130 OIMORS SIGNATURE: DAB: II- I PLAN REVIEWER SIGNATURE: DATE: Bathroom remodel, 10619 N.E. 11th Ave., Mark Weaver Vanity $415 Tub and drain piping $623 Tub fixtures $230 Light $95 Door $318 Medicine cabinet $171 Wall hutch $135 Linen cabinet $373 Exhaust fan $89 Shower door (tempered,glass) $268 Toilet and piping $466 FINISHES SUBTOTAL $3183 (j(,r Gs\ l • Y'aII have to come over after the final inspection! We'II sit in the bathroom and drink champagne! Miami-Dade My Home My Home Show Me: PrccerViterradon Search By: Selacttem Text only Li Property Appraiser Tax Estimator Li Property Appraiser Tax Comparison LJ Portability S.O.H. Calculator Summary Details: http : / /glsims2.mlamidade.gov /myhome /propmap.asp Folio No.: 11- 2232 - 028 -0370 Property: 10819 NE 11 AVE Mailing MARK A WEAVER Address: 1 Living Units: 10819 NE 11 AVE MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138 -2120 Property Information: Primary Zane: 1000 SBJGLE FN4ILY ESIDENCE LUC: 1 RESIDENTIAL - WGLE FAMILY Beds/Baths: $148,794 Floors: 1 Living Units: 1 Adj Sq Footage: 2,104 Lot Size: 11,050 SQ FT Year Built 1952 $ 50,0001$137,448$50,000 32 52 42 MIAMI SHORES School Board ESTATES PB 47-58 LOT 9 Legal ,-,_ ton: & LOT 8 LESS N75FT BLK 3 LOT SIZE IRREGULAR OR 19131 -0401 052000 1 OR 19131- 0401 0500 00 Assessment information: Year: 2010 2009 Land Value: $85,848 $148,794 Building Value: $134,130 $170,424 Market Value: 0199,978 $319,218 Assessed Value: $187,448 $182,520 Exemption Information: Year: 2010 I 2W9 Homestead: $25,000 .� _n4 Homestead: YES 1{ YES Taxable Value Information: Year 2010 2009 T e>ong APPS Exemption/ APPS Exemption/ Autltordy: Taxable Value: Taxable Value: Reglonat $50,000/$137,448 $50,0004132,520 County: $ 50,0001$137,448$50,000 /$132,520 City: $ 50,0001$137,448$50,000 /$132,520 School Board $ 25,0001$162,448$25,000 /$157,520 Safe Information: Sate Date: 5/2000 Sate Amount $195,000 Sale O/R: 19131 -0401 Sales Qualification Sales which are qualified Description: View Additfonat Sales MIS Aerial Photography - 2009 My Home 1 Property Information I Property Taxes I My Neighborhood I Pro erty Appraiser 0 ® 113ft Home I Using Our Site I Phone Directory 1 Privacy 1 Disclaimer limouromismosior If you experience technical difficulties with the Property information application, or wish to send us your comments, questions or suggestions please email us at We breasts r. Web Site O 2002 Mami -Dade County. MI rights reserved. MIAMI-DADE j Legend Property Selected Property Street Hlghway Miami -Dade County Water WC> E 1 of 2 2/18/2011 7:53 AM OGI'tJ. _ V-VALS 33 131 /q /�o 0 4V-C, ■, • crj 10 Sk ril-k2.113" .= 24)4 .C4w k' 2." 7.* zo Li- .1 9 0.4 Qtf°"`"rn i-Sag, Co -j54 Agurf-C)N f• ;T'sj.--'t±(cP 3 .Tz, Co znioti; 514,3_, G eim RL® CERTIFICATE OF LIABILITY INSURANCE OP ID LT DATE(MMIDDITYYY) 02/17/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policyges) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Northeast Agencies - Crystal Northeast Agencies�a 2495 Main St Suite 209 Buffalo NY 14214 Phone:716- 837 -8804 Fax:716- 954 -2250 r r r tai.1 NAME: Ext): (A C, No): ADDRESS: Pn1STOmEER RIDa: BROWN67 INSURER(S) AFFORDING COVERAGE NAIC# INSURED BROWN DEVELOPMENT, LLC 4237 SW 71 AVENUE MIAMM FL 33155 INSURERA: NAUTILUS INSURANCE CO INSURERS: ZURICH INS. CO. / NANY 36242 INSURER C : 10/05/11 INSURER D : $ 1,000,000 INSURER E : PR" M'ISES(Ea ° "occu ILL) INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY INA SR WVp NUMBER (MMID�OTYYY (MMID UMTIS A GENERAL LIABIU1Y COMMERCIAL GENERAL LABIUM OCCUR BN951731 10/05/10 10/05/11 EACH OCCURRENCE $ 1,000,000 X PR" M'ISES(Ea ° "occu ILL) $ 50,000 CLAIMS -MADE X MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEM_ 7 GENERAL AGGREGATE $2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY fl JEC fl Lcc PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABIIJ7Y ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UMR (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE accident) $ $ $ Ur®RELLA LIAR EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ _ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXEC OFFICER/MEMBER EXCLUDED? (Mandatory lnNH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N I A WCO3331 -72701 12/25 /1012 /25/11 WCSTATU- OTH- TORY LIMITS ER E.L EACH ACCIDENT $ 500,000 E.L DISEASE - EAEMPLOYEE $ 500,000 below E.L DISEASE - POLICY LIMIT $ 500 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building De tment 10050 N.E. 2 Avenue Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2008109) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD U.S. Structures, Inc. Project: Mark A. Weaver Residence CA 8439 Structural Repairs PROJECT NAME: Mark A. Weaver Structural Repairs 10619 NE 11th Avenue Miami Shores, Florida 33138 -2120 DESIGN LOADS: Floor Dead Load 20 psf Floor Live Load 40 psf CODE REFERENCE: All work, designs and calculations shall be designed in accordance with the Florida Building code, 2007 edition. Tele 305.665.4555 Fax 305.665.5522 ( -4 mss® Jose A. Toledo, P.E. FL License #54891 April 23, 2010 Page ./.. U.S. Structures, Inc. Project: Mark A. Weaver Residence Structural Repairs CA 8439 1 WOOD Tom- simple span with uniform loading Reference - 2005 Edition ANSI /AF&PA NDS -2005 For Wood Construciton DATA Span (feet) Spacing (ft) Species Grade Nominal Member Size Actual Member Size Fb (psi) E (psi) GRAVITY LOADS DEAD LOADS Self load (p1f) Floor DL (psf) LIVE LOADS Floor LL (psf) (tributary width) (inches) (inches) NDS table 4B NDS table 4B Subtotal Dead Load (plf) (load x spacing) Subtotal Live Load (pif) (load x spacing) TOTAL Gravity load (pit) BENDING - reference suavity loads Cd (load duration factor) (Ret NDS 4.3.2) C, (repetative use factor) (Ref NDS 4.3.9) M„= w *12 /8(ff -Ibs) SX required = (M*12) /(Fb) (Cd)(Cf) (in3) Check DEFLECTION - uslna LL only Code Criteria - delta Ix required (in4) =L /delta = (5*w*14)/(384E1) Check REACTIONS R gravity (lbs) SHEAR - based on aravity Toads Fy shear parallel to grain (Ref NDS TBL 4B) Cd (load duration factor) (Ref NDS 43.2) F,; = Fd x Cd (psi) f\,'= 3V /(2bd) (psi }(Fe+ NDS 3.4 2) Check MEMBER USED: SX provided (bt2 /6) (in3) I, provided (in4) (from NDS) WJ -1 15.50 1.33 SYP No. 2 (2) 2 x 10 3.00 x 9.25 1050 1600000 3.40 20.00 40.00 30.07 53.33 83.40 0.90 1.15 2504.61 27.66 OK 360 83.79 OK 646.35 175 0.90 157.50 34.94 OK (2) 2 x 10 42.78 197.86 Tele 305.665.4555 Jose A. Toledo, P.E. Fax 305.665.5522 FL License #54891 April 23, 2010 Page 2. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. RC "2" I L �'4 ER a TAX FOLIO NO. W.' " 22. J2. — O or 1 STATE OF FLORIDA: 11 —AU COUNTY OF MIAMI -DADE: 1 z 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. 111111111111111111111111111 111111111111111111 c F14 201180137558 DR Sk 27603 Ps 2706; t 11? s ?