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RC-13-13 (3)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215952 Permit Number: RC -1-13-13 Scheduled Inspection Date: July 18, 2014 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: BURKHALTER, LAWRENCE AND LAURA Work Classification: Addition/Alteration Job Address: 185 NE 105 Street Miami Shores, FL 33138-2032 Project: <NONE> Contractor: PRIORITY CONSTRUCTION MANAGEMENT INC comments Phone Number 305-494-8858 Parcel Number 1121360050160 Phone: 786-299-2776 KITCHEN REMODEL AND REMOVAL OF LOAD BEARING--� -- " - WALL INSPECTOR COMMENTS False Passed Failed Correction ❑ Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-183 1 6. no one honie at 11:41 47 9n4 A ' For Inspections please call: (305)7624949 Pana a of 12 a f lionding 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, BEATERS, 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. Si e Owner or Agent Signature Contractor The foregoing instrument was acknowledged b ore me this The foregoing instrument was acknowledged be4e me this day of , 2s 3n , by L wA h� F` i' day of 2d , by � ^ who '(person o o me or who has produced who isjwrT6-n-aff-y—k'nbjvn to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Ma4A6,J r Yv.�,'- MATMF.YON My Commission Expires: * MY COA9NISM # EE 20 EXPIRES: Jury 20, 2016 kftTIOUk tlk"sates APPROVED BY Vy l�� Plans Examiner Structural Review (Revised 3/122O12)(Revised 07/10/O7)(Revised o6/1O2O09)(Revised 3/15/09) as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: fa v F VjwL My Commission Expires: �V ..e,`'a`��, MATMVF.YON WCOWIISSION#EE20M _ EXPIRES: July 20, 2016 Zoning Clerk 00 Miami Shores Village Building Department UN 12 2013 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JB ': Tel: (305) 795.2204 Fax: (305) 756.8972 L INSPECTION'S PHONE 305) 762.4949 .0 FBC2010 BUILDING Permit No. PERMITAPPLIA91 Master Permit No. Permit Type:LDING ROOFING JOB ADDRESS:17 tt- J-_ [ - City: _Miami Shores County: Miami Dade —zip: FolioAParcel#: 0 Is the Building Historically Designated: Yes NO t Z Flood Zone: OWNER: Name (Fee Simple Titleholder): 4W4 Phone#: 305 Y Address: I 0,�- /j F, , ., City: — J-&nA4 SA Oe-e,� State: rL, 3K Tenantfixssee Name: ----/One#: Email: CONTRACTOR: Company Name: Vyfoyf 4-1. &.54MA11— 02,!2� -Phone#: - -74 Address: Y431 IJ k) Sl` 91 u V City: —State: _f:L -nL,,zip: 3312-t., Qualifier Name: 0mo-y- eit jN0rMg&4::f Phone#;r,. 3 zcjj'-2_!�� State Certification or Registration #:C `5L- 03T 11 Certificate of Competency #: ContactPhone#: W; M' 711te Email Address: 9V i ov 0M 0, C en's U DESIGNER: Architect/Engineer: —Phone#: Value of Work for this Permit: &r Square)Linear Footage of Work: f Type of Work: ElAddition IQKJter;��on UNew URepair/Replace LIDemolition Description of Work: 201.tk,__ U\ ct-o -4 +V 0-0yre-CA- k� 'r A -kA V— CSI kvh I t Color thru file: 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 $ PERMIT # RC l Y- 3 CONTRACTOR: ,"V SUBMITTAL DATE: ; < ADDRESS: a Vs a_ NAME: r. RESUBMIITALt PROJECT TYPE: Co to 1-5ca � T �� ZONING FIRE STRUCTURAL IMPACT FEES t ELECTRICAL �� HRSIDERM UMC ING NOC MEG►NICAL_ _ __ _ BLDG 1 OJXS�o NW- 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 °7 13_ L- B DING PERMIT APPLICATION Permit Type:(CD JOB ADDRESS: 55 n)9 /0.5"" BC zo Permit No. f00—) 3 Master Permit No. City: Miami Shores County: Miami Dade Zip: e 15 Folio/Parcel#: k, A06 a vas - (7 i (e 4-) Is the Building Historically Designated: Yes NO X Flood Zone:y OWNER: Name (Fee Simple Titleholder): 4AV- �a1Z f� Phone# 30 �'5 `l 3 3 Address: � � � � � � � �'°` .