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RC-09-461Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number 100 96 Street 1132060132700 Miami Shores, FL 33138- Block: Lot: Owner Information Expiration: / 011012009 Applicant AMANI JADALLAH __•�¢ ga. ................K ..::. Address AYMAN JADALLAH 100 NE 96 ST MIAMI SHORES FL 33138 -2726 Contractor(s) HOME OWNER Phone Cell Phone Phone Cell Valuation: $ 11,000.00 Total Sq Feet: 210 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: INT. REMODEL Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: OPENINGS MODIFICATION Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Plan Review Fee (Engineer) Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $6.60 $2.20 $5.00 $330.00 $60.00 $12.00 $50.00 ($50.00) $8.25 $424.05 Invoice # Total Amt Paid Amt Due RC -3-09 -34329 $ 424.05 $ 374.05 .. ......... RC -3-09 -34329 $ 424.05 $ 424.05 $ 0.00 Available Inspections: Inspection Type: Final Electrical 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 irformation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the abovtr -named u;rtractor to do the work stated. April 14, 2009 Authorized Signature: Owner / Applicant Contractor / Agent Building Department Copy April 14, 2009 Date Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 4 r 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): li ECEDVED MAR 2 4 2009 ®_MI Roofmg Master Permit No. Owner's Name (Fee Simple Titleholder) )MC451. �C1 C, i � l Phone # Owner's Address 1( I 1. 4142-5-hrfOA City kThCtny, State PL `1 --aZ5-1 L , zip 3313$ Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 33 k5 S FOLIO / PARCEL # Is Building Historically Designated YES NO X Contractor's Company Name � EC�1l1•'(' Contractor's Address 1.0b ` vb •C)r-Vi -t e&5-1' C14, [Do moc-AAA ea3N 'b--, Phone # •(o c9, 65—t �� b Zip 33i.3B" City VVccr'ti■ State Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) 3O3 Ye 6.1 Phone # 306---110 6i 2 Value of Work For this Permit $ V\ Type of Work: DAddition Describe Work: teas- inc.' ❑Alteration was t Square / Linear Footage Of Work: d I b KiNew OCkb ❑ Repair/Replace El Demolition C1Otar1 re 04645 45 24l * * * ***: *� :** Submittal Fee $ • Notary $ S Scanning $1R Bond $ * * * * * * * * * * * * * * * * * * ** Fees** ** **** * ** * * * ************ **** ** ** ********* CCF $ (0.10 COCC a`9-0 Technology Fee $ 47,52S Permit Fee $ Training/Education Fee $ Radon $ DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ 314 See Reverse side -* Code Enforcement $ Structural Review. $ 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 wi l not be approved and a reinspection fee will be charged. Signatur 410 (did—) 0 er or Agent The for going instrumentt was acknowledged before me this Z.4 day of M�GC , 2061, . by I N 45{144 I1.dt iH I t. ; who is personally known to me or who has produced °`CVO Pe Y P LLL Ill 111 d As identification and who d %:1 ^. an oath. NOTARY PUBLIC: 995 �0�ts0 9 \ONE iZp,2�* 1 CO 0 pct �,�r Sign: r /�� %`' Q,��' n Print: My Commission xpire Signature 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: * * * * ***** *** * *a *** ** * *** x * *** ** ********** ************ D p **** *,x***•x** **** *** **** ** x,x*• **** ::xe: **** *** APPLICATION APPROVED BY: ` —"' Plans Examiner Engineer Zoning (Revised 07/10/07) pck -ba EcEwtsto k ?OO1 NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT ADDRESS: DATE: 3 Ica-it, cri Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Myself. Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and fts inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial —IS I understand that the building official and inspectors are not there to' design„.- alter or give advice on how to meet code — only if the structure meets the minimum code. Initial 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this Z,.4 day of J1urcti , 20 Of By ► nl Yil ( ?1(5411411 who was personally known to me or who has Produced there License or i,`1 (/s Li& %'etr7u as identification. II`L ►' �• 1 1_ .1 QWNER *1' NO ARY ,tie M`t c'Q 9.4"NQ %t; This Instrum_ap— �eCiC Name Address Permit No. STATE OF F COUNTY of 111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT c :FN 2009R0219577 OR Qk 26802 P9 3703e (1as) RECORDED 03/26/2009 09308:27 HARVEY RUVINv CLERK OF COURT MIAMI--DADE COUNTYv 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. 1. Description of property: (legal description of property, and street address if available) M�Cui ahure5 se£.1 Erna DO 1rr' 0lotS test f, Z. 2b Li) +- 5 if 245 2. Genera! description of provemenf' �' ^ ��3 Z. ~ `�4 U IA g -`�f d ( f�� 't,^� ccaa►� k»t ,l$ Ctobt;t4 3t.ro .y t4Ac) azs 160:f 3. Owner information a. Name and address: ,,,i< ►aUd" CO W,e51„,,5-1. 'K1,1 A, Qt— 2.$131 b. Interest In property: c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: a. Name and address: 4.2 � all t CO ,t i e,pvs* 1 f ; b. Phone number: Batt// V t 5. Surety a. Name and address: b. Amount of bond $ c. Phone number: 6. Lender a. Name and address: b. Phone number: 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)7., Florida Statutes: a. Name and address: b. Phone number: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: 9. Expiration date of 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF DOMMENCEMENT. aTlumr fi ■ nature of Owner ere Auth . Officer'' !rector Partner /Manager . Signatory's Title /Office The ore of trument was ackno :z - "o me this j.4 da of n) as only, ...e.g. behalf of wh , . O °f (year) by AM4 541, (type of _(name of party on Signature of Nobll. State of Florida Print, Ty e, or mmissloned Name of Notary Public Commission Number Personally Known — or Produced Identification_ (C... • Verification Pursuant to Section 92.526 