� RECORDED 03/02/2011 14 :11 :58 HARVEY RUVINr CLERY OF COURT MAi9I —DADE COUNTY' FLORIDA LAST PAGE y Space above reserved tar use of recording office 1. Legal d .ti on •f . •, and street/address: ��.�� -_ 1 1 2232- Oa0 �- 031 0 - Des « of im rov- ent 1, • ' . 72r4) . � ♦ i �� ?� � MV . ption p _ ,.. �. ■ 7 owner(s) - and a ress. i ► ,- . iltj�!!1 lM1 X11, a . 1►�i ►!��1I,1 .11 Interest in property: ,SBXQ &UAW\ Name and address of fee simple titleholder. ► : 4. Con, •ctor'sname address= .hone _u ber ��i .���'•1'i�i�:. �,► ►� ��i. t .r . a ;► `. O 5. Surety: (Payment bond required by o =; from contra (. , if any Name, address and phone number. A Q, Amount of bond $ tiv f 1 6. Lender's name and address: J 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, address and phone number !� 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Seddon 713.13(1Xb), Florida Statutes. 1' Name, address and phone number N R 9. Expiration date of this Notice of Commencement J(A)Y i' , '011 (the, ptration date is 1 year from the date of recording unless a dltfercnt 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 OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA, COUNTY OF DE Signature(s) • • r(s) • s' •razed • .-- /Director/Partner/Manag ERFEb' GER(I FV that this.' tr a , oFPh4 Prepared .t - t d , cf r Prepared By xiwnal tied iq ih uffre i L3sgS Print Name Trtie/Oftce •115.1 ( - 4 _ STATE OF FLORIDA COUNTY OF MIAMI -DADE The faregoht errt was ,--, �o/ edged this day of fl/ 4 Print Name : Yi T Ill r A I) 20 Titie/Office ''n�,,,,; .,: r-franrf.a Official Sot HARVEY RU , CL kK, . Circuit ;n County Courts Individually, or U as for U Personally known, or roduced the following type of id - ca z on: , ' Signature of Notary Public: Liz- Print Name: ! 9 (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read theforegoing and that the facts stated in it are true, to the best of my knowledge and belief. re(s) of Owners) or • s)'s Authorized Officer/Director/Partner/Manager who sig 123.0152 PAGE3 3fl0 By RAPHAEL GARCIA NOTARY PUBLIC STATE OF FLORIDA EE00474/ • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 156156 Permit Number: PL -2 -11 -280 Scheduled Inspection Date: June 10, 2011 Inspector: Hernandez, Rafael Owner: WEAVER, MARK Job Address: 10619 NE 11 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: BOB'S PLUMBING CO INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320280370 Phone: 305 - 229 -9932 Building Department Comments REMOVE AND REPLACE EXISTING PLUMBING FIXTURES FOR BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 09, 2011 For Inspections please call: (305)762 -4949 Page 1 of 12 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. ° Master Permit No. r--C) 11 Col i DEB 2 2 2011 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): rn K W �JH Vie. Phone#: 3c)S- yq 7 -.)--t4 Address: / ✓t. City: O xkir,: Sl1 ors State: Zip: Tenant/Lessee Name: Email: Phone #: JOB ADDRESS: S +^c._. City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: _// - 2 Z T 2 . 0 2 p 0 77 b Is the Building Historically Designated: Yes 1� Flood Zone: A`( CONTRACTOR: Company Name: ` ° IS S L" A INGt Cs' C - Phone #: `-30 ZZ qg 32-. Address: 4 05-'s 69 1/6\f 1 City: 'II t AM e State: o `' 4 Zip: 3 "� f G S' Qualifier Name: J44^i C , Ls2 ss' - Phone #: -3°S- 2 z1. -59 3 Z State Certification or Registration #: -t C C Ce q a- Certificate of Competency #: Contact Phone#: _ Z-95- Z. Email Address: n S .-1.