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RC-13-488 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-187207 Permit Number: RC-3-13488 -Scheduled Inspection Date: November 01, 2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: SMITH, PATRICE AND SCOTT Work Classification: Addition/Alteration Job Address:358 NE 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135280 Project: <NONE> Contractor: JM GENERAL CONTRACTORS, INC Phone: (754)235-6136 Building Department Comments NEW FLOORING IN KITCHEN/DINNING NEW KITCHEN Infractio Passed Comments CABINETS NEW SHOWER NEW VANITY INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 31,2013 For Inspections please call: (305)762-4949 Page 1 of 19 11lilll illl!!I! !11!!1 Il 11111111111 fill fill CFN 2013Rte211339 OR Bk 28537 P9 3140; QP9) RECORDED 03/19/2013 14:01:05 HARVEY RUt1INY CLERK OF COURT NOTICE OF COMMENCEMENT LAST COUIdTY� FLORIDA A RECORDED COPY MUST'�B/�E©©POSTED ON THE JOB SITE AT TiME OF FIRST INSPECTION LAST PAGE PERMIT NO. �' 3 7'66 TAX FOLIO NO STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby 9t!as notice that.improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following Information is provided in this Notice of Commencement Spam above reserved for use of recording office 1.Log description of property and street/address: 1 _ 2 Description of Improvement 3.Owner(s)name and address: ae AA IT`14 SA41fW. S578A/& tS f At d 4-'CS Interest in property: FL. 33/38 Name and address of fee simple titleholder. 4. ctor's name,address and phone number t Aj_ COQ T1YAC77��S ,TvG+ l be Nw i®e*t4 c-• .by"L, m P,3311 Pia iii'_ We- �� 5.Surety:(Payment bond required by owner from contractor,if any) Name,address and phone number. Amount of bond$ 6.Lender's name and address: 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, Name�iaddress and phone num '�.7It �c�I I"iC2 (��ul ,�13 u�.t{-�• 7Ja AFL 8.In addition to himself,Owners designates the following person(s)to receive a copy of the Lienoes Notice as provided in Section 713.13(1ub),Florida Statutes. Name,address and phone number. 9.Expiration date of this Notice of Commencements (ft expiration We is 1 year from ft date of recording unless a dRtewd date Is specified) WARNING TO OWNEi:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,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 COMMENCEMENT. Signatures)of Owner(s)or Owner(s)'Authorized Officer/Director/Partner/Manager Prepared Ely Prepared By Print Name Print Name 1 C2 n 10 eS A I tNUtuulfpSr .TMe/Office Titie/Offics , STATE OF FLORIDA : :�,Plres'•°' �'�� COUNTY OF MIAMI-DADE J�'V v The to pin irls`rument was a wledged before me this day of = By _ a Individually,or Ll as for ISSi011& ? ,g `U'PIrsonaily(mown,or❑produced the following type of identification: (( ,"' Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92M6 FLORIDA STATUTES Under penalties of perjury,I declare that I have read the foregoing and 'b 42 that the facts in it are true,to the best of my knowledge and belief. 1 Signature(s) er(s) Own s)'s zed Offioer/Director/Partner/Manager who signed abov ^ , By By Iasm.sz mss sno �I Miami Shores Village c�: 23'13 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 �� u FBC 20 B ING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 36-E o e- 20 3s+ r City: Miami Shores County: Miami Dade Zip: 3 3 13 8 Folio/Parcel#: Is the Building Historically Designated:Yes NO 194— Flood Zone: OWNER:Name(Fee Simple Titleholder): Phone#: Address: LUO h 2 2©) 3 4- City: t -LkA S fit. State: 7--C- Zip: 3 3 138 Tenant/Lessee Name:cJc_=-+1-&u`t t �- ��'� r i ce d j ,5� (, Phone#: Email: CONTRACTOR:Company Name:J 14 4+6A'° A'6 604""9--S tTAfC Phone#: �� `�` 7 �� Address: 8/6 e X a) I10 tv? e ° City: 166k State: r- Qualifier Name: A-14--64Nb" 9- J!X WA160 Phone#: -7&(" :;/f State Certification or Registration#: G 46!-50®98 61 Certificate of Competency#: 'VIA Contact Phone#: 286 3111 0433 Email Address: a 14 f&Adk0_41`fe y e Q J� � kaT xegi l.eez-r . DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ �" Square/Linear Footage of Work: Type of Work: OAddition Alteration ONew ORepair/Replace ODemolition Description of Work:_��.., 't• l� y.� �Gg0*4. . Nom' Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State 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 o commencement must be posted at the job site for the first inspecti which occurs seven (7) days after the building perm' s issued. the sense of such posted notice, the inspection will not a proved and a rein on fee will be charged. r Signature Sigma Al Owner or Agent a Con or The foregoing instrument was acknowledged before me this a The foregoing instrument was ac owledged before me this "i�2� 1lunlllnJ day of ,201 ,by 7 ��e°`l�t:�'!` n r r; 4/flay of 2(4,by rrJtjP o is personally own to me or who has produ ��c�y G i t�s'••. is person y known to me or who has produ As identification and who iid as identification and who diid take aN 016 NOTARY PUBLIC NOTARY PUBLIC r NOTARY PUBLIC: _ = NOTARY PUBLIC: a Commission # : z ': a (P�;'..EE160045.•-0� : Commission Print: :\ <` (^\� ,� /yn/—/'il'111111��11 Print:; �1�/1� ��/7sjllA09JOaA1�G��Ta®�\ My Commission Expires: My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)