RC-13-1032 Miami Shores Village
Building Department MAY 0!,. 613
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 Y: - - --
INSPECTION'S PHONE NUMBER:(305)762.4949 -- - -
FBC 20\O
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. 12n 13 102-
Permit Type: BUILDING ROOFING
JOB ADDRESS:-J-42- k)-E
City: Miami Shores County: Miami Dade Zip: ?s►?-$
Folio/Parcel#: //-310-013"033 0
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phon
e#.
Address: ` 2E kF q4 ,07-.
City: M N p.a-.t SN-+-*ae 5 State: zip: 3 3 t�3--
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: (51-Cc1S 1 A __ Phone#:
Address: /4® K\LLN (p CrAwA.
City:AA ,�CLV A; State: L Zip:
Qualifier Name: oat P-, � 6- Phone#: -0 ylZ
State Certification or Registration#: -F4--(251&&'T Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 2511a". — square/Linear Footage of Work: 60 $� A-ee or",
Type of Work; ❑Addition _ ❑Alteration ❑New *epair/Replace ❑Demolition
Descrlpfiou of Work: _ wan�e� f�� b� i�f11°bl- &
Color thru tile:
Submittal Fee$ 5v 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 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
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 1 C-P' The foregoing instrument was acknowledged before me this_L6_"_
day of ,20,�,by O ` day of .20�by ®��le ;e¢c
who is person y known to me or who has produced L1��-who is ersonall know to me or who has produced
AIL°✓Z--j -O►s identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si
Sign:
Print:
PAS Print:
NM 0 sum� M1f CobQliSffioN a S8 72u M Commission Ex p ires: °�M`F y07,20t� My Commission Expires. ,F 07 2017
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APPROVED BY `/ Plans Examiner Zoning
Structural Review Clerk
Revised 3/12012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTICE OF COMMENCEMENT CFN 2013RO404842
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR Bk 28641 F9 37281! t,1A9)
RECORDED 0512212013 12=23=21
HARVE'fi FUVIHP CLERK OF COURT
PERMIT NO. TAX FOLIO NO. J(-32010-p(3O 33® MIAMI-DADE COUHTYP FLORIDA
LAST FAME
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives 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.
1. Legal description of property and street/address:
Mlpw Sys 5gCG1 I b F tQ-70 Lo7`7 �'/a. ®� Lo7S �4-3
2. Description of improvement:
3. Owner(s)name and address:
Interest in property: ®w N eL�
Name and address of fee simple titleholder:
4. Contractor's name and address:
p c2�+w l �D-�[%. - 1.�-t o`er °-I�� �a �. b"�• v-��ao-�a4,c _ .. ��L(9�.
5. Surety:(Payment bond required by owner from contractor, if any) I HEREBY OF FLORIDA
CERTIFY 9W 0*h p of*9
Name and Address:
Amount of bond$
6. Lender's name and address: p�rd ��
cum of f
7. Persons within the state of Florida designated by Owner upon who n ices or--other documents may be sery ed as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
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.
Name and Address:
9, E cpirationdate of this Notice_ of Commencement (the expiration date is 1 year from the date of recording unless a
different date is specified).
Signature of Own_
Print Owner's Name rSn Prepared by Z6e&k W! . QA ,
Sworn to and subscribed before me this v2t day of ,20 1`:z-> .
Add
r-e. $$s: ( G
Notary Public: l fiQAtVl: . L M-
Print Notary's Nam
My commission expires:
mvco m ou
�4 EXM 07.2019
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MAY 1�2013
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"WAA CLE ON 20 AMP CKT RE.ti
AND G.F.! PROTECTED
ADD SMOKVWBON MONOXIDE DETECTORS. All
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INSULATED CONDUCTORS BE REPLACED.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-198046 Permit Number: RC-5-13-1032
Scheduled Inspection Date:August 27,2013 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: JORGE, MARIA Work Classification: Alteration
Job Address:42 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060130330
Project: <NONE>
Contractor: ORONI INC Phone: (305)685-0412
Building Department Comments
REMODEL 1 HALLWAY BATHROOM 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.
i
August 26,2013 For Inspections please call: (305)7624949 Page 37 of 38
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