-a° +i'l3o tc ci C c' Q Y 0. c M DESIGNER: ArchitecWine : P5 CM/ch2& Phone #: ?os- 61 s-- yd-'S'S • Value of Work for this Permit: $ r Goa Square/Linear Footage of Work: Type of Work: DAddress ,iteration New ❑Repair/Replace ❑Demolition Description of Work: Aso ,A-, 1^ y... c- ,et f4 ,P4a frvy- Submittal Fee $ Permit Fee $ %®° — CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 FT.ECTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Contractor The fo e g instrument was ackno 4 edg be .e this• —••• The foregoing ins. • ent was acknowledged before me this 1B // 1 `• f - / C(– 20 l� b _ `[ I �aS�_ day o L - •� - � , �, by � � , day of y , me or who has produced NOTARY ' BLIC: 4utso APPROVED BY // Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Mar 01 2011 9:43 Bob's Plumbing 3052299865 CERTIFICATE OF LIABILITY IN HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR Al. BELOW. THIS CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is ea ADDITIONAL INSURED, the poIIcy(les) must the terms and eoadltl ns of the policy, oertatn policies may require an endorsement. A e certify holder In Iteu of such endorsement {s). PRODIIDI* Globs! Risk LLD 6969 Bluo Lagoon Dr Suite 101 Miami, FL 33128 Gayle BalnhrAIge Bob's Plumbing Co., Inc. 4066 SW 89 Avenue Miami, FL 33166 page 2 OP ID: YM URANCE I CATE ° IETWO 11123110 O RIONTS UPO'S THE 0eFerwiCATE HHOLDER. THIS THE COVERAGE AAA#�`+°PPPORDED BY THE POLICIES ETWEEN THE ISSUING INSURERS), AUTHORED ends reed. If SUBROGATION. 18 WAIVED, subject to mont on this certificats1 does not center rights to the 306-456-7260 306-465-7251 CUs oMERNIII• p -1 RERIarMFORDINO COVERao MU/um A, Gam naura we Company wuo r IN$ORRt B: Mapf nswance Company • FL Imam e:Teche • ogy Insurance Company INOURBR D: 121$1* IR E: COVERAGES • (NEARER P l THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE D'I'ED BELOW HAVE BEEN ISSUED: INDICATED. NOT MTHSTA .I WNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CO CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLE • EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED = RaVI I% * , ,• THE 1 -: URED. NAMED ABOVE • - • HER DOCUMENT DES. -- BED HEREIN IS AID mmsm. FOR THE POLICY PERIOD TH RESPECT TO WHICH THIS SUBJECT TO ALL THE TERMS. 491 TYREOPIN SUJIANaE t am CANCELLED BEFORE S Be B A RE DELIVERED IN ,', :. - _- �-��� ligai ' � ���.'.'l..p.. -01 WETS A GENERAL X COMMERCIALGENERALUAEEIUTr 1GP012789 -2.11 11/2E11' 7I • • L�' A5M' MEDEXPUW► �.,. " -i ' p4 1 1 00 1 g 60.00 , CLAREE -MADE X OCCUR • 6,00' PEREONM.&A6VINJURY E ENE#IAI•AGC CGATC ., •PACO $ 1,000,00'• $ 2,000,00 $ 2,000,00' ■ GEMLAGEIREGATEELIMITAPPLEE PER X Poucr . :... ■ LOC PR • • = _ •• $ B AUT?UOSILBMAMMY • fl Q X ANY AUTO ALLCIR'NE0AUTOS SCHEDULED AUTOS HIRED AUTOS NONE-OWNIEDAUTOS 160100003244 0212811 . 11 COMBINED SINGLE lE"�tla's } LIMIT $ soot)fINdu:* (Per person) • 100, BODILY INJUR' (Psraaei�nt} E: 300,00' raop5RTY tmkuaii (per ms 6 60,00'. 3 1 UMBRELLA A U*A PEWEE .00CUR _- --_JJ EACH Occkuuq 1cs $ CWME►•1AADE: sectaaeAre 1 3 3 • oEDUCrSLe "t... 1 ,.11 • . 1 C .L ^lido: «•�'.!-: ":7 r. ARD I.Z uTY ANYP IPAARTNERMIteunveD OFP ECLUDEOY (Mandtisfy IlNEp i°, •..._= ,•,,, C3260764 09!07!10 08110 11 ,r y T• ;� fit),[ 's 1 W- ei.EACHA • Nr s 600,00' EL DISEASE - ELEPL• a= b 600,00 60000' - • . uwT P ul m Ego COmmOTC18URK1denu iramours sews 101, Addltlesal RimBMS BehwuM, V Mori • Miami Shores Village 10060 NE2Avenue Miami Shores, FL 33136 ENOULDANY • THE BERRA ' AOCORDANOS' ii ' EABOVB DAT THE DESCRIBED P THEREOF. NOT( CYPROVISION am CANCELLED BEFORE S Be B A RE DELIVERED IN AUTHORDmp a . c, ■ . ThP ACORD 26 (2009109) @ 19 'rho ACORD Dams and logo are registered marl -2009 AO CORD CORPORATION. Ail rights reserved. Bob's Plumbing E?aNcr�rn�a+z.,��a.ia -a a; �tEa t��.a�vvi 1 r0=1/, %i111:%:.