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CC-07-1808Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 177198 Permit Number: CC -8 -07 -1808 Scheduled Inspection Date: August 09, 2012 Inspector: Bruhn, Norman Owner: DENTICO, LAURA Job Address: 9280 BISCAYNE Boulevard 1 Miami Shores, FL 33138- Project: <NONE> Contractor: JAMES DENTICO CONTRACTING INC Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060141449 Phone: 305 - 756 -6553 Building Department Comments TO REMODEL KITCHEN POWDER ROOM AND TUB AREA AS PER CONVERSATION BETWEEN CONTRACTOR AND BUILDING OFFICIAL, OK TO RENEW THE PERMIT TWO MORE MONTHS. AFTER THAT, CONTRACTOR WILL HAVE TO APPLY FOR NEW PERMITS.04 /08/2010 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 08, 2012 For Inspections please call: (305)762 -4949 Page 26 of 27 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 BUILDING PERMIT APPLICATION FBC 20 pm-77mq DEC 1. 2 2011 Permit No. Master Permit No. C C 01 18 0 Permit Typ(BUILDING — PROOFING .P OWNER: Name (Fee Simple Titleholder): �V-11!k( C-' I_ \, C3 Address: 3- } J( CA1hQ Bat \P l�P fC� lackrIVJL& 1 City: 11 lAty % Skd((c State: F I 3g Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: C 0 O / ( i'le 4 ✓ A/ OL A T( r \O L.SP i- City: Miami Shores County: Miami Dade Zip: 3 3 (`J F Folio/Parcel #: 1V-300 b 0 14 I Lt "1 -1 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: A0(1&123 \ _,1Qiik{�' tt Ca-tii Phone #: 3T3 `'7 -6, Zip: 33C33c& Address: )DOSS 1Bi V'' ANC, City: tl' i FW ( '1C) OS t State: p{ Qualifier Name: ,S LQ 1'l41 Co° State Certification or Registration #: CO (3 t SO Certificcatee tf Competency #: r ��, ` �-� �- Contact Phone#: 3C5- `�.S7p 4, Email Address: .btu 1 l co B� = (JL(1 f T.! JE / DESIGNER: Architect/Engineer: Phone #: Phone #: Value of Work for this Permit: $ Bch./ .0 ® Square/Linear Footage of Work: Type of Work: Addition OAlteration ONew ORepair/Replace ODemolition Description of Work: gC- -o ?A- 0i ******** ***** ** ** ** *** ****** ******* **** Fees************* *** ** * *** *** **** ** **** * ******** Submittal Fee $ Permit Fee $ o�6S OD CCF $ CO /CC $ Scanning Fee $ 3• Ok. Radon Fee $ DBPR $ Bond $ Notary $ 5.Ol) Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ •Ra5 • aTh kd CI-4 312• n4 cddl---4114 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 °ryt be approved and a reinspection fee will be charged. Signature 1 Owner or Agent `/� The foregoing instrument was acknowledged before me this 1 L day of ) 2— , 20 l\ , by �t PL-I who is personally known to me or who has produced FL-t 0 As identification and who did take an oath. NOTARY PUBLIC: \\`` Sign: Print: My Commission Expires: ` ' . ��lparlll� Contractor 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: Sign: Print: My Commission Expires: N ****+ kskAs**** ** ******+ k= k+ k***** *+ ksb****9s**Ni ***N= Ns****ds= k*+ k**+ kH k*********sk**+k***** **Ke*N ********* *sk**** * *** e**** k*** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk MIAMI -DADE COUNTYi ti TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 091306 -2 l i r111 t d-.D DNOTri {STATE OF LORIDA 2012 EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER BA - ART. 9 & 10 THIS IS NOT A BILL - DO NOT PAY RENEWAL Bu IENTIGOEJAME51 °L CONTRACTING INC STATEIC RM750 10055 BISCAYNE BLVD 33138 MIAMI SHORES OWTRNTICO JAMES L CONTRACTING INC secl'LrgeQlB,llsi'1 t BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS° NOT A CERTIFICATION, OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 09/26/2011 09010578001 000045.00 SEE OTHER SIDE WORKER /S 10 DO NOT FORWARD DENTICO JAMES L CONTRACTING INC JAMES L DENTICO PRES 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 60 MIAMI -DADE COUNTY: V1/11 TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130. r12Er9t +Irf /� MI DADE Cf N ST 2012 ATE OrPLORIDA M EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER &A - ART. 9 & 10 023052 -4 THIS IS NOT A BILL - DO NOT PAY -RENEWAL Bu LOCATION LUU JAS - L CONTRACTING INC STATEIVEGRO397 10055 BISCAYNE BLVD 33138 MIAMI SHORES OWEENTICO JAMES L CONTRACTING INC sec1Tgge ELECTRICAL CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES HOLDER NOT TO VIOLA E ANY EXISTING ZONING LAAWSSLAOOF ThE COUNTY OR CITIES. NOR DOES HOLDER FROM ANY OTHER PERMIT REQUIRED BYRLAW. THISSIS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. MIAMI-DADE COUNTY TAX COLLECTOR: 09/26/2011 09010588001 000045.00 SEE OTHER SIDE WORKER /S 10 DO NOT FORWARD DENTICO JAMES L CONTRACTING INC JAMES L DENTICO PRES 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 62 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 091306 -2 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 023052 -4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BLVD MI; (850) 487 -1395 Congratulationsi Floridians Iicen Our professions, boxers to bar Every day we For information There you can impact you, su Department's in Our mission at tf constantly striv Thank you for d SEE OTHER SIDE DO NOT FORWARD DENTICO JAMES L CONTRACTING INC JAMES L DENTICO PRES 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 11111111 tiff t 111 I 1 Sit lltf fltif 1 t 1111ff1tf fill l It 111411 ti DETACH HERE �r. A; CH NrsM . ER 4 PoIIcv Number: Date Entered: A R°® CERTIFICATE OF LIABILITY INSURANCE ATE J2WY ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the tents and conditions of the policy, certain policies may require an endorsement. A statement on this certtfcate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER SALMEN INSURANCE 730 SW 4TH ST . 