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RC-13-45Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 187889 Permit Number: RC -1 -13-45 Scheduled Inspection Date: March 25, 2013 Inspector: Bruhn, Norman Owner: HOLDINGS IV, LLC, HSL PROPERTY Job Address: 155 NW 91 Street Miami Shores, FL 33150- Project: <NONE> Contractor: SUPREME ROOFING & CONSTRUCTION INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1131010000220 Phone: (786)229 -9331 Building Department Comments KITCHEN AND 2 BATHROOM REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments passr9R2-F-16 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 22, 2013 For Inspections please call: (305)762 -4949 Page 44 of 48 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. �G ' 3- 45 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements 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. 1. Legal description of property and street/address: rav .� dr3 llz a� ��3$$ . b 0F. Xi/ z GP s ' 4, ,pe /S ' LJ 4 ( 2' e' `gi . 2. Description of Improvement: Q , , , , A r e p c e y g C 9 , J fity 3. Owner(s) name and address: /gL p`c 340 ?iffy // 1, �' c .2G 4t, Arc. 4a6, Interest in property:1n lc 6 4veil ,/ t` 3 Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: 11011111111111111111111111 Hill Hill 0111111 CFN 20128. 0888400 OR Bk 28394 Ps 1172F (1139) RECORDED 12/11/2012 13 :39 :01 HARV'E'Y RLIVIN? CLERK OF COURT MIAMI -DADE COMM FLORIDA LAST PAGE Space above reserved for use of recording office 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: /�yy c..- 2,06 r . /Ssr" C 22S� -q 33/ 'Alic(37 .t-'L 3Vo-Cv 7. Persons within the State of Florida desi• nated b Owner uporJ whom notices er documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number 8. In addition to himself, Owners design tes 713.13(1)(b), Florida Statutes. i(( Name, address and phone number: e f' +flowing persdn(s) to rece ' a cop , of the Uenor's Notice as provided in Section 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified} WARNING 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 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.; F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO . R D - • : _'��� BEFORE C. °° ;';,� G WORK OR RECORDING Y!' R N! CE OF COMMENCEMENT.' ' f* • P' U Y� WATE OF 99F9 F Y SffuefX�y®il�e Owner(s)' R utho zecf OfBcer/Directror t 61 ;, lay of spared y Signature(s) of,�` Prepared B d 1 Print Name Title/Office�, STATE OF FLO IDA COUNTY OF MIAMI -DADE jf 1 The fo = .'Dins nstru a as acknowledged before me this day of By :1 /t :l= I 1`.1 /.' ❑ dividually, or,as i. 21117,11,4 L Personally known, or ❑ produ • t 000wing type of identific Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner /Manager who signed above: By By 123.01.62 PAGE 3 3710 76r.5 ? -77-a --°j. 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 BUILD PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: (55 • q # FBC 201 Permit No. Master Permit No. � C 13 ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 1.. err/ %( �iilg5 Phone#: (rJ 3/ 7 i/34 Address: 2(9 (56 1Sl004 AIM 2�b� City: AV €114V State: Ft Zip: �' 51 )4 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Address: on 00 WA /SS - City: Mc f Qualifier Name: (Deg, (C State Certification or Registration #: Contact Phone#: DESIGNER: Architect/Engineer: v eRo ei5 8 C one -Eruc 47'on X c • Phone #: ? -22'1 - ?3 31 State: FL Zip: 830 sY Phone#: ci cc 4JSI 9 g8 Email Address: e_l Value of Work for this Permit: Type of Work: °Addition Description of Work: 00a ❑Alteration Kcen Certificate of Competency #: /.� A Svpci e. %� svc® Wm., c Phone #: q 3c - 27 tf 6%° 4 Square/Linear Fos ckyge of Work: °New errs epair/Replace °Demolition Submi Scanning Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ °°6 5 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State 1 b. 