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RC-11-2241Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 , Project: <NONE> Owner: Phone: Job Address: 53 NW 97 Street Miami Shores, FL 33138- Parcel: 1131010330280 Block: Lot: Scheduled Ins • # Ins •ection T 09/24/2012 INSP- 167310 Drywall 02/05/2013 INSP- 167311 Final 01/23/2012 INSP- 167308 Framing BOTH BATHROOMS COVERED ALREADY. 01/24/2012 INSP- 169078 Framing Ins • ection Status APPROVED APPROVED DENIED DENIED Ins • ector Date Com • leted Norman Bruhn 9/24/2012 Norman Bruhn 2/5 /2013 Jorge Rodriguez 1/23/2012 Norman Bruhn 1/27/2012 CREATED AS REINSPECTION FOR INSP- 167308. BOTH BATHROOMS COVERED ALREADY. Work exceeds permit. Provide plans from a licensed architect showing all alterations. NB 07/19/2012 INSP- 169241 Floor Trusses APPROVED Norman Bruhn 7/19/2012 CREATED AS REINSPECTION FOR INSP- 169078. CREATED AS REINSPECTION FOR INSP- 167308. BOTH BATHROOMS COVERED ALREADY. Work exceeds permit. Provide plans from a licensed architect showing all alterations. NB 09/18/2012 INSP- 178578 Framing APPROVED Jorge Rodriguez 9/19/2012 CREATED AS REINSPECTION FOR INSP- 169078. CREATED AS REINSPECTION FOR INSP- 167308. BOTH BATHROOMS COVERED ALREADY. Work exceeds permit. Provide plans from a licensed architect showing all alterations. NB Monday, April 1, 2013 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 167311 Permit Number: RC -12 -11 -2241 Scheduled Inspection Date: February 05, 2013 Inspector: Bruhn, Norman Owner: Job Address: 53 NW 97 Street Miami Shores, FL 33138- Project: <NONE> Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Contractor: FORMULA DEVELOPMENT & CONSTRUCTION MANAGMEN Phone Number Parcel Number 1131010330280 Phone: (305)725 -6264 Building Department Comments KITCHEN AND BATHROOM REMODEL. FLOORING, TILING AND CABINETRY. STOP WORK BY NB, WORK EXCEEDS PERMIT. License holder must meet with Building Official. Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 04, 2013 For Inspections please call: (305)762 -4949 Page 5 of 30 I'!I2- (�orN BUIL ING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 nn Tel: (305) 795.2204 Fax: (305) 756.8972 Ice (% INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION FBC 20 Permit Type: BUILDING - S* 24 9 vL v Iii �p 4 Phone#: 145.1° ' O `OWNER: Name (Fee Simple Titleholder): Address: Igo N City: '�/� �`� Stater `� Zip: Tenant/Lessee Narhe: Phone #: I Email: ROOFING FEB D Permit No. Master Permit No. JOB ADDRESS: (Sa'& tit) I9'"" ' eT f City: Miami Shores County: Miami Dade Zip: �d'/� '--r Folio/Parcel #: Is the Building Historically Designated: Yes ', Floop Zone: \410 e.4 ytSf'Y`ttct 'MM WI 4144.7 Pined, roc CONTRACTOR: Company Name: form k I4. D e t1 ¢ 16 14 m e dig) Address: /roc S. QC ea a P t'4� �j l City: l- Q 1(G k ci t y State: p V Qualifier Name: Ed /� State Certification or Registration #: C (T l.. 05 A 7 4, e Contact Phone #35_.7 a5...6 n L Email Address: —(2 LcJ� DESIGNER: Architect/Engineer: M: G' a' 1 (I .e 0 @9 0 Phone #: 305- 7.915- a 4 jt Zip: 33oe i / Phone #:'3v 5 -7,x5- 2.tP14 Certificate of Competency #: :/c eheboulA. Phone #: q5'/-'t • 3 6, Value of Work for this Permit: $ Type of Work: ❑Addition Description of Work,...etyy . c �n If7Alteration Square/Linear Footage of Work: ❑New ❑Repair/Replace e ❑Demoolition j R.e Ni S 1) CIOSe �-• * * *** * * * * * * ** sx * * * * * * * * * * * * * * * * * * * * * ** Fees**** x:* **+ x** **+ x********+ x** *******+x*+xx:******** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE N I W DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER . OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi I • occ s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro . #!, reinspection fee will be charged. The foreg day o who i Contractor The foregoing instrument was acknowledged before me this day of , 20 &, by E I t ` Ali of icr n to In •r who has produced who • me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Print: * ?ti3' * MY OMISSION iODN431 );-17-4 ExPIRtS:Apri122,2014 • My Commission ExpiP f oo Bonded Rai I et Noy tirviosi APPROVED BY EXPIRES: Apr* 22, 2014 • ` Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) �`�' ► ' w IL -° EDIT)-1 -2/ 17 Permit No: 11 -2241 Job Name: February 17, 2012 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet Revision 1) The plans submitted do not match the description on the permit application. Remove dl work not related to this permit. The garageenclosure or any work in the garage must be approved by the Planning and Zoning Board. 2) Provide a demolition permit for the garage interior that was demolished without permits. All unpermitted work that is started must be permitted and completed before any other permits will be issued. Provide all permit applications prior to any further review. Provide corrections for electrical and mechanical. A mechanical permit is required for the ac work. AC closet must be large enough for the AC and required clearance and must be removable without demolishing walls. 3) ) STOPPED REVIEW Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 1(1 it' 6e/0/1,- A ° 4,1,04-1 t- Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: Date: Permit #: Mechanical Critique Sheet Review Completed by: Jan Pierre Perez Chief Mechanical Inspector MiamiShores Vsuage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #. v /1 . 2.2-4) DATE: r��✓ ]] D V'. Wt Lt z)e Ve'epna 04.7-- ecZo Contractor o Owner o Architect From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 3 PERMIT CLERK INITIAL: uG ? Po4 liatc0 1ku �hl 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 B IL ING PE ' , PPLICATION FBC Perim UILDING ROOFING OWNER: Name (Fee Simple Titleholder): Address: City: Dkoc-1?-f 1.? V Z-1 k- State: (, Zip: 531& ( Tenant/Lessee Name: GG r Phone #: Email: 43° y.52 to Ill�2 (e k �'t- c•�✓Zt l ° Cgs wt 1 JOB ADDRESS: �J 3 1S u) ¶ � e City: Miami Shores County: Miami Dade Zip: 77' \ St) Folio/Parcel #: A- ■.ot -'57-) - az>O MVMIT\WM- If) la DEC 0 2 2011 i. BY: Permit No. I5J Master Permit No. 3A Acciu\srvio4as LLC- Phone #: Is the Building Historically Designated: Yes - NO CONTRACTOR: Company Name: 'Q/ tt> a Address: 1.(546% 0~k.) City: �l� � State: 0 ye- Zip: Qualifier Name: € p7tl 4 wive' &2 J7 • Phone #: State Certification or Registration #: C 9-f2-9-60 Certi i'cate of Comp tency Contact Phone #: �c° °1' S— 4Z � ' -Email Address: atm h B r& bel l DESIGNER: Architect/Engineer: Phone#: Flood Zone: Value ° Work for Permit: 000_ Square/Linear Footage of Work: New Nitepair/Replace Description of Work: • . ► n A-•_• vt C 't,-a ( ` Type of Work: ❑Addition ❑Alteration ❑Demolition ******** *+ x*+ r**** x: ****+x************ * * *** Fees********* ******* *************** *********x *** Submittal Fee $ Permit Fee $ o of CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 4 dam- 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 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 will not be %I it oved and a reinspection fee will be charged. . Signature er or Agent The foregoing instrument was acknowledged before me this Z day of 20 by kkic.te.1 � \J • who • personally known to me ho has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commis 9 0 �� . k z elir ' ' 1 °;1, • ' •° �pires Jun 8, 2013 ' -' `` ✓ `� 4"). p /am 897282 �� ' '5''', Bonded Through National Notary Assn. Contractor The foregoing instrument was acknowledgf d before a this day of // ✓s� f 204 , by Edo whb is personally known to m� or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission MY COMMISSION *D0984327 EXPIRES: April 22, 2014 Bonded That BudgeN y Sobs ** * ** *s<s<s<s<*s:>ko:****e:**** * * * ** **** **** **** * * * ** ********************** *** ******** * * * * *** * * * * *** * *** * * ** * *** ** APPROVED BY 44"./(( Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFfIRST INSPECTION PERMIT NO. 1KC,- ZZZ TAX FOUO NO. kk. kok• f>-5 "t"1"527 STATE OF FLORIDA*. COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements 10 be made to certain real proper* and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. . 8 Ni 14: 4 :S. ;AN Amotmt of bond $ Name, address and phone number. 5. Surety: payment bond required by owner from contractor, if any) \6* Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other-documents may be served as provided by \. • 713.13(1)(a)7., Florida Statutes, 44; ame, address and phone number eC as i 1111 1111 CFN 201 1R01.333856 OR Blt 27925 Ps 1650i Ups) RECORDED 12/13/2011 11:36:54 HARVEY RUVIth CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE: Spece•abois reserved tor Use Of reeprilMg office / 12,..trit.derzrzfl tion. of property and street/ : • ,-.., Cult Nktikl-kt Vikoass 5ic 6 ** Fe> 10-'5S :tic+ iv* gt.,e. Yi... 404- (S' 1 . 2. Description of knpmvemqnt 0(4 . ik+e-ii42-( pz,v.-t- 1 100,-,..c.. teee 3. Owner(s) name and address: U*54. -XV* Ptc-610 lS Interest in property: 4007. . otm•Lt-ePop • Name and address of fee simple titleholder: 4. Contractor's name, add d • hone n • $(..vc-tra PeiG ta,..satc,t 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b), Honda Statutes. Name, address and phone number: — 9. Expiration date of this Notice of Commencement . . (the expeetton data lel yeae ftorn the date er eiceittng ualess a difterattitkiate is speelfleri) '. . . . WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF 1-0 NOTICE °OmMENOEMENTARE OONSIbERED IMPROFER PAYMENTS, UNDER CHAPTER-713r PART I, SECTION 713.13.FLOFilbA STATUTES, 0 CAN 'RESULT IN YOUR 'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORD giANOPOSTED-ok THE JOSS(TE BEFORE THE . - OR RECORDING YOUR NOTICE OF COMMENCEMENT. • *FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH YOUR LEN I* O.' ANATTORNEY BEFORE cotitmEkaNtt WORK Prepared By 1k que 610472.a ca 11/4iq•Ote Prepared By • I riell Signature(s) of Owner(s) Owner(s)' AutteFized Officer/Director/Partner/Manager Print Name .1A. (.1. .60,4,i 6 i■tz-t-e_ . • Print Name Pia IMe/Office kskU14-i.e.,-C. • • • .•• ' TitielOffice STATE OF FLORIDA • COUNTY OF MIAMI-DADE The 10 ,:, ..'.Inb in,' M.,.iit was wpm ed f• . me this /0 day of 4.40/,77 .4( - . POI/ • By .. ,... / .7) i, ' re- - JP IndiVid = li; or lass iff—Mr&517 ' •- . for F-1.127‘11:-/Ii=ur.•47.el7=7F.__=‘••;emee r•Persixially known, or ta. produced the folio( ng type of lrientification* 1,15,.Willialitalia JJLT ' ' • .', , . Signature of Notary FtibliC: . .. fFirg • : , • Print Name: ...„.., ThAnlareAnaltWill 'Under pelnaltles of rjory, I declard-that [have read.trie fdregoingand that the facts. Signature(s) of By 123.01-52 PAGE 3 810 WNW tt are true, to the• best of my knoWledge and belief. \!-- •• • r(1) or owner(s)"s Authorized oftic•erigireCior/PU*4riegOr. wbbSlinetlabOVe: By Attoa end. Pe-calf_ 1kz IIoilatstall aurcelliED :flfl3 H`';i nasskAZak HL Haimf Tars {t 4(6!I,'∎ 1 0 in 111 i1ri EF i4) Gt .o\`� rgitti ;K: Czar z "K»?i!A...Ilrfr;i. LLC, a FL 3 161 ARRANTY "J t "tea t rc�w� rr ; t fill " 11111 9 at ) CF14 20111103794-409 Ras " i1, - nir,.. r: ) 1312191611 *614042 TAX NAMENTAL TA-1A r. ) I (01N. �I� rsu Cah': cepzumtors STATE l2' FLOR3DA, Lot 2014, and dm i ✓,.i.::1.112ofISo I9 t i Ii ;r`}.` f ",,. 11.4V1.) meriPanwit Irk IIII 3110 Sti ^xnec11.1 ar'r am 53 OP LAND SITUATE AS .t+'g7n$ll30nah°y COUNTY • ��Aor iT 1rl 31i{ it)Et cr.;;;rt; n),mnnn:r 311 V Zt VV. 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MAW b y W F [zi on Ui Deed Mak STATE OF THE A ASSET Ui BargetefiliTE MixtRodinittettazunufflebt haze LET2iitiggq vipQnnoja tc; ;t'. 1,, , [I l Welk F I °i \ who bans i easparea BANK NATIONAL ASSiXIATION, AS Tow= °ammonia% 100 tun :taag10,4Is I actriII4 4,,.14li . _ itiC lli cfa I- YI1 tsG °, a 070 C U 107 1A-A10).0._ Ott ar has 21.112 Nit NO PARTITIONS TO BE DEMOLISHED 00 00 ALL OUTLETS 8' -O" EXISTING WINDOW TO REMAIN TO BE UPDATED TO GFI O m D/W KITCHEN CABINETS PLAN & ELEVATIONS SCALE: 1/4"=1'-0" REPLACEMENT OF KITCHEN CABINETS ON 53 NW 97TH ST - MIAMI SHORES NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.F.I PROTECTED RECEPTACLE. PUT D/W RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. PERMIT # PCA 2- — Li3L CONTRACTOR: RYL, rh 1 Dri -- ri1 SUBMITTAL DATE: ADDRESS: 5°5 1.1.)1/4.3 5T nn rrn NAME: k) 31_ .CC oS A S 1e RESUBMITAL DATES: PROJECT TYPE: C . EN V vl2-- `z_-_, ,, 3/2/27- ZONING FIRE U ; f2n / 11 & " PAP 6)11,01°1✓ STRUCTURAL IMPACT FEES zif,°1-749 f7- ELECTRICAL HRSIDERM o, - ---1t -( 2i 1e '/-f(--'-- PLUMBING Aar .l0, -[2.- NOC '11\ kk \.(1/ MECHANICAL 1 BLDG 4 J NO PARTITIONS TO BE DEMOLISHED EXISTING TO REMAIN e 0 MASTER BATH VIAS ze212 BATH ALL OUTLETS TO BE UPDATED TO GFI EXISTING WINDOW TO REMAIN 2ND BATH 2ND BATH BATHROOM RECEPTACLE ON 20 AMP Clef AND G.F.I PROTECTED BATHROOM CABINETS ELEVATIONS SCALE: 1/4 " =1' -0" REPLACEMENT OF BATHROOM CABINETS ON 53 NW 97TH ST - MIAMI SHORES i /-`,77P:0\170 ING DEPT1 a — \pDGDEPT__ IBC IECT i0 COMPLIANCE W111-1 AI_L FEDERAL REGULATIONS STATE AND CCUN`N r�t� FS AND _'�� �J vC Z %ice , 4 1 INk&r/i/V, <14 pia 616 e 1.0.2. - 7 -- i / Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 -`39,■A\ Inspection Number: INSP- 167319 Permit Number: EL -12 -11 -2242 Scheduled Inspection Date: January 16, 2013 Inspector: Devaney, Michael Owner: Job Address: 53 NW 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: URBAN KO Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010330280 Phone: (786)251 -5607 Building Department Comments ELECTRICAL WORK FOR NEW KITCHEN AND BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Co �� - nts January 15, 2013 For Inspections please call: (305)762 -4949 Page 1 of 37 e©ti-ra4craL etily Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 � Permit No 1 0 --► Master Permit No. 11-' I BUILDING PE ' PPLICATION FBC 20 DEC 02 2Egii Y: o ®mmvovm---- eme000m Permit Typ : lectrical OWNER: Name (Fee Simple Titleholder): 4..)