�CI• <'aii.,r'�u..._.r ....,.o,C%S%> -'°'• .'K:: x�t,2 ", e"Ti+f'.:4�CAftl�eir• ?-sse, $ *JIt4N6 6. SILO mq�9 � NpT': R.� ' fl1 b1 •Y0. 1101AVANY.. � i sow ".� r ' PAYM NT • • f 04YN111g - :.: �iet,•r:., ::,07/23/20.$•0 6000000:8.103: SEE OTHER &IDE • d � DO NOT FORWARD - soils •PLUMgIWB CO INC ROBERT BLOSSER 4055 SW 89 AVE MIAMI FL 33165 : ) 111' 111111111 11111111111111 111u1N11111,111lifu111i 1Q,l Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ti4v Inspection Number: INSP - 156164 Permit Number: EL -2 -11 -281 Scheduled Inspection Date: June 09, 2011 Inspector: Devaney, Michael Oer: WEAVER, MARK Job Address: 10619 NE 11 Avenue Miami Shores, FL 33138- Project <NONE> Contractor: WILCO ELECTRIC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320280370 Phone: (305)233 -0056 Building Department Comments ELECTRICAL WORK FOR BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 9" /(7 June 08, 2011 For Inspections please call: (305)762-4949 Page 4 of 17 • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit Nt 1 11 ® -1:6 1 PERMIT APPLICATION Master Permit No. \ 1 °'U Q'7 FBC 20 fEB2Z2011 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder)- AAR I id Es►•AC2 Phone#: s — 8rf 3 —/frA Address: 4'6 / I NE /I /f vc.. City: i1 gyp' � 44) State: F �. Zip: Tenant/Lessee Name: Phone#: ''! Email: A G) ® .bt /Says, JOB ADDRESS: A .. City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: f/ 7 7. ? Z - 0 2g- n 37d Is the Building Historically Designated: Yes U Flood Zone: / C X CONTRACTOR: Company Name: U 3, L( 0 eU ±cal c Phone#: 305 an 005 Address: NI NR s 115 City: \1 .A.1 -W1 State: C L Zip: 5 Qualifier Name: G- Pt (Lid \..)..k 013 Phone#: 9DC1 S W.) 0 S S State Certification or Registration #: V3C \ L S Certificate of Competency #: W1 Lo Contact Phone: ',.)'S s.--')*) QOS k-c Email Address: t, A\ CCV Q-1Q (-4 c I C I oyYl0t 1 . CO .y DESIGNER: Architect/Engineer: Pi r!d c.1-t...�2.� Phone#: ?d 5 Cl S-- yr3�"� en Value of Work for this Permit: $ 3 cu. Square/Linear Footage of Work: Cs' Type of Work: DAddress DAlteration DNew ORepair/Replace ODemolition Description of Work: x•** **ea * *+ * **** ******** * * *e *e * * * ** ****F ********* * ******* * ***** **a * *ae*seea * ****** Submittal Fee $ Permit Fee $ " 'i-' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 FI.F,CTRICAL 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 Owner or Agent - `' Contractor h The f., ` : g instrument was ackno�h edg before .rye foregoing instrument was acknowledged before me this) day of 20, b J f i t°� ice' day of U� 1L, by�CC�1�1�% identification and who did take an oath. � a LIC: j y ow me or who has produced as identification and who did take an oath. 0‘..:2:`,N, DONNA T. FLOWERS My Commission Ex? 't•, * My COhMISSION # DD 939170 u�u 4 EXPIRES: March 10 2014 ''')/ oFF,�1 Bonded ThN Budget NOr Swims * *** * * * * * * * * * * * * *** * * * * ***** *****d ********* * * ************* ***** ********* *HQ** **** ****** * * ******** *d**+F+k**** APPROVED BY fix' 2 Y /- Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10i2009)(Revised 3/15/09) Zoning Clerk