82 CAPE CORAL , FL 33991 CONTACT ALLISON P No. Erar. (866) 587 -7147 , No); (888) 542 -3507 EDD :ALLISON @SALMENINSURE.CON INSURERS) AFFORDING COVERAGE NAIC # INSURER A : PREFERRED CONTRACTORS INS. CO. (RAG) COMMERCIAL GENERAL LIABILITY INSURED JAMES L. DENTICO CONTRACTING INC JAMES DENTICO 10055 BISCAYNE BLVD. MIAMI SHORES, FL 33138 INSURERS : PCIC5026- PCA70585 — 02 INSURER C: 3/25/2012 INSUemD: $1,000,000 INSURER E : $50,000 INSURER F : CLAIMS -MADE 11171,1 OCCUR COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NW all TYPE OF INSURANCE AINLIBR INSR WVD POLICY NUMBER RILICY DD/YYYYYI POLICY A'YY) LIMITS GENE1RALLIABILTY COMMERCIAL GENERAL LIABILITY PCIC5026- PCA70585 — 02 8/25/2011 3/25/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea ocam=„) $50,000 CLAIMS -MADE 11171,1 OCCUR tom EXP (Any one person) $5 , 000 PERSONAL &ADV INJURY $1, 000,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XPOLICY n SECT n LOC PRODUCTS - COMP/OP AGG $1,000,000 $ AUTOMOBILE — LIABILnY ANY ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS O �BDD SINGLE LIMIT (Ea $ BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ Did DAMAGE t $ $ UMBRELLA IJAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) K yes, describe under DESCRIPTION OF OPERATIONS Flow N 1A I WC CYTATU- I I ER E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Addttlonal Remarks Schedule, If more apace Is required) 105- 756 -6553 CERTIFICATE HOLDER CANCELLATION MANX SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 305 756 8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 26 (2010106) ®1988 -2010 ACORD CORPORATION. All tights reserved. The ACORD name and logo are registered marks of ACORD oduced using Forms Boss Plus software. www.FormaBoss.com; Impressive Publishing 800-208-1977 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 BUILDING PERMIT APPLICATION FBC 20 Permit ROOFING PEAR 0 2 2011 Permit No. Master Permit No. �C� $ _ 01— t OWNER: Name (Fee Simple Titleholder): 'r DO ,Q moss �?31sc4\jnQ �leUAr� 0 n 4111 l 7hireS State: Fit MAC Zip: -313 SS Address: City: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: (MO 66 y '1e ea, /v4ci 7&i house y City: Miami iami Shores r141144-9 County: Miami Dade Zip: J l Folio/Parcel #: 1 13 �� b [ Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Z V)1 D 't C �d oil-al Ci Phone #: ` T p " 0 Address: lc :Q 13tSC44►r1-e Gatl i. t City: I Ar�n-, Sham ., State: F ltY1C I I Zip: 3 3( 3 8" Qualifier Name: \)% L V. lam' -k-1C o Phone #: 71-6,- 6S State Certification or Registration #: CC,-Co k. 3 7S-0 Certificate of Competency #: c �q ,—� A Contact Phone #: Email Address: 1J 1 C6 l s- �l i 1 t-f 1� � T DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Addition DAlteration UNew URepair/Replace ODemolition Description of Work: __12- € 1• 1-T cc ° -07 - 1 808 Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology 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 ncr 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 Taws 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 -1/+ i-co.... Owner or Agent c The f. r . mg i trument was a •1. owled - d b ` �'. m this The foreg day • / l' 1 , 20 I i , by f �MM�! 'IP 1 A It A i day ersonally known to me or who has produced or who is tification and who did take a 1th. NOT Sign: Print: My Commission Expires: `➢° °., Contractor ent was ackno ,'ledged for , 20 1l, by who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: My Commission Expires: APPROVED BY Plans Examiner Zoning (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Structural Review Clerk 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 AU�6f/ 2. y4 2007 . Pe rmit No. eLl % Master Permit No. Permit Type (circle): uilding i Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address 9a lsai ie(�i � City turn ( skeee K State Tenant/Lessee Name Phone # • Zip 5',3( Phone # Job Address (where the work is being done 9c9g6 j City Miami Shores Vill. e County Mifmi -Dade Zip o,..)