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 FI.RCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AI IDAVIT: 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 The foregoing instrument was acknowledged before me this / The foregoing �ment was ackno ledged before me this i day of %Gtdl , 20 IS , by Fe14601, uvveksfe , 4 , day of fate , 20 ; ', . �cjtrc_ S r4 , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signrileagoevt. Print: ?% m w,,,Oaftta- My Commission Expires: ' ,,g 704? IMAM WILIAM Wary SW of RIM CiANWISSAAAWde Conunkslon i Mi 203279 *mad TiNoy Asa. • w 7 t! 7 T a -4 .F 4 * * * * * * * * * * ** APPROVED NOTARY PUBLIC: Sign: Print: 1����r�1�1��m`0, a My Commission Expires: Z9 Off * * * * * * * * * * * * * * * * * *• :,cr * * * * ** * * * *< * * * * * ** anS /ai�G1 ✓ `1w X • • .ww —D - • - -... Zoll• Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07xRevised 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 Inspection Number: INSP - 183981 Permit Number: EL -1 -13-47 Scheduled Inspection Date: March 13, 2013 Inspector: Devaney, Michael Owner: HOLDINGS IV, LLC, HSL PROPERTY Job Address: 155 NW 91 Street Miami Shores, FL 33150- Project: <NONE> Contractor: ALLIED ELECTRICAL SERVICES INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010000220 Phone: (786)566 -0863 Building Department Comments ADD SMOKE DETECTORS. KITCHEN AND BATH REMODEL 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 r4 March 12, 2013 For Inspections please call: (305)762 -4949 Page 12 of 43 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: 155 WO.) • e Sf City: Folio/Parcel #: Miami Shores FBC20U Permit No. eu 3 1"t1 Master Permit No. ¶2 G L4I County: Miami Dade Zip: Is the Building Historically Designated: Yes NO d Flood Zone: OWNER: Name (Fee Simple Titleholder): `SL ercp +Y Obk j5 Phone #: 6 3/7-W36 Address: 3(0 (S[a1.4 /Blvq #7,2 06' City: e1Lkurzs► State: Tenant/Lessee Name: ' j Phone #: Email: /4 Zip: 33 G4 CONTRACTOR: Company Name: Address: /�/ N.E. 6y St City: Alain i State: FL Qualifier Name: S fe Ve t err State Certification or Registration #: Certificate of Competency #: C6013(.2 Contact Phone #: &144 566 _Q 8'43 Erni Address: Arid £fc'4rr "J Servie,e5 G. Phone#: &956.6 -0t 63 Zip: 33/3g Phone#: DESIGNER: Architect/Engineer: Phone #: qSf -21q-4061. o� Value of Work for this Permit: $ 70t) Square/Linear Footage of Work: UNew URepair/Replace /�6R s 2 -70rc14 d.)ir ld`ioy Type of Work: DAddress Description of Work: 1 Submi Scanning Fee $ Notary $ Double Fee $ IlrAlteration UM twat • ootthi to sta • Atuci rase* at0 .OS Tafel aoii:p3 .fa RA! tt<S , hi1k P Fes:** I t 4 ODemolition Cele sons,::,, = 9 _ , ...660S.itS etr vl -a Fees 77 $€�a ', Radon Fee $ Training/Education Fee $ Structural Review $ CCF CO /CC $ DBPR $ Bond $ Technology Fee $ 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. Signature Owner or- Agent The foregoing instrument was acknowledged before me this ? day of Ian , 20 /3 , by 9I7 -fit I-r/ & i) 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:,- `/07 ai 2 1 * * * * * * ** APPRO HERMAN WILLIAMS *Nittipkbiltmetattefflorida My *9mn1, hpitos May 29, 2016 009109ssion • EE 203279 * f6, Jo..fr- Structural Review Clerk Signature °° plc Contractor The foregoing instrument was acknowledged before me this 7 day of 4/1 , 20 03 ,, by S{ Ate. IP errre_ who is personally known to me or who has produced as identification and who did take an oath. - NOTARY PUBLIC: Sign: 4bf∎v+*9 2,ej.f.Ac;"---- Print: /716; -, am_ J` s ``I2 c My Commission Expires: Y71 01 2 ' 20/6 * * * * * * * * * * * * * * * * * * * * ** .. x; ': -- <;L **ar�sicai�a *� + * * * ** Plans Examiner (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 187770 Permit Number: PL -1 -13-46 Scheduled Inspection Date: March 21, 2013 Inspector: Hernandez, Rafael Owner: HOLDINGS IV, LLC, HSL PROPERTY Job Address: 155 NW 91 Street Miami Shores, FL 33150- Project: <NONE> Contractor: DPAUL PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1131010000220 Phone: (305)332 -1402 Building Department Comments PLUMBING WORK FOR KITCHEN AND BATHROOM Infractlo 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 March 21, 2013 For Inspections please call: (305)7624949 Page 40 of 40 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 2010 Permit No. (P1-' 13 `p Master Permit No.'2 Ct " i S Permit Type: PLUMBING JOB ADDRESS: /55 Aita 7%5/ City: Miami Shores County: Miami Dade Zip: 13$' Folio/Parcel #: !, 3/0 0Z2 Is the Building Historically Designated: Yes NO ,1" Flood Zone: OWNER: �jName (Fee Simple Titleholder): �L. / ir7 h/t p.4y Phone #: L? fJ3/7 r/36, Address: d�be 15 0Atl t WZ 1#2 qpi? ✓✓ City: /iv e }urcz© State: FL Zip: 13/� Tenant/Lessee Name: Phone#: Email: ° CONTRACTOR: Company Nam =; � � vM , /� C Address: 2100 5 Mir • f /^ I e i' 4967'14 City: fikapi ji3,�-a,c S Qualifier Name: () Ceicei 5 Z L State Certification or Registration #: C FC .4 f 9{2I 25q Certificate of Coonp ncjy #: Contact Phone#: (3 04133 2 -iVd Z. Email Address: DESIGNER: Architect/Engineer: /41/0-# Value of Work for this Permit: $_, '5 �' Square/Linear Footage of Work: Type of Work: DAddress Phone#63 j 2 /YO1 State: Zip: 33/61 Phone#: (70.g 33 2 -4/70,2 Phone#: 1St(j ZW- (0606 DAlteration Description of Work: 10 bits j K 1A2 ('2MOct e_E New DRepair/Replace b„,....thr ODemolition t MI4 u9 1001 * * * * * *Feee * * * * * * ** Submittal CC Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State t . a 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 • stallations 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 FT ECTRICAL 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 appr1pved and a reinspection fee will be charged. Signature 0 e or Agent The foregoing instrument was acknowledged before me this day of daA , 20 as ,, by a/ t..1t LVM AJ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 2C/ \ r Print: Herr t ai-L de} IJ a m .� My Commission Expires: C7 2? 20 /fir +k***** ** APPROVE HERMAN s • ., .4 My Comm. Expires May 211,20t4 �.,ti el Com is '''' ''''' ' flooded Through National Icy kna. Contractor The foregoing instrument was acknowledged before me this r day of dual , 20 /3 , by P& Dee /s/ ®s who is personally known to me or who has produced . as identification and who did take an oath. NOTARY PUBLIC: Sign. '' � Print: get- A a'_7 ta7 /; �21 S My Commission Expires: . P22/ ******+k*.k********* !'; $c �k �$t * s$:k****** My . E gar 2S. 2018 Plans Examiner < ` si EE 203279 Zoning Structural Review Clerk (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15109) DBPR - PAUL, DECINOB; Doing Business As: DPAUL PLUMBING INC, Certified P1... Page 1 of 1 12:54:51 PM 1/7/2013 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business PAUL, DECINOB (Primary Name) DPAUL PLUMBING INC (DBA Name) 1710 NE 139 STREET MIAMI Florida 33181 DADE Certified Plumbing Contractor Cert Plumbing CFC1428259 Current,Active 06/11/2010 08/31/2014 Qualification Effective 06/11/2010 View Related License Information View License Complaint 1940 North Monroe Street, Tallahassee F. 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida, privacy Stat =ment Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 4 5 page to determine If you are affected by this change. https:// www. myfloridalicense .com/LicenseDetail. asp ?SID= &id= EC93DA7108DA096C840... 1/7/2013