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FW-07-0945Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -54152 Scheduled Inspection Date: July 22, 2013 Inspector: Rodriguez, Jorge Owner: RICHARDSON, ROBERT Job Address: 75 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: WILCON CO Comments FABRICATE AND INSTALL 83'X49" TALL GALVANIZED STEEL FENCE WITH 1 SWING GATE AND 1 SLIDING GATE Permit Number: FW -5 -07 -945 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number Parcel Number 1132060131550 Phone: (786)399 -8855 Re- Inspection a Fee No Additional Inspections can be scheduled until re- inspection fee is paid. I July , 22 2013 For Inspections please call: (305)762 -4949 Page 36 of 36 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 54037. Job not ready for a final inspection. 1) Too many post are loose in the ground. It is obious that there is not enough concrete in the holes, or the concrete did not set up correctly or the Failed post are not deep enough in the ground. (minimum of 18 ") 2) Height of fence at alley is not level, east end of fence is approximatly 3" lower than west end. 3) Welds through the fence have not been grinded down and painted to Correction avoid corrosion. Needed a Too many items that need correction before final inspection. 7/2/07 CG. Re- Inspection a Fee No Additional Inspections can be scheduled until re- inspection fee is paid. I July , 22 2013 For Inspections please call: (305)762 -4949 Page 36 of 36 1 Miami Shores Village Department u L 1' Buildin g a. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 -_ Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. I I Permit Type: BUILDING ROOFING JOB ADDRESS: 1 ' ST City: Miami Shores County: Miami Dade Zip: FofiolParcel #: Is the Building Historically Designated: Yes NO �_ Flood Zone: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: olda 7 Phone#: Address: a %_ 3 _( ' % N p (?--p City: Ur l_ �-, jl��_ Qualifier Name / r // �d Zip: State Certification or Registration #: 1'— 61 e. ��� Certificate of Competenc #: Contact Phone#: �� mail Address: Z— _ DESIGNER: Architect/Engineer: Phone #: % r6 3 Y1 Value of Work for this Permit: $� 6 Square/Linear Footage of Work: 0.® Type of Work: k ddition DAlteratiork ONew _ QRepair/Replace _ UDemolition of Work: V M Submittal Fee $, Scanning Fee $ . Notary $ Permit Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ 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 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 swured 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 t e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abse e o such posted notice, the inspecti of be appro d ara&a reinspection fee will be charged i Signature Signature Owner or A ent_ on tractor The foregoing instrument g_ ___ , 1... g ' g went was acknowledged before me this day of � , 20 L3, by JkOfO lg4ti who is personally known to me or who has produced R— As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY /11/11111111101\\ The foregoing instrument was aac�knowledged before me taus day of who is personally known to me or who has produced as identification and who did t4ke an oath. N4 Y PUBLIC: * * W COMMISSION # Slgn. e���a °! B=M Ttw Budget mey Print: Pans Ex mi Structural Review (Revised 3 /12/2012)(Revised 07 /10 /(y7)(Revised 061lo/2009)(Revised 3/15/09) My Commission Expires: Zoning Clerk :hermit "N. Owner's Name {F, Owner's Address: City: Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Job AddreSS (of where work is being done):_ City: ✓Miami Shores � Contractor's City: _V r � I Qualifier's Name 