° INCQ t‘ °r t o 3 l.-L) - Phone #: - 2 . 1 020 Address: tiXac. City: cOC-' %11 Q Q 7_1 - State: �ci Zip: �3l (o Tenant/Lessee Name:UU Phone #: OW )2L° '6,442 c\ . C.® coal Email: JOB ADDRESS: 6-3 P .6 /7 City: Miami Shores County: Folio/Parcel #: (1 ° 3 I CA -0')3 - ° Is the Building Historically Designated: Yes NO Miami Dade Zip: Flood Zone: CONTRACTOR: Company Name: u . $ i C 0 -N C. Phone #: "4& 2 S l 5�O4 Address: 22.0 W to (6'0or.a � D City: . to vv. State: Qualifier Name: -, 14 13 t e 3>t (a s "a. ® S zip: 331.a Phone #: State Certification or Registration #: ER /.3 b I2 S 3-f' Certificate of Competency #: 0 5 C 0 0 ®2 k3 Contact Phone #: °MU- — G 5-14c, Email Address: fAJ 0t'5es.s it 0 • C.c. DESIGNER: Architect/Engineer: Phone#: Value k for this Permit: $ 'I, -QUA Square/Linear Footage of Work: Type of Wark.. �e,: OAlteration UNewRepair/Replace ODemolition e` cnption of Work l i �, f' lit•.& r `Z C .V t 44.1 a) 111,G; j ******** ******* **** ** ***** * ***** * **** ** Fees************* ***** * * * * *** * * ************** *** Submittal Fee $ Permit Fee $ /3-0, e'0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1014 /O 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 dnip ection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectivnewkl r'%sbe approve aad a reinspection fee will be charged. Signature Ote r A1gent The foregoing instrument was acknowledged before me this The foreg t1 day of , 20 fsby t� Nett t CI Ne t , day of Signature Ate or*Ito has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission :Ty ublic - State of Florida Expires Jun 8, 2013 Commission # DO 897282 An ruled Through National Notary Assn. w o is ing ins rye.. ersonally • Contractor was ackn. ' led: ed b me 20 , b >i me or who has produced ntification and who did take an oath. OTA P BLIC: ,/ Sign: Print: My Co ssion E + x+ x**************** ***** a.* *x< ***+ x+ xs: **+ x*m **+ a*s• ***+ x*x +*+a+x+x*s:*****+x+ax:*x * ** ****+t **** ** **+ x+x****************** APPROVED BY !9� a©•: r/ Plans Examiner Zoning Structural Review Clerk (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 \ --094k\ Inspection Number: INSP- 167322 Permit Number: PL -12 -11 -2243 Scheduled Inspection Date: January 16, 2013 Inspector: Hernandez, Rafael Owner: Job Address: 53 NW 97 Street Miami Shores, FL 33138- Project <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010330280 Phone: 305 -383 -9259 Building Department Comments PLUMBING WORK FOR KITCHEN AND BATHROOM REMODEL Passed Failed 1*. Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comment January 15, 2013 For Inspections please call: (305)762 -4949 Page 2 of 37 BU ! G PE '' I' `y PPLICATION Master Permit No. ICA o41 FB Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: __ Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. I 11 433 E C o 2 25111 Pe . i`; e: PLUMBING OWNER: Name (Fee Simple Titleholder): 05 4 C2-f v 1 t L. -Phone #: kt3G E.G Address: ll,o( a (04" 44'''?"