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RC-12-420
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 ' N Signature ' Contractor day o king instrument was aFknowlec ged before nIe leis The foregoing instrument was acknowledged before me this day of The fo Owner or Agent byDONONANLkegidaa IryCwho is pe sonallypkn.wn to me or who has produced who is personally known to me or who has produced .R—A, D ( 14. b ` ification and who did take an oath. as identification and who slit14f an oath. \\ \BLS /, / / Wie40 NOTA Sign: Print: My Commission Expires: APPROVED BY ■ 2— /a —!'. - (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Plans Examiner NOTARY PUBLIC: Sign: Print: c c'a 0 My Commission Expires: �'�1 `� ••••�^ \\\\ Zoning Zoning Structural Review Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 179259 Permit Number: RC- 3- 12-420 Scheduled Inspection Date: October 02, 2012 Inspector: Bruhn, Norman Owner: THOMAS, MARIE Job Address: 470 NE 103 Street Miami Shores, FL 33138 -2457 Project: <NONE> Contractor: BUELL VENTURE INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060170720 Phone: 954 -472 -8470 Building Department Comments KITCHEN AND BATH Infractlo Passed Comments INSPECTOR COMMENTS False Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 178757. October 01, 2012 For Inspections please call: (305)762 -4949 Page 19 of 20 PERMIT # id-- q)/ 0 / CONTRACTOR: A 06 L SUBMITTAL DATE: ADDRESS: NAME: RESUBMITAL DATES: PROJECT TYPE: `lrairi, .r - 2 r)9p3 � � 2-- ZONING ,` r13") G� �y /0 / idi ,1(r FIRE 0 [lll ! STRUCTURAL D IMPACT FEES / ELECTRICAL° 7e1/7"- HRS/DERM g fl --/-L PLUMBING 40 NOC \l/ eMECHANICAL BLDG 1 4,1,o z 0600 0 9- ZO 11 1111 1 1111 111 WI 11111 11 11 1111 CFA 2012R0289487 Pemm # Folk) OR Bk 28084 Ps 0612; C 1 P 9 ) RECORDED 04/24/2012 10:34132 NOTICE OF COMMENCEMENT HARVEY RUVI CLERK OF COURT MIAMI —DADE COUNTYr FLORIDA LAST PAGE The undersigned hereby gives notice that Improvement 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 : too sane resormi tor recorder....... 1. Legal Description of Property: Lot Block Unit# Bldg # OLengthy legal attached Street Address T available: SWnt(vision Condominhhim: y s of c /f) . r1=f . /1') , ,Sir o vrm, t= 2. General description of Improvement: ) /7 f / t>c�P /(� 4-7r, f / Oa pc-- • 019. a�ha 3. a. Owner name and address: b. Interest In property: c. Name and address of fee simple titleholder (Tourer than Owner 4. a. Contractor name and address: ' b. Contractor's phone .number: 6. a. Surety name and address: b. Surety's phone number: a. Amount of bond: 8. a. Lander name and eddies= b. Lender's phone number. /3 -?�i � i6 cam. 7. a 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)(s)7., Florida Statutes: Name: Address: b. Phone number: & a. in'addiaon to hbnself or herself, the Owner designates b receives copy of Lamas Notice perSeeton713.13(1)(b), Florida b. Phone number of person or entity designated by owner 9. Expiration data of notice of aommencemant : (the expiration date is 1 year from the date of recording rent date is spedtfed) WARNMG.TO'OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS'iED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO • //•R RECORDING YOUR NOTICE OF COMMENCEMENT. S40116 %40 of BY 0,1 ,y ritNamai /��`. lift / %f6r %J .%,/ Titian: Moe IrectorlPartner/Menager ay Print Name TWe/Oflice STATE OF FLORIDA COUNTY OF BROWARD fire B,r j. 1 idividuef ); or. D as PatsonethHmown, or • t was aie "—�� VERIFICATION PURSUANT TO SECTION 92525. FLORIDA STATUTES Under penalties that the leafs stated I ea in it are true, to the best of my knowledgeand belief. Signature(s) of Owner(s) orOwnet(s)' Authorized OHleeriDirectoriPartneriMarragerwho signed above: By STATE OF FLO ;" D,A COUNTY OF nt, DE v ± ", 1a�rr.r� 9hnAy C_ , ter, I Wfi NESS in? T +;.d acted ot°r`?vt HARVEY WAN, CLE " ®I L,t By OMAR g thratEngka rslma- ratkerdmrrasatcemena revised i.