DEMO-12-2160Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 181567 Permit Number: DEMO -11 -12 -2160
Scheduled Inspection Date: December 13, 2012
Inspector: Bruhn, Norman
Owner:
Job Address: 9230 NE 2 Avenue
Miami Shores, FL 33138 -2805
Project: <NONE>
Contractor: FAB INTERIOR & EXTERIOR INC.
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 1132060133050
Phone: (305)751 -4447
Building Department Comments
DEMOLITION OF GARAGE PARTITION WALLS AND
SOFFITS. BRING SPACE BACK TO ITS ORIGINAL USE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
A1-41-
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 12, 2012
For Inspections please call: (305)762 -4949
Page 7 of 24
14(1112—IAA
BUILDING
PERMIT APPLICATION
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
JOB ADDRESS: C,/� 0 iC 9-14
Permit No.
NOV 1 4 fl .5 q 1
Master Permit No.
ROOFING
City: Miami Shores County:
FoliolParcel #: 1 ` ' 39,14 — O` 3 - 3t5
Miami Dade
zip: 3 3 vg
Is the Building Historically Designated: Yes NO
Flood Zone:
1e sck ex41- .N 1 rfol •
QWNER; Na a ee tim e Titleholder): ♦; ►.. ,�
IL, N u I�± ► ' ta.�. Phone#:
Address: ► '�'".� t t.1... 11 i I�
State: e.A
City: Sbiy, 1:51-63
Tenant/Lessee Name:
Finail•
CONTRACTOR: Company Name: r k ()v. ( Phone#:
Address: EIS Ot, 0%
City: Kale[ `` SrOV15 State: / Zip: g
Qualifier Name: #. (_) S } i n0
State Certification or Registration #: ("Ye 0 j (6-4.5
Contact Phone#: � 0 -2.51 �(3kAp Email Address:
DESIGNER: Architect/Engineer:
Phone #:
I p,
Certificate of Co . . petency #:
} Q
A;�.:L
c • 1..i#
F�2fid3k?s in %;' 9Fer
. r•' Fa
L1146W ®Rep
Value of Work for this Permit: $ 000
Type of Work: DAddition DAlteration
D p 'on of Work:
(AAci3r5 kh
Phone#:
Color thru tile:
******** * * * * *** * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * *** * * * * * * *, * *** * *** * * * * * * * * * * * * * * * * **
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
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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.
64.1114, aft&
Owner or Agent
The foregping instrument was acknowledged before me this
of NOd , 20 0 -, by 1I c'.iern AKIRAL St611 ,
who is personally known to me or who has produced El- t
As identification and who did take an oath.
I% NOTARY PUBLIC:
Signa
Sign:
Print:
The foregoin
day of 0:41 /.'
who i
Contractor
instrument was acknowledged befor- me thi
,20 9a, by
to me or who has produced
as identificati
PUBLIC:
0 �.
,4pqY Pt% i BRANDON MANASA
='_� �'� °'s Notary Public - State of Florida
r. �, My Comm. Expires Apr 17, 2015
.�F ;; • 85048
.F.et�j,.iNa
•
Notary Public State of Florida
Desiree Ramos
My Commission 00877402
Expires 04/05/2013
My Commission Expires:
My Commission Expires: 04
tc (2013
***************************** *****+ x**************** ** ****lic**+x****+x**** *************** **** *+x **** ******+x*+x****
APPROVED BY
Plans Examiner
Structural Review
(Revised 32/ 1241 evi 07110 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
State of California
County of Sfin. OTE
ACKNOWLEDGMENT
On ocTu3E2. 23, zo rz before me, aeo/En...r owl Ngauc y - moTnity rate r .
(insert name and title of the officer)
personally appeared SWAniNVN c...e.re..4.1 PEL .
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are
subscribed to the within instrument and acknowledged to me that he /she /they executed the same in
his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature -4`-,r (Seal)
ROBERT OWEN HARVEY
Commission # 1968299
Notary Public - California
San Diego County
Comm. Expires Feb 2, 2016
Deb
as T`
,1`ti
Tit e: Vice President
` a perao
i to be the person who
she exec: d the eine
or the entity City upon
foregoz
mess my
OF P
e
Y und
of California t the
Pursuant to
by and arno
Mutual-
Secu
Agreements.
EXHIBIT A
Servicing Agreements belt A z *'
auk, N.A., as successor is interest
Mortgage Company,: as Se. r, and Lang Beach.