Florida Statutes Under penalties of perjury, I declare that I have read the fore knowledge and belief. and that th s ted o : are true to the best of my S gnature of Natu Q) arson Signing Above Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 18, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Insulation Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed % l 6 v 705 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2009 Page 12 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 18, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Framing Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed i l Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2009 Page 11 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 W43 'fr0 Scheduled Inspection Date: June 18, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Window and Door Buck Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Passed ,ore/f6117 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- 116965. June 17, 2009 Page 10 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 16, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Window and Door Buck Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 15, 2009 Page 25 of 31 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ft Scheduled Inspection Date: June 24, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Drywall Screw Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Passed 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- 117557. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 03, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Floors Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Passed "rd h. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments WIRE MESH FOR FLOOR %!t¢.tek •if Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: May 21, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Tie Beam Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. ••_.. nn nnnn r%_ _ In .Z AMA iaa Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: May 21, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Columns Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed at, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. •e_.. an nnnn Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: May.20, 2009 Inspector: Rodriguez, Jorge Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Tie Beam Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Passed 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- 109369. 1{4,ctS)'DS ›c Gobioacci ►•_.. AA "AAA Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: May 20, 2009 Inspector: Rodriguez, Jorge Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential. Construction Inspection Type: Columns Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Passed 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- 109370. 4/6; 1...7 G t X F vvi- JS>r)ct)4st-P 11141_.. All ff/lf•l Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CR-4(01 Scheduled Inspection Date: March 25, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AMANI Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Demolition Inspection Type: Final Work Classification: Walls & Signs Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed 4etoir;peci:v17, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 24, 2009 Page 9 of 29 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number 100 96 Street 1132060132700 Miami Shores, FL 33138- Block: Lot: ......... . .................•'Z....,P, : :.. .. ...:.......yv.- :n...:...• :x : : :: k.....t.: .......... ..........yrr : : : ::.• .v..�,'.S bd bpi+ Owner Information Address Phone AYMAN JADALLAH 100 NE 96 ST MIAMI SHORES, FL 33138 -2726 :•bba:• Contractor(s) HOME OWNER Phone Cell Phone Expiration: 10 /10/2009 Applicant AMANI JADALLAH Valuation: { Total Sq Feet: Type of Work: WINDOW No of Openings: 1 Additional Info: IMPACT Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee Plan Review Fee (Engineer) Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $110.00 $60.00 $6.00 $50.00 ($50.00) $2.75 $184.55 Invoice # WS -3-09 -34330 WS-3-09 -34330 Check #: 5040 Total Amt Paid Amt Due $ 184.55 $ 50.00 i> $ 184.55 $ 184.55 $ 0.00 Cell $ 1,000.00 0 Available Inspections: Inspection Type: Window Door Attachment Final Shutters Final Shutter Attachment 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. April 14, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 14, 2009 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F vs„ Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: May 20, 2009 Inspector: Rodriguez, Jorge Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Window /Door Replacement Phone Number Parcel Number 1132060132700 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 00 Gr. •1-. . AA "AAA Permit Number: WS-3-09-462 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Ii Inspection Number: INSP- 109371 Scheduled Inspection Date: May 11, 2009 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Windows /Shutters Inspection Type: Window Door Attachment Work Classification: Window /Door Replacement Phone Number Parcel Number 1132060132700 Building Department Comments Passed Failed Correction Needed is4/74 Inspector Comments /.`"?• 3-eLeaeot c lid(, ' ed6 A41--,e‘-t-944- Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Sho Phone: (305)795 -2204 Fax: (305)756 010 Scheduled Inspection Date: June 11, 2009 Inspector. Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Windows/Shutters Inspection Type: Window and Door Buck Work Classification: Window /Door Replacement Phone Number Parcel Number 1132060132700 Building Department Comments Passed Failed 47 6 �? Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments jf I4 . June 10, 2009 Page 23 of 26 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 115049 Permit Number: WS -3- 09-462 Scheduled Inspection Date: March 17, 2010 Inspector: Bruhn, Norman Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Window /Door Replacement Phone Number Parcel Number 1132060132700 Building Department Comments PLACE A NEW WINDOW IMPACT RESISTANT TO A NEW OPENING Inspector Comments CREATED AS REINSPECTION FOR INSP- 109374. NOT READY. JR 05/20/09 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 16, 2010 For Inspections please call: (305)762 -4949 Page 3 of 19 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. S 0 1009 Master Permit Noi LO9-4 BUILDING PERMIT APPLICATIOPP FBC 2004 ECEOVE M so as es 410 Permit Type (circle): Building Roofmg Owner's Name (Fee (,) Simple 06 13E,, (; b Owner's Address i.. ` n .. City c State Phone # igto ( to:)6 Zip 3 L2 Tenant/Lessee Name Phone # Job Address (where the work is being done) t. 00 00,19W-S11- City Miami Shores Village County Miami -Dade Zip 3a' t a FOLIO / PARCEL # Is Building Historically Designated YES NO "zp.) Contractor's Company Name L.. fl Phone # Contractor's Address LOD D City riaaAJCI State Zip 28/3� Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 6-00 .-Type of Work: QAddition :Describe Work: DAlteration Square I Linear Footage Of Work: ail ew ❑ Repair/Replace ❑ Demolition 11.0.0 uAndOL !s ark' Wait) To hp opal,. * * * ** * * * * ***+x*a:*****:n ****** : ** * ** Fees* *** ****** **** *** ** :* : ****** *** ** *********** 4 bt ttal Fee $ .r Permit Fee $ //0 `!� CCF $ 0 +(.Q0 corm"— ' : `= Notary $ ' '5' Training/Education Fee $ 0' 9 Technology Fee $ 915- E Scanning $ Radon $ DPBR $ Zoning $ <,' Bond $ Code Enforcement $ Double Fee $ Structural Review. $ het /'° Total Fee Now Due $ I 34" . 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 reinspection fee will be charged. Signature !'' .1111't+lumiOA/ Signature 0 ` or Agent Contractor The fore oing instrument was acknowledged before me this 2+ The foregoing instrument was acknowledged before me this r J� day of , 20 (� , by Al ittki SaleiA l`att _ day of , 20 _, by who is personally known ,N known to me or who has produced 'ttC)'3 who is personally known to me or who has produced 1'41 -I t l lld V As identification and who did ,.ate oath. as identification and who did take an oath. NOTARY PUBLIC: g ;O e NOTARY PUBLIC: 407 gSpN o2 2 00 Sign: !• /�.!%.. ,,eon V ��MMS Qt\°;.os` r�� Print: My Commission Expires: Sign: Print: My Commission Expires: * ** *** * * **** ***** ** *** '********************************************* ** * *** * ******** ** * ***** * ******* ** ***** APPLICATION APPROVED BY: (Revised 07/10/07) Pit4/749 Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT gcail NAME: 56.1141 DATE: 6/09 ADDRESS: 't :)c) c ec 0i(9 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale-or lease. If you sell or lease a Wilding you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violdtion of this exemption. You may not hire an unlicensed person as a eolith actor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Myself. 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. Initial te 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4)( I understand that the building official and inspectors are not then 140 ckts g , alter or give advice on how to meet code — only if the structure meets the minimum code. Initial 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy. I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial - 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this 24 day of %ltvt ,202 By & Molt al --CIA ge4(Ja 11 it 1n • who was personally known to me or who has Produced there License or F11" F1,--Drivo / j . INcu 7b as identification. • • ••• • • • ••• • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • ••• • ••• . • • • Miami Shores Building Dep uient,• ••: :: •: Product Approval Schedule / Comparison Chart Address: o. Opening Description of Window Product Acceptance ID or Door or Mullion Number odouct•Appyrova 0 Design resets • • • re Rough Opening Shutter Re wired Size Yes /(No Mullion Required Yes / No act No e) SF (3P F; • (+3PSF (SF . • • • • • • ••• •• 3e s 25150 d-- • o . • • .• • •••• • •• *. S. •• • •• • • .. • .• • • • • • • • • • • • 1 28/2808 16 :33. 305 - 888 -9376 ',L-C • • • •S of w • •• • .+ • •• •• ••• N•, •I. M • ••• •• • • • •• ,bM w•••h • • • • '' •so w M•,~ • • • •,S • ••,�. • 1 N w • N •.• • • • • ••• • ••• • • •••• • • * • • • • •• • •• • •• • • • • • • • • •••• • ••;• t•• • SdoolIC AVM •••• • • 0..4°S • ce CONTRW..DiVISION NOTICE OF ArcErrini late Ogrcfn Windows end Doors 8130 N. W. 70 A.-venue • • Medley, FL 33x166 SCOPE: regulations gave ;ate use c�don This NCO. is being issued under the applicable rules arul tnateials. The doeumentaticai submitted has been reviewed by Miami Dade County Product Corerol Division and accepted by the Board of Rules and Apps (BORA) to be used in Miltird. Dade Comity and other areas where allowed by the Authority Having Jurisdiction (A137)- Miami-Dade County Produce Css3ttDl This NOA shall not be valid. after the expiration date stated below. The reserve the tight t of Division (In Miami Dade County) and /or the A133 Cm areas other than > S Dade County) to have this product or material rested for query assurance purposes. If this p`uduct or material falls to perform in the accepted manner, the manufacturer will incur the expense of such testeg wad the A33 may immediately _evoke, eriodify, or snspemd the use of such prochict of material within their jurisdiction. BOR.A reserves the right to revoke this acceptance, if it is•determined by Miami-Dade County Product atn.mi Division that this reodixt or material