��.� City: 6-%L cx-� �" vt o., State: Cl_ Zip: 3 S 13 P Tenant/i essee Name: lyo" Phone#: 3 O - I'i k - rV,3 Email: r s. y -1-j ISA &J . C a 0.k CONTRACTOR: Company Name: _Ptro0L1-N tdv5TeucT'01U &%A-JpAw�.rvt Phone#: Address: r (o 60 'Suo ZP*"'-'&&C(! city: 4111a C4 State: Zip: % 3:— Qualifier Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: 6GG ®5-4? 551 - Contact Phone#: Email Address: DESIGNER: Architect/Engineer:-:I-pAu f -AV 4' -AA Phone#: Value of Work for this Permit: $ 1/ p bet) a `�/ Square/Linear Footage of Work: iam S4 . /y - Type of Work: UAddition DAlteration ONew URepair/Replace Demolition Description of Work: V- kz i -,on V-e-MnA dL - �e mr ; &-k 6F 1 b ce , K,,, jr i aci a2 .• Color thru tile: 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 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. 11WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MPROVEMENTS 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. Si a Signature V —"a— Owner or Agent Contractor The foregoing instrument was acknowledged before me thislEf` The foregoing instrument was acknowledged before Mme this day of _ r -,d hd , 2017 , by l m ��.r '1y 9 �t�%�! x -w , day of 20 j,, by J�n�r iFtJLV�, 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. NOTARY PUBLIC: as identification and who did take an oath. NOTARY PUBLIC: Print I-- : ppeo AIIATTHEW F. YON Print: cam•£ �'i-� lay"`;+pa F YLI AJ My Commission Expires: EXPIRES: Jury 20, 2016 My Commission Expires: * * EXPIRES: Ju Il EE 202586 EXPIRES: July 20, 2016 �f��oFe+.�'�� 6M�'IfwM�l� '''°r�oFa�.ce��� 9�dThNPkt�ySmricea �k�kd��Pd�+k��k�+�ksk�kS��k�a�k�a8a�h�+dssk�k�kd��R�ksksk�k���k+kdaN+�kB�d++k�k�kskS��sa�+k�ksksk�ksk�k�k+x�k�k�R�kd��a�k+kik+k+k�k��k+k�a�a�a�ssA�a�k�k�ksk�k�k�kda�k�ksk�ksk�k�k+kH�sRsRd�+I��aa�sksk�askd��k�ask�k APPROVED BY Plans Examiner Zoning Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk I1101lilii11 1 NOTICE OF COMMENCEMENT CFF 2 a 1 3R 1 x'2731 OR Bk 28516 Ps 1632; t1Ps) A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 0310/2+113 14-.12.15 HARVEY RI.IVINY CLERK. OF COURT PERMIT NO. 13-13 j 1 , TAX FOLIO NO. 14 - 60 -6 L&MIAMI-DARE COUNTY s FLORIDA PAGE 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: k-, . ..A_ . f,. __ r 2. Description of improvement: S�e'W�ili Y`so Vco+�CCy`-� 3. Owner(s) name and Interest in property: Vcc- Sty Name and address of fee simple 4. Contractor's name and address: iM. 5. Surety: (Payment bond rdquired by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: e� ems_ R PRIM. er a 7. Persons within the state of Florida designated by OwneVAI r is ma provided by Section 713.13(1)(a)7., Florida Statutes. Na a and Address: �� 8. In addition to himself, Owners designates the following p R ei g Or& N0t!CGV0.40Mea in Section 713.13(1)(b), Florida Statutes. gy Name and Address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owner's NameLAMA- VW -K k...14, -Prepared by Swom to and subscribed before me this day of n , 20 . Notary Public:,.. Print Notary's NanWK re My commission expires: • . YAWIV RAY ON# W E)UMES Attu 2Z, 20118 Address: 90) AJ4 14"f"' 0 , Mraji &otej 3513?