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PL-06-2218Inspection Date: 08/30/2007 Inspector: Levrock, James Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: LUDICKE, ROBERT & ALLISON Job Address: 9999 13 Avenue NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ARFA PLUMBING CORP -1413 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -2903 Parcel Number 1132050090460 Lot: Phone: 305 -552 -8410 Building Department Comments PLUMBING FOR ADDITION Passed I pe or Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, August 29, 2007 Page 2 of 2 PERMIT APPLICATION Master Permit No. Subsidiary Permit No. INSTRUCTIONS - The folio wing steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address Apt. City State Zip Folio Number Description of Work Lot Block Subdivision PB PG_ Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing V LPGX Roofing Fence Other Bldg Value PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name Address Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction License No. Enclosure Telephone Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name ARFA PLUMBING CORP. License N°' 97— P- 000043 Address 9361 S.W. 30 TER. MIAMI, FL. 33165 Telephone( 3 05) 552-8410' ax SAME Qualifier Name GILBERTO CABRERA Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than or intend to obtain fmancing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure a .. _ - Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Prodnred• Print Name Ad& p , Sworn to and subscribed before me this da Signs - of Notary of Florida OFFICIAL NOTARY SEA SEAL: MARIA CRIS T INA PER NOTARY PUBLIC. STATE OF FLORIDA COMMISSION NO. DD127110 MY COMMISSION EXP. JUNE 182006 Personally known OR,. Produced Identification Type of Identification Produced: (% 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. p i o� 218 Master Permit No. 5 9-11 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Si le Titleholder) AU_I saki L,.1 Phone # ® u 5996 Owner's Address 8 l 9 !VG 13 II. AVM City t ) State Tenant/Lessee Name Zip 33 /3d' Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO I PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 1 i PL VII iii< (Q�,( Phone # (2 5 . 52- icr 9 )l© Contractor's Address 9 3 c i t'' 30 Tn City M 'A WI �-/ State lL Zip S / ( S Qualifier Name 6 1(!( �® cif, is ,4 Phone # State Certificate or Registration No.9 3" °'P-- Q 00Q 3 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Li" 0 ° ® Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: .-UK' /pJ ********* * * * * * * ** * *** ** ***** ***** * ** ***F ******************************************** Submittal Fee $ Permit Fee $ 17 0 CCF $ 2'10 ,/j CO /CC Notary $ Training/Education Fee $ 0- 4 ( Technology Fee $ 'Z Scanning $ 00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ f .K ut4 Structural Review. $ Total Fee Now Due $ I'Q - Ef 1 4 PAID 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 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced 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. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print My Commission Expires: Sign: Print: My Commission Expires: *, **** *** * * * ** * * * * * * * *, *** * * * **** * * * * * * * * * ** ** ** ** _, **** * * * * ** ** * * ** * * * * ** * **** * * * * * * ** *,ray * * ***** ** * * * *** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning