RF-12-226Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
r 3 > � —S0�� INSPECTION'S PHONE NUMBER: (305) 762.4949
I Permit No.�2 -�
B L ING e LI.,P
PERMIT APPLICATION Master Permit No.
FEB 0'7
•
FBC 20
Permit Type: BUILDING r ROOFING
OWNER: Name (Fee Simple Titleholder): CU RQ \rnve.{ Phone #:
Address: 10a k5 qra s'•
City: JAVIa1"11 `S\\O(`QS State: Zip: 3313
Phone #:
3bs -m -s411
Tenant/Lessee Name:
Email:
k3cAvve,e. @ \ e \\sa . �&
JOB ADDRESS:
Cs
Ita qS /U a 54 sr
City: Miami Shores County: Miami Dade
Folio/Parcel #: `! / 50106-
e 0 S 0 O 9 O °2 ST
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
CONTRACTOR: Company Name: ✓ beloOur 4)e 1. nl Phone #: `-i 7_.r7,- -,.2- 6
Address: / ( 10 6= 9 7 SI
City: r C h t /"C > State: T ( 3 3'P
yy����"" y�, Zi
Qualifier Name: cJp`+'ine S - 0 ✓� vC Phone #: IZ'‘' l 2024iZ
State Certification or Re_istration #: C e 1 r \ [ "Certificate of Competency #: /�
Contact Phone #: 0 � v� lP 2. Viz. 1 A�drdss:/ 0 be/�ou1'ro Ud1 v C. -® I,
DESIGNER: Architect/Engineer: - Phone #:
`•z
rr
Value of Work for this Permit: $ (G' � i Square /Linear Footage of Work: 4 e B 5
Type of Work: Addition ❑Alteration (]New ,kiRepair/Replace ODemolition
Description of Work: ge % fi r , a e= t A ee-- iC T j R ,� A % / r"7,0 ��) pL'1-5
w(reif 64-f 3,t7 13‘.. //e err 5.-if €/' O' 4i
Zip: 33i3 Y
***************************************Fee.** *********** * * * *** *:** **** ** * ** *** * ****** *•
Submittal Fee $ Permit Fee $ 02 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Ott' gy Fee $
S/C(;)
Double Fee $ "`Sfructui aY Review $i s
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
Zip
Application is hereby made to obtain a permit to do the w and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and th 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.
inspection will not be approved and a reinspection fee will be charged.
Signature C'\ ?a 1' Qt ..
Owner or Agent
In the absence of such posted notice, the
Signature
Contractor ,� f L
strument was ac wledged efore m is ;4 The fore t:'. g ins tf ment was acknowledged before me this*'/
20 I I by b at � e.__ day of �,! 20 _, by 7- D d ek-r jeit-
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.
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
E 'I)8.5i7641
1 itea: MAR. 07,
iE>E9v
ATLANITS
* * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
NOTARY PUBLIC:
* ** * * *** ** :************************ * * ** * * * ** ** * * * * **** * * * ** *** * * **
41-
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
Cynthia Saxon Palmer
1245 N.E. 98th Street
Miami Shores, FL 33138
305-710-5417
April 8, 2012
Miami Shores Building Department
10050 N.E. 2" Avenue
Miami Shores, FL 33138
To whom it may concern,
%CA-1114
This letter is to inform you that I cancelled my roofing contract with
Obenour Roofing on Aprill 5th, 2011. I have signed a new contract with Roche
Roofing and they will start as soon as the permit can be reassigned. If you have
any questions, please let me know.
T ank you,
AA(co,
Cynthia Palmer
cKSAN,L,
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. I`/ .3 009 00111-b
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:
h
11111111111111111111111111111111111111111 1111
iO L- L 1- q 9 S -r"'
C Fht 201 i t 83 54
OR Bk 27987 Ps 3769; (fps
RECORDED 02/06/2012 15 :22 :30
HARVEY RUVIHr CLERK OF COURT
MIAMI —DADE COUNTY, FLORIDA
LAST PAGE
Space above reservea Tar u. ,o. .....� ...__
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
r_1-6a )n - n at--'t Q , 6 0 t2 ate.
CyI¢-hI4 2,g(r»e(Z' ?v'2 - h E `i 5 l ho-c-3.5 3 - fc
4. Contractor's name, address and phone number:
i 6-1 57 Sr— x S ho 1-e,
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
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
rf
010
cl
3
STATE OF FLORIDA. COUNTY OF DADE
I HEREBY CERTIFY that this is tnae copy of
ofrgina is office cn� Ffie
day of
,An20I2_
by Owner upon whot t,It sir fe®rail$ ay be served as p
HAR UY CLERK of Circuit ap *County Courts
By D.C.
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 i 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 Owner(s) or Owner(s)' Authorized Officer /Director /Partner /Manager �
Prepared By Prepared By (j' �� r N
Print Name Name derarlannlinrki U . i. Print Name
Title /Office Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE //��
The foregoing instr ent wa acknowled before m thisc2t® day of
By 9 9 �h 10 e/ Y
❑ividually, or as for
Personally kn - -1 produced the following type of identifica
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.
Sign ure(s) of Owner(s) or wner�thorized Officer/Director/Partner/Manager who signed above:
1A�
4eA 6e .F
Cathene A. Nan
DD8S7841
ti7 2011
By
123.01.52 PAGE
1e
By
This instrument prepared by:
Name: ( U , j t', ,i 4.1 1.-v; e-
t
.r;r
NOTICE OF TERMINATION
(of Notice of Commencement)
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
CFN: 20120267342 BOOK 28074 PAGE 1141
DATE:04/16/2012 01:15:39 PM
HARVEY RUVIN, CLERK OF COURT, MIA DADE CTY
Space above reserved far use of recording office
The undersigned hereby gives notice that the affective period of that tartan Notice of Commencement
dated Fi hrtmry 6, 7n12 , recorded in O.R. Book/Page 27987 / 3769
of the Public Records of Dade County, Florida, will terminate; and, in accordance with Section 713.132. Florida Statutes, the following
Information is provided:
1. The date and recording information for the Notice of Commencement being terminated ere as described above, and all information
contained therein is hereby expressly incorporated Into this NOTICE OF TERMINATION.
2. The Notice of Commencement shall be terminated as of April 5, _2012
date of this Notice of Termination, whichever date is latex.
3. This Notice of Termination apples to:
all the real property subject to the above described Notice of Commencement.
G
only to the portion of such real property described as:
C!] anti altar, rs,
4. All Donors have been paid in fu or prorate un acc
or 30 days from the recording
warlgan
713.08(4), Florida Statutes.
5. A copy of this notice has been served on the contractor and an each Hector who has given notice, if any
Owner Signature:
Print Name ('�`f\'14
SWORN O
by: lI
Personally known tdr
Notary Signature:
s
Print Name: (r,(i:h �(Ct li C'.1V).1
Owner Signature:
Print Name f
IBED (r tirsJ day of If! 11 2012.
Asia
seal
. CLAUCIA v CuEILLOS
•
= hoary Public • State cf Florida
My Comm Espiras Sep 23, 2015
1%.1•,, >As', Commission # EE 128810
"•,..,.t,0 Sandeo?nroagb National Notary Assn .
IZf5I•t Ma. 9716
identilicadon.
Exhibit attached:
0 Contractor's Final Payment Affidavit
LI Property Legal Description
O Copy of Notice of Commencement