fails to meet the requirements of the applicable building code. This pre tot is approved as described herein, and has been designed to comply with the Florida Biding Code, ilediudhig the i igh Velocity Monica= Zone. DESCRIPTION: Series 2500 Aluminum Single Hung Wmdow — L.M.I. APPROVAL DOCUMENT: Drawing No. W05 -37, titled "Series 2500 Alum. Single Hung Window (1..M.I.) ", sheets I through 5 of 5, dated 07/26/2045, withrevisiov B dated 107/15/2007, prepared by el Pre Corporation, dated 12/13/2007, sib and sealed by Dr. Hamayomi Farooq, f'.E., bowing tho Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and Expiration date by the Miami-Dade Comity Product Cool Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shah bear a permanent label with the ma'arefncter&s name or logo, city, state and following statement: 'laamiDade Co my Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has heart filed . sad there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change bi the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for Wes. advertising or any other purposes shall automatically terminate this NOA.. Failure to comply with any section of this NOA shall be cause for Mminatio n and removal of NOA. ADV RTISE ENT: The NOA limber preceded by the words I+diami -Dade County, Florida, and foJiowec by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then shall be done in its entirety. INSPEC n0N. A copy of this entire NOA shall be provided to the uses by the manufacturer cturer or its di,trtbutOrs and shall be available for inspection at the job site at the request of the Beading Official. This NOA revises NOA. # 0 5- 0810.04 ant3 e. esists of this page 1 and evidee= pages E l and E-2, as well as approval document mentioned above. The submitted. docuniientation was reviewed by Jaime D. Gases, P.E. • ••• •• : ' N ,•• N •r • + • • • A •• • e • N • • •• • • r«««« • • •• • r•• • • M • N••• 4• ••• •• PAelE 0106 7yl it.?.4I 3A.siE COUNTY. PLOPMA. • merttf3 -AADE FLA. GT �R ZUltDni9 240 WEST FLAMER MEET, SUITE 1107 • i r . Fi.O =A 331:5B-1,563 •• (305) 3'75 -2901 ?r.a.x (305) 372-6339 eei+�i`�ts�tit�yd° NO4 dVO 474' Approval& 474 frEtiOR DO: Detcmbor flu Pool U, CNI t 385- 888 -9376 CO Qi N r' • •• • •• • • 4 • • • :.1 • AI •ir • •• • • • ••• • ••• •ii;i •••• •.'.• • ♦ • • • •• • •.• • • • •• • •••• • • •••• •••• • • • • •• • •.•• *et • ~•• •••• • „5 ••• rr: ••• •• ••• • ••• • • •••••• • to •• •••• •• • • •• •. • •:.. ••• • •••• • .. • •• S. • • • • • • •• IHi5E SUTDIDIel11RE RATED FOR IAP3001I39LE Iisom sItJIfES%lrip RECTIFIED. • •• • • • • • IS • •• MM •M • • • • • S. a••4• • N• ••s• •••• •• •• .o• *ft • •••••• • ZERR'S EaGfl ALCkflNUH SI Q HU(fG Ym4l'DI1E' DE9GJI LOAD RAMIS F0.4 THESE snows rc dE AS PER CiHART BRO1MD OH SHEE' l °FiaA/AL APPLIES TO STIC.f: UIi115 VB 51DE B1' 9D.¢ COIIBMATIO319 OF S.!•L{S,H. OR 5.9. T1 1H DTtnna MOM TYPES of [COMER OF '413 DR MORE 42INCOR5 USiWG Mohul -DAOE C0U14W APPRDYE6 MIIWONS Bi EUJ% Eli. 21111 PRODJCT MN DEER DESIGNED AND TESTED TO C071117Y 1tJITH TI.E. REQiUUiJet4TS Of Ow RtCSGIIA BUI(DIIL7 nDOE 2DM MTON D37UTAIM room mom?. kntwavE zarr. 411VHEI. Sti'CIOD ROCS EN i17YiER8, OUST BE kXHRfJ PROPEIa.YITT Tr4N5r 4 LGW,DS TO ME STtiULTLE+. • ANC21DRE ma BE AS mum. mum AS SIMO'll! ON °E.FiJIS. X4Q4OR5 EMAFIETIKFN1 to 1345E 11ti aAt. SIt'L IT 2•44) YJILL 043E553l Oil 511102. "A1`I U1FNIli OR I.UADO4G COtialliePL NUT 51100 IN NEW DETADS AIRE: NOT P4T21 OF THIS Ad''RIIWl_ ' k Lao mama wawa IN Al.I Qrl) I( STAESS IS U52) IN LU:i16A' of AUCHOR.S INTC not DM T541RIL OTltrat MT TO 175 IJI.1R�a�WA WOWS S lLNCC f 7�Hi�F CIAREITEt tl S •11- Ali riftal BLDfl, ii it SECTTos 2II03.0.1. • 3?" Sb' 0... arR (B3for mz• ' dd41< Trf? coign 01 32 11/11' 0.6. oft. 34 3/4' 4 Nr Ytl341 a FALME /4157115 i5L18PAEE 9PYU 144Y US 43 3/4' .ralrALEVASTON MEN CO 13414 L4kfliN4TERI GLASS MANGE MISSILE IMPAtt ea, ,• �k• 1haFknTi'i� 1:.aa ela. orthrml 2ii,is Lx„�;,ri_ 2Rr'r sheet Of YI 0 2007 305 -88B -9376 • •••• • •••• 110. • i• Y J7' iii.• •• • • 4r 413. 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MUST SUSEMW MIX INFtlSE=J OY SLAZJtS SYSTEM, ANG 1Rti4atr:Jt THEM 10 'l1E BUILI)RD SiR1JCURaE. rYPIC�,T. ANCHORS; SEE B. v. FOn SPAc 1 X18 ©B 1/4° TA ICINF gMEES s FCR u5E or min' WM 2EN ••2100 EUCMS OR WODU STRUCTURE 1 -3/6' RIW. fictETRATION 1IIO WON 2 k ° 1-/e { I D MAMMY MEOW COMITY INTO CONC. OR MISONRY 1.1 /i' MN. EMBED RIM MK. IX4 IDI3f8Vnr INTO METAL EIOLCTU EEs BIEI I ; 12 GA. NW, (Fy ■ 3$ HSI MIL) AWIWiN ; 1//8" 1H C. N. (6003 -r$ IYN.) (STEEL IN coiner WITH AMILJM Tro ee P AIED on Nam) ■B .ug ort jstri jautaxams INTO •1021 -1M1E COUNTY AFYROMM WLLIONS (NO SIGN SPACE) • ANA FDS OISTAihorq INTO CONCRETE MD IMSON7Y = 1 -1/f' .WU. IN10 ROOD STRUCTURE 3,64• iwa. INTO METAL STRUCTURE m 112. MIL, IAA ALL *NTS AND FRAME 9 *)ECTIONS SEALER TEMPT SCJHNEE MOREIEEAD SEAM SEALER %%6558, • �.i YP1 ° 3/4' WEEP HQTCH AT E H END u;`tfi;C 411L UWT'.ca n aatP'?# it! • • • • • • • • • • • • • • • •• ••• • • • 1404-0t0E Comm • • •••• • • •• ••• • • • • •••• • • • • • • • • : • • • • 5 •• • 012 SoPMATE 224 1111100i0 intaaa • • VA •• • • es 410 •• • 41)• • • • • ••■/? •,... • • ?EV •• • .....• •••• • • • ,•• • es • • • • • • • •••• :•• At• • ••• • • so as • ••■ • •• ar •• •• •• • • ••••• • .••• 5 9. it. • •• • • #5 •• •• • • pop • ••• 1 ft •, ass: /m.4=m • • ea... •=i • • set 411411.12/11112 21•24210 OM MET a rea csmay• • •••• • • • • • • • • 111). on • • • • • • it 1YPI MOMS 1025J5 ma an rua ammo 3 05 -999 -9375 CC , / mos. Anemias CO • —ZEE PICT. F-ua 6114210 222 SKECT 2 FIST EAR1.01-f . , COVLICELME TIM POT I flqT. 220E10OYMIT .10T0L bIq1fii0 1 ?-T10 1 nu= MC t- 1T I Sill 0 0 1111 - -102 a MOM MO • 00240 ?t-1S I. 