$07.dso LI c•A I 1,—.1,6 lt-n -{ BUILDING PERMIT APPLICATION Fsc zo 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 Type: BUILDING ROOFING Permit No. /i1 - 7)Q Master Permit No. OWNER: Name (Fee Simple Titleholder): AgI/ THadA Phone #: Address: City: State: • Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 4iHe City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: 1 Phone #: J `J L c(79- 0 T 70 �+ f Phone#: Z24 1-f 2-2 e / C CONTRACTOR: Corn any Name: FL ° / Address: ('3 f SAu City: 04° /I State: Qualifier Name: State Certification or Registration #: (a. 9 3 o Contact Phone #: ®‘ 3 41-0-13 DESIGNER: Architect/Engineer: Email Address: _Certificate of Competency #: 1 o � �' �� e 'ig Z9s�1 a Phone#: t--3c !1- 3 t Value of Work for this Permit: $ " '4W '' - Square/Linear Footage of Work: ❑Ne Repair/Replace )e.&ui ®o C' �. Type of Work: ❑Addition Description of Work: A 1Alteration C ❑Demolition * ** *****1:********************* *****Fees j *** x********** ** * *** ** * *** ****+x **** ***** Submittal Fee $ Permit Fee $ `' p..)s 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 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 ' . In the absence of such posted notice, the inspection will not be, approved and a reinspection fee will be charged. The foregoing instrument was a (owledg: before me this The foreg day of t , 20 l 2- , b - f -' '' Z , day of who is personally known to me or who has produced who is pers As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex APPROVED BY SANDRA HARR1Sgl f No1atY PUbll% State of Flcr(da rw: CamtnissiOn# DD773161 MY Comm, spires Apr. 7, 2012 Contractor trument w ackno d e befaine ,201 11 ,by nall kn Tin t e or who has produced �sli dl�fication and who did take an oath. Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06(10 /2009)(Revised 3/15/09) NO AR ' UBLIC: Sign: Print: AUDIA ‘1* g jon N rbiic - State 23.20'. S sic. My Comm. Expires Sep p ens -° Commission # EE 12881psn. r � h National Notary s Clerk Stabs 1.020' • ® VT (Nola) O8 4 J • X X x x X X X x X x X X x X X�( X X x LOT 21 BLOCK 92 Am PLAT OF MIAMA SHORES SeC.4 I Permit No: 12-420 Job Name: April 11, 2012 Miami Shores Viiiage Building Department Building Critique Sheet 2nd 1) Provide all permit applications prior to any further review. 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 revisal sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 312,412. —U-1 Permit No: 12-420 Job Name: March 14, 2012 a, IVIiami Shores Viiiage Building Department Building Critique Sheet i � Provide approval from Miami Dade County Health Dept. (DOH /HRS)for addition. rovide receipt from Miami Dade County Planning and Zoning for impact fees. Provide all permit applications prior to any further review. The permit application describes work as kitchen and bath remodel but the plans show an addition. Revise application. Provide corrections for electric and structural. Miami Shore's ordinance requires all exterior walls to be constructed of masonry or 0 concrete. (no wood) Provide a survey of the property. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 STOPPED REVIEW 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 - 762 -4859 tux.. �csf� Pi-445(). co, Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -3 -12 -420 r 'u Issue Date: Not Issued Expires:NOt Issued Folio Number:1132060170720 Owner's Name: MARIE THOMAS Job Address: 470 103 Street Miami Shores, FL 33138 -2457 Owner's Phone: Total Square Feet: 200 Total Job Valuation: $ 5,000.00 Contractor(s) BUELL VENTURE INC Phone 954 -472 -8470 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 3/21/2012 Comments: A SETBACK OF AT LEAST 10 FEET MUST BE MAINTAINED BETWEEN THE BUILDING AND SIDE LOT LINE. Permit No: 12 -1/ re' Job Name: -fi o4.5 Date: ✓ fin ,ems/ a_ Miami Shores Vdlage Building Department ELECTRIC Critique Sheet tom e /i --r'Ai A-7 e de 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Pay` pfr five .44-- A,4 i - +'t- a' 'i » w, kg.- I )` � f c fr/ 5` 7 %� & 4-j 4 9'e `e "714? g p,) 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector F ii Ma i 1 I t J€rt� Unre L Sent atP Ftatz•:e; AU ® rku. � Cl _ hl rcr Up. D1 OJ1( ::.tbjee'; RAP_rTesage from kMirfsC552 It arekl3d,ac js hoo Sent Thu _z .3:32 At'. Your message To: 'RICK.BUELLOYA41OO.COM' Subject: FW: Message from KMbhCS52 Sent: 3/22/2012 10:38 AM was delivered to the following recipient(s): 'RICK.BUELLflYAHOO.COM' on 3/22/2012 10:38 AM r -.�4:J r_ Voice Mail from 3052345 i3 seconds} St. lords, Patrick Cerfifcaete of Occupancy. Kolasa 9549039300 Wed 12 59 PM " 4or�ePl7itt'rarn953P ?393nr zrrrr di Wed 1:26 PM `-} v To-Dc 'S 11 l'4 13. 1? ]4 20 2_ zo 27 (Mainste LFrfay ?,7�rrriaeei Eniy P � M:rinstrt Entry Type a new task V No Date irastre '1' Check M E F and LOBBY COMPUTE, IEN IAW ARTICLE Message from 78f Voice Mail from 91 Voice Mail from 9t Voice Malf fram9: Roofing. Permit Le Florida Pick Up Florida Pick Up Voice Mail from 31 Voice Mail from 41 "toice Ma'' from 31 lice Ma • rem 31 • Your message To: 'Aeghar Fetid' Subject: FW: Message from O4bhCSS2 Sent: 3/22/2012 11:03 AM 33• was delivered to the following recipient(s): af0fathiarchltects cam on 3/2212012 11:03 AM Yoko pfe:i ho093133n203 rT5 saeo'.1ds! " 5534>342091 Wed 212 Ptd r Yoke Man tram 513fi?J991 pseroeW3 ®1 .3055875553 Wed ZOO PAt t )Ti ttl Voice Ma] frcm595437598..a 52 61 ;.<mafmbeet TmffiT I theca M EP and mora.. ®r j1O60TCOff5lnln - WE. tun taw AWnae (.) Asessa00 tram 15625328...1) is Voke Ma➢ froessoo10... 1...1 r Yoke Mal from 600023... I.-) r '• Volta AOe#Iho•931581... f_Y r' Peatlim Parma Miter 0r Merida Peek 1M :._ r Amide Pla• rtP r Yaks t61Ohom 30459E ' r I Witte Mea he•¢06935... 1 r Molar Mail ham .105792... .. r Maim 51138sm3052?0... 0r x' T I•a • To: ' aICX.BUELOTANDO.COM' Subject: Rd: Message from Ba46hCS52 Sent: 3122/2e12 11:04 AM was delivered to the following recipient(s): Voka MMeaa ato■ Ps Veke Wni Pon 5I3Kw'.P91 (A uv 303SVISS9S Vo&e ka;i Drs PSSPPISSEP late } Wed2d2 M 4 Wed2dmPM :.• c•. ®._Jv or Lo,..COY3UEfR.v,s or imotAevaanas : r Messege, rem 4... or Volts 0008ass9$440t Ur j 'vow 6asi0POmS009 • or x M0Plo093iSal_ or Rooting Pnm@leae, or 00010 • or_Z:I: tsick or Yoke Matt 00030302... { r °. 0004009S5.•• 0 ri Vol•at0 no0300012... !.)r V k 1 PERMIT #RC1 -420 470 NE 103 ST Please correct the following: On the BUILDING permit application: 1. Missing contractor signature and notary. © On the Electri$ai permit application: 1. Missing owner signature and notary. 2. Missing contractor license and insurance. On the Plumbing application: 1. Missing owner signature and notary. 2. Missing liability and workers comp Insurance. I Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -3 -12 -420 Con do o : Altsr tie Expires:Not Issued J Folio Number:1132060170720 Owner's Name: MARIE THOMAS Job Address: 470 103 Street Miami Shores, FL 33138 -2457 Owner's Phone: Total Square Feet: 200 Total Job Valuation: $ 5,000.00 Contractor(s) BUELL VENTURE INC Phone Primary Contractor 954 - 472 -8470 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/9/2012 : Yes Comments: A SETBACK OF AT LEAST 10 FEET MUST BE MAINTAINED BETWEEN THE BUILDING AND SIDE LOT LINE. 4/9/2012 NEW PLANS OK