1 ®I Zip Code: State:_Flodda ✓- Zip Lic. Number: Zip Architect/ Engineer of Record Name: I'LL V- �c Phone #: � Address: _ P � ME` 357- City: Describe Wdrk: U State: ,�.. Zip Code: I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Officialo the ores harmless for all legal invo vement. Signature Signature 4/41- iam r or.Agent ` ' for W- qr. or rc The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged bef a me this Oday of �,20� y this day of _ ' 2013 by Who is personally knowg to me or who has produced �w as indentification. *0; WCOMMMMEEWAN EXPIRES: Apt2 7, 2815 Nt�tary Pu Boded Thu Bads NatetySWW Sign: Seal: who is personally known to me or who has produced as Indents ication. . °,moo DENA LYNN CRUZ * * W COMMISSION # EE 081892 Ntsry P,rabli; EXPIRES: April 7, 20.15 Sign: Seal: a amp anaa a aa-tww rc a+a f+i:7YGW !W R ldQ,dit � ICl6 LIP Ndq'W![r E1,JPR YW4d A6l6► t 11th- t0%;tft #�P {,(�L�1iE�: i+i�lCi H'NaAEC i1�;11E:1i. E 1Uu°i CERTIFICATE DOES NOT AFFIRI;I►ATAFEi Y OR't11EGA'TNELY AMEND, E)(TM OR ALIM THE CQVERAGIE AFFORDED BY THE POLICIES BELOW. THIS CERTMATE *F DURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If do certificate holder is an ADDITIONAL. INSURED, the iollcY(iss) must be endorsed. R SUBROGATION M WANED, subject to the terms and conditions of the Policy, certain policies may require an sndorsam nL A statement on this certificate does not confer rights to the certificate holder in Hsu of such endomm umt(s). PRODUCER EquJinStDrarrce 6839 Main Street MWM Lakes, FL 33014 Phone 305 557 -5578 Fax 305) 557 -5197 =Aa FRANK FERNANDEZ 557 -5578 Fax (305) 557-5197 ranco com AFFORDING COVERAGE NARC 4 INSURER A : Unbd SPeCkft Irmurance ComPanY INSURED W9cor Co. 9636 NE 5th Avenue WmamL FL 33138 (786) 399 -8M fNStNRet a INSURER C. INSURER D: INSURER E IMSURERF: %A"r.KftWM* GERTIFIGATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. ' NOTW irHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN TYPE OF ICE PaDJCY nnNEeR errs riE1ERAt LNA61L17Y EACH OCCURRENCE $ 1,000,000.00 TORmfo- © COMMERCIAL GRU AL UABILITY $ 100,000.00 A ❑ ❑ CIAIMS•MADE ❑/ OCCUR N N OS110470 0811411012 08114/2013 MED EXP am Pw= $ 5,000.00 Q PERS0M & ADV MWURY $ 1,000,000.00 ❑ GN NERAL AGGREGATE $ 2 00O 000.00 OWL AGGREGATE LM APPLIES PER PRODUVrS - COMPIOP AGG $ 2.00O.000•00 n arnwv- F1 M n ,fv� 1 $ ,. . a.. •. i . i ► oa NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attedd ACORD 141, Ate Rmwks Sde". 9 mare epees Is required) • a • Miami shy wege 10050 NE 2 Ave MdeTd Shorn Village FL 33138 ACORD 25 (2010105] QF GODLY INJURY (Per I> ) I $ BODILY INJURY Pr acdde %PYIR $ $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ® INS-2010 ACORD CORPORATION. AN rights reserve& The ACORD trams and logo ads marks of ACORD 0 FIRST-CLASS U.& POSrAGE g PAW FL PEPAW . =1 THIS IS NOT A BILL — DQ NOT PAY 59!5362 -6 RENEWAL 4LOCATION STATE 2642621076 -9 9636 NE 5 AVE RD 33138 MIAMI SHORES a CON CO ' BUILDING CONTRACTOR WARKE4 S DO NOT FORWARD PA>s TAX 09010387001 000046.00 WILCON CO WILLIAM CRUZ PRES 9636 NE STH AVE RD MIAMI SHORES FL 33138 111 III 1011711181111111 111# 11111111 fill /1111111111f111IAft? 11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE ON SELECTI LAW BE FROM FLORIDA EFFECTIVE 02/04/2013 EXPIRATION DATE: PERSON: WILLIAM CRUZ FEINT: 582809254 BUSINESS NAME AND ADDRESS. WfLCON CO 5635 NE 8TH AVE RD MIAM SHARES, FL 33138 SCOPE OF BUSINESS OR TRADE I- LICENSED GENERAL CONTRACTOR IMPORTANT F pursuant to Chapter 440.05(141, F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. 