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RC-13-0876 (2)Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Bill To ALINA VOGTNER 53 98 Street MIAMI SHORES, FL 33138 - DAVIE, FL 33325- Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Invoice Number: PL- 8- 13-48931 Invoice Date: August 28, 2013 Permit Number: PL -5 -13 -1130 Bond Number: Date Fee Name Fee Type Fee Amount 08/28/2013 Reinspection Fee Fixed $0.00 10/03/2013 Scanning Fee Calculated $3.00 10/03/2013 Revision Fee Calculated $75.00 Total Fees Due: $78.00 Payments Date Pay Type Check Number Amount Paid Change 12/27/2013 Credit Card $78.00 $0.00 Total Paid: $78.00 Total Due: $0.00 Friday, December 27, 2013 eturn to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Bill To ALINA VOGTNER 53 98 Street MIAMI SHORES, FL 33138 - DAVIE, FL 33325- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Invoice Number: PL -8 -13 -48931 Invoice Date: August 28, 2013 Permit Number: PL -5 -13 -1130 Bond Number: Date Fee Name Fee Type Fee Amount 08/28/2013 Reinspection Fee Fixed $0.00 10/03/2013 Scanning Fee Calculated $3.00 10/03/2013 Revision Fee Calculated $75.00 Total Fees Due: $78.00 Payments Date Pay Type Check Number Amount Paid Change 12/27/2013 Credit Card $78.00 $0.00 Total Paid: $78.00 Total Due: $0.00 Friday, December 27, 2013 Miami Shores Village Building Department AUG 1 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 >t xah JOB ADDRESS: <� 3� /V C W-. City: Miami Shores County: Miami Dade ?713 k Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder):_ w tj Pr V b(,-r je;-� Phone#: Address:__ City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 0"P-3 � i � s``C_ Phone#: (3v� > G �%� 0 r Z Address:..-. "1,Lt� , (0 r City: Y��- V , l State: 6L= Zip: i Qualifier Name: _ (!(!)P-- PH--r Doi - it5 %�^ _S Phone#: State Certification or Registration #: e P-0 ZS 7 6 � "I J 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: DAddition OAlteration ` �ONew ORepair/Replace � ODemolition Description of Work: 0 L11.jiN W( u Color thru tile: 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 NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature "'�—�� Owner or Agent Contractor The foregoing instrument was acknowledged before me this v The foregoing instrument was acknowledged before me this day of 20 1� by �l w a- Vd(� -`i - L�–eZ day of e� � , 20 a, by :R L-- A5 w o is personally known to me or who has produced who ' ersonally kno me or who has produced 0 N C1 L-6 As identification and who did take an oath. as identification and who did take an oath. NOTARY P LIC• NO4YP C: Si Sid iBECA M. PASTA • MY COMbIIS$!ON / BBi?2624 Print: �✓ Prin sstol+>>e� M Commission Ex W ma- F&MY07, My Commission Expires: �" Y APPROVED BY #20k1 ` 3 Plans Examiner Zoning tural Revi Clerk -r, 97,r, r'c t.Fa , -1a4c, gild_ s1 L"4ArlVo( -- (Revised 3 /12/2012)(Reyised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) t Miami Shores Village Building Department BUG � 10 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 —= - --- je3 _yam/ INSPECTION'S PHONE NUMBER: (305) 762.4949 r FBC 20 RT TTT .T1T1�T!' fZD Is the Building Historically Designated: Yes NO % Flood Zone: d-pa OWNER: Name (Fee Simple Titleholder): i°Yi;(A3,/� � �ry'�_ phone #: 1 �f 6 ' ( 1 Address: c City: State. Zip: Tenant/Ussee Name: Phone#: Email: ,r CONTRACTOR: Company Name: F Address: �� S l� �� (%e City: S1 Qualifier Name: /� l%, r o S -Q_ � t� State Certification 'or Registration #: � Contact Phone #: J b5 _q6_5__ (Y �S E1 DESIGNER: Architect/Engineer: kJ11JI14 Phone #: Zip: J S Phone#: — Certificate of Co petency #: Address: Phon : Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: 'c t�z (J'-, y"b' fLz�'- I& �- Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ UZ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 wil t b approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2G The foregoing instrument was acknowledged before me this day of 4-- 20 ,�, by W%' 1�_ \ Occ kY - day of U -.� , 20 � by `ct who is personally known to me or who has produced — ��— who is personally known to me or who has produced_b� On PAP— As identification and who did take an oath. V*'`R� �-" as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC: Sign: Print: n�.,w��. Z"ram MY COMINISStoNB My Commission Expires: '� ` r)MRES: Fdx-mry07, 2017 My Commission Expires: �k�k�k�k�k�k�k���k�kda�k�a�a�k�k�k�ksk+ kskvn�k�k�k�s�ksksksk�ksa�k�k��ksksk�k�k�k�k�k�k�k��ksksa�ksk��a�+ sk�sksask�ksk�k�a�k�ksasA�a�axa�k�k��k�k�k�sk�R�k�ssk�k�k��k�k��+ ���s�ask�ksksk�ksk�a�k��k�A�k�a�k APPROVED BY 9--1-Y-/2 Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: AUG Sl 12913 FBC 20 IC) City: Miami Shores County: Miami Dade Zip: 531 3 Folio/Parcel #: k O!3- ( 1 4c0 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple City: NO Flood Zone: 'p, V State: Zip: Tenant/Lessee Name: Phone#: Email: '17M CONTRACTOR: Company Name: /S x Phone#: " 3j�� ' 6 7 70 Address: 17-9-03: G,% - - City: a state: � Zip: / Qualifier Name: S �� [��(__ Phnnc+• State Certification or Registration #: Fes- 1 3 O 0 Certificate of Competency #: Contact Phone#. Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this ,Permit: $ �—SquaxWLinear--Footage of-Work: Type of Work: DAddress DAlteration ONew ORepair/Replace ODemolition Desscription of Work: '12 � s u.;�-t-, —1 C.) u p (��A-D (f Submittal Fee $ Permit Fee $ CCF Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ff 4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 reinspectionfee will be charged. Signatur Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this � day of _�, 20, by _YTl ttilCL QGbJ� � day of & , 20 Cam, by��[� � %e who is personally known tome or who has producedk bL *F who is personally known tome or who has produced* (S4'\- As identification and who did take an oath. CS11 kf—' as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Print: +% �* MY COMMISSION # $BM24 My Commission Expires: R. !V EXPIRES: F&=ty07, 2017 'Plans i Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: My Commission MY COMMISSION # BER72624 EXPIRES: Fdxmy 07,2017 Zoning Clerk Miami shores'Vilage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ! q1_3 Permit No: P- C-13 �- Structural Critique Sheet 1) 00 -ZWE 6Le VA —Drams 9 Ptc*ge A- (ate -�5� Page 1 of 1 Ul oc- -914t-S -el-p V00 w NC>.DLJS 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. Mehdi Asraf 09/20/2013 18:00 FAX 1 800 885 7530 DATA SCAN FIELD SERVICES TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT TX REPORT 3976 93058889550 09/20 16:00 00'43 OK Permit No: 13 Structural Critique Sheet cli T t,-• cl-plk.j 5. S 0 001 Page I of I Miami Shores Village Building Department RECEIPT PERMIT #: ?-C—jl 3 " 5�1 (tO DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 a-.6 L.&s t AW3 (NAME) b —Contractor • Owner • Architect Picked up a ) Address: 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: (Signature) PERMIT CLERK INITIAL: 03A---- RESUBMITTED DATE: i PERMIT CLERK INITIAL: �Ltkc : Miami shores'Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9/2-4A Permit No: y / � -' Structural Critique Sheet i (Zt= i' o � � C Vi 14 .a L-n A- D C-k L C' 3 w k"I *o Page 1 of 1 CFf-CcTf'vC w►rJ 1-) -A--C Ek c ro SF . O tj --fti C CL6 0fr-1 f o f� , S I" CCi'Fy VI C Nr-4 -f., W2 I\ 7a rp��cr��, A-v4 T) � f L- e,5 e�,f— 17P� v r,-q ✓ u-) r N D-' o s 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. Mehdi Asraf 30 08/30/2013 09:38 FAX 1 800 685 7530 DATA SCAN FTFin RFRWTrFR TX REPORT TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT 3922 93058889550 08/30 09:37 00'44 1 OK Permit No: r. Structural Critique Sheet k L A/ .............. L12 Page I of I