�`j - P FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address , i' f 1 lai l City 14 ! A , , 2 State te Fkr( Zip 35 Qualifier Name e.,_ P y' 0 Phone # ° °( State Certificate or Registration No. k 3-1 Certificate of Competency No. il NO dc "t.li3A1/ :al'`tone # Sri , 1►r Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ES-0 - 00 Type of Work: ['Addition ['Alteration Describe Work: Square / Linear Footage Of Work: ['New Repair/Replace [' Demolition * * * * * * * * * * * * * * * * ** Submittal Fee $ Notary $ Scanning $ 1 5-,C0 Radon $ Bond $ Code Enforcement $ * * * * * * * * * * *! * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (sp Permit Fee $ CCF $.Q70 CO /CC ology Fee $ 4 03 DPBR $ Zoning $ Training/Education Fee $ '! Structural Review. $ SEP 3. I.vt e Total Fee Now Due $ r ors �, 1(q0 250.43 See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage 0 estAdddress '+ 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. Signatures The fore day of in Owner or Agent instrument was ...a.c.pe4ledged a fore me thi 20 64) by 610114 Signature Contractor The foregoing instrument was acknowle day of o is personally known to me or who has produced NOTAR Sign: Print: My Commission Expires: 20 V, by = C before e this yikx V' o is personally known tome or who has produced as ide sa and -who did take an oath, NOTARY PUBLIC: As identification and who did take an o BLIC: * * * * * * * * * * * * * * * * * * * * * * * MARY 4.1.4. �y T. Notary Public She of Florida r. w 0 =t ei Commission # DD 526678 ST A- %%• Bonded By National Notary Assn. APPLICATION APPROVED BY: (Revised 02/08/06) �. .. ._ Sign: i;i. it ;�: I % Notary Public - State of Florida Print: 2+ � M Commission tx pTres M ar 25, 2010 rlD My Commission Expi �o, Commission # DD 526678 ** t * ** * * * * ** *********. ' -. + -- y ''' �'' Bonded BNation N t.rydeT` ' Plans Examiner Engineer Zoning d el A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: FOLIO NO tI 3a0 .i0 -4Iq_" 14-4- MOMEW.IEr 1 SEP 0 20071 J THE UNDERSIGNED here BY: _! .! by gives notice that improvements will be made to certain real property, and in accordance with ri Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 952 go 8/Artaybp 136 eaff 0 • 0-1 2. Description of improvejment: AJIB b Ct Interest in property: i Name and address of let) simple titleholder: 4. Contractor's name and address: 5. Surety :(Payment bong required by owner from contractor, if any) Name and address: Amount of bond $ I 6. Lender's name and address: STATE OF FLORIDA. COUNT OF DADE I HEREBY CERTIFY that this is a eey of the ongr ed in fyis office on +, ,AD20 WITH S STand and Of icial Seal. HA' _ I , CUR it ,faku;t By 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)71r, Florida Statutes, Name and address: 8. in addition to himself, Omer designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(4.Ficlrida Statutes. . Name and address: ' A, L' /4 a • .' . 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is spegifiec) Sign ture of Owner I j�, Print Owner's Name Prepared by 4,11,,S Den- it Sworn to and sub w• _ : r�rc� me ants -c a aav of 1 Address. OAST P15C: gllG = Notary Public Print Notary's My Ctnmminninn FYnirgal "Y ^ Public - State of Florida Nfltary • -� Commission Expo Ma! 25 2010 • mml on * DO 526678 ie Assn. '; op rinnded'BY National Notary 3f Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 9280 BISCAYNE BLVD Miami Shores Village, FL Owner Information LAURA DENTICO Permit NO. CC -8 -07 -1808 pe rm Permit Type: Commercial Construction . ,' Work Classification: Alteration Permit Status: APPROVED Issue Date: $129/2007 Expiration: 02/25/2008 Parcel Number Boulevard Nun. 1132060141449 Block: Lot: Address._ _. 9280 BISCAYNE BLVD UNIT C MIAMI SHORES FL 33138 -2966 Contractor(s) Phone JAMES DENTICO CONTRACTING INC 305 - 756 -6553 CeII Phone Applicant LAURA DENTICO Phone ,_.__. Valuation: Total Sq Feet: Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REMODELING Stories: INTERIOR Front Setback: Left Setback: Plans Submitted: Yes Certification Date:. Bond Return : Occupancy Load: Exterior: Rear Setback: Right Setback: Certification Status: Additional Info: Classification: Commercial Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.60 $1.20 $225.00 $15.00 $5.63 $250.43 SEP t 5 22Q57 e LVVekv GE M M 51-107173 Cell $ 5,500.00 0 Available Inspections: Inspection Type: Framing Final PE Certification Drywall Screw 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 29, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Wednesday, August 29, 2007 1 MAR (l1 2911, ir Inspection History Miami Shores Village 1140050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 c,,A.. 4 ZZs. c 3t 5 150.0-3 PL 15b. oz 1-00_7_ t-_, 52-5. O Q Project:. Owner: Phone: <NONE> LAURA DENTICO Job Address: 9280 BISCAYNE Boulevard 1 Miami Shores, FL 33138- Parcel: 1132060141449 Block: Lot: Scheduled Ins • # Ins •ection T • e 01/01/2999 INSP-59727 01/01/2999 INSP-59725 06/08/2010 I N S P -59723 Ins • ection Status Final PE Certification NONE Drywall Screw Framing DENIED NONE UNIT I SEAL PENETRATIONS ON BLOCK. WALL OUTSIDE AND PATY. 06/09/2010 INSP- 145647 Framing APPROVED UNIT I JR. 01/01/2999 INSP- 145772 Framing NONE CREATED AS REINSPECTION FOR INSP- 59723. UNIT I SEAL PENETRATIONS ON BLOCK. WALL OUTSIDE AND PATY. Ins • ector Date Com • leted Default Inspector Not Complete Default Inspector Not Complete Jorge Rodriguez 6/9/2010 Jorge Rodriguez 6/9/2010 Jorge Rodriguez Not Complete Tuesday, March 1, 2011 Page 1 of 1 04 -20 -2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 04/20/2010 EXPIRATION DATE: 04/19/2012 PERSON: DENTICO JAMES L FEIN: 592246282 BUSINESS NAME AND ADDRESS: JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BLVD. MIAMI FL 33138 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED PLUMBING CONTRACTOR 3- CERTIFIED MECHANICAL CONTRACT° 2- CERTIFIED ELECTRICAL CONTRACT° 4- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this 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. Pursuant to Chapter 440.05113), 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 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 5081 - -1,00 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 -2645 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better: For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. . Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE E= i l M i < fir - t4Y4 - qt(!143 U G C CCU C4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 -2645 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 ice.' Iimcon Ca7A at) to LOr.��P Ca J ' " P @ C® G JD eACn JL rP4!c lsi4 "15-L4 - !r'L5SA. J6t.b4131�:.� S/ L \:ki'h Ps^G 417.S114_st STATE OF FLORIDA DEPARTMENT OF BUSINESS .AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BOULEVARD - MIAMI SHORES FL 33138 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and- businesses -range from architects -to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridaiicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE fia STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BOULEVARD MIAMI SHORES FL 33138 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myflorldalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! im WOW DETACH HERE tap L retrWATI- STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DENTICO, JAMES L TROPICAL ROOFERS INC 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 -2645 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myflorldaiicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 09/01/2010 14:21 2395412432 ACORD Policy Number, CERTIFICATE OF LIABILITY INSUMNCE 9/1/2010 l THIS CERTIFICATE I5 ISSUED AS it ?arra OF INFORMATION ONLY AND CONFERS NO RIGHTS RIPON THHE - ERTIFICATE HOLDER. THIS CSR7'I ICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND on ALTER THE COVERAGE AFFORDED DV TILE POLICIES ®t3L OW. 71118 CERTIFICATE O F IPJSURANDE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE_ HOLDER IMPORTANT: If the certificate holder la an ADDITIONAL 1TJSURED, the Ohllsyflss) Must be Endorsed- if SUBROGATION IS VIIAIV@ ®, $ublect the tercets and conditions Of MO policy, C@rtatn _Pall ies may requtrr an andorsernont A statement on this tettltkate cleeB net confer rights to its certificate holder In Ilen of sect, andoraomeriND SALMEN INSURANCE PAGE 01/03 Date Entered: ROEMER SALNINN T.SISO is 0113, 730 SIT 4TH Sot, #2 CAPS toRRLr &'T 3399/ cTMa,iS°011 (808)592 -3507 mum 15 eg L, DENTICO . CONTRACTING INC .TAMES =moo 10055 ElSCAMIR BLVD. -. UGAmm E i.ORES , FL 3133:30 INSURER AFFORDING OM/Emma COVERAGES INSURER C: CERTIFICATE NUM6ER: REINS' N NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE WIAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFCROyO BY THE POLICIES DFRn I!tED HEREIN to SUa,I6CT TO ALL. TI-IC TERMe, pEXCLUSIONS AND CONDI I IONS OF SUCH POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDUCCD 9Y PAID CLAIMS LTgR 'me- OP IPI9URANCt3 PO 1CY BUiWBiR '•., Pc]LS�r E POucY EXP GENERALLU4EWTY A COMMERCIAL I3ENEPALLIABILITY PCIC5026 -P 705955/25/2010 9/25/2011 CLAIMS -MADE { OCCUR GEN'LAC,!OREOATE uMtTAPPLIES PER POLICY I _ _ I00. ..,; AUTOMOBILE LIABILITY ANY AUTO ALL QYUN €D AUTOS SCHEDULED AUTOS HIRED AU I Cie NON -DwNEp AUTOS UMBRELLAtJAB EXCESS WAN T OCCUR <. CLAIMS- MADE DUCTRLE I" writ:* S • !MAKERS SOMPENE4TION AM] EMPLOYERS' LUADILr1Y Any 1'Hol'RIETOWPARTNERFEXECUTNE '' IN CPFICER/MEMBER EXCLUD€G'9 ifLles ltelq In NR) It yes, describe under DESCRIPT ► N OP OPERATION ; b4jpgr N/A mite MUM OCCURRENCE slit 000, 000 DAMA RENTED MEM MED EXP (Any arm person) $50,000 $5,000 — ..$1,000,000 $1,000,000 vhnnLICTS _ COMO :OPA g1, 000, 000 PERSONAL. AOV IN.IURY GENERAL AGGREGATE T COMBINED SINGLE LIMIT (Es =Wen* BODILY INJURY tiler parson) $ BODILY INJURY (Per eeeltlenf) ; PRDIlsiry naaa e P (Perstlant) C STATu- OTH. TORY LIMITS ER E.L. EACH ACCIDENT R.L. DISEASE - EA EMPLOYE R.L. DISEASE PCLIDYLIMIT P SCRIPIION AF aiERA41l)r1P +I ne- A11DAB 1 blabeleb (A Ob AC'ORD 104, FAgalQmU Ranh. ho Ea,,.alwle, Ir mme simnel 1u tBgelregl CERTIFICATE HOLDER blibbl , SNORES Prr_r.xnza 10050 kts 2ND Avy KZ= 85$ORB$ , ,I'L 23130 305 736 0972 CANCELLATION 14W. ® Abet - m lll1944:1jBED PDLI -` c.Armam,4cce on oRE TIME EXPIRATION DATE THEREdF, NerrieN vital EE C1ELIVERE0 IN AUTHORIZED REPRESENtATNIE ED CARMEAN ®1950.2009 ACORD CORPORATION. All rights reserved. AGOR0 26 (2000/09) Thu ACRD narna and logo are registered marks of ACORD Protiu®d using Fame Boss Plus oPfiwere. km/. Fermsgpsteam Irr receive Publishing 900,208 -1977 09/01/2010 14:20 2395412432 Policy Nurnbat: SALMEN INSURANCE PAGE 01/01 Date Entered: .