02/04/2015 pursuant to Chapter 440.05117), F.S., Certificates of election to be H exempt». apply only within the scope of the business or trade listed an E the notice of election to be exempt. R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the issuance of the certificate, the person naffed on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person maned on the certificate to meet the requirements of this section QUESTIONS? 18503 413-1609 •i j .i - . * Garry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PI-EASE PROM � � „E MIAMI SHORES POST OFFICE MIAMI SHORES, Florida 331539998 1158540118 -0095 07/17/2013 (800 )275;8777 04:36:42 PM Sales Receipt Product Sale Unit Final Description Qty Price Price HOMOSASSA FL 34448 -3739 $19.95 Zone -4 Express Mail XXXXXXXXXXXX7812 PO -Add Flat Rate Env 043616 0.70 oz. 795 Label #: EI732287499US Thu 07/18/13 03:OOPM - Expected 005791 Delivery. Money Back Guarantee Signature Required Return Rcpt (Green Card) $2.55 Issue PVI: ammo�amm $22.50 Total: $22.50 Paid by: Debit Card $22.50 Account #: XXXXXXXXXXXX7812 Approval #: 043616 Transaction #: 795 23 903520633 Receipt #: 005791 Order stamps at usps.com /shop or call 1- 800- Stamp24. Go to usps.com /clicknship to print shipping labels with postage. For other information call 1 -800- ASK -LISPS. wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com /poboxes. wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww ww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Bill #: 1000502930695 Clerk: 08 All ales final on stamps and postage Ref nds for guaranteed services only Thank you for your business wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww w* wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww HELP US SERVE YOU BETTER I NIV-7A/ aLviitA M=)-L(N'Vd- r LsL�? - L9-P (SI) qj-'saz1 ak-t-s \ wlq l W kdo 00 0 0 0 0 0 0::0: 00: 0.0 00 .00 0 0 0 0 0 0 0 0 .......... 0 0 0 .11 ... 0 ..c ��� R tooz Q a�dw -, LsL�? - L9-P (SI) qj-'saz1 ak-t-s \ wlq l W 5 • • k e •• • ••• • z� 0 • • •••• • • i v } 4 rye •• •• •• • a •••• r • • i h 00 0 • • • • •••• • • 5 • • N": k •• • ••• • z� 0 • • •••• • • r 4 rye •• •• •• • •••• •••• • • i 00 0 • • • • •••• • • • • • n 'w � ••• • • •• �•�✓•rf �i "� ply.. �S a JK .�- sai (F SLOW w m-ATER {DETER EL= ELECTRIC TEL= TELEPHONE 93m: P-- r FnNftaxi V41mon Vdpa w ddmodse r 1&W4-A_= * OR $ = 1im, 'P/ nP: ' Tare, C a ., a- , .4)S- Offset, Cif' -- -X- -- .vQr4a Udcl1anm, W --// =. i. WL-- (h Imp-4 S.N. & D.=Set Affil &. id C. Zt . .CFA S-n� . F Fly,. p4b aus, 4 3kue, '1'� �F , tk�` d', (R) Ord, t+asixed Imo, EC-- loft cE 0.r RES= Faddarm, Fes. fir, r�dai F , WIA&W une, , . Hcr'r+ 3 7gr F xx IMF F3 +e, .P- .D. =.F +oE ... _.�;L� Util* . De= DminW -and Ndnbenaima B39malt, * Rigbt .tai` , ftv Sx .: . FAG= HtI L,YT. , FPi &=C}#itdI} Aid L :. Hfl 1}i $It, : ' . iVFR# ' CI lY _t.dFlE B�arfiias am .E' � ' DESCRIP 0 06 of 0 a 0 0 : LOT A 7 , Wt, -#e AVgz,.t,r Y 74 ; - ;.": : : - BLOCK 0 ;UBDIVISION Ad AA4s,)6zt> _g4& ".np 0 0 ACCORDM TO THE PLAINT THEREOF AS RECORDED N PM •B • 0 7,a, OF THE & PAGE --- W111-ift * • 75 couNTY.. FLORIDA. *00 0, Vo :09 *00 00 CERTIFIED To: 11JANA LIMGE & ROBERT' R. Ricmnsow ANGIE AnGELIS, P.A.; ATTORNEY'S TITLE INSURANCE NND, INN.; EQUITY MORTGAGE CORPORATION) ITS'SUCCESSORS AND/OR ASSIGNS. 4.N 1, ir M) The FLA. FLOOD INSURANCE RATE MAP, Dated . / - ze, - �3 Published by the UNITED STATES ROUSING & URBAN DEVELOPMENT delineates the herein described land to be situated within ZONE I HEREBY CERTIFY: That the attached BOUNDARY SURVEY of the above described property is correct to the best of our knowledge and belief as recently surveyed under our direction, also that there are no visible encroachments unless shown, and thi survey meets Minimum 8 t Technical Standards set by the FLORIDA BOARD OF LAND SURVEYORS, se foth in Chapter 427.027 (F.S.) and chapter 61G17-6 of the Florida AdministratiV?Codel ee FOR: ORDER NO.: JOSE A. PEREZ '.,-F�,Wiessionaj Land Surveyor No. 2852 S*VATE OF- FLORIDA NOT VALID UNLESS EMBOSSED SEAL �4I"ELD WORK DA*TE.- rAM SURVETURS, im 1700 S.W. 5th Avenue, Suite 201 Miami, Florida 33155 Telephone No.: 262-1925 P/lo J,25C;I- : /ZoA--a -r 1VcNA2d.r6N 75 ,vre lbls r MIA M / S H, /A &S , F'/- . 36'' 163r5ni� m� ( 3 3 t�1 -- b ► 3 ! /,q�" GOTE ax IXJYy6e 6 © TOP RAIL � f10 Poe, i S 4�. PI.C9 ETS �Qq SPACING >E-� LD ED CON SFRucTJ D / tl GA L y/NI V, *61 r A/�r a. V /LGAS�NaoZ.. RE �J C.0✓vS , /llzG . s •a•••• • SPR,�qG. a ry ...... �NED POSTS • Aja 36'' 163r5ni� m� ( 3 3 t�1 -- b ► 3 ! /,q�" GOTE ax IXJYy6e 6 © TOP RAIL � f10 Poe, i S 4�. PI.C9 ETS �Qq SPACING >E-� LD ED CON SFRucTJ D / tl GA L y/NI V, *61 r A/�r a. V /LGAS�NaoZ.. RE �J C.0✓vS , /llzG . 0000.. • 0000.. 0000. 0000. 0000.. 0000.. 000.0. 4' 00 000 2 X 2 X .06 GALV. TUBE EMBED 24' IN GROUND 0.000. 0000 0000 TOP VIEW I X I X CONT. / 4 ANCHORS X 3 e 18' O/C . .0 FLOOR TRACK SLIDING GATE SEE DETAIL ABOVE FINISH, PAINT BLACK 0 U W M ,Y g , V Doa 04/23/07 Ormm By CASAL Inspection Worksheet Miami Shores Village attt » »tom � ---- 10050 N.E. 2nd Avenue Miami Shores, FL `A Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 07102/2007 Inspector: Grande, Claudio Owner: RICHARDSON, ROBERT Job Address: 75101 Street NE Miami Shores Village, FL Project: <NONE> I;] Me Permit Type: FenceMall Inspection Type: Final Work Classification: Iron /Ornamental Phone Number Parcel Number Lot: 1132060131550 Contractor: THE RICH COMPANY Phone: 305 - 981 -9777 Buildina Denartment Comments FABRICATE AND INSTALL 83X49" TALL GALVANIZED STEEL FENCE WITH 1 SWING GATE AND 1 SLIDING GATE JUL 0 3 2007 Inspector Comments Passed - Job not ready for a final inspection. 1) Too many post are loose in the ground. It is obious that there is not enough concrete in the holes, or the concrete did not set up correctly or the post are not deep enough in the ground. (minimum of 18 ") Failed 2) Height of fence at alley is not level, east end of fence is approximatly 3" lower than west end. 3) Welds through the fence have not been grinded down and painted to Correction avoid corrosion. Needed Too many items that need correction before final inspection. 7/2/07 CG. Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Monday, July 2, 2007 Page 1 of 2 Miami Shores e Villa g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te�: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION' Master Permit No. FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address :46 N lEt— , C CiVANOOIC State Tenant/Ussee Name Job Address (where the work is being done) . City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name 1 he K [C Contractor's Address� 163r N City -lW7 y i /1 Qualifier Name State Certificate. or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: ;W,6P r Submittal Fee $ Permit Fee Notary $ Training/Education Scanning $ ' Radon $ Bond $ Code Enforcem< Structural Review. $ Plumbing Mechanical Roofing Zip 3-21t Phone Sj County Miami -Dade Zip f 73 S NO Phone #�_ ` Phone # Certificate of Competency No. 0 o Q o 0\ 7d. 1 Phone # Square / Linear Footage Of Work: e3 1'A1 J� Gfc�vo ❑ Repair/Replace ❑ Demolition 0'31 Y pis''' TV!I .d<j41— 011 N 1 Z9i r * * * * * * * ** Fees *�►� *,� '�'"�✓ CCF $ CO /CC e$ Technology Fee $ a Illy DPBR $ Zoning $ $ Double Fee $ Total Fee Now Due $ See Reverse side -� 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 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 prom, ise 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. Signatur J Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before mee�this -� day of , 20 by b 6 ��,1° IC � v�� ;� 0 day of 2007 by who is personally known to me or who has produced ho is perso Qvscn to m or who has produced �� D L As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: mowy rum o oT rt u My Commission x Tt: NCI Qtft 0 Neli� Quinones I MY Carrutt(aaion DD576939 * * ** ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11-3;Q6-013_X0 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. CFN 2� �� � 7 IFS.O4787 7 4 OR t'k 25611 Ps 16751 (1n93 RECORDED 05/11 €2007 10:14'33 HARVEY RUVINY CLERK OF CO RT MIAMI -DADE COUNTYf FLORIDA LAST PAGE 1. Legal description of property and streettaddress: rC A l'Pi m 1 S Vo o l�< 5(;G PA 10 - 0 -► Y1 i<. t 1 7 Ne 2. Description of improvement: F�IV C e 3.Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Y A ( L OF FLORIDA, C04JNTY ®P= DkDE 5. Surety: (Payment bond required by owner from contractor, �' Y CERTIFY ih ®t this is a Pru y r t tn� = a, ., . Name and address: mgmal file in this office on d Amount Of bond $ A C za ,0 TNESS my hand .d offici71 Seal. 6. Lender's name and address: iAR1J - V� �- 7. Persons within the state of Florida designated by Owner upon whoky(otices or other documents may be served 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. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Signature of Owner ,/� Print Owner's Name R6bat ILi.t/��b'oyt Prepared by 4kZMl L�� Sworn to and subscribed before me this JO_ day of 177.4 y .20 07� Notary Public Print Notary's My commissic 123.01 -52 PAGE 4 5106 Address:. A16 " r - .. 1(�j -A - M-S MAY 082007 BY; ---- ---- ...... STATE OF FLORIDA) COUNTY OF DADE) R4 Vow oxe4 10050 NE 2nd Ave Miami Shores, FI 33138 Phone 305.795 -2204; Fax 305.756.8972 www.miamishoresvillage.com AFFIDAVIT The undersigned Affiant, o7� does hereby attest that (property owner) The attached survey, performed by for address: `� , n , e of surveyor's company) - performed on i hn Iq 3 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. F her, Affiant sayeth naught. Property Owner Signature 11 ZERO Property Owner Print Name Notary Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number: 1132060131550 Owner's Name: ROBERT RICHARDSON Owner's Phone: Job Address: 75 101 Street NE Total Square Feet: 83 Miami Shores Village, FL Total Job Valuation: $ 6,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 5/9/2007: Yes Comments: sue° t Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 " Phone: (305)795 -2204 Project Address Parcel Number Applicant 75 NE 101 Street 1132060131550 Miami Shores Village, FL Block: Lot: ROBERT RICHARDSON Owner Information Address Phone Cell ROBERT RICHARDSON 75 NE 101 ST MIAMI FL 33138 -2318 Contractor(s) Phone Cell Phone THE RICH COMPANY 305 - 981.9777 Yes Comments: Date Approved: 5/9/2007: Yes Date Denied: Type of Construction: Other Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Concrete & Masonry Scanning Fee Technology Fee Total: Additional Info: GALVANIZED FENCE Amount Total $3.60 $1.20 $ 0.00 $100.00 $6.00 1 Payment Type: $2.50 $113.30 o" Valuation: $ 6,000.00 Total Sq Feet: 83 Amt Paid I Amt Due $ 0.00 Ny I I PAID Available Inspections: Inspection Type: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated May 10, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday, May 10, 2007 1