- City: Le2c-er.e_ 4 Z.K State: Zip: ( Tenant/Lessee Name: tt ^ �r - Phone #: Email: So(4,32L0 (� `^e_ p ` VwG` - JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 'JS 1 5 O Folio/Parcel #: U-- 1 o1. • 0-2D • 02450 Is the Building Historically Designated: Yes ONCr CONTRAC OR: 11Com/�'an'y (Name: Address: 0V `jLV �� ' (' City: 1 Qualifier Name: State Certification Contact Phone#: ��s 1 aton G Flood Zone: e � Phoe #°c/ GU " / t y: Email Zi Address: O .' Phone #: Certificate of C te 111 y ' DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit $ V5ICIO Square/Linear Footage of Work: Type of Work: ❑Address UlAlteration ❑New pair/Replace ODemolition Description of Work: 6A * * * * * * * * * * * * * * * * * *** K* * * **** ******** * * *Fee ******** ******* :**** *****x:********+x****** Submittal Fee $ Permit Fee $ t/ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ a 9.0 • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address • City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app f ve 1 and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 11. , 20 u , by t.ttte( egk 1124tmAe. who i rsonally know�l�to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co 4040, mph .111111 144 Commission E irs..',: ALICIA DOMINGUEZ y unli State of Florida ,.... t Expires Jun 8, 2013 lakevibo National Notary Assa. Signature Contractor The foregoing instrument was acknowledged before me this 01 day of our Dt) , 20 VI, , by (V4. i i L 6.1\ who is personally known to me or who has produced acku2St5 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co *+x**** * ******* ********* * ** * **** : ********** *** * *****************x *** * ****:******** *x:****** ***** **** ***** ***** APPROVED BY ! ,2 -7- Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk Acion CERTIFICATE OF LIABILITY INSURANCE DATE „6/2” 0111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(hes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER A&A Underwriters, Inc. 8796 SW 8 St Miami, Fl 33174 CONTACT NAME Pablo M Conde ,ter 305- 220 4447 mac. Nor. 305-220 4821 S: pmc@aaunderwriters.com INsuREas) AFFORDING COVERAGE NAIClr INSURERA: Scotsdale Insurance Company INSURED Loncus Plumbing Contractor Inc. 1300 SW 70 Ave Miami FL 33184 INSURER B: Business First Insurance Company 11/16/11 INSURER C: EACH OCCURRENCE INSURER D : PREMISES OO(Ea Wince) INSURER E: MED EXP (My one person) INSURER F : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS How LLTR TYPE OF INSURANCE ADDL. INSR BUM wvo POLICY NUMBER CE jtrA DYYYY) S IVIJDDIYNYa, UMITS A GENERAL. X UABIUTY COMMERCIAL GENERAL LIABILITY CPS1286506 11/16/11 11/16/12 EACH OCCURRENCE $ 1,000,000 PREMISES OO(Ea Wince) $ 100,000 MED EXP (My one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 GENI AGGREGATE UMIT APPUESPER: I POLICY n sEg n LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL AUTOS OWNED HIRED AUTOS ASUTOS HEDULED AUTOS (Era COMBINED SIMILE UMIT $ BODILY INJURY (Per perm) $ 0ODIIL�Y INJURY (Per accident) $ DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESSUAa OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN EXCLUDED? (Mandatory In If yyeess describe under DESCRIPTION OF OPERATIONS below N 521 -01010 08/13/11 08/13/12 WC STATU- 1OTH- TORY LIMITS ER E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POUCY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VBIICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CANCELLATION I MIAMI SHORE VILLAGE 10050 NE 2 AVENUE MIAMI SHORE, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2010 ACORD CORPORATION. All rights resery ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PDF created with pdfFactory Pro trial version www.odffactory.com MIAMFDADE COUNTY 2011. LOCAL BUSINESS`TAX RECEIPT :.:2012 COLLECTOR MIAMI -DADS COUNTY - STATE OF FL©RU)A . W. FLAGLER ST. ' EXPIRES SEPT. 30, 2012 I.00FE MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A ART. 98i 10 591873 -6 BUSINESS NAME / LOCATION LONCUS PLUMBING CONTRACTOR 1331 SW 84 CT 33144 UNIN DADE COUNTY OWNER LONCUS PLUMBING CONTRACTOR Sec. 96 of CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EYELWT THE HOLDER FROM ANY OTHER PEROT OR UCENSE REQUIRED BY LAW. THIS 15 NOT A CERTIFICATION OF THE HOLDERS OUALIFICA• TIONS. PAYMENT RECEWED MIAMFDADE COUNTY TAX COLLECTOR: 07/12/2011 60060000085 900.07 §..:00_ 4:4-4 s I:.A SEE OTHER SIDE Pi RENEWAL RECEIPT NO. 617415-5 INC STATE* CFC1428066 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 INC WORKER /S 3 DO NOT FORWARD LONCUS PLUMBING CONTRACTOR INC REMBERTO BELLO PRES 1331 SW 84 CT MIAMI FL 33144 eCErtrsi�a�is 11 Jas 111111, lallllri l,Jsalsa Ills is 6,t STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 BELLO, `$ ERTO LONCUS PLUMBING CONTRACTOR INC 1MIAMI AOSW 70 AVENUE FL 33144 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new License! DETACH HERE (850) 487 -1395 DATE BATCH-! NUMBER Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 53 NW 97 Street Miami Shores, FL 33138- Owner Information Per Permit NO. PL -1 2- 111 -2243 Permit Type: Plumbing Residential Work Classification: Addition /Alteration Permit Status: APPROVED Address Parcel Number Issue Date:1211 S /2011 Expiration: 06/12/2012 1131010330280 Block: Lot: Applicant USA RE ACQUISITIONS LLC Phone Cell USA RE ACQUISITIONS LLC 53 NW 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone LONCUS PLUMBING CONTRACTORS 305 - 383 -9259 Cell Phone Valuation: Total Sq Feet: $ 1,500.00 0 1 Type of Work: KITCHEN & BATHROOM REMODEL Type of Piping: PLUMBING Additional Info: Bond Retum : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $2.00 $2.00 $0.40 $100.00 $3.00 $1.60 $110.20 Pay Date Pay Type Invoice # PL -12 -11 -42739 12/20/2011 Check #: 1022 12/02/2011 Check #: 1020 Amt Paid Amt Due $ 60.20 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Final Underground I 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. December 20, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 20, 2011 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170432 Scheduled Inspection Date: January 16, 2013 Inspector: Bruhn, Norman Owner: Permit Number: DGT -2 -12 -332 Job Address: 53 NW 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Permit Type: Decks /Gazebos/Trellises Inspection Type: Final Work Classification: Deck Wood FORMULA DEVELOPMENT & CONSTRUCTION MANAGMEN Phone Number Parcel Number 1131010330280 Phone: (305)725 -6264 Building Department Comments WOOD DECK 18 X 11 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 15, 2013 For Inspections please call: (305)762 -4949 Page 3 of 37