�+►IcoRil° CERTIFICATE OF LIABILITY INSURANCE D DATE i/2ODIYYYY) 9/1/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED RV THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If tho certificate holder le an ADDITIONAL- INSURED, tho pollcyjlon) must be endorsed. If SUBROGATION 9S WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A etaternent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PROMIDER SALMEN IIiZURAddCFi A ACT .LLTSQN _ I I n DR ss: ALLISti�T@ SA NIN5DRE . COM LNG INSURER 5 AFFORDING COVERAGE N NAIL 8 INSURED I INSURER A �D CONTRACTORS INS. 00. 004Ci PCIC5026- PCA705858/25/2010 8/25/2011 tAit t7XCuRRENGE a1, 000,000 /� PAMAOSESt % INerloe�$50,000 ....... sums-MADE - p,� OCCUR CERTIFICATE` NUMBER: • THIS IS TO CERTIFY THAT 111E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OCRTtrIOATC MAY OE IG0U D OR MAY PERTAIN. THE N€URANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IC SUBJECT TO ALL THE TERMS, AND CONDrTIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �EpXCLUSIONS LTR TYPE 0FIN80R/WC8 ,.,. POLICY NUMBER POLICY EFF 1d,,,y.,a... FULI YEXP ,...1.., LNG A DIE* RAT, uAaL 7Y COMMERCIAL GsENERALLIAO me PCIC5026- PCA705858/25/2010 8/25/2011 tAit t7XCuRRENGE a1, 000,000 /� PAMAOSESt % INerloe�$50,000 ....... sums-MADE - p,� OCCUR MED IXP (Any one Amon) AS 1 000 PERSONAL AADVIIJIJRY $l,UUU,000 — GENERAL AGGREGATE $,•, 000, 000 GEN%AGGREGATS LIMIT APP., SPER: PRrN]IItSTft- COMP/OP AGG g1, 000,000 2 POLICY . FRO- . LOO S RS LAe1LITY ANY AUTO ALL OWNED AUTOS SOHEDULEDAUTOS HIRED AUTOS NON•OWNEDAUTOS OOMSINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) 8 — BODILY lNJURY (Per secident) 8 _ . aamporesy BALLADE (Peramlaenl) 9 , $ _ $ U�LLALute EXCESS LIAR ■ OCCUR CLAIM88 •MADE EACH OCCURRENCE s AGGREGATE $ DEDUOTISLE RETENTION —S _ $ Y70RREse no14SN@A'nON AND EMPLOYERS IJADIL TY ANY PROFRIATpRJFARTNER/LIBCII'IVE OFFICERIMEMBER EXCLUDED, Ilyly1n�nd$1ory In NNi VE5GRII TIO�OF QJ ERAT,ONStrolaw Y/ N NIA wC $TATU. OTH- TORY LIMITS I LEI$.. k,L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E L DI @EASE POI ICV ! IMR q ..- OEEORIPTION ©P OPERATIONS t LOCATIONS t 1fEHICLEE 4A8aoll ACORD WI, AddIUon 1 Rarm*tu 8ahIdulo. H Mors. a.. te Morsel) • MIAMX SHORFiB V,T,LS.AGIM 10050 to 2MD AVM S AIII SEORll:S, FL 33138 305 756 8972 CHOULC ANY CiF THE ABED POLICIE�HFi CANCELLED BEFORE THE ©IPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN ..... • ; 41 .1:. . - 6.h iI; • 1F. • . - AUTHORIZED REPRESENTATIVE ED AR • ®1988 -2009 ACORD CORPORATION. All rights reserved. ACORA a5 (2009109) The ACORD name and lobo are registered marks of ACORD Produced using Forms Soo. Plus software. www.Fanr .ccra; ln>premsdre PublNhInp 800.208 -1977 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: CC -8 -07 -1808 Invoice Number: CC -8 -07 -29652 Applicant: LAURA DENTICO Company Name: Owner Address: 10055 BISCAYNE Boulevar MIAMI SHORES, FL 33138 Job Address: 9280 BISCAYNE BLVD I Boule% Miami Shores Village, FL Date Payment Type Check Number Amount Wednesday, September 5, 2007 09/05/2007 Check 9490 $250.43 Change $0.00 Total Payment: $250.43 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1,0-/ Inspection Number. INSP -59744 Permit Number: ELC -8-07 -1810 Scheduled Inspection Date: May 30, 2012 Inspector: Devaney, Michael Owner: DENTICO, JAMES Job Address: 9280 BISCAYNE Boulevard I Miami Shores, FL 33138- Project <NONE> Contractor: JAMES DENTICO CONTRACTING INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060141449 Phone: 305 - 756 -6553 Building Department Comments ELECTRICAL WORK FOR REMODELING OF BATHROOM AND KITCHEN AS PER CONVERSATION BETWEEN CONTRACTOR AND BUILDING OFFICIAL, OK TO RENEW THE PERMIT TWO MORE MONTHS. AFTER THAT, CONTRACTOR WILL HAVE TO APPLY FOR NEW PERMITS.04 /08/2010 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comm ?)/L J2�iYa/ zU�a May 30, 2012 For Inspections please call: (305)762 -4949 Page 47 of 47 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 BUILDING PERMIT APPLICATION FBC 20 BTIVIMM,T3 DEC 1 2 2011 Permit No. ELC, 0-1 — 810 Master Permit No. -yam B OCal Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): �j} Y 4 es C b l _ Phone#:303 �-� �J" Address: R g �1 l i' I�'JL& 1e ii (-W�+ , 1-6m r �)l ( ce `I City: (1%�t S Qs State: Zip: 33 (3g Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: ciO,S3 Miami Dade 3(8 City: Miami Shores t County: Folio/Parcel #: 1 l r�6 �j 0 ) L4- ( r `-� Is the Building Historically Designated: Yes NO Flood Zone: Address: CONTR ACTOR: Company Name: cirRAIIPS /a 7 l Phone #: 76 o � bC) (S 4\ (D(e 2uiC City: 1 y Atitic S r2 tate: Qualifier Name: }i414P_S 1 O K Ca State Certification or Registration #: 093D .`"( Zip: c -37C_3 g Phone #: I C l0 ^ (r O rr -�- Certificate of Competency #: Contact Phone#: —(cip - (Se .