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HAW tWMEIDOF 5ItIIEEk MOM 4E4 P:t•` '•'' ith(Inna-16A API/ Inspection Worksheet Miami Shores Vill�r'� 10050 N.E. 2nd Avenue Miami ore: Phone: (305)795 -2204 Fax: (3 A27/ Scheduled Inspection Date: June 18, 2009 Inspector: Perez, JanPierre Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: Permit Type: Mechanical - Residential Inspection Type: Hood Work Classification: Addition/Alteration Phone Number Parcel Number 1132060132700 Building Department Comments so ug7 6/ Inspector Comments Passed L LL Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2009 Page 13 of 22 Inspection Workshe Miami Shores Vill 10050 N.E. 2nd Avenue Miam Phone: (305)795 -2204 Fax: (3 Scheduled Inspection Date: June 18, 2009 Inspector: Perez, JanPierre Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Mechanical - Residential Inspection Type: Ventilation Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments Inspector Comments Passed Pt/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2009 Page 2 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 16, 2009 Inspector: Perez, JanPierre Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ikt01 Permit Type: Mechanical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments t6h Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 15, 2009 Page 26 of 31 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 11, 2009 Inspector. Perez, JanPierre Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Mechanical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments L blik Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 10, 2009 Page 2 of 26 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 ................ ................. .................. ................. .................. Project Address Parcel Number 100 96 Street 1132060132700 Miami Shores, FL 33138- Block: Lot: :.,. ... .. ea:..... ?3•. ..... bi .. mgg w....•...v< >. » »,>vwrc:•:r. •:: > >•r. »: :v:x •..>,.n•:•.•:.•x> .... r <. Owner Information Address AYMAN JADALLAH 100. NE 96 ST MIAMI SHORES FL 33138 -2726 Expiration: 1011012009 Applicant AMANI JADALLAH Contractor(s) HOME OWNER Phone Cell Phone Valuation: $ 1,000.00 Total Sq Feet: Tons: Additional Info: MECHANICAL Classification: Residential Approved: Yes Comments: Date Denied: Date Approved: 3/25/2009 : Yes Type of Work: Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $150.00 $3.00 $50.00 ($50.00) $3.97 $162.77 Invoice # MC -3-09 -34332 MC -3-09 -34332 Total Amt Paid Amt Due $ 162.77 $ 112.77 ...................... $ 162.77 $ 162.77 $ 0.00 0 Available Inspections: Inspection Type: Ventilation Final Rough Hood Rough Duct Smoke Test Smoke Det Test 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. April 14, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 14, 2009 Date 1 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 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address ,, t.... ✓P City \CTINA State Permit No. hLV'"t -4f Master Permit No. (tog -4(1 Tenant/Lessee Name Zip Phone # I ( O 33(36 E -MAIL: VQ a CV "•. 0 1 �� Q,l�! ` ()on tbd Job Address (where the work is being done) Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO .J(J Contractor's Company Name Contractor's Address City tC p,ksi, Qualifier Name \40M6 1 N ;C7 State F Zip 33tag Phone # -504 65---ixo-lc. Zip 33 V3 Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 'pe of Work: ['Addition Describe Work: Phone # Square / Linear Footage Of Work: DAlteration []New SO Repair /Replace El Demolition v 6 mittal Fee $ ********&&xx oe ****xaYaYaYxxxx *9exxxxx****9ixx Fees *x *x*9 * * **' *x"x * **.*'4aYx'°'Y' *** '&xxxxxxxxxx*xx Permit Fee $ 1ltptary $ S't'd Scanning $' Training /Education Fee Radon $ $ 02.0 DPBR $ CCF $ Ota0 CO /CC Technology Fee $ 3 • • Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1 ltJ'� •77 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 i 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 31ki ntt tit - b rrJed 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 properly 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 w of be approved and a reinspection fee will be charged Signature ir 0 %.47111/1112,I1 Ow *r Agent The fore ' oing instrument was acknowledged before me this 74 day of VC �l , 2061 , by AWN, NHft' 1 Gd411#k• , who is personally known to me or who has produced o Ud,►S 1.1 L 71 q ri v As identification and who did take an NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature 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. ***x*xx**** ****,,xxxx xx *le* x x4cic* ***** xxncxxx x u* **** APPLICATION APPROVED BY: (Revised 02 /08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: xx xxxxxx*x x! Fx 3sxxx***** axxx 9:vYxxrx** ***********xx *x****x Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: Pci1Qf•S\ ,SOVC,I DATE: ADDRESS: \co \'e&&- CV.0 Trak. Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your.own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Myself 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure -meets - the.,::., minimum code. Initial 4i5/ 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial Po 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 1 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial 45c. Was acknowledged before me this 24 day of /1k VG� , 20 d 1 By A ✓lvt4l St Yltld j'Adalkk who was personally known to me or who has Produced there License or rit3Ariti /..1(, 74 q17(' as identification. RC- 3.0q•4401 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 109389 Permit Number: MC- 3- 09-464 Scheduled Inspection Date: March 18, 2010 Inspector: Perez, JanPierre Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments REPLACING 30 INCH HOOD TO NEW 36 INCH HOOD IN THE KITCHEN Inspector Comments Passed w�. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 17, 2010 For Inspections please call: (305)762 -4949 Page 2 of 20 bq -L1(6. i b9 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 08/29/2009 Applicant 100 96 Street Miami Shores, FL 33138- Owner Information Address 1132060132700 Block: Lot: Phone Cell AYMAN JADALLAH 100 NE 96 ST MIAMI SHORES FL 33138 -2726 Valuation: Total Sq Feet: $ 1,500.00 0 Type of Work: PLUMBING Type of Piping: PIPE REPAIR IN BATHROOM Additional Info: Bond Return : Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $180.00 $3.00 $4.50 $189.10 Invoice # PL -3-09 -34088 Check #: 1030 Total Amt Paid Amt Due $ 189.10 $ 189.10 $ 0.00 .4 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory 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. March 02, 2009 Authorized Signature: Owner I Applicant / Contractor I Agent Building Department Copy March 02, 2009 Date 1 AtAbc\ nrt 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 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder)AM A !✓l J,4 o/4 LI A 4 Owner's Address ipenrWM !Q! FEB 2 3 -1009 BY: Permit No. V Master Permit No. Phone # 7f4- 28,3---;/4. 74 /c9 0 /Vg 'sr City ji 1 ' State Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip . 3 g/ e3' FOLIO / PARCEL # o,vA° AS % Is Building Historically Designated YES NO t/ Contractor's Company Name Sie`},! ,S BFIaes Phone# 7/ -2?e - ?4z4. Contractor's Address / ree. At it, 6e City State sec- Qualifier Name `� ;pQe/i ey Al 911e,..1 State Certificate or Registration No. ( ,r e p G 9 7.S E -MAIL: Zip 3 5l‘ Phone# y 9y - !Bate Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $f 5"® ®' °`"'" Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New Repair /Replace 121 Demolition Describe Work: -Re �e e # "e V rte( /47 • ******•* x *. * * * * ** * * * * * * * * * * * * * * * ** * * * ** Fees * * * * * ** * * * ** * * * * * *** ***irk * *x** *x * * *xxxxx * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $. Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 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 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 a Ow er or Agent The foregoing instrument was acknowledged before me this day of ¶3 , 20 09, by who is personally known to me or who has produced 3 'fo-on -�� g(7 -b As identification and who did take an oa PUBLIC: Signature The 93dayof �i�2i vn - `co,,, 'is personally known to me or who has produced 3 r've& ath• as identification and who did take an oath. NOTARY ' . : IC: Contractor forego; g instrument was acknowledged before me this f—r- IJ , 20o I 'Bohn" Tonv My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print: i Sylvio Destinval a 01111111.%1011 iv)/ 4773 My Commission Expires;, {...•' Expires: NOV 15, 2011 Boa) TWIN ATLANTIC BOtNDING Ca. DM ************** ******** * * * *************** * ** ** x *,* Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC Permit Type: Plumbing f., iP ECEPIED MAR 2 4 2009 Permit No L- 2, --C -2b3 Master Permit No. RHO t 11(p I Owner's Name (Fee Simple Titleholder) Pirryi C Phone # Owner's Address . C(, 0 City CiftAi State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village zip (0 138 Phone # CO 1,1 SCI, - FOLIO / PARCEL # County Miami -Dade zip 3313 Is Building Historically Designated YES NO N Contractor's Company Name s le Se.k.e. Cie Contractor's Address #G> 37' r City State 7 Qualifier Name State Certificate or Registrat No. e,4"a,# ° E -MAIL: Phone # 7f if- &?-2 Z Zip .3 3/ e'f Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: ❑Addition Phone # ®,� "�� , 0 S7 Certificate of Competency No. J2 © © Iteration Phone # Square / Linear Footage Of Work: ❑ Repair /Replace ❑ Demolition Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ 6 Radon $ DPBR $ .Bond $ Code Enforcement $ Double Fee $ xxx ** *xxxxa * * * ** *xxxxx * *xx CCF$ CO /CC Technology Fee $ Zoning $ Structural Review. '$ Total Fee Now Due $ (3g` 00 • 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. [ 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 Own r Agent //��,, �' Contractor The fore oin�gtjinstrument was acknowledged before me this 14 The fo °going instrument was acknowledged before me this] day of �i�V, 20 , by )W4. ( k ' a��tl(ah , day of /i 200 by'' who is personally known to me or who has produced .1 i /f . who is personally known to me or who has produced t qI 1 As identification and wh • ' e an oath. as identification and who did take an oath. NOTARY PUB Al0g7g° \a NOTARY PUBLIC: Ax'' „d" ' 1: � iC � ` '' sign: Print: ► . &:.0 ' My Commission Ex. CoMMID100#D171711 � ' iii � g s kil xxxx OOOTTT Sign: Print: AIL ,„a te My Commission & xxx xxx xx *x*xx******************x*** **** AI/A( /Amp.- APPLICATION APPROVE (Revised 02/08/06) ixxxxxxiiixxixia: p'c xixxxixxxac 3 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 _ —(� — L (4 Inspection Number: INSP- 107160 Permit Number: PL -2 -09 -263 Scheduled Inspection Date: October 05, 2009 Inspector: Levrock, James Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Building Department Comments REPLACE WATER LINE WITH GALVANIZED PIPES FOR HOT AND COLD IN BATHROOM REVISION TO INTEGRATE THE JOB TO BE DONE IN THE KITCHEN FOR PIPING HOT AND COLD WATER AND DRAIN. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 02, 2009 For Inspections please call: (305)762 -4949 Page 2 of 21 etor1. spetior Worksheet Man-ti Shores Village E. 2nd tvenue Miami Shores, FL Phone. (3)5)795-2204 Fax: (305)756-8972 03i Scheduled Inspection Date: April 24, 2009 Inspector: Le rock, James Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: 7,./22711.921711[(5011:1 Building Department Comments .7111111111. Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Addition/Alteration, Phone Number Parcel Number 1132060132700 Passed Failed Correction Needed Re-Inspection Fee No Additional nspections can be scheduled until re-inspection flees paid April 23, 2009 Page 3 of 34 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Sh Phone: (305)795 -2204 Fax: (305)75 Scheduled Inspection Date: June 03, 2009 Inspector: Devaney, Michael Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CERROS ELECTRIC ENTERPRISE CORP Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Phone: (305)285 -0399 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number 100 96 Street 1132060132700 Miami Shores, FL 33138- Block: Lot: Owner Information Address AYMAN JADALLAH 100 NE 96 ST MIAMI SHORES FL 33138 -2726 .....::: ..vr,,• ..............e•. >:••::. •.•.;...:•.. ....:• rr..,:.»: t:, o;: r:.:• r. 5::..•:•.,: 5•> rtty;:•: 5:.;::::•>. •:.:q:�•:::::fi:Yx..x..;>::::::: :. •..:....•.«...,......,,...,.....................:..................•... ..:...::,..:,. >:::.....:...:... ... .. ..... ..... Expiration: 1011012009 Applicant AMANI JADALLAH Phone Cell Contractor(s) Phone Cell Phone CERROS ELECTRIC ENTERPRISE CO (305)285 -0399 (786)295 -1346 Valuation: Total Sq Feet: Type of Work: ELECTRICAL Additional Info: KITCHEN REMODEL Classification: Residential Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $200.00 $3.00 $50.00 ($50.00) $5.00 $215.40 Invoice # Total Amt Paid Amt Due EL -3 -09 -34331 EL -4-09 -34535 $ 165.40 $ 165.40 $ 0.00 $ 50.00 $ 50.00 $ 0.00 $ 3,000.00 0 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. 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. April 14, 2009 Authorized Signature: Owner / Applicant / C.osntractor / Agent Building Department Copy April 14, 2009 Date 1/2009 16:11 3052859046 CERROS ELECTRIC Miami Shores Village Building Department 10050 N E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fan: (305) 756.8972 BUILDING PERMIT APPLICAT FBC 2004 PAGE 02 Permit No. rL ® atWo3 Master Permit No. fit ^ 41) S Permit Type: lectric Owner's Name (Fee Simple Titleholder Tenant/Lessee Name E -MAYL: Job Address (where the work is being done) City MiamiSb V't laaee�; _ County is ii- DDade FOLIO I PARCEL # 1 :J 'i —0 9-400 Phone # Is Building Historically Designated � Contractor's Company Name �J1 A. if ''YT S, _ ' Cori a Address .. . / ; . _ ��, c inn City � Samba io1 =1_ I. Zip Qualifier T �'� Phone # State Certificate stration No. Certificate of Competency No. E- MAIL: Cfro 4 etat, kr i r Architect/Engineer's Name (if applicable) Phone # Phone # oe q A di • Value of Work For this Permit S (me) Type of Work: []Addition Describe Work: Square / Linear Footage Of Work: Alteration [New 8 epa1r/Replace ❑ Demolition � 41. V + ts+ trwM* Ntwsra�IN► ��*+ rw1► r+ rews�A+ ff** F�y��► �www�. t�N► ��w++ r* 1AA+*,tsaNrAw��wwrt *f #4+►��eNrn 6q .� a •Fee s gym. �e CCF S I • coke Notary S Sabmimil Fees _ i Permit 00 Trains /Education Fees Q6 Technology Fee S 5 • .10 Scanning S Radon S »S Zoning S Bond $ Code Enforcement S Double Fee $ Structural Review. S Total Fee Nov Due $ • ' ' See Reverse side --4 ■ eAkti Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 commence , must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the . if, sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged or Agent Contractor The fore oing instrument was acknowledged before me this z4 The foregomg instrument was acknowledged before me this Keit day of , 20 j, by /{44441 10.L1 (( r , day of ' 20 a, by who is personally known to me or who has produced (l' 5 who is personally known to m as identification and who did take an oath. Ll 11 't'tVtD As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E * * * * * * * * * * * * * * ** **** t *,tir***** &***t**** ***** *** APPLICATION APPROVED B (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: *irf t�ir*# ,tair4,t,t,t *irlrstr *f4 *,tsirdr 3 civa tmalA Expires: JUNE 13, 20G Bonded Thru Atlantic Bonding Co., Inc. 2 kpah J Plans Examiner Fngineer Zoning PUBEft. WONT, Lila I. Suarez 'Return to: Invoice Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Bill To AYMAN JADALLAH 100 NE 96 ST MIAMI SHORES, FL 33138 -2726 Invoice Number: PL -4 -09 -34536 Invoice Date: April 13, 2009 Permit Number: PL -2 -09 -263 Bond Number: Comments: '�t::: ?Y.::�:i1:3- ::::.,:�t:' {•::::.kid l: %3�:�u:�:�:!i� Date 04/13/2009 04/13/2009 Fee Name Scanning Fee Revision Fee Fee Type Calculated Calculated Fee Amount $3.00 $35.00 Total Fees Due: $38.00 Payments Date Pay Type Check Number Amount Paid Change 04/14/2009 Credit Card $38.00 $0.00 Total Paid: $38.00 Total Due: $0.00 Tuesday, April 14, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Sh Phone: (305)795 -2204 Fax: (305)7 Inspection Number: INSP - 109382 Permit Number: EL- 3- 09-463 0 Scheduled Inspection Date: November 23, 2009 Inspector: Devaney, Michael Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Contractor: CERROS ELECTRIC ENTERPRISE CORP Phone Number Parcel Number 1132060132700 Phone: (305)285 -0399 Building Department Comments ELECTRICAL WORK FOR NEW KITCHEN Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 41,2p November 20, 2009 For Inspections please call: (305)762 -4949 Page 2 of 26 Inspection Worksheet Miami Shores Villag 10050 N.E. 2nd Avenue Miami S Phone: (305)795 -2204 Fax: (305) II Agr Scheduled Inspection Date: June 11, 2009 Inspector. Devaney, Michael Owner: JADALLAH, AYMAN Job Address: 100 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: CERROS ELECTRIC ENTERPRISE CORP Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132700 Phone: (305)285 -0399 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments s7e, vi// June 10, 2009 Page 24 of 26 • • • • • • • • • • 4r.maTimiggp-rey77-nit IN.X.11:1113=1E1=11E/1111:1`;'.21,4 9.:01,1 a 1.p:iv', • • . • • • • • • • • • • • • , ' rt f,,,,,imarnowartrinismowyrunor■pz-.... _ >,,•,..isitiftVAY:5- '-vrAir,X1 MISUriarillo • Eituain BLDG DEPT of SUBJECT TO COMPLIANCE WITH !ILL FEDERAL STATE AND COUNTY RULES AND P EGULATIONS LEGEND. • .