OS-13-240 Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 8Y.
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS.: W �® W E U 0 Y ( 1 1 l ®t��s FL
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:�Name(Fee Simple Titleholder): �-�+�e Phone#:
Address: o ® 0 N f y Q S
c cJ Irl?
City: � State: Zip: 33 t 18
Tenant/Ussee Name: Phone#:
Email:
CONTRACTOR: Company Name:t"` -� h"�'�� �`^ ao!:: p t v -t-- Phone#rW b,2-w 16(Q 4
Address: I SS q! Ste' 6
City: 1�A 1I State: /N J,, Zip;3,3 19
Qualifier Name: ko�z d (�&_c-7. ve vet- • Phone#:°9'}Y Fa
State Certification or Registration#: 1 S I L/ (0 X°k Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: OAddition OAlteration *ew ORepair/Replace ❑Demolition
Description of Work: ®V-FL16
Color thru tile:
®d
Submittal Fee$ Permit Fee$_ Z12°�CCF$ 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 zap
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. j
I
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The forX��mg instrument was acknowledged before me this
day of ��k� -`�20�by �f +Cc �-�L- �� day of , ,20 13,by /- i & ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: �<<+++��►�►►� u,, NOTARY PUBLIC:
Sign: �/��,/',
Sign:
Print: =co: 0 6 = Print: ii06N�
My Commission Expires: 113 ' My Comnit jrMWM.I114•2016
APPROVED BY /O"` /J Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-204029 Permit Number: DS-2-13-240
Scheduled Inspection Date: December 06,2013 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: SFARA,VERONIQUE Work Classification: Addition/Alteration
Job Address:1080 NE 105 Street
Miami Shores, FL 33138-
Phone Number (305)799-2006
Parcel Number 1122320280090
Project: <NONE>
Contractor: MC INVESTMENT GROUP INC Phone: (786)294-1987
Building Department Comments
DRIVEWAY PAVERS AND SIDE LANDING WITH WOOD Infractio Passed Comments
OVER FOR COSMETIC PURPOSES INSPECTOR COMMENTS False
stop work order issued by Building Official due to lack of
maintenance of sediment and erosion control. 5/3/13
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-196009. CREATED AS
REINSPECTION FOR INSP-195091. CREATED AS REINSPECTION FOR
INSP-185379. NOT READY. JR
Must be sodded
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 05,2013 For Inspections please call: (305)762-4949 Page 20 of 24
Miami Shores Village C E:D
Building Department NOV 0 7 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972 PY:
INSPECTION'S P ON ER: (305)762.4949 �-
s S FBC 20
BUILDING .a Permit No. I �
PERMIT APP "� Master Permit No. l 1 \�-\\�•
Permit Type: BUILDING ROOFING
JOB ADDRESS: (2 A/ 15F 105 5-r—
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:
P
' City: State: Zip:
Tenantl.essee Name: Phone#:
Email: V. jeLt�� m
CONTRACTOR: Company Name: fj v-XC Phone#: -2,q '}'
Address: 15,541 S�,; d 6� S-T-
City: 4.v%t State:
Qualifier Name: e ko4e vp, Phone#:
State Certification or Registration#: FC�C- I %&,29 Certificate of Competency#:_
Contact Phone#: 6 XA� l i l Email Address: m c,er.caa y avc,- /
a� k Cc
DESIGNER:Architect/Engineer: Phone#:
-Value of Work for this Permit:$ `0 Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration ONew ORepair/Replace ODemolition
Description of Work: l 1`7b -
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 r,
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 n t be proved and a reinspection fee will be charged.
Signature Signature
Owner or Agent �j Contractor
The foregoing instrument was acknowledged before me this ` The foregoing instrument was acknowledged before me this0
day of ,20 )3,by VO&r-4 C'Qcc Sr—V2^ day of ' JQ-4 ,20 ,by M w WJZG
who is personally known to me or who has produced ��6 t� who is personally known to me or who has produced
As identification at,�41W61 1 11 if %tn oath. fication and who did take an oath.
NOTARY PUBLIC: \�`� "'� A 4,�.''�� NOTA)$1°\PUBLIC
Sign: _ !" lO = Sign:'
Print: ��s° �' Print:= o
`'
My Commission Expires: '''i11OR'®IA1` `����� My CO ' Q�IDAX OS,,\o�`\~
�0/i/l7II 1 111"0\0
�4a3e:Y��:F�Y�4eR•:F:F�Y3e9e:F�Y�Y3ek�•oY:F�3:kY3r9e3e :F4c3:oYk:Fk�3: ��Yk�Y�E•YYk�Y4e�t�Y4c4e*3c3nYk�Y�3:4e�Y�Y:F��Y�Y����Y:4�9zYsFY�Y�Yk9e�Y:F9:4c4:oY3::F3:/a4-:Y�3:�9:�:3e4c4c4e3:3:
APPROVED BY !! �� Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
f flf�f lff f�lff fl ��ffft�flfft fi11f fff f elf
C F N 2013RO273375
OR Sk 2072 Ps 1.569; (1us)
RECORDED 64/09/2013 16°>02:44
NOTICE OF COMMENCEMENT HARVEY RUVINr CLERK OF COURT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION MIAMI-DADE COUNTY P FLORIDA
LAST PAta
PERMIT NO. MtZ TAX FOLIO NOIL�2.1 20
STATE OF FLORIDA-
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED.hereby gives notice that Irriprovernents will be made to certain real
Property,and in accordance with Chapter 713,Florida Statutes,the following information
Is provided In this Notice of Commencement,
apace a nerved for use of recording office
1.Legal-description of pro rlyand street/ad r es:1- N11-Rit
2.Description of improvement:
8
3.Owner(s)name and address:
Interest in property: � t.
Name and address of fee aimple tidaholder
4.Co rector's n e add. one number _ ),
e
5.Surety.(Payment b nd required by owner from contractor,if any)
Name,:address and phone number.
Amount of bond$
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)(•)7.,Florida Statutes,
Name,address and phone number.
8.In addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section
713:13(1)(b),Florida Statutes.
address and phone number:
9.Expiration date of this"Notice of Commencement:
{the eicpi 4on date is 1 year from the date of recordh o unless a ditfem d date is specified)
WARNINGTO OWNER:ANY 0AYMENTS MADE BY THE OWNER AFTER THE EXPI.RATION;OF THE NOTICE OF_COMMENCEMENT E COidSIDERED
IMPROPER'PAYMENTS UNDER CHAPTER 713,PART I,SECTION-713.13.FLORIDA STATUTES,AND CAN RESULT IPI.YOl1R YING TWICE FOR
IMPRQUEMENT$.TO YOUR-PROPERTY.A NOTICE OF COMMENCEMENT MUST 13E RECORDED AND POSTED ON THeJOIJ.,ITEBEFORETHE
FIRST NSPEC ON.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AUATTORNEY BE pQ ING WO
R CE OF COMMENCEMENT. STATE OF FLORIDA,h OU1�1►T D� co
a,"e(s)of Owners) r Owner(•)'Authorized officer/Director/ParMer/MarI� ESVCER71FVrhattf75'
Prepared By, r Prepared By tgtnal filed in tlit;5 Of
Print.Name Print Name
-
We Title/Office... Y aw Val
STATE OF FLORIDA
COUNTY OF MIAMI-DADE v I C
The forego -e a'kno a ore me this-am day of r
By
Individually,or as for
Personally known,or �1 produced the failowirng type of atonV7i
Signature of Notary Public:
Print Name:
(SEA CLAUDIA V.D
;vim H
VERIFICATION PURSUANT TO SECTION 82625 FLORIDA STATUTES Notary Public- a
Under penalties of pbr)ury,I declare that have read the foregoing and { My Comm Expire5
that the facts stated in it are true,to the best of my knowledge and belief. .F oP° Commission
Bonded Through Natn.
4puuN
Signatur of, s)or Owner(s)'s Authorized Officer/Director/Partner/Manager who si
By By
12UI-62 PALES 3/10 'O