RC-11-1080t
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 160936 Permit Number: RC -6 -11 -1080
Scheduled Inspection Date: August 31, 2011
Inspector: Bruhn, Norman
Owner: REMY, NOEL & SORENA
Job Address: 390 NE 98 Street
Miami Shores, FL 33138 -2410
Project: <NONE>
Contractor: F&F CONSTRUCTION SERVICES INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Phone Number
Parcel Number 1132060135670
Phone: (954)454 -1948
Building Department Comments
REMOVE DAMAGED AND RE- INSTALL IN KITCHEN
PasseW see/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 30, 2011
For Inspections please call: (305)762 -4949
Page 9 of 34
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. 1 I ' 1( TAX FOLIO NO.
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.
1111111111111111111111 1111111111 1111111111111
CIF 2011R0410934
OR Ek 277.31 P31825; (fps)
RECORDED 06/2:3/2011 11:2:419
HARVEY RIJVIN, CLERK OF COURT
11IAI1I -DADE COUNTY; FL' - . d:DA
LAST F'AGE
Space above reserved for use of recording office
1. Legal description of property and street/address: $ °)6 ii £ c' 14.11` i Mtktf A . S 4®i-es c 33 i3 (�
2. Description of improvement:
3. Owner(s) name and address:
Interest in property: OWN e
Name and address of fee simple titleholder:
4. Contractor's �name, address and pj�one n ber.
21/7 A// (2 �/ �
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
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 Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number:
9. Expiration date of this 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 OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature(s) of Ow i(s) or Ow er(s)'
Prepared By
Print Name J e'Sp,I.f
Title/Office �V�rl'et_
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The for°nn 'strum t was acknowledged before me this day of
By V`o -SSa 1•0
Authorized Officer /Director /Partner /Manager
Prepared By
Print Name
Title /Office
❑ Individually, or ❑ as for
❑ Personally known, or 14 produced the following type of identification:
Signature of Notary Public:
Print Name:
(SEAL)
X11
e.�vN`� .�.�._r1,
�� " ..'r: ,./c. 2 .. ta) i
0f, /xj,,,,,JJ
�� ® ., X01 tee
°s. A, ° .......
.. •'' \`\ems
Signature(s) of Owner(s) or Owner(s) 's Authorized Officer /Director /Partner /Manager who signed abovir,,,r OR ID P \����
rrrrnnni��
By By
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, 1 declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
MIAMI DARE
COUNTY
MIAMI -DADE COUNTY
CONSTRUCTION LIEN LAW FOR OWNERS
NOTE: IF YOU SIGNED AS THE OWNER'S AGENT YOU ARE RESPONSIBLE FOR DELIVERING
THIS INFORMATION SHEET TO THE OWNER OF THE PROPERTY.
WARNING TO OWNER
Florida's Construction Lien Law (Chapter 713, Part One,
Florida Statutes) requires the recording with the Clerk of the
Courts a Notice of Commencement for real property improvements
greater than $2,500.00. However, it does not apply to the repair
or replacement of an existing heating or air conditioning system
Tess than $5000.00 in value. This notice must be signed by you,
the property owner.
Under Florida law, those who work on your property or
provide materials and are not paid, have a right to enforce their
claim for payment against your property. This claim is known as
a construction lien.
YOU MUST FILE A NOTICE
OF COMMENCEMENT
For your protection under the Construction Lien Law and to
avoid the possibility of paying twice for improvements to real
property, you must record a Notice of Commencement in the
Clerk of the Court's Office. You also must provide a certified copy
of the recorded document at the construction site. The Notice of
Commencement must be signed by you, the owner contracting
the improvements, and not by your agent.
The Notice of Commencement form, provided with this
information packet, must be completed and recorded within 90
days before starting the work.
A copy of the payment bond, if any is required by you and
purchased by the contractor, must be attached as part of the
Notice of Commencement when recorded.
If improvements described in the Notice of Commencement
are not actually started within 90 days after the recording of the
Notice, a new Notice of Commencement must be recorded.
You lose your protection under the Construction Lien Law if
the payments are made to the contractor after the expiration of
the Notice of Commencement. The Notice is good for one year
after the recording date or up to the date specified under item
nine of the form.
Florida law requires the Building and Neighborhood Compliance
Department to be a second source of information concerning the
improvements made on real property. The Building Permit Application
(included with this packet) has been expanded to include information
on the construction lender and the contractor's surely, if any. The new
application requires your signature or your agent's, to inform you of
the Construction Lien Law.
YOU MUST POST THE NOTICE OF
COMMENCEMENT AT THE JOB SITE
By law, the Building and Neighborhood Compliance
Department is required to verify at the first inspection, after the
building permit is issued, that a certified copy of the recorded
Notice of Commencement, with attached bonds if any, is posted at
the construction site. Failure to show the inspector a certified copy
of the recorded Notice will result in a disapproved inspection,
(Florida Statute 713.135(1)(d)).
NOTICE TO OWNER FROM
SUBCONTRACTORS AND SUPPLIERS
You may receive a Notice to Owner from subcontractors
and material suppliers. This notice advises you that the sender
is providing services or materials. Subcontractors and suppliers
must serve a Notice to Owner within 45 days of commencing
work to preserve their ability to lien your property.
If your address changes from that given in the Notice of
Commencement, you should record a corrected Notice reflecting
your current address. This is done to help ensure you will receive
all notices.
RELEASE FROM LIEN FROM CONTRACTOR
Prior to paying the contractor, you need to receive a Release
of Lien and Affidavit to the extent of payment from the general
contractor. The Release of Lien and Affidavit shall state either
that all the subcontractors and suppliers have been paid or list
those unpaid and the amount owed. The contractor is required
to list on the Release of Lien and Affidavit any subcontractor or
supplier that has not been paid. That amount may be withheld
from the contractor's pay and paid directly to the subcontractor
or suppliers after 10 days written notice to the contractor.
If the balance due to the contractor is not sufficient to pay
in full all subcontractors and suppliers listed on the contractor's
affidavit, you may wish to consult an attorney.
The general contractor shall furnish a final Release of Lien
and Affidavit to the owner indicating all subcontractors and
suppliers have been paid at the time he requests final payment.
You can rely on the affidavit in making final payment to the
general contractor. If you make final payment to the general
contractor without obtaining the affidavit, your property can be
liened for non - payment if the general contractor fails to pay the
subcontractors or suppliers. You should always obtain a Release of
Lien and Affidavit from the contractor to the extent of any payments
being made.
RELY ON YOUR LENDER FOR COMPLIANCE
WITH CONSTRUCTION LIEN LAW
If you have a lender, you may rely on the lender to handle
the recording of the Notice of Commencement. Learn more about
the Construction Lien Law by contacting an attorney, your lender,
or the Florida Department of Agricultural and Consumer Services,
Division of Consumer Services.
Documents are recorded at the Clerk of the Courts,
MIAMI -DADE COUNTY RECORDER, COURTHOUSE EAST,
22 N.W. First Street, 1st Floor, Miami, FL 33128.
You can record the Notice of Commencement by mail. The
original Notice should be sent to the County Recorder, P.O. Box
011711, Flagler Station, Miami, Florida 33101. Please make
sure the original Notice is signed and notarized. Also, remember
to enclose the recording fee (for a single copy) and written
instructions for recording and returning a certified copy of the
recorded documents. For additional information on fees and
recording documents call (305) 275 -1155.
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 Type: BUILDING
ROOFING
JUN 1 3 2011
Permit No. T 1U913
Master Permit No.
