RC-10-383Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 173954
Permit Number: RC -3 -10 -383
Inspection Date: May 21, 2012
Inspector: Bruhn, Norman
Owner. LEARY, KIMBERLY
Job Address: 72 NE 104 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HUGH A RYAN CONSTRUCTION CO
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number 305 - 759 -1808
Parcel Number 1121360130870
Phone: (305)978 -0983
Building Department Comments
KITCHEN REMODEL
Pass -�„/�
4C04
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
May 23, 2012
For Inspections please call: (305)762 -4949
Page 1 of 1
'0110
trt
1 1+4 k"
Miami Shores Village:
Buildin g Department
artment
W3n
MAR 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAR L 0 2010 N.
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 :" a °,ti „ °,,, •
BUILDING
PERMIT APPLICATION
FBC 20
ems~
Permit No. e
Master Permit No.
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) ALAr. Popp i- Kim 102 be)/ Leo /hone #
Owner's Address 7 2 MC /c, I 5Y-r- t 11
City #11101 " t S ieN m re S State rt_
Tenant/Lessee Name
Email
Zip T3! 78
Phone #
Job Address (where the work is being done) 7Z /0 /0 y S?'r e t
City Miami Shores Village County Miami -Dade Zip 33) 3 8
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
Flood Zone
Contractor's Company Name Hu5L A. Py. Cprs*u c&, C� . Phone # 3D5-77a - O "5 3
Contractor's Address 132o 5 w (3 Ave
City 16!1) a rn t State F Zip 3 31 (7.5-
Qualifier Name Nvj 1 A- 2y...,.
State Certificate or Registration No. C 3G' 0 5-7 o S3 Certificate of Competency No.
Phone# 3oS -97e -0973
'Contact Phone 3056 i 7 —o 5 r3
Arehitect/Engirieer'.s Name (if applicable)
E -mail
R1ar, Ir-60 C a/ •
Phone #
Value of Work For this Permit $ /C3 1)0 U Square / Linear Footage Of Work: 5 0 '5.
f ,
Type of Work: ['Addition Alteration ❑New ❑ Repair/Replace [1 Demolition
Describe Work: OBI- IX.fe- I 2. C��/ ` c� �-e rdles, a ssbc1-41 pk iy cc) tp/L
* *, ***** * * *** * * * ** * * * * * ** * * *** *** **** ** Fees ** * *** * * * ** *** * * * * *,r * *,x * * * * * ** * * * * * * * * * * * **
1k t E Submittal Fee $ Permit Fee $ '�0® CCF $1'_ CO /CC.$
Notary $ Training/Education Fee $ P`
Scanning $ ° 0(1 Radon $ 0°40 DPBR $ ° 41
Technology Fee $
Bond $
Double Fee $ Violation date:
•e'�.
Structural Review. $ Total Fee Now Due $
See Reverse side --+
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 insp tion w iich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n t be app oved and a reinspection fee will be charged..
,), Signature
1 O er or Agent
The foregoing instrument was acknowledged before me this
day o cL , 20 1 Q by /\-141 tJ eot P-
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: sAt �< C
My Commission Expires:
,, CHARLENE D. SMEWE
,
:+� Commission DD 786599
Expires July 19, 2012
Bonded ThtuTro Fait 385.7019
* * * * * * * * * * * * * * * * * * * **
APPROVED BY
* * * * * * * * * **
Signature
_. , tractor
The foregoing instrument was oknowledged before me this
day of , 20 t0 , by H1)0 RON
who is personally known to me or-who has
as identification and
Plans Examiner
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
NOT
Sign:
Print:
uau,,,n, comet# DD07
My Co ege EXPIres 51112011
o a 9/1
soda W..o.t.a.r'Y u A. s°sn..., a Inn@
snn. .ee441 '
�®
Zoning
Clerk checked
Miami Shores Village MAR o ij 2
g Department De artment i )
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 C A0 — M3
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): Phone #:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: /k51, y "'f'`°c' da; Phone #:
Address: , f 7 2o 5 f e/
City: fAll 1" a "" ; State: &
Qualifier Name:
)4151-, i , R, <i^
State Certification or Registration #: 1 ' 05-3. 0 $ 3 Certificate of Competency #:
Contact Phone #: 3 uS^ " J' _1)5 Sr 7 Email Address:
DESIGNER: Architect/Engineer: Phone #:
Zip: 3-779 S
Phone #:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition OAlteration ONew ORepair/Replace ODemolition
Description of Work:
******** ** ****+x **** * * ***** ** *** **** *** Fees **+x*,x** ********* **** ** ***** *** * * *** x * ****
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Tecbnology 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFU)AVIT: 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property i subjec to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first ins. 'ction hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n, t be a proved and a reinspection fee will be charged.