✓ Email Address: . Mil CO ( CM 1 'h ` Nt-r- DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 600.00 Square/Linear Footage of Work: Type of Work: DAddress DAlteratio Alew epair/Replace DDemolition Description of Wora % � � (4‘, F 2 Pte/) A-Vc Q.LT 1 L2 c BA-1442(4u( u( —r **********m **+ x* ************* *** ***+r* * ** Fees* x: �xx��x�x�n***** �x+x�x****+x****�xm�x�x** ** **** x** ***** Submittal Fee $ Permit Fee $ 15-v ° CCF $ CO /CC $ Scanning Fee $ 3.00 Radon Fee $ DBPR $ Bond $ Notary $ 5. ( Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ C G TOTAL FEE NOW DUE $ I r� O . 00 1o4c4'L'fl 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 CONDmONERS, 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 wil not be approved and a reinspection fee will be charged. Signature _azt-1,..e t) I4,n.-t4'— Signature . - l Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1'2, The foregoing instrument was acknowledged before me this day of 12,. , 20 1` , by . -3- t' - t ii") - 1 � day of , 20 _, by who is personally known to me or who has produced R— 1 D 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: \ \o olutlttttt Sign: V r, Sign: Print: = Print: 1: -3 =rn °`�. My Commission Expires: T � • G :. My Commission Expires: l NOTARY PUBLIC: cco O• * * ***** * *** * * * * * * * * * * * * * * * * * ** fi x * ** � ** ** * ** ** *************** * * * * * * * * *** * *** * ****x�**** * * * ** *** * * ** 'tttul11n10 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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 BUILDING PERMIT APPLICATION FBC20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) Owner's Addresk City LIAR 0 2 2011 It Permit No. Master Permit No. Cc - 01-1 Phone# 7S4-6 3 Tenant/Lessee Name Phone # 30c 7S-6 Email Job Address (where the work is being done) City Miami Shores Village County 11,3 FOLIO / PARCEL # ' a06, 0 1 4 1 41 Is Building- Historically Designated YES NO hQ 2uAc e . Miami -Dade Zip 33 Contractor's Company Nam Contractor's Address tO. T3kSak4he City 14:04 k 4r, Qualifier Name ?sr Flood Zone Tii,ce# 3Qc 7SG-kS-S 3 State Zip j - ( 3 O es t ACC CO Phone # 3 0S---7 (S3 Certificate of Competency No. State Certificate or Registration No. 'EC OnOn 39-1 Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace 0 Demolition Describe Work: RJ ******** * ** * ** * ** * * ** *** * * * ** * * *** * ***, Fees*********,***** ** *** * * ** * * *,* * ** *** * * * ** * *** ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 53. CO 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 re- inspection fee will be charged. Signature The for day er or Agent trume t was c 41 owled: Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: ELC -8 -07 -1810 Invoice Number: ELC -8 -07 -29651 Applicant: JAMES DENTICO Company Name: Owner Address: 10055 BISCAYNE BLVD MIAMI SHORES, FL 33138 Job Address: 9280 BISCAYNE BLVD Miami Shores Village, FL I BouIev Date Payment Type Check Number Amount Wednesday, September 5, 2007 09/05/2007 Check 9490 $157.55 Change $0.00 Total Payment: $157.55 Page 1 of 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit Permit NO. ELC -8 -07 -1810 Permit Type: Electrical - Commercial Work Classification: Addition /Alteration Permit Status: APPROVED Issue Date: 8/29/2007 Expiration: 02/25/2008 Project Address Parcel Number 9280 BISCAYNE BLVD I Boulevard NuIT 1132060141449 Miami Shores Village, FL Block: Lot Owner Information JAMES DENTICO Address 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 -2645 Contractor(s) Phone JAMES DENTICO CONTRACTING INC 305 - 756 -6553 Cell Phone Applicant JAMES DENTICO Phone Valuation: Total Sq Feet: Type of Work: ELECTRICAL FOR TOWN HOUSE I Additional Info: Classification: Commercial Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $3.75 $157.55 l SEP 0 54 sv 01/4.°W.0 MIAMI SHORES VILLAGE 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. Cell $ 1,000.00 0 Available Inspections: Inspection Type: Fire Alarm Relocation Underground Rough Final Service Change Alteration Meter Box W. W. August 29, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Wednesday, August 29, 2007 1 °RI Iv-+ cto Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. C 11 B b PERMIT APPLICATION U men Master Permit No. FBC 2004 AUG .2 4 2007 Permit Type: Electrical Owner's Name (Fee Simple Titleholder, 0 co Tenant/Lessee Name E- MAIL: Job Address (where the work is being done City Miami Shores Village A-6 Phone # Zip (Je'S • Phone # FOLIO / PARCEL # County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address Vniacc City Qualifier Name gal (2S FICA- tle S e Zip Phone # home # --(s5-3 State Certificate or Registration No. 'ECO BT? Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ (p3j Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑Mew Describe Work: . C k q e i± re O� e__ —Le_�- r-s J Repair /Replace - ❑ Demolition ********* ****xoFYcaY******** **** Y*4:xx. Fees**,.....***.**x tY4:******* ***************** *** CCF $ ' C°C-j CO /CC Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ ,to Technology Fee $,O,11/45 Scanning $ 2 W Radon $ DPBR,;, ;,_ Zoning $ Bond $ Code Enforcement $ Structural Review. $ oe o . r ue $ 3 O ■ckkklei See Reverse side -a MIAMI SH3FES VILLAGE Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mor%agt 4ep de r'%Name (if pplicable) ss Mot Ad4t`es City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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. Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 a‘?by w is person Ily known to me or who has produced r As identification and who did take an oath. N • ; Y P LIC: Signature Contractor 11...-The foregoing instrument was acknowledged before e 464? this3-9141 whtis/personally known to me or who has produced r �-�s 4 as identification and who did take an oath. Sign: Prin A, My Commission Expires: " " "'' MARY A. ROBBINSM •`.: ar,��i, '' � Notary Public - State of Fk dda iL. illit.. 74 ---.....--.4., ' =��0' Commission # D. r25.201 0 '•, .. ono c. . on. . -, By National Notary Assn. day of I , 20 , by A NOTARY Sign: Print: UBLI S`aa'r' "e,� MARY A. ROBBINS °Sy � ^ Notary Public - State of Florida • =My Commission Expires Mar25 2010 °', -zo oq ,• omission # DD 526678 X48 ga." Bonded : .. , ... , . . n. My Commission Expires: xrxxxxxxxxxxxxxxxxx xxx xxxxxxxxxx aexxxxxx aexxxxxxxx xxxx aexxxxxxxxxxxx z4ede& aex xxxxxxxdea:xxxxsete**xx*rux*** APPLICATION APPROVED BY: (Revised 02/08/06) .24/ Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -59736 Permit Number: PLC -8 -07 -1809 Scheduled Inspection Date: August 08, 2012 Inspector: Hernandez, Rafael Owner: DENTICO, JAMES Job Address: 9280 BISCAYNE Boulevard I Miami Shores, FL 33138- Project: <NONE> Contractor: JAMES DENTICO CONTRACTING INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060141449 Phone: 305 - 756 -6553 Building Department Comments PLUMBING WORK FOR REMODELING OF KITCHEN AND BATHROOM AS PER CONVERSATION BETWEEN CONTRACTOR AND BUILDING OFFICIAL, OK TO RENEW THE PERMIT TWO MORE MONTHS. AFTER THAT, CONTRACTOR WILL HAVE TO APPLY FOR NEW PERMITS.04 /08/2010 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 07, 2012 For Inspections please call: (305)762 -4949 Page 33 of 33 t 4 it41 U -- zz'JL BUILDING PERMIT APPLICATION FBC 20 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. C 0i 10°1 Master Permit No. CC- ®1 S Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): Address: City: Tenant/Lessee Name: Phone #: DEC 1 2 2011 7: _ESL- Email: JOB ADDRESS: WV Mar M Nu (e4/c1 City: Miami Shores County: Miami Dade Zip: 3 3 (34F/ Folio/Parcel #: 11 -J 0 \Lir, ' [ -1 ry Is the Building Historically Designated: Yes NO Flood Zone: —� ` (01,4-4c4 r —9-95 — �t CONTRACTOR: Co any Name:. A/VW < h"1`" Phone #: 3O � _ Address: 946 b(SC rt . l�. e City: gel ( State: ( Zip: 733 Qualifier Name: ' es State Certification or Registration #: Phone #: 30C-7 S b Certificate of Com r etency #: Email Address:bJ�ri Phone#: 3OS `7S -(D Z3 Contact Phone #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ t D-00 •-1e) Type of Work: Address Description of Work: DAlteration Square/Linear Footage of Work: New pair/Replace ODemolition ** **** ***: x** ****************** *****x *** Fees******** ****** **** *************:x** ** * ******* Submittal Fee $ Permit Fee $ r 1 CS • Scanning Fee $ 3.0 0 Radon Fee $ Notary $ 5-• 00 Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE N DUE $ 1'1 e co 312 inA/-4 CO tl 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 '2,. The foregoing instrument was acknowledged before me this day of t2._ , 20 ,S, by Z.-S_ day of , 20 _, by who is personally known to me or who has produced(,,.( 0 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: \pit►►► ► III rtrrr,t,, NOTARY PUBLIC: Sign: :° rJ�,,; • y Sign: Print: - m . �� . �' Print: p: �v°Oi �i �`•• o�� �' My Commission Expires: My Commission Expires: ************* �x�r* ***** **** * ***** *** *** &0lt+k�1�? ��•.****• x*** ******** ************* ** **+ r**** *: x **** **x:******* **x: ***** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3 /15/09) 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING MAR 022011 Permit No. Master Permit No. c g^ 1 goS OWNER: Name (Fee Simple Titleholder): `9-S eb Phone#: a Address: 0 ; itis. 1) 4ii ' Z A _ eo i ;■ . City: ' I .1, t At State::;. Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores tt ` r j q County: Miami Dade Folio/Parcel #: t, 0 t t 4 [ 1'q Is the Building Historically Designated: Yes NO �C Flood Zone: r o f CONTRACTOR: Company Nam �� � 1 : C� °fit P)ne #: Address: �� k City: Qualifier Name: _ S, State Certification or Registration #: Certificate®of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: £L— OE lirkieit_Li ********m **** ** ********* ** *** ********** Fees** * * ****** ** x**** *: x*** ******************* * ** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ .1011110, 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 The foreg ng in ment was as day oft f1 `' Yra201\ , by, who is erson NOT ')PUBLIC: Si ./111-1( ./111-1( g n: � v% ./111-1( Print: ow1e.-db-f. e m Eli 07‘ this y known to me or who has produced`' ' entification and who did take an oath. My Commission Expires: laoe .,• a U e f : Sign: 6%',L,..0.' Print: ass ` AN : $`4 My My Commission Expires'v E si,-i. • ,<� i ,ew. rya wIN����j asN "* '9 104 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foreg ent was ac ledgTed Abe day o v / �L-20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY ';UB IC: i APPROVED BY Plans Examiner Zoning (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Structural Review Clerk Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PLC -8 -07 -1809 Invoice Number: PLC -8 -07 -29650 Applicant: JAMES DENTICO Company Name: JAMES B SISKE TR Owner Address: 10055 BISCAYNE BLVD MIAMI SHORES, FL 33138 Job Address: 9280 BISCAYNE BLVD Miami Shores Village, FL I Boulex Date Payment Type Check Number Amount Wednesday, September 5, 2007 09/05/2007 Check 9490 $178.05 Change $0.00 Total Payment: $178.05 Page 1 of 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 9280 BISCAYNE BLVD Miami Shores Village, FL Owner Information JAMES DENTICO Permit Permit NO. PLC -8 -07 -1809 Permit Type: Plumbing - Commercial Work Classification: Addition /Alteration Permit Status: APPROVED Issue Date: 8/29/2007 Expiration: 02/25/2008 Parcel Number Boulevard Nun 1132060141449 Block: Lot: Address 10055 BISCAYNE BLVD MIAMI SHORES FL 33138 -2645 Contractor(s) Phone JAMES DENTICO CONTRACTING INC 305 - 756 -6553 Cell Phone Applicant JAMES B SISKE TR Phone Total Sq Feet: Type of Work: PLUMBING WORK FOR DEMODELING Type of Piping: Additional Info: Classification: Commercial Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $170.00 $3.00 $4.25 $178.05 Total Amt Paid I Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: t. SEP0527 MIAMI S ORES VI In consideration of the issuance to me of this permit, I agree to perform the work covered de a QL 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. CeII ........ .. ......... $ 1,000.00 0 Available Inspections: Inspection Type: Re Pipe Water Service Main Drain Underground Rough Final Heater Water Main Lavatory Top Out August 29, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Wednesday, August 29, 2007 1 Miami Shores Village 0-d-80fri ,c,0 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING �� Permit No. kL. 1 "`�A PERMIT APPLICATION D M /VM FBC 2004 AUG,2 4 2007 aster Permit No. Permit Type: Plumbing BY:. Owner's Name (Fee Simple Titleholder) , tEJ11Cl Phone # Owner's Address gaga ��Saft1�5 [4�3(4Vc City { ►1% 1'1( 5► ' r 5 State (f(C �G�. Zip Tenant/Lessee Name E -MAIL: Job Address (where the work is being done City Miami Shores Village Phone # FOLIO / PARCEL # County Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address tint l City Ph° # — Qualifier Name to 1= Zip State Certificate or Registration No. E -MAIL: Phone # Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ [ 000 Type of Work: ❑Addition FAlteration Describe Work:- `� es -`�cc, -GS-S-3 Square / Linear Footage Of Work: []New Repair /Replace /A=te "ffA eS ******** ******* * **** * ** *** **** *****x* ** Fees************* ** * *** ************ ** ***** ****** Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ .00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ er5 Structural Review. $ Total Fee Now Due $ 116.05, .: _ L....,k See Reverse side ----> G 170 2O (;0 CCF $ ! V O CO /CC Technology Fee $ 4.• Zs- r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) *,.4 a + Mo r'l ge gender's Addrefs City Zip 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. 1 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+ Owner or Agent Contractor a ,� The fore oing instrument was ackwledged bef. e me thi The fore ing instrument was acknowl ged before a y ✓, da of , 20 dD by _,,. de , day of /Ll ' , 20 0?, by 4 4hsd w o is personallk _ nown to me or who has produced w ;. is tersonal known to me or who has produced r'1/ L As identification and who did take an oath. as identification and who did take an oath. NOT Y PUBLIC: I NOTAR o UBLIC: e this `' Sign Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) MARY A. ROBBINS Note Public - State of Florida S • My Commission Expires Mar 25, 2090 �•�F 526678 P lint: e- Bonded By National Notary Assn* Commission Expi eY 4r vs* u*xx* *** * **** ** x*x *** * xx xxxx*xx x r MARY A. ROBBINS Notary Public - State of Florida . My Commission Expires Mar 25 2090 r 00). Commission # DD 526678 s. „1 ,1 Bonded By National Notary Assn. Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -59728 Permit Number: PLC -8 -07 -1809 Scheduled Inspection Date: July 22, 2009 Inspector: Levrock, James Owner: DENTICO, JAMES Job Address: 9280 BISCAYNE Boulevard I Miami Shores, FL 33138- Project: <NONE> Contractor: JAMES DENTICO CONTRACTING INC Permit Type: Plumbing - • rpmarci Inspection Type: Undergrou Roug Work Classification: Addition/Alteration Phone Number Parcel Number 1132060141449 Phone: 305 - 756 -6553 Building Department Comments PLUMBING WORK FOR REMODELING OF KITCHEN AND BATHROOM Passed Failed iff c r Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 21, 2009 For Inspections please call: (305)762 -4949 Page 20 of 21