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RC-11-342Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161140 Permit Number: RC -2 -11 -342 Scheduled Inspection Date: June 21, 2011 Inspector: Bruhn, Norman Owner: THOROGOOD, DANIEL Job Address: 635 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: F&F CONSTRUCTION SERVICES INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1122310120070 Phone: (954)454 -1948 Building Department Comments REMODEL KITCHEN, BATHROOM AND BEDROOM Passed 4,0°.. , � � Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 161028. C'c June 20, 2011 For Inspections please call: (305)762 -4949 Page 25 of 25 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 Permit No..12C2 I POW FEB 282011 BY: ..... BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING _ Y _ OWNER: Name (Fee Simple Titleholder): 1 VO 11% C I Phone #: 30 S X32' Address: (r3r /d e; pr S T 2 City: �/t (CAM 1 ' F kat*" State: / Zip: 7 3 (3iff Tenant/Lessee Name: Phone #: Email: Master Permit No. JOB ADDRESS: L3$' H /o6 5 S7 City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO V Flood Zone: Zip: 5ra CONTRACTOR: 7jCompany ame: Address: ! 4/ p City: ?e 44, rr b PO p K- State: GOftiSO� Phone #: —i �z7 / Zip: 3t 3 Z7 /J,r.( r ,I G IV Phone #: °0S �- f Competency #: Qualifier Name: (420-- F ( W State Certification or Registration #: Contact Phone #: Email Address: f A GOP 33 ®,L' gyp? DESIGNER: Architect/Engineer: v / & a Phone #: 30b v —So30 Value of Work for this Permit: $ 120/ PDC Square/Linear Footage of Work: / 0 00 4. Type of Work: ❑Address Description of Work: ge VWc.4 p'1 ' itk / '64,444.../ De ❑ Alteration ❑N ❑Repair/R lace IA:t o^' ❑Demolition C Ci © 019 o [ Certificate o COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * *** * * * * ** * * * * * * * * * ** Fees*******,***** * * ** * * *** * * * * * *** * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ °`' CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ • 46 TOTAL FEE NOW DUE $ CO /CC $ Bond $ Bondi Bondi City _ Mort Morth City _ Applic comm constr WELI OWN. applic; "WA COA IMPi FINA REC Notice to promise whose p) for the f inspectio . er or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 2 J (, by , day of Z- i 1 ', by who i erson snow e or who has produced who ' . ersonall kilo . ho has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signature ' . or installation has 11 laws regulating JMBING, SIGNS, )mpliance with all )TICE OF [CE FOR ) OBTAIN ( BEFORE he applicant must red to the person ted at the job site 7osted notice, the Contractor Sign: �GtiCh.G Print: My Commission Expires: APPROVED BY NOTARY PUBLIC: Print: My Commission Ex A'; Y% Plans Examiner Zoning 491-3Alu (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Structural Review Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST 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. 1: Legal description of property and street/address: /I' c l0 5 2. Description pf improvement: 3. Owner(s) name and address: • o ,!�� Interest in property: r�(��:. 111111111111111111111111111111111111111111111 CFN 201180143669 OR Bk 27606 P's 3638; f1ps) RECORDED 03/04/2011 12:23 :15 HARVEY RUV'INr CLERK OF COURT MIAMI-DADE COUNTY' FLORIDA LAST PAGE Space above reserved for use of recording office Name and address of fee simple titleholder. 4. Con actor's rime, address and "shone riumber - At 2_ ! r %e Jed, is a ft • Q - 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 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 COMMENDING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. SIgnature(s) of Owner s) or --.�Y. '• Authorized Officer/Director/Partner/Manager Prepared By Prepared By 11' F Coos S 77! V Print Name C 1^ t`' Ih 11410 V'R? Print Name - - t Title /Office Title /Office IM r IT STATE OF FLORIDA COUNTY OF MIAMI -DADE The fo : • oing,instrumerit was - owledged bef re me this 28 day of 1 9 �' ' 11 By (. Y't t t Over mac' Indivi•ually, 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 gifiafe co FLORIDA, Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/PII i- rF a i � VW" °fthe odgbret Met i n ce on day of By -(i s (, ' UU , A.D. 20, WITNESS j yh % a Offlci-� eal. tilt. - of .