Signature
The
day
wh
<
Signature
wner or Agent C - tractor
is9__ The foreg4i ins iment w: ackn' ledg bef� e m :„ isday I by l )f
to me or who has produce produced
t T�
o egg g in'.� ment was ac
01 ,.by
identification and who did take an oath.
o is rso all
own to me or who h.'
9
N
Sign:
Print:
My Commission Exp
Exp
#�E12
�= MY Commission # E.E x81
Nob Assn.
Bonded Through N
OTAR
Sign:
Print:
My Co
entification and who did take an oath.
LIC: •
•, Notary ' u ' t
•, trfftAy Comm. Expires Sep 23, 2015
Commission # EE 128810
' o
' got' Bonded Through National Notary Assn.
* * * * * * * * * * * * * * * * * **
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Clerk
Wily Va. 0031221 Pap /nil
Bebling Sketch (Page 1)
MgmtgLZIEEKLIIRMARY. 044ERLY
PaggtathgL2 he VIP
Lender CHP MORTGAGE
tamW MIMI-DADE
State Ft.
lb Codt 34138
33.0'
39.0.
wood Deck
10.(
14.0'
Rath
16.0'
Living
Pining
Foyer
vac Sailt
Kitchen
23,0.
5A" Porch
1.1.0
MA
13Y:-
TEWM)ii
0 2010 ill
ee wied"11
410/10
obk-
84.0k ,C
P!$ ',A IT #: iRcip_
Miami Shores Village-
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT tO COMPLIANCE WITH
kI 1 FEDERAL
REGULATIONS
STATE AND CGUN CY rIULES AND
41 z 14.0 X 10.0 .
A2 26.0* 5.0 -
A3 t 53.0* 28.0 .
A4 I_ 14.0 z 11.0
Attacked Garage
rat neer
Total Liviag &yea
-
40/1",692-1,
144.0
-206.0
1502.0
1592.6
AS 14.0 X 19.0 . 266.0
AttactomICIAxage
70582 ftwago Arms
266.0
Rim SICTAISI =TOTAL for Windom* eppialsal strItsme by a lo Rat 14090UNCIDE
.9Yeevr-
-266.0
4,74.0".." Moy,c27-4rp A2 p 67C.Pc7"A5 ,
Aloy fr 461,14e-4- 1044Y441-
g-e"Atitticter/2.4- 're /7e e,I.6c
/..400cf, V
itirrityie,„J
1 'bett Ces.NArt> e57
t 9
z#6, eAs
Ai a re/ A-4 at7i-", e, reA- g e_ Neva e
ty e,te avir72 > ,,7yte44 A vc-Aer '7,1Lci e,
?/747\0e- A/7/v ii0-14--eo c,fr_ P t c4 /fa Ar‘P'e-
9 Ai, /4 e S i-775
‘K,
4.2 rzokw-,A,
3AV
k ft
Permit No: 10. ?y
Job Name
,2010
Miami Shores Village
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
ADE CO
THERM
ENSEP'r
STATE OF FLORIDA
SEE OTHER SIDE
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 02/19/2010 EXPIRATION DATE: 02/19/2012
DO NOT FORWARD
HUGH A RYAN CONSTRUCTION CO
HUGH A RYAN PRES
1320 SW 13 AVE
MIAMI FL 33145
1.11.,11,,,,ILI „I,I,1 ,,,,11,11,,,1.,111,,,,,1,111.,, 9811
PERSON: HUGH A RYAN
FEIN: 562312507
BUSINESS NAME AND ADDRESS:
HUGH A RYAN CONSTRUCTION CO
1320 SW 13TH AVE
MIAMI, FL 33145
SCOPE OF BUSINESS OR TRADE:
1- CERTIFIED BUILDING CONTRACTOR
IMPORTANT
OPursuant to Chapter 440.05114), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of electior
L under this section may not recover benefits or compensation under ti
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt... apply only within the scope of the business or trade listed
E the notice of election to be exempt.
E Pursuant to Chapter 440.05113), F.S., Notices of election to be exemi
and certificates of election to be exempt shall be subject to revocat
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1
STATE OF FLORIDA AC #3912338
DEPARTMENT OF BUS INESS AND
PROFESSIONAL REGULATION
CBC059083
08/13/08
080090015
CERTIFIED BUILDING CONTRACTOR
RYAN, HUGH ALBERT
HUGH A RYAN CONSTRUCTION CO
IS CERTIFIED under the provisions of Ch.489 'FS
Expiration date: AUG -31 , 2010 L08081301757
03/0512010 14:43 9549560555
COVER ALL INSURANCE.
1'/4 Ul /W
ACORD CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
COVER ALL INSURANCE
6800 W. ATLANTIC BLVD.
MARGATE, FL 33063
DATE (MWDONYYY)
030612010
THIS CERTIFICATE IS ISSUED AS A MATTER OR INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ALTER
HOLDER. OVERAGE AFFORDED BY THE POI. CIBELOW.