LONG BEACH MORTGAGE LOAN TRUST 2002 -5 November 1,
LONG BEACH MORTGAGE LOT TRUST 2003 -1 February I, 2003
LONG BEACH MORTGAGE LOAN TRUST 2003-2 April 1, 2003
LONG BEACH MORTGAGE LOAN TRUST 2003 -3 Junel, 2003
LONG 13EACH :MORGAGE LOAN TRUST 2003 -4 July 1, 2003
LONG BEACH MORTGAGE LOAN TRUST 2004-1 February 1, 2004°
LONG BEACH MORTGAGE LOAN TRUST 2004-2 May 1, 2004
LONG BEACH MORTGAGE LOAN TRUST 2004 -3 June I, 2004
LONG BEACH MORTGAGE LOAN TRUST 2004 -5 August , 2004
LONG B ;CH'MORTGAGE LOAN TRUST 2004 -4 September 1, 2004
LONG BEACH,M ORTGAGE LOAN TRUST 2004 -6 October 1, 2004
LONG BEACH MORTGAGE LOAN TRUST 2005 -1 January 1, 2005
LONG BEACH MORTGAGE LOAN TRUST 2005-2 April 1, 2005
LONG BEACH MORTGAGE LOAN TRUST 2005 -WL1 July 1, 20+5.
LONG B ACH: MORTGAGE LOAN TRUST 2005 -i L2 August 1, 2005
LONG BEACH MORTGAGE LOAN TRUST 2005-3 September 1, 2005`
LONG BEACH 1 MORTGAGE LOAN TRUST 2005 ' ;3 Nov bcr 1, 2005
LONG BEACH MORTGAGE LOAN TRUST 2006- L2: Jan < 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -WL3 3anu , 20
LONG BEACH MORTGAGE LOAN TRUST 2406 -WLI January 1, 2006
LONG BEACH: MORTGAGE LOAN TRUST 2006 -1 Feb ' I, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -2 Marini 1, 2006
LONG 'BEACH MORTGAGE LOAN TRUST 2006 -3 Apr111, 2006
LOFSJG BEACH! MORTGAGE LOAN TRUST 2006 -A May I, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -4 May 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -5 J 1, 2006
LONG B EACH MORTGAGE LOAN TRUST 2006 -6 July 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -7 August 1, 2006
.ONG. BEACH MORTGAGE LOAN TRUST. 2006-g September 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006-9 October 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006 -10 November 1, 2006
LONG BEACH MORTGAGE LOAN TRUST 2006-11 December 1:, 2006
E
Egan
t 7 fit. , : C 9270
Chit # the c
A � � is amo T . 0rmei
#n C r a
; moo C N.A
Nom. sxed, t�
`
A : fl e e t :; ...... 1 , 201 tree
FA : d shin n. .. . ; . S riles com, hereby
ad "th t
the T ?s tt and : mil. -ix Tre s PIS
d for the T by
rthe1 �
hc ruste r el y and p
is fit" any : of the mo . : s da
of " 'ra sa" ctively) and o notes s
acting as Txustee . #r vet#
POWER 1
ebelceet; l
which C
e Note
tment shall
or in the Agreement shal
1.
The modification c
modification or re- recording is so
or Deed of Trust to corer
trcet tleors discovered
aid aodiiction or re -recd
the hen o" e or of T
to the provisions Q t Age=
The subordination of tract lie. of a Mortgage or Deed of Trust to an easemea
favor of a public utility company of government agency
eminent domain; this section shall include, without limitation,
partial satisfactions/releases, partial reconveyauces or the elution or rues to
trtistees to accomplish same,
veyance ofthe properties to t mortgage'
yL Pert! to be acquired as real estate owned, or cox
completion of loan assumption agreetnen
upo n pa and discharge ol
limitation, cancellation,ofthe r
e clom
eyance of title
o
y Mortgage or D of Trust
epurchase of tae Mort'
St
Mortgage 'ote,
loan secured and evidenced
a Mortgage or Deed of Trust upon.paynre
by in con unction r the refitment
ortgage Note
of
of and preservati i
Deeds of Trust, and
including but not hmt ted to, foreclosure, 1
foreclosure„ or the coanxpletiou of jud%cial or.nonjug
termination, eanccllation or rescission of any such formcl
osecution and completion of eviction actions or proceedings ings respect to, or
on, cancellation or rescission of any such eviction actions or
proceedings, and the purmit of title insurance, hazard insurance and clams in
bankruptcy proceedings, ineluding; r ithout lintitatior , any and all ofthe
following acts:
in the Mortgage
by way of,
Seta of
or the
itiatier.
