PL-06-2930d X
Inspection 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: SMITH SEPTIC TANKS OF HOMESTEAD, INC.
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Block:
Phone Number (305)754 -2903
Parcel Number 1132050090460
Lot:
Phone: 305 -245 -7220
Building Department Comments
SEPTIC TANK AND DRAINFIELD
bond master permit
• «tor
Comments
ar
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Wednesday, August 29, 2007
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: Z 6.8972
DEC 0 5 MI6
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Electrical
c 1� . fee ,ne
Owner's Name (Fee Simple Titleholder)
Owner's Address ! Gtgq n e. (3 brLAR..
City nrum i oh )V S State , Q1Ci a
Permit No. IO Zqo
Master Permit No. P o
Mechanical tt tt Roofing
Phone #.3QS� " % 7 -' •Z et a.3
Zip
3313?
Tenant/Lessee Name Phone #
Job Address (where the work is being done) `t 49 1 ? n 13 lartett
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO
County Miami -Dade Zip 3 313 i
c,-4c
�P a � � � Pho,,,.„4.6-44.
e # ® ®'��� � 7 2 o
Contractor's Company Name ' .p T
Contractor's Address / 7 0 °" 0
City �'yc , )1.40c-eel State
Qualifier Name
State Certificate or Registration No. 92 9 ti ' 7 9 `'Certificate of Competency No.
re-
zip®
Phone #
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Phone #
Type of Work: Addition] ['Alteration
Describe W k: Orr
V Vf\
a
Square / Linear Footage Of Work:
[' Repair/Replace
❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $
Notary $ 5 `Scanning $
Bond $
Structural Review. $
Permit Fee $
Training/Education Fee $
*Fees * * * * **
/7(5"4 I76
Radon $ DPBR $
*e * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ - • {ZU CO /CC
Technology Fee $ 8 1 5
Zoning $
Code Enforcement $ Double Fee $
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, P0,0,4, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
' 1 i
OWNER'S Alb'lIDAVIT: I certify that all the foregoing information is accurate and that all *ork w l lie $di'e'mCompliance 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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20 ,by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contractor
The fore " g instrument was acknowl-dg- , b. ore ..1- .'
day of , 20 by _.I ��1� .':� �)`�4 ���1
who is personally known to me or who has produce. '
Sign:
Print
My Commission Expires:
* * * * * * * * * * * * * * ** * * * * * * * * * ** * * * * * * ** ** * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
(Revised 02/08/06)
• as identification and who did talc
NOTARY PUBLIC:
Sign:
Print:
My Commission Exp
* * * * * * * * * * * * * * * * * * **'; " -,. >***** ********** *******
3/0 G Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO B Pz CIO . - / 4 /3 TAX FOOD NO, t 1 Ac:/-}CvC)
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
E-17: OF rn
( tgaraY
r! Lt! ISLitri'
?Hs r it+t lERSIGNEt3 hereby gives notice that h Drovemsnts will be made to certain
property, and in accordance with Chapter 713, Florida statutes, the following le
Is provided in this Notice of Commencement.
_ 111111111111 .11111111111111111111 111011111111.
CFN 2006R0972070
OR Bk 24901 Ps 2502; (Us;
RECORDZD 09/12/2 O6 15 :50:16
HARVEY RUVINrt CLERK OF COURT
MIAMI -OADE COUHTYr. FLORIQA
LAST PAGE
CQt VI ITV OF
rip ,1
;hilt eib"' r
i.
.44
r
tv
frit ON*
RK, ' cult zrtcr Criet.ly ('•omits l',,N•,t'
1. Legal description of property and street/address:
2. Description of improvement
• 3. Owner(s) name and address: '\
Interest in property: I 09 ? " ,__ •• -
Name and address of fee simple titleholder
4. Contractor's •name and address: V . R C. 'p Lit/
811'3S S 2— ST a M IA ti
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address' N /4
Amount of bond. $ A4/4
ft. Lender's name and address: p/� f
f'L 33f49.
7, Persons within the state of Florida designated. by Owner upon whom notices or other documents may be serked as
provided by Section 715.13(1Xa)7., Florida Statutes,
Name and address: NorwA/ L.L i ‘8)00 t7 W Y.7 Tit . ,M r ti ! •fL 3 319:3
8. in addition to himself, Owners designates the following person(s) to receive a copy of the•Lienor's Notice as provided
in Section 710•13{1)(b), Florida Statutes.
Name and address'
A. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different
specified
Signet re of Owner
Print Owner's Name
Sworn to and subscribed before me this I) day of SOT
dil J 116 ZI 4C er
Notary Public
Print Notary's Name
My commission expires :.
121111 -52 IW2E 4 aaae
Z0 9 d
.,, y „,,,,, aria o. Hornedo
� `'1 ' ' kIskie #00462130
Expires: 0
Prepared by ALL/ Sew WIN C,lii 6
,20 z. .
Address:
7• / ;sty o? w
AA IAA) Ft 31/ 3-
r'i• AIIIIIMPF
'+•rib'',
EZ :LZ 900Z/ZT/60