INSURERS AFFORDING COVERAGE
NAIL tY
INsuRs0 HUGH A. RYAN CONSTRUCTION COMPANY
1320 5.W. 13 TH AVE
MIAMI, FL 33149
FAX# 3054158-1992
INBURERA. AMERICAN VEHICLE INSURANCE
WAWA It
INSURER C:
NEWER D:
INSURER e:
THE POUCIES OF 'NBURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION CP 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 I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UNITE SHOWN MAY HAYS SEEN REDUCED BY PAID CLAIMS,
INSR
AWL
DATE THE , THE Il3$UIN0 NSUR ENDEAVOR TO TAIL 10 DATE WRITTEN
10050 NE 2ND AVE
P-
.,uOYEXPIRATION
LIMITS
A
REP(IESENTASi �f
MCRALLIACIUTY
C NIERCiAL GENERA
GL -0504000073.00
0210112010
3210112011 ,
EACH OCCURRENCE
(1,000,000
* 130
X
6 TQ Rg Y NT&D
,yA81L1rf
I CLAMS MACE X OCCUR
MED EXP t4jw one more
s NO
PERSONAL 3 APV NJuRY
$ 1,000,000
OEN
1
N_F.RAL AGGREGATE
$ 2,000,000
$ 2000,000
I ArGR GAZE LIMIT APPLIES PER
PRODUCTS • CQMwOP Arc
POLCY Ti LUC
AUTOMOB
LR LIABILITY
ANY AUTO
ALL ODD AUTD6
SCHEDULED AVMs
HIRED AUTOS
NON -OWNED AUTOS
�Q1if�
(! R . INID SINGLE LIMIT
$
BODI Y INJURY
{P°' P°` )
SPOO Lam} Y
PROPERTY DAMAGE f • (Pa/accident)
ARAOE UAMLPr'Y
ANY AUTO
AUTO ONLY -EA ACCIDENT
.¢
$
THAN °A ACC
OTFEW
AUTO ONLY: AG O S
ESSlUIt�R Ty
OCCUR CLAIM8 MADE
—1 Ce0UCTIBLE
' RETENTION A
EACH QCCURRENDE S
AGGREGATE S
E
WORKERS L OEPENSAnQN AND
EMPLOYER, LIASIUTY
ANY PROPRETORIPARTNeRIEXECUTNE
Dr FFaICER/MEMBEREXCLUDED?
SPECIAL PROOVIEIOMS balaw
41 111114 1114 RR
G,t„ GACri ACCIDEIJT
E.L. DISEAS3- EA EMPLOYE E s___
E.L. DISEASE • POLICY UMIT 3
OTHER
DESCRIPTION OP OPERATIONS / LOCATIONS I VSH1CL6t i EXCLUSIONS AMMO BY ENDORSEMENT t SPECIAL PROVISIONS
REMODELING
CERTIFICATE HOLDER
CANCELLATION
ACDRD 25 (2031108)
0►ACORD CORPORATION 1986
SHOULD THE ABOVE DESCRIBED POUCIESSECANGELLEDHEFCRETNEEXPIRATION
VILLAGE OF MIAMI SHORES
DATE THE , THE Il3$UIN0 NSUR ENDEAVOR TO TAIL 10 DATE WRITTEN
10050 NE 2ND AVE
NOTICE TO RnhCATE HOLDER IRt PC THE LEFT, BUTPAILURE TO 0030 SHALL
WANG SHORES, FL 33138
BAPO�St'E'.N6 L LIABILITY KIND THE INSURER, ITS MEETS OR
REP(IESENTASi �f
AUTIA RFJ IESSNTA
ACDRD 25 (2031108)
0►ACORD CORPORATION 1986
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.
1111111111111111111111111111111 1111111111111
CFN 201080509.661
OR Bk 27369 Ps 21931 (1pa)
RECORDED 07/29/2010 14:02 :37
HARVEY RUVIH, CLERK OF COURT
11IANI -DARE COUNTY, FLORIDA
LAST PAGE
1. Legal description of property and street/address: 77- pt /0'f . Slf /Gd- pi l kW/ -S� re-5; 144.
S.71.Yr
2. Description of improvement: b< '1+4•4, a Q,2 o'
3. Owner(s) name and address: Maw �o P p 4 �' / w.60✓ i t / . 2cvy 7 2 N 6 /0 Y SA -rd.
s�.breri FL 331 P
Interest in. property:
Name and address of fee simple titleholder
-4. Contractor's name and address : Ont. f 1� y ay. Cy,.$41ve r.. Co, 1320 Si,.% !3 Ave.
w+• �4 I'
5. Surety: (Payment bond required by owner from cont.'
Name and address:
Amount of bond $
6. Lender's name and address:
4— 4, ,.. rep:•
anytIPY thetthis Is e
office r:
i41a .�lfi.'.'rj---\i �N�i. -p� .•.'t' { -♦
7. Persons within the state of Florida designated by Owner • •- whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
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)0), Florida Statutes.
Name and address:
9. pirati ' n.date of this Notice of Commencement: the expiration date is 1 year from the :date of recording unless a
dill: ent •' =te is specified)
Pn ;
Print Own = r' . Name 144 /W 713 1 Prepared by
Sworn to and subscribed before me this S? 14 %!�¢ , 2010.
Address:` / . Z 0 fL' 1 3 >
Notary Public �t..A -e. (�. r ; l"'11 a^i ft_ 7 3% .°
tq��,"�
Print Notary's Name C�T1 11C Ski /C-
My commission expires:
123.01 -52 ,PACSEE 4 W02
MIAMUDADE COUNTY
TAX COLLECTOR
140 W ;FLAGLRR ST.
1st FLOOR
NANO, FL 33130
2010 LOCAL BUSINESS TAX RECEIPT' 2011`.
MIAMI -DADE COUNTY - STATE OF FLORIDA
EXPIRES SEPT. 30, 2011
MUST DE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10
423124-7
BUSINESS NAME / LOCATION
HUGH A RYAN CONSTRUCTION CO
1320 SW 13 AVE
33145 MIAMI
THIS IS NOT A BILL — DO NOT PAY
RENEWAL
RECEIPT NO. 441839 -8
STATE# CBC059083
OWNER
HUGH A RYAN CONSTRUCTION CO
Sec. Type of Business
This csu2Y6A - GENERAL BLDG CONTRACTOR
BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY.
EXISTING REGULATORY OR.
ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PEnxtrr OR LICENSE
REQUIRED BY LAW, THIS 1S
NOT "A CERTIFICATION OF
THE HOLDER'S 'QUALIFICA-
TIONS...
PAYIdENT RECEIVED
MIAMI -DADS COUNTY TAX
COLLECTOR:.
07/27/2010
60050000367
000045.00
SEE OTHER SIDE
ATEtiOktiFil3A
DEPARTMENT OF FINANCIAL SERVI
DIVISION C? WORKERS' COMPENSA ? °;1
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE
WORKERS' COMPENSATION LAW
FIRST -CLASS
U.S. POSTAGE j
PAID
MIAMI, FL
PERMIT NO. 231
WORKER /S
1
DO NOT FORWARD
' HUGH A RYAN CONSTRUCTION CO
HUGH A RYAN PRES
1320 SW 13 AVE
MIAMI FL 33145
1i11111.s � }T 1411�t 111h 3 lTt,11111�T t! }sll� }ttli tlll�It TrT,�,T„1�'
MPT FROM FLORIDA
EFFECTIVE: 02/19/2010 IEDCP IRATION DATE:
PERSON: HUGH A RYAN
FEIN: 562312507
BUSINESS NAME AND ADDRE
A RYAN CONSTRUCTION CO
1320 SW 13TH AVE
MIAMI, FL 33145
SCOPE OF BUSINESS OR T
CERTIFIED BUILDING CONTRACTOR
02/19/2012,
a?)
IMPORTANT
OPursuant to Chapter 440.05(14), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
exempt.. apply only within the scope of the business or trade listed on
the notice of election to be exempt.
E
;R
E
Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
1
Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
72 NE 104 Street
Miami Shores, FL 33138-
1121360130870
Block: Lot:
KIMBERLY LEARY
Owner Information
Address
Phone
CeII
KIMBERLY LEARY
72 NE 104 Street
MIAMI SHORES FL 33138 -0000
305 - 759 -1808
Contractor(s) Phone
HUGH A RYAN CONSTRUCTION CO (305)978 -0983
CeII Phone
Valuation:
Total Sq Feet:
$ 10,000.00
80
1
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: KITCHEN REMODEL
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
Bond Retum :
Occupancy:
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Surcharge
Education Surcharge
Permit Fee
Radon Surcharge
Scanning Fee
Submittal Fee
Technology Fee
Total:
Amount
$8.00
$0.40
$2.00
$300.00
$0.40
$9.00
$50.00
$8.00
$375.80
Pay Date Pay Type
Invoice # RC -3 -10 -37251
08/11/2010 Credit Card
03/10/2010 Credit Card
Amt Paid Amt Due
$ 325.80 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Shutter Final
Window Door Attachment
Tie Beam
Slab
Termite Letter
Framing
Insulation
Drywall Screw
Shutter Attachment
Window and Door Buck
Ceiling Grid
FiII Cells Columns
Declaration of Use
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
August 11, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
August 11, 2010
1