er a: Deed of Trust, rtcct tiro
the preparation and issuance of statements of breach or
rid filing of notices of `default and/or notices o
of notices of effult and/or notices
the cane
e. the taking of deed in lieu of foreclosure-,
10.
the T ru
prosecutiort,and defense
y cases
of
on and service ofnoti+
at4, prosecute and e
d.df
u
Elvis; t
other:
cp
may i s Fac€ full pater : and < : s to
and evicry t e
y or idea thi
y does
4, 2012.
a
ed as
heri is flO
we of attorney.
city to t
Aeem
Bau Natii
to delegate its h :car obligati
a delegate the antharfty given to it hY >b ie
,under this Limited Power of Attorney, for purposes . r
obligations by emu g additional h. ` veers of attorney in favor of
its attorneys -in -fact as are necessary for such pulp°
greater authority than that held by the Servicer.
No ng coma ned. herein
trustee e Agr
Trustee under the Agreeme
defend any suit, litigation or
The Servicer's attorneys - n-fact sib ve
vided to the
ri htts protections afforded the
itiatet or
e of Deutsche. Bail. National Trust Company
except as specifically provided for :herein. Tfthe -Sery cer receives any no tice :of t; litigation tax
proceeding in the name of Deutsche Bank National Trust Company, then the ur r r .sue
promptly forward a. copy ofsaxne to the Trustee.
is not intended to extend the powe
take any action with
to Agreement
by agrees
Fold the Trustee
any an .. .
Servi
s l
or in
- fast, of the powers granted to i
Lion of this Limited Power of Atte
to Trustee under the Agreement .
rn or
of any d or
ader. The foregoing indemnity
ey and the Agreement or the earlier
td shall be governed by the 1
t law principles of such state.
of
t ac notice ". aTi y rely upon the ex ercise. of the power granted tinder this
of Attorney; and may be satisfied that this Ural Power of Attorney shall
force and effect and his not been revoked unless aai °instrument of revo±tion has
wdting by the undersigned.
FOUND 1/2"
IRON PIPE
(NO ID.)
5'WALIC
N.E. 93RD STREET
(75' R/W)
• .„.•
1V:r2)AVEb).
•
WOOD -
FENCE
LOT 6
BLOCK 23
FOUND 1/2"
IRON ROD
(NO ID.)
15' R/W
(PLAT)
. 4 ,••
'.18.5'
105.06
35.9' r
V/ 24'01;s'
CONC., ,
DECK '
15
•-4.14
119'
0\ filtYk
18S RY
RESIDENCE
:,;',111111
3
• P.C.
FOUND 1/2"
IRON PIPE
(NO ID,)
(0.04'N, 0.02'W)
P.I.
FOUND
DRILL HOLE
(0,34'N)
P.T.
FOUND 1/2"
IRON ROD
(NO ID.)
40.00'
rioye vq�.
30Yatle. aoolf5 .
LOT 1
BLOCK 23
POOL
35.9'
C.B.S.
WALL
(FENCE ON TOP)
WOOD
FENCE
43.0'
•5'
r't CONC.
•
DRIVE •
."'••
.,•• 51.1' ,„•„.,
02.X2' 1:]3'X4' 02.5'X2.5'
P.E. NC CONC.
II I
N89°51'06"W 130.00'
4.5
CI?
LOT 3
BLOCK 23
C 1RVE TABLE
APPROVED
ZONING DEPT
BLDG DEPT
‘711
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND C UNTY RULES AND RFGUIATinms
LATE
43.0'
LOT 2
BLOCK 23 •
46-40'
0
FOUND 1/2"
IRON ROD
(NO ID.)
RADIUS
DELTA ANGLE
89'51'06"
ARC LENGTH
39.20'
S00 °0000 E (8.R.)
CHORD BEARING
S44'55'52"E 35.31'
/7/19Z.
,e
E• CERTIFIED TO: East Coast Affiliates, LLC
- PROPERTY ADDRESS: 9230 NE 2nd Ave., Miami Shores, FL
t- FLOOD ZONE: X (FIRM 120652 - 0302L 9/11/2009).
DESCRIPTION: Lots 1, and 2, Block an Amended Plat of fvfiami Shores Section No.
it, according to the PlatAT n Plat .Book 10, Page 70, of the Public Records
‘..lof Miami-Dade Cott ' F o a.
SURVEY NOTES:
`.5 1.) Area = 0.319 acre
2.) Lands shown hereo
instruments of rec
3.) No underground i
3 4.) All bearings and
5.) This firm's "Ce'
3138
LEGEND:
eon ar
office for easements, right-of-ways, or other
t and measured unless otherwise noted.
•zatio number is 1.B.#6838".
REVISIONS:
BOUNDARY SURVEY
This survey is invalid without embossed surveyor's
seal and/or an authenticated electronic signature and
authenticated electronic, seat
RegistepdLand Surveyor, Florida Certificate No.
./f-MICHAEL J. MILLER #4034
CALC.
C.B.S.
CONC. MON.=
CONC.
D.E.
U.E.
P.E
F,F.EL.
EL.
(1' 1'.)
(0)
(M)
CALCULATED
CONCRETE BLOCK STRUCTURE
CONCRETE MONUMENT
CONCRETE
DRAINAGE EASEMENT
UTILITY EASEMENT
POOL EQUIPMENT
FIFI/SHED FLOOR ELEVATION
ELEVATION
BEARING REFERENCE
DEED
MEASURED
(P)
A
CH.B. • =
N.G.V.D.
O.R.B.
P.R.
P.C. =
P.T. =
P.R.C.
P.C.C.
PLAT
RADIUS
CENTRAL "DELTA" ANGLE
ARC LENGTH
CHORD BEARING
NATIONAL GEODETIC VERTICAL DATUM
OFFICIAL RECORD BOOK
PLAT BOOK
POINT OF CURVATURE
POINT OF TANGENCY
POINT OF REVERSE CURVATURE
POINT OF COMPOUND CURVATURE
P = POINT OF INTERSECTION
P.O.C. POINT OF COMMENCEMENT
P.O.B. = POINT OF BEGINNING
RAN = RIGHT OF WAY
y — = CHAIN LIFIK FENCE
- WOOD FENCE
o o METAL FENCE
CEFITERLINE
EASEMENT
COVER
OVERHEAD LINES
LOT TIE
ASPHALT PAVEMENT
CONCRETE PLATVVORK
PAVER BRICK PLATWORK
WOOD POWER POLE
WATER my, ER
FIRE HYDRANT
CATCH BASIN
SANITARY MANHOLE
SCALE: 1" 30'
DRAWN BY: PICARD
FIELD WK: M.M. 1 B.M.
DATE:
10/08/2012
MILLER LAND SURVEYING
1121 LAKE AVENUE
LAKE WORTH, FLORIDA 33460
PHONE: (561) 586-2669 - FAX: (561) 582-0151
www.millersurveying.com
e-mail: millersurveying@aol.com
REFERENCES: 877/29
PREV.
JOB NO'S.
JOB NO. Y120872
- 46,303
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
DEMO- l2-2_1(,20
Inspection Number: INSP- 182829 Permit Number: DEMO -12 -12 -2299
Scheduled Inspection Date: December 12, 2012
Inspector: Devaney, Michael
Owner:
Job Address: 9230 NE 2 Avenue
Miami Shores, FL 33138 -2805
Project: <NONE>
Contractor: AMERICAN POWER ELECTRIC CORP
Permit Type: Demolition
Inspection Type: Final
Work Classification: Electric
Phone Number
Parcel Number 1132060133050
Phone: (305)216 -7491
Building Department Comments
REMOVE WIRES AND J -BOXES
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 11, 2012
For Inspections please call: (305)762 -4949
Page 36 of 41
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
Permit Type: Electrical
JOB ADDRESS: f c3D /\\) c7T*1
City: Miami Shores County:
Folio/Parcel #: '� \ 32-0
,,,,,,-c-z___27-z---
D i v ( : : : : C 0 w 2012 j j
11:
BY _
Master Permit No. 0 �- I I - 12 —21(00
Miami Dade
Zip:
Is the Building Historically Designated: Yes NO Flood Zone:
(Fee S. 1e Titlehol )
Tenant/Lessee Name:
Email:
e.
5NI 0 t— Phone#:
r6
State: C
CONTRACTOR: Company Name:
Address:
City:
Zip: / 21 2 -
Phone#:
?)M7Lhone#: d Vif --
State:
Zip: 3t®
Qualifier Name: 72.Y? �'✓) Phone#: 2r 6-77`7
State Certification or Registration #: ____� /3�t3/®i� Certificate of Competency #:
Contact Phone#: o '�%l _ 7y 9 J Email A. +� ess: Cte� /Pe /-~/ e -
DESIGNER: Architect/Engineer: Phone#:
(J0
Value of Work for this Permit: $ 50u, Square/Linear Footage of Work:
Type of Work: OAddre OAlteration ONew URepair/Replace
Description of Work: ��. CaP h0�-e�
ODemolition
***************************************F ***** ********* *** * **** ** * ****** **** *mix ******
Submittal Fee $ Permit Fee $ / ®'6> ' 4® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ /
TOTAL FEE NOW DUE $ 10 & l/0
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me t 's
day of , 20 _, by day of O , 20 e!.-by
who is personally known to me or who has produced who ' . - _ a m . o' II $ me or who has produced
As identification and who did take an oath. as identificati . n
.111 SO ,
NOTARY PUBLIC:
NOTARY PUBLI
Sign: Sign:
Print: Print: 67 2 P
My Commission Expires: gel-
4ter OSCAR PEREZ
= MY COMMISSION 8 DD 928715
EXPIRES: October 4, 2013
"�'i,, . Bonded Thru Notny Pubftc Underwriters
My Commission Expires:
******************* ************ ***: i<*********= t:> r•**** *** *>k*** ** ********* *** * * ** * * ******** ** *+> * *** **** *** * ****
lZ
APPROVED BY -fiz 6---4;2"PG Plans Examiner Zoning
Structural Review
(Revised 3 /12/2012)(Revised 07 /10107)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
`DE O - 12 21 too
Inspection Number: INSP- 182476 Permit Number: DEMO -12 -12 -2298
Scheduled Inspection Date: December 10, 2012
Inspector: Hernandez, Rafael
Owner:
Job Address: 9230 NE 2 Avenue
Miami Shores, FL 33138 -2805
Project: <NONE>
Contractor: METROPOLITAN PLUMBING INC
Permit Type: Demolition
Inspection Type: Final
Work Classification: Plumbing
Phone Number
Parcel Number 1132060133050
Building Department Comments
CAP OFF EXISTING WATER PIPES
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/
December 07, 2012
For Inspections please call: (305)762 -4949
Page 20 of 41
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
Permit Type: PLUMBING
JOB ADDRESS: 99 0 2j\ ► 1 U�
City: Miami Shores County:
Folio/Parcel #:
FBC 2 PVC/
Permit No. G `
Master Permit No. Demo -- (I - c -2 i60
Y
i.7C, 0 2012
as_
Miami Dade
Is the Building Historically Designated: Yes
Tenant/Lessee Name:
Email:
JAS
NO Flood Zone:
tl eld 1
er): ' t ��i ' .1 �' it
a it ,
Phone#:
State: C-ik
gz12--
Phone#:
CONTRACTOR: Company Name: ®v
Address:
�,1 0 QC
1 5
City: i�.C),\( . 0,V\ State: `.
Qualifier Name: NV `■.)2\ C-n�. Q vt\
State Certification or Registration #:
Contact Phone# :. ..YS°g -a" -yao Ema Address:
DESIGNER: Architect/Engineer:
Phone#:339g Do
Zip: X010
Phone#: •7 2-Q-1.00
Certificate of Competency #:
Phone#:
Value of Work for this Permit $ 6 00. 00 Square/Linear Footage of Work:
Type of Work: DAddress DAlter tion UNlew ClRepair/Replace
Description of Work; I \ - &
DDemolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Perm ft Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
1 O& (
TOTAL FEE NOW DUE $ aO
w
Bondta Company's Name (if applicable)
lionding 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 will not be approved and a reinspection fee will be charged.
Signature Signature
SW!
III Talk Iiimmmt
Owner or Agent -, acr
The foregoing instrument was acknowledged before me this The foregoing instrum: t was acknowledged before me this
day of , 20 , by , day of _, 20Q; by cgL'\ GV }_Q rd, cllj
who is personally known to me or who has produced who is ersonally known to a or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: S
Print:
My Commission Expires:
Print:' k® c `G�,.�`'� „«,, ;•�, j. ito
MMISSION#EE 117934
My Commission Expi ^�. R./ �; EXPIRES: AUG. 01, 2015
wwW.AARONNOTARY.com
***** **** **** ********* ******* *********************************************** * *** *** * *** ** *** ***** ****** ****
APPROVED BY C a2 si Plans Examiner Zoning
Structural Review Clerk
(Revised3 /12r2012)(Revised 07110/07)(Revised 06/10 /2009)(Revised 3/15/09)
METRO -1
OP ID: MG
A. .- CERTIFICATE OF LIABILITY INSURANCE
�' 112 '
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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER 305- 223 -2533
!Sure Insurance Brokers
2700 SW 137 AVE 305 - 220 -0765
Miami, FL 33175
Javier A. Fernandez
coNracI
E'
N • . Ext): ice, No):
L AIL
INSURER(S) AFFORDING COVERAGE
NAIC 0
INSURER A: Scottsdale Ins.
41297
INSURED Metropolitan Plumbing, Inc.
1020E 14 St
Hialeah, FL 33010
INSURER a : Bridyefleid Casualty ills. Co.
10335
INSURER c
03131/13
INSURER D :
$ 1,000,000
INSURER E :
$ 50,000
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES 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. UMITS SHOWN MAY HAVE BEEN REpDUUCCYED BY PAID CLAIMS.
RR
TYPE OF INSURANCE
INNSSRL
SUBR
POLICY NUMBER
(MMJDD1YYYY)
(MEAD 1YY)fY)
UMITS
A
GENERAL
X
UABIUTY
COMMERCIAL GENERAL LIABILITY
CP $1561878
03/31/12
03131/13
EACH OCCURRENCE
$ 1,000,000
DA IM sEs (Ea occur)
$ 50,000
CLAIMS -MADE
X
OCCUR
MED EXP Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L
AGGREGATE
POLICY
X
LIMIT APPLIES
Er,
PER
LOC
PRODUCTS - COMP /OP AGG
$ 1,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED I—
At ITDS
HIRED AUTOS
SCHEDULED
At ITaS
NON-OWNED
OS
COMBINED SINGLE UMIT
(Ea accident)
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
R
((Per a DAMAGE
$
$
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED
RETENT ON $
$
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY
AND ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y 1 N
N 1 A
830-23430
05/07/12
05/077/13
X
STATU-
TWC ORY LIMITS
OTH-
-
°R
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLIGY UMIT
$ 1,000,000
DESCRIPTION OF OKRATIONS 1 LOCATION 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
plumbing residential & commercial
CERTIFICATE HOLDER
CANCELLATIO
I
MIAMI S
Miami Shores Village
Building Department
10050 NE 2 Ave.
Miami Shores, FL 33138 -2304
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORIZED REPRESENTATIVE
hi� erg
ACORD 25 (2010/05)
01988 -2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
' • : • -
• •
-
DATE
•
•
. . .
" .:; .1: •
1.7 60'1.- •
i. .31T. • e•41S.:ite•:::"..
el . •
‘4t
- ..bltPAY AS FOJIWYB:
•
‘0)
FSC
SEMI:Busses
PRINTED WM Pass.51341116110M
City of Hialeah
Business Tax Receipt
ENFVUIMENDIXMENTAUXINKS "sw;11:". Mayor Carlos Hernandez
- - '
,
No 21182210,421 . (OLD-1711-981) . Mnount$ 150.00.
2012-13
.. : `,"..__ . ,.. : , ,... . • , , - .. .. . „. . .. „
The veioip..,,_ firm •ot.ttlp,••• ,:1..t.4-80$ottas paid the business tax tequiteti to engage in ot.00efai...tho*i*s voi.fistilitoot td the:1
' • ' • * :ofthe:city of:Hialeall,, owner: ,
-M1GUE1. 61J1::;.;
, .. .
44i4--.i.r.isi :...Heatang-, and ,Air-Concitic9414 Contractors
,.. ':.. ., : .....: •:: ....• , ;. . •••.: : . ,•
: • ' ,'• ::. ...:*:::-.- • . . .•
' • • • . - •. ..• .
SL NOT A BILL
•
ires :Sept*mber 30 2013 •
•
•
•
• • •
THIS IS NOT A BILL.— DO NOT PAY
398677-6 RENEWAL
416043-4
BUTERNIMIKUMBI NO INC STATirM7152
1020 E 14 ST
33010 HIALEAH •
"NrROPOLITAN PLUMBING INC
secire Illintfrfile CONTRACTOR
TM IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOSS NOT Mau THE
HOLD TO VIOLATE ANY
MEM REGULATORY OR
MENG LAWS OF THE
COWRY OR MIS. NOR
DOES IT EXEMPT THE
'HOLDER FROM ANY OTHER
PERMIT OR MEM
REQUIRED BY LAW. THIS IS
NOT A CERIVICATION OF
THE HOLDER'S CAIALIRCA-
TIOM
• WORKER/S
5
DO NOT FORWARD
METROPOLITAN PLUMBING INC
MIGUEL OUIARDINU PRES
1020 E 14 ST
UT Al CAU Ct 27tr1 n