- • • •. • • •. ees ea.= • se aro $ REM+OAR TON • • • • • •.l.: exietiMg•'portition • • .• • • t - � • •• . •existl.gq.• ►notch, light or receptacle • ,..;new �ntitcl� light or receptacle .N.••• .. . existing 220 receptacle new 220 receptacle N existing relocated receptacle ER N SER existing relocated light switch a new J box 1111111111111M111111111MU111 sir r —' FLOOR PLAN t E2 • • ••• • • • ••• 115 •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • M•• • • • • ••• • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••O i • •• • • • • • / 0 100 0* • • 0 CVO ..„1■P 0 • • • • •' • ••• • • • •• • • • • • •• • • • • • ••• •• Note: This drawing is an tic of interpretation of the general the design. It is not meant to be an exact rendition. jadallah dvn.kit 14- TECHNOIO i Slr Dsigned: 2111/201 Printed: 2/12/2009 I jadallah dvn.kit I Drawing # • • ... • • • ... S. .. • • • • •• • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • •.. • • • • ••• • ... • • • • • • • • • • ... • • •• • • • • • • • • • • • •.• • • S. 121 '2 " .•• • • oo • .. ..• .. . . . • . • • • 01 D315901TF3 -90 All dimensions .size designations given are subject to verification on job site and adjustment to fit job conditions. jadallah dvn.kit itCH o&OGOE5 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 2/11/2009 Printed: 2/12/2009 El i at I Drawing #: I ,1 • • ••• • • • •• •• • • • •• •• • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • ••• • • • • ••• • ••• • • • • • • • • • • • • • • • • • • • • • • ••• .• • •• • • • • • • • • • • • ••• • • •• • •• • • • •• ••• •• • • • • • • • • • • • • ••• ••• P• M co fla 170" 74^ All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. CNNOLOGtES This is an original design and must not be Designed: 2/11/20f0, released or copied unless applicable fee Printed: 2/12/2009 has been paid or job order placed. iadallah dvn.kit El 1 Drawing #: H 4 • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • S. • • • • • • ••• • • • • • • • • • • • • • • • ••• • • • • • ••• • •.• • • • • • • • • • • • • • • • • • • • • • • • ••• • • •• • • • • • • • • • • • ••• . • • •• • • • • • •• •.• • •• •• • • • • • • • • ••• • • • • • Note: This drawing is an artistic interpretation of the general appearance o the design. It is not meant to be an exact rendition. 'NCMN0LOO +ES Designed: 2/11/2009 Printed: 2/12/2009 vl` jadallah dvn.ki jadallah dvn.kit I Drawing #: 1 • • •.• • • • ••• •• •• • • • • •• •• • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • • ••• • ••• • • • • • • • • • • • • • • • • • • • • • • • ••• • • •• • • • • • • • . • • • ••• • • •• •• • • • •• ••• •• • • • • • • • • • •• • • • • • ••• •• Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. Designed: 2/11/2009 Printed: 2/12/2009 jadallah dvn.kit J jadallah dvn.kitj Drawing #: 1 4 • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• • ••• • • • • • • • • • • • • • • • • • • • • • • ••• • • •• • • • • • • • • • • • ••• • • •• •• e • • • •• ••• •• • • • • • • • • • •• • • • • • • • • • ••• •• M N TOTF3 -90) + D III 63<" 1164" r?-0 All dimensions .size designations given are subject to verification on job site and adjustment to fit job conditions. TECHOOIOGIOS This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 2/11/200 Printed: 2/12/2009 jadallah dvn.kit (E13 Drawing #: 4 • • •.• • • • ••s •• •• • • • •. •• • • • • • • • • • • • • • • ••• M • • • • • • • • • • • • w.. • • • • ••• • •.• • • • • • • • • • • • • • • • • • • • • • •' ••• • • •• • • • • • • • • • • • •.• • • •• •• • • • •• ••• •• •• • • •• •• • • • • • ••• ••• 00 CEO MCI 78" SB36SFTF I BWB15 DEBF3 -34 1 /1SBLC36R e 85" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. TECH A10MOGi8 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 2/11/2009 Printed: 2/12/2009 jadallah dvn.kit E12 l Drawing #: 1 0 0 00 CEO MCI 78" SB36SFTF I BWB15 DEBF3 -34 1 /1SBLC36R e 85" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. TECH A10MOGi8 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 2/11/2009 Printed: 2/12/2009 jadallah dvn.kit E12 l Drawing #: 1 • • ..• a • • • • • • • • • • • . • • . •.. • • • • .:. • • • • • • ••• ... • • • • • .• • • • • • • • .•. • 0 • • . . . . . . . • • • • • •.• • • .• • • .•* • • • • • • • .. ••• : . • .. ... .. • ••. . i i i i. a ... •• • .. • • • • • ... .. 1211• 27 -BD - > „, B27 -BD TO1 D31590(TF3 -90 to N N , 36;0 " 08-9ESM B36FWDBD CO SBLC36R3F3 -34 1/25 -4 BWB15 W'n, 7429,E 3-3-36 VV3636BD W3036BD 78" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. jadallah dvn.ldt Tl ht4OLOGIES This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 2/11/20( printed: 2/12/2009 Drawing i • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • ••• .• • • • • •.' • • • • • • • • • • • • • • ••• • • •• .. • 8 • • 0 • • -...., ..._ * * • • • ■ ee o • • 0 * • • • 4, o 00000 • • • • 0 • ** • ••• • 0 9 .--- `I) i• . .. a . •• • • i 0° o • ,15 • • • • • • • • 000000 • • • • •• • • • • • o 00000 •• * • 4.4.73 [4, 11 Note: This drawing is an artistic interpretation of the general appearance o the design. It is not meant to be an exact rendition. ZinDesigned: 2/1 1/: o. Printed: 2112/20 jadallah dvn.kit liadallab dvn.kit Drawing g A a ZO 85" 163" 78" All dimensions size designations given are subject to verification on job site and adjustment to fit job conditions. This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. jadallah dvn.kit I All Designed. 2/11/2005 Printed. 2/12/2009 Drawing #: