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DS-12-2233 Miami Shores Village Buildin g Department artment '' 13 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 LO BUILDING Permit No. PERMIT APPLICATION Master Permit No. [z - Permit Type: BUILDING ROOFING JOB ADDRESS: City: Miami Shores County: Miami Dade �:� �'l 14.AM ft Folio/Parcel#: WE ifil Is the Building Historically Designated:Yes Fl OWNER:Name(Fee,Simple Titleholder): Phone#: Address: City: State: Zip: at Tenant/Lessee Name: Phone#: Email: CONTRACTOR:�Comppny Namm 61 Phone#: 'v Address: City: State, Zip: Qualifier Name: Phone#: '4 State Certification or R 'stration#:43;� (10 lei I I Certificate of Competency#: Contact Phone#: Email Ad ess: 12P e,*O a*s ?A c W DESIGNER:Architect/Engineer. 91&Wejp Phone#:?, 7 .b jj�ue of Work for this Permit:$ S ear Footage of Work: Type of Work: LIAdditiolL LIA4teratioi ❑New ❑R air/Replace ❑Demolition cription of Work: 0 Color thru tile: Submittal Fee$ Permit Fee$ '�J 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 perinit 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 b re will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded n co enc be posted at the job site for the first inspection which occurs seven (7) days after the building permit ' issued. n t sence such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ��'�/lIG Q - 5 gna V�'`� Signature `07-er ent Contractor The forego ng instrument was ackn wled d before me 's The foregoing instrument was acknowledged"before me this day 20' b C '� 7 day of 20 �,bYl��Q'� U)e:77(,& wh is pe o y own to me or wh produced J who is personally known to me or who has produced V' t i 2 0 As identification and who did take an oath. as identification and who S �11an'oath. 'r NOTAR LI0 NOTARY PUBL ��` �Ld 1. Ct181��OS � �col° ��•' IAA fate Flotilla ��• �1r s__ Sign: a tic S of 20 5 Sign: —� `'c`'''_" '•' °�°mm.Expire E 128810 Print: •' '�Y < nn#E Assn. Print: N My Commission Expires: ';,; gcnded�h�pu9 My Commission Expires: �O`er *1111111111111th 6 Y�vYYiriFoY�9r k�YY Y 44coYvY kvY9esY4nY Y9F4e4e&4eoY4eoYY4e4eYvY Y k4r4rBr4r9rY4r4r3e4e4e4e�Ys Ys YYsY3eYY4rY9edrs Y4rs4�Y:Y3e4nY8r9e�YY4e9eYY3e9e4e�Arde3r3esFY k9cirFrdr9ra4Y4rYY3e3e4eY APPROVED BY ��r-^� Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009XRevised 3/15/09)(Revised 7/10/2007) Miami Shores Village u Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 NOV Q �� INSPECTION'S PHONE NUMBER:(305)762.4949 C 20 ` BUILDING Permit No.VS(A- PERMIT APPLICATION Master Permit No. (P Permit Type: BUILDING ROOFING JOB ADDRESS: r V a 11 City: Miami Shores County: Miami Dade zip: Folio/Parcelk Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple T eholder): l Phone#. Address: City: • State zip: !` t Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Compiny Name: K6F& L-0 Phone#: 2Pv:> b SA Address: D City: S te• ZipA?�1'z Qualifier Name: Phone#: IL State Certification o Registration#: Certificate of Competency#: Contact Phone#: �Z� �b Email Address: t C�J �t 40L DESIGNER:Architect/Engineer: Phone#: s 1 Value of Work for this Permit:$ �'�• Square/Linear Footage of Work: Min Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Color thru tile: �2;,:tpL Submittal Fee$L-J-J( Permit Fee$ /moo 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. 'WARN11% 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, (;ONSULT WITH YOUR LENDER'_QRa AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT % . q Notice to Applicant. As a condition to the issuance of a building permit with an estimated value ext�eftI250Q,,the-applicant must promise in good'faith that a copy of the notice of commencement and construction lien law brochure will be delivered to fhi person whose property is subject to attachment. Also, a certified copy of the recorded notice of c mmencement must be posted at the job site for the first inspection z occ s seven (7) days after the building permit ' iss the absence of such posted notice, the inspection will no app ro an ei lion fee will be charged. Signa Signature Owner or Agent Contractor The egoing instrument was aAakowl ged befo a me this ` The fo oin ins men as ackn' ledg d`befo a 's day of °�R ,20 U,by e �� /p day of 1�L. alb 1 who is person known to me or who-has produced b who is pe onalt Wdficatio-n me or who has produce L0100 S,I �� As identification and who did take an oath. !O — and who did take an oath. NOTARY PUB , 101® ARY P LIC: •� Sign: Si LOS Sign:' EE 180176 Print: °""`° d<<�., Notary public- 02 2015 MIR 3, My Commission Expires: � "oP: a eanautroyr�u�na"°asoo aots My Commissio *' 'o;� yCommission# na 128810 • , oN' h National Notary Assn. %,;o F�•o° Bonded Through APPROVED BY / Plans Examiner / -�a /� Zoning Structural Review Clerk (Revisl 3/ 01 vi It/I 0/07)(Revised 06/10/2009)(Revised 3115/09) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-182016 Permit Number: DS-11-12-2233 Scheduled Inspection Date: July 17,2013 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: CAUCHI, PAUL&MAGDALENA Work Classification: Addition/Alteration Job Address:131 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060132590 Project: <NONE> Contractor: RCPA BUILDERS INC Phone: (305)233-0858 Building Department Comments CONCRETE DRIVEWAY Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional inspections can be scheduled until re-inspection fee is paid. July 16,2013 For Inspections please call: (305)762-4949 Page 3 of 38 Restrictive Covenant Declaration of Use Prepared by: DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS: WHEREAS,the undersigned istare the fee simple owner(s) of the following described property("Property")situated and being in Miami Shores Village, Florida: Lot(s) Block of (Subdivision), according to the plat thereof, as recorded in the Plat Book Page of the Public Records of Miami-Dade County, Florida, (address) and WHEREAS,the undersigned owner(s)have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW,THEREFORE,for good and valuable consideration,the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami-Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER,the undersigned declare(s)that this covenant is intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect. IN WITNESS WHEREOF,the undersigned has/have caused hand(s)and seal(s)to be affixed hereto on this day of , 200_ WITNESS(ES) OWNERS: Signature Signature and Print and Print Signature Signature and Print and Print STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) I HEREBY CERTIFY that on this day personally appeared before me who is personally known to me or has produced (type of identification)as identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily,for purposes therein expressed. SWORN TO AND SUBSCRIBED before me on this day of 1200_ My commission expires: NOTARY PUBLIC, STATE OF FLORIDA Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-178145 Permit Number: RC-9-12-1658 Inspection Date: July 24,2013 Permit Type: Residential Construction Inspector:Ashraf,Syed Inspection Type: Final PE Certification Owner: CAUCHI, PAUL&MAGDALENA Work Classification: Addition/Alteration Job Address: 131 NE 96 Street Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060132590 Contractor: RCPA BUILDERS INC Phone: (305)233-0858 Building Department Comments GARAGE CONVERSION Inspector Comments Passed lzr Failed E:1 Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 July 25,2013 Page 1 of 1 s i e t � f RICHARD CORTES,PA AR#0014236 7700 SW 115 STREET PINECREST,FLORIDA 33156 305.233.0858 July 12,2013 Mr.Norman Bruhn Building Official Miami Shores Village 10050 NE 2 Avenue Miami Shores,Florida 33138 Re:Addition For: Mr.&Mrs.Paul Cauchi 131 NE 96 Street Miami Shores,Florida 33138 Permit# 12.1658 To whom it may concern, I Richard Cortes,having performed and approved the required Reinforced Masonry inspection,hereby attest that to the best of my knowledge,belief and professional judgment,that it is in compliance with the approved plans and other approved permits documents.I also attest to the best of my knowledge,belief and professional judgment that this inspection was performed in accordance to the Florida Building Code and is being submitted to the Miami Shores Building Department. S ave tions or need any additional information,please do not hesitate to contact me. cer Ri ar Architect#AR 0014236 � r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSP-1 78143 Permi N tuber: t u RC-9-12-1658 Inspection Date:July 24,2013 Permit Type: Residential Construction Inspector:Ashraf,Syed Inspection Type: F. Termite Letter Owner: CAUCHI, PAUL&MAGDALENA Work Classification: Addition/Alteration Job Address:131 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060132590 Project: <NONE> Contractor: RCPA BUILDERS INC Phone: (305)233-0858 Building Department Comments GARAGE CONVERSION Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 July 25,2013 Page 1 of 1 PEST CONTROL, INC. NOTICE OF TERMITE PROTECTIVE TREATMENT AS REQUIRED BY FLORIDA BUII.DING CODE(FBC) 104.2.6 DATE OF TREATMENT: TIME OF TREATMENT: INI I 29 APPLICATO (� OUT BUILDER NAME: I . i TREATMENT ADDRESS: C ,� ✓' �T�r JOB#: LOT: BLOCK: UNIT: SPRAY&TAMP PRAY ONLY SPRAY# SIDENTIAL COMMERCIAL DDITION CHEMICALal ALaf °&I - % tZb GALLONS MONOLITHIC 4-10 8 s/F STEMWALL SF L/F L/F PERIMETER TREATMENT CHEMICAL: % GALLONS DATE OF TREATMENT: TIME OF TREATMENT: APPLICATOR: LT 300 S.STATE ROAD 7 PLANTATION,FLORIDA 33317 954-584-8588 1-800-749-8588 FAxo 954-584-6117 1 N. r - f, -i�11 PEST . �{ S (3 'IE U ' `E GTIVE TRA'TRENT . As REQ 13y", + 6 COD (k ) 104-2 6 1 J1 DATE OleEATT: T IN ;: . . - t PLI AT.> gtII,DER NAME it , _ ! I i TREATNmlr ADDRESS' I r / jf I , 4 qn 1. 1 LOT 71, 1. a P�� ' �# II z 1 _ �L C�xC�iar. DTITON I� C CAL IIMS iL ,e Io PALLON. u � , r 'lr � 1 :e 1 y IK _ 1 c. CpHI 1t . A-LONE P Ir ATE OF:TItEA`FM At3 TO _ N APPT.`il A QI Lid IS I - '��I� I 1 - 3UQ :S�� Ronn'7 -_P� rrr�TTO ,Fr oRm 3 $5 8 -7494585'' 0 9S t f ,