OWNER: Name (Fee Simple Titleholder): >� 1% 1� O Phone #: �� a v
Address:
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
` �r
JOB ADDRESS: � �CO 9, S
City: Miami Shores County: Miami Dade Zip: 1 b g
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: 1'4 k— (0(x� ` Ih✓ , 0 ie+ Phone#: 3.0 S 2S 1 4Z)7
Address: / �n i % ? P)1 k_
City: � v(7 IL4-,. ? 4 .__ . State: Zip: 33 Oo i
Qualifier Name: '''rl L C— g^ l �, t7' t-, Phone #: %7 D,S 5 -Z-$ --141.7
State Certification or Registration #: C 6 G. Q b a5 b 1 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
.<;5(9.41,00 C2 g ° .6
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace
Description of Work:
�J\
❑Demolition
***********m *****x:* **********+ x** *******Fees******m***m****** ******** ************** **
°Ca $ CO /CC $
Bond $
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ DBPR $
Notary $ od Training/Education Fee $ Technology Fee $
Double Fee $� F(X Structural Review $
TOTAL FEE NOW DUE $ ..
r
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 roust 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
er or Agent /^ Contractor
The for oing instrument was ac ,. owledged before ,�e this �!° The foregoing instrument was acknowledged before me this
day o 0 d , by / l.Ll L 4 : _�%j , day of , 20 _, by
1 who is . - rsonally known ((t� me or who has i:. oduced ho is personally known to me or who has produced
M� 0
-r20 .2alentification and who did take an oath. as identification and who did take an oath.
My Commission Expires:
NOTARY PUBLIC:
�Ss Sign: ,0 10
uttc o q 25�.Print:
44—o V CA_
ft O--t
My Commission Expires:
A FARL
PAOSSION'6,76
'L.r,
**u:***x:x:x:** **** * **** ,* **** *****v': i****** * * ** * ** *** **** ** ** *** **
Plans Examiner
APPROVED BY
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Zoning
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT:I. ME QF• F(RST INSPECTION
PERMIT NO.
TAX FOLIO NO
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.
111111111111111111111111111111111111111111111
CFN 2011R04-10934
OR Bk 27731•4's 18251 (1as)
RECORDED 1.16/22011 11:27:19
HARVEY RUVTM € >''CE RK OF COURT
l9IAMI -DADE COUNTY, FLORIDA
LAST ''PAGE ':
Space above reserved for use bf re'oording office
..'t5 Legal description of property and street/address: 3 96 . N <'t2.&� S 146I-es t , c 13 of
2. Description of improvement:
3, Owner(s) name and address:
Interest in property: AWN e.
Name and address of fee simple titleholder.
4. Contractor's name, eddr and p one n
riavc
5. Surety. (Payment bond required by owner from contractor, if any)
Name, address and phone number.
Amount of bond $
6. Lender's name and address:
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 Section
713.13(1)(b), Florida Statutes:
Name, address and phone number.
9. Expiration date of this 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 1, 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 ORAN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT. -
Sl9r1AtIgNsWigel
Prepared By
ors .)er(s)' Authoriz Officer/Director/Partner/Manager
Prepared By
Print Name -£ SSc..? f . Print Name
Title/Office % ulittrec.. Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The fo strum t was acknowledged before me this 9ZZ—day of �� . . . '20 `11.
By 14 •
❑ Individually, or ❑ as for
❑ Personally known, or ' produced the following type of identification
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. 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.
'rep i
ci` :5 • X04 e
•
�O
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed.aboler,, • OR D •10 0`��
BY By '
STTf C this cop ADEa
dedSnarls office of
A.D. 20
lrafrdard Mai Seat
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3cto 1.1P litove5. 33 13g
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(-0—s-76
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BEP01
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NO POINT ALONG COUNTER TO BE -MORE THAN
2 FEET FROM G.F..I PROTECTED RECEPTACLE
PUT DAN RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
N
0
830 -2
0
P249024
V12442
X618
NI�
28;8'
‘(i
o
28, -8'
7 11 351611 24,E
St „I° COMPUANCE WITH ALL FEDERAL
STATE AND COUNTY RIM AND REGULATIONS -4 jam' //
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
PLC b
All dimensions _size designate
given are subject to verification
job site and adjustment to fit job
conditions.
f e Q
? y- if 05 # A./ .
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
1
Designed: 5/5/201
Printed: 6/10/2011
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an ct rendition.
7f'1
TECHNOLOGIES
Designed: 5/5/2011
Printed: 6 /10/2011
GEORGS KITCHEN HCpUSE All I Drawing #: 1
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
°1571'1/t GEORG ESS KITCHEN HOUSE
20 2
TECHNOLOGIES
Designed: 5/5/2011
Printed: 6/10 /2011
I All I Drawing #: 1
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
1
TECHNOLOGIES
fel
Designed: 5/5!2011
Printed: 6/10/2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 11
Inspection Number: INSP- 163607
Permit Number: EL -8 -11 -1535
Scheduled Inspection Date: August 29, 2011
Inspector: Devaney, Michael
Owner: REMY, NOEL & SORENA
Job Address: 390 NE 98 Street
Miami Shores, FL 33138 -2410
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135670
Phone: 305 - 895 -4971
Building Department Comments
INSTALL SMOKE DETECTORS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 26, 2011
For Inspections please call: (305)762 -4949
Page 23 of 41
I [ --ort ab
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 Type: Electrical
OWNER: Name (Fee Simple Titleholder `e6 /l e PS -co Phone #:
Address: U
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
‘% rrI7L '''J
ItAz .c,:1-0" -
.... ...
Permit No,\ L)5b
Master Permit No. / e -
JOB ADDRESS: 3 9, 0 (s(6
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name:
Phone #: 505--.8q
J t ec.E a- ( `5 . 4 ��
Address: %� _ k --
City: k(. 0( C(W-, State: fit_ Zip: 33 / . F
Qualifier Name: 4l.�vi --1i �o 37Q Phone #: e) 6� f78 -,5-93 °
State Certification or Registratidn #: 1 - . d 0 249 0 Certificate of Competency #:
Contact Phone #: // ;� .1�l 7/ Email Address: ' 1)
DESIGNER: Architect/Engineer: Phone #:� •��� • I CS 1
Value of Work for this Permit: $ / Square/Linear Footage of Work:
Type of Work: ❑Address
❑Alteration
❑New ORepair/Replace ❑Demolition
Description of Work: / VI 71!'/ -1- V /Cla -1
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* *** * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ / 1„—e ' r'' G7 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 01 • 10
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
er or Agent
The foregoing instrument was ac owledged befor
day of �.� � ,2011 ,by fV C :J
who is a erso u ally kno to me or who has roduced
r^
0 2_nig identification and who did take an oath.
Signature
•on• .ctor
The foregoing instrument was acknowledged before me this,
day of
NOT I, UBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
.001 ol'itsgoo'
*112k.crov*it,tes. `640;0°4
,20 Bl , by
ho is personally known • me or who has produced
as identification and who did take an oath.
''/
lans Examiner Zoning
NOTARY PUBLIC:
Sign:
Print:
My Commission xpires:
Structural Review Clerk
(Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09)
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 160971
Scheduled Inspection Date: August 08, 2011
Inspector: Hernandez, Rafael
Owner: REMY, NOEL & SORENA
Job Address: 390 NE 98 Street
Miami Shores, FL 33138 -2410
Project: <NONE>
Contractor: SEROTA PLUMBING CO
Permit Number: PL -6 -11 -1086
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135670
Phone: (305)672 -7252
Building Department Comments
PLUMBING WORK FOR KITCHEN REMODEL
Passed
5"--
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 05, 2011
For Inspections please call: (305)762 -4949
Page 8 of 37
BUILDING
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 1:71 Permit No. 1
PERMIT APPLICATION
FBC 20
L,J
JUN 1 5 2011
BY:.
Master Permit No.
100
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): e i6$bV\ Phone #:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
sr
cDc) ge- Ct Ts- ----
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: t.t, +4 _ U WA,‘
r1), Address: V' t• 1.9
Phone #: 3 OS- Goa
� � s
Zip: 3ias'
City: YY\ �,d�v�%�. / State: e--Q.
Qualifier Name: \ U \ E,N a Phone#: 3 pc-C9).2 -'T 2S L
State Certification or Registration #: e f 1 42(.0 ® Certificate of Competency #:
Contact Phone#: 3 OS -(0.) Z, 2 S Z Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 1 j 1'D Square/Linear Footage of Work:
Type of Work: Address ❑Alteration ❑New ORepair/Replace ODemolition
Description of Work: lAs l - tC ' L C 1.- I v
UIJ(,' v COAL
Submittal Fee $ Permit Fee $ !
CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ .Bond $
Notary $ Training/Education Fee $ Technology Fee $
(Double Fee Structural Review $
TOTAL FEE NOW DUE $ c3)0 .10
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_\r' (relit 1,
, _tea --Y
mer or Agent /
The for oing instrument was acknowledged before e this Q
day of , 20 4), by *aa
who is . -rsonally know o me or who has produced 11
5 ,. 3' I3 -170 identification and who did take an oath.
NOTAI' Y PUBLIC: - 4
600 nt
� l 0000 °43,101
oto
Sign:
Print:
My Commission Expires:
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this/3'
day of e , 20 11 ,
who i ersonally known to e or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Sign:
Print:
My Commission
Zoning
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 160968
Scheduled Inspection Date: August 30, 2011
Inspector: Devaney, Michael
Owner: REMY, NOEL & SORENA
Job Address: 390 NE 98 Street
Miami Shores, FL 33138 -2410
1, D
Permit Number: EL -6 -11 -1084
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135670
Phone: 305 - 895 -4971
Building Department Comments
KITCHEN OUTLETS /SWITCHES
Passed
D
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments,
August 29, 2011
For Inspections please call: (305)762 -4949
Page 11 of 22
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
77 7 r
L JUN 1 5 2011 -'
BUILDING Permit No .t- ‘1 1 OM
PERMIT APPLICATION
FBC 20
Master Permit No. C) I 1 J 1 Of)tc
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): .e0'Cj e .► Q h Phone #:
Address: V
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
1
JOB ADDRESS: t 147.& O
City: Miami Shores County: Miami Dade Zip: t 3 g
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: A 3--% Phone #: 3 vs 89 s -4 ct 71
Address: lot a`i SS 3/.3; C, y 81 LJ 0 11
City: A/ 1illff/`1 ( State: Zip: 33/ S/
Qualifier Name: A 40/-7Plegdy - L frt P 0 �'X. Phone #: 3 0 S' ?i 5 — V q? 1
State Certification or Registration #: £C- / 3 00 c C) 3 q Certificate of Competency #:
Contact Phone #: Email Address: L ra (o 'Y a. k o o . C4
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $
CP
Square/Linear Footage of Work:
Type of Work: UAddress UAlteration ❑New ❑Repair/Replace
Description of Work: 14 _ to ► t' vs i S
❑Demolition
Submittal Fee $ Permit Fee $ /5—‘" ` " CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $ 30/.)0
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
The fo
day o
who is
Op,Owner or Agent
Contractor
oing instrument was ac ..wledged before r : this I The foregoing instrument was acknowledged before me this 3
20 1, , by • ' -, , -.1 41110 d,y of ,r , 2011 , by Itao1Io-AN 3- 1- 4,4ee4 ,
ersonally know to me or who has p oducea' 'iV L.. who is personally known to me or who has produced
3.20 Is identification and who did take an oath.
NOT P LIC: .
Sign:
Print:
My Commission Expires:
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
NIP �3 Sign:
4 „� C� My Commission Expir
���E
Plans Examiner
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)