Loading...
RC-14-1475Miami Shores Village C 1117 Building Department Ju 0 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Y. Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 v BUILDING Master Permit No. Rc, m —! "-1 <s PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [:]CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: _/no m % 0'4— Sr 4 wx City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simplejitleho Is the Building Historically Designated: Yes NO _J,, -f _Flood Zone: BFE: FF/E: Phone# -19- LW -7'L _,,, 7'L City: AA I 4rn i e- ( State: +:'�L- Zip: '55 t 3 Tenant/Lessee gNamee:I Email: 4 v t/ o I LA 1%00 S- -4 . A3 a `- ne#: CONTRACTOR: Comp/any Name: s 6R'(J�..�'i�Ca Phone#: �03 to Address: Y 7L ZAVY City: MIA/ / State: �[� Zip:�,Z6,�/(1� Qualifier Name: iCa%e/.k Phone#:�� State Certification or Registration #: CA C- O OIYO Certificate of Competency #: DESIGNER: Architect/Engineer: A4,14 Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ®o ®®A Square/Linear Footage of Work:J 2. 7f r Type of Work: ❑ Addition NAlteration ❑ New ❑ Repair/Replace E&Demolition Description of Work: ,QA-ki 7J,4E Z A I) o d t , AIF -kJ k j jf e f `f aJa1,,:L2 4& Z,zykwmr Xmb lm oa hp -& G Specific color of color.thru tile: Submittal Fee $� _ Permit Fee $ �® CCF $ CO/CC $ Scanning Fee $ Notary Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 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 this day of 4�it�1y • 2014, by WZ 0/1ML.; who is personally known to me 9F whe has pfe d NOTARY PUBLIC: 1 The foregoing instrument was acknowledged before me4t5 day of �t) 20 L�, by who is personally known to me NOTARY PUBLIC: My Commission Expires j ;s���a�.� PATRICIA A. STUBBS My CoT/St7r/ n E 7• .`- / *ii"rico.. gMY COMMISSION #EE885191 =ag- vim:, PATRICIA A. STUBBS 1.t �a EXPIRES March 18, 2017 rg MY COMMISSION #EE885191 / f (40X398-0183 FloridallotarySorvice.com APPROVED BY/T1/ Mans Examiner Zoning Structural Review (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) Clerk Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Print Name: �J W� I - L --- Signa e: - State of Florida ) County of Miami -Dade) p Sworn to and subscribed before me this Q day of By ir61Vt ` , (SEAL) 398-0153 MY COMMISSION #EE8851 EXPIRES March 18, 2017 Contractor R i .u- !� %7,. State of Florida ) County of Miami -Dade ) Sworn to and subscribed before me this 24d day ofn :7 -Wu 20j5__- By �7i� d 398-0153 MY COMMISSION #EE885191 EXPIRES March 18, 2017 10-10-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 12/05/2012 PERSON: FAUNCE FEIN: 680574420 BUSINESS NAME AND ADDRESS: LES FAUNCE INC 834 NE 72 TERRACE MIAMI FL 33138 SCOPES OF BUSINESS OR TRADE: 1— LICENSED RESIDENTIAL CONTRACTR EXPIRATION DATE: 12/05/2014 LES IMPORTANT: Pursuant to Chapter 440 . 05041, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112►, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113►, 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 named 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 named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 LUKWA, PROFIISSIOAL REGUL4TION: r LIOENST, G BOARD $EQ#L12062700807 jjgga M_ 41, 4 $9 A� t er & REQUIRED BY LAW Ti�MCM N0. abova�mist hejdisplayeil6n all commercial vehicles_ Miami-aade,.;ode Sec 8a-27& REN:LAWSON SECRETARY OP ID: AN ^4L -" CERTIFICATE Off` LIABILITY INSURANCE D --'`C"- 07/09/2094 07/01 /2,014 THIS CERTIFICATE IS ISSUED AS A MA17ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TWIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder i$ an ADDITIONAL. INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subjectcto the tarns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In Ileo of such endorsemen s , PRODUCPR MDW Insurance Group Inc 3132 Minorca Ave Coral Gables, FL 33 Donald W McCartneyy rooHITACT Annmarie McCanns PHONE FAx No 305 X144-2324 C n.); 305-4444980 Eppy . arnccartne mdwinsurance.00m PRODUCER LESFA-9 CUSTOMER ID 0 INSURER AFFORDING COVERAGE NAIC @ INsuRERA:Capitol Special Insurance Co 90328 INSURED 634Les N)E IE 72 Inc Terrace 634 72 INSURERB: Miami, FL 33138 INSURER C INSURER D dlal, PERSONAL&ADV INJURY S INSURER E' INSU Ett P z THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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, 4 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR TYPE OF INSURANCE POLICY NUMBER M Lt EFF PWDDM'YY LIMITS •i A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XO OGGIJR 030235024601 02/18/2094 0Z/98/2095 EACH OCCURRENCE $ BOO,OO pRpMISE3 EaENTED otawrcente $ MED EXP (Anyone petaon $ dlal, PERSONAL&ADV INJURY S GENERAL AGGREGATE S i GEMLAGGREGATELIMITAPPLIESPER: POLICY PRO LOC PRODUCTS-COMP/OPAGG $ S AUTOMOBILE LIA91L1 rY ANYAUTO CWBINW SINGLE LIMIT (Eaexitlent) $ BODILY INJURY (Per person) $ AL1, OWNED AUTOS BODILY INJURY (Pet scatlent) $ SCHEDULED AUTOS PROPERTYDAMAGE (PER ACCIDENT) $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MAD! EACH OCCURRENCE $ AGGREGATE S DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NERIEXECIVE OFRCEANYERRIM BEPRIETOR EXCLUDED? E Y� MandWa ) >y in NH If yes. Idt t0u��P E R AT 10 N S below N 1 A $ 1�iC TATU- O " EL. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE$ E.L. DISEASE � POLICY LIMIT $ DESCRIPTION OF OPERATIONS l LOCATIONS / VEWCLt S (Attach ACORD 101, Additional Remarks Schedule, If more space is required) L aenee # CXC044740 &=WnCINnrc un! IM1-,1 Miami Shores Village Building Department 90050 NE 2nd Ave Miami, FL 33138 ACORD 25 (2009/09) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA-AON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0�fp- A44t WJ hull-2UO9 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE CERTIFICATE OF APPROVAL WAIVER OF RiGHT OF FiRST REFUSAL & STATEMENT OF ASSESSMENT in reference to: Condominium Unit No. // 7 of THE SIiOREsS CONDOMINIUM, a condominium according to the Declaration thereof, recorded at Official Itecords i;ook 4247 Page 707, ct scq. of the Public Records of Miami -Dade County, Florida. At the request of the present owner, the undersigned officers of 'i•l1E. S1101t1iS CONDOMINIUM, INC. (the Association), operating the abnve-described condominium, hereby certify as follows: 1. That%/✓ 1 6/�JyL , as purchaser (s), has/havc been duly approved by the undersigned Condominium) Association, pursuant to the provisions of (lie alx)vc- described Declaration of Condominium, and the Associnlion waives its right (iffirstrefusal. 2. Current assessments owing for this unit are $ t! „ 1, cn . (If none are owing, insert the word "none.") 3. 'Iltat all maintenance against the above parcel for common expenses is fully paid as of this date and that the next payment is due on the / _ day of ;rLit- , 20_Liy , inth amount of $ Y5-9 for a period of 1 to —r� Z0_. DATED this `3 © day of 5V?V�• , 20 • THE SHORES CONDOMINIUM, INC. STA'I'D OF FLORIDA (Corporate Seal) COUNTY OF MIAMI -DADS The foregoing instrument was acknowledged before me this . t' day of 20 by _A t E F S -M0N aR and E , as rerpcctivcly, ofT1i1; SIiORES COND [J ,ice ., a Florida corporation not -for -pro t��half of the Corporation. A PATRICIA A. STUBBS Notary Public, State of Florida at Large � ,, • M`( COMMISSION #EE885191 XP), Res March 1 0 7 �aaa,ca `� �pi Exhibit "A", Application Package, Page 7 of 7 Pages U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATRUPW I have earefull reviewed the HUD -I Settlement Statement and to the best o mRRow5p ON DATE: 6(30/2014 dis is made on m amu t or y lge and belie it is a true and accm ete statement of all r�ipts and p y by me in this transaction. I further certify that I have received ofthe HUD -1 t Statement. Borrower Selly* J Omble Stephen B. Parke 1 Borrower The I -FUD -1 Settlement Statement i h e r arced is a trva and aocumte account or this transaction. I have caused the Amds to be disbursed in accord- ance with this statement. RAPID TITLE SERVICES COMPANY Seller Settlement Agent 6/30/2014 Date WARNING: it is a crime to knowingly make false statements to the United States on this or any other similar fort. Penalties upon conviction can include a fine and imprisonment For details sem. Title 19 U.S. Code Section 1001 and Section 1010. Page 2 of 3 142-141 � �'%� '� � Y T � --a' �rSa�L 4 .S -., 1. ?{y�(Tu. .6F !`�c ,� 2• � i . ji '-� �e #d -..i �� z $ ^f'�'}T# - y._ i e � i��ef - ��s � k•" iy< C :Ys: � b b _ � � t zd6�u- . Y �� ''b .. �' u - + � _ SraS�_� a j I ,�- �fA�t'• r �'a . _e .....s.ixr. S-. ?dy:: �+ {�0.��,=.,"4.'�y, .. i�i:�-++1t3•Me�`.w � K"'i E . nC-. �. ..-'L6' ..,.v.. .r'�PL.Fa,t. Vic. ..i._e b . int^•.'.. & ',� H � ,� - c_ c}.: .. ;. •1 ,.5�`7.:� =L-;�-d 1. m� } gg *A y� �t•"x �..'k'lb. moi: �_ d{. ? 3 2kfia o,.�-.r .i b,>::!::�x�Y r..�.. ..:v'S-i•'r :-. _'x>?.. f F�; .lF ,{3' u;, _ . tea._: � ,.. y, .�'�''- � .Y moi£.' zz h$ bid .. j•. �: - { CL`i'= �'�- r Jn?>...�`i.`&v`=a' . cLrit` P�'�'.�cv ..•x c. £ ,�"y'. a.. - 'gym rT�' 4 v� i�V' tole S, ' 4' ^.'>'r.4 ,}-'4i5" .s 4 • :! LL�'e'-�+_ d jy: 7r . h .t f L .. - Y 11 y., & .. _ee 3 ..t. •:. .T'•vn�`+s,}-iv'�.aF f kf., M1 F f •`#.4i.•- •. �3 i n.'ik+r_ 3>_�,�. _ 75 FY _ .00 500.00 92TQ g6nt fid 11 �� no e1 1 F �� iy� �{ ��iy E Q 711�K4, `��'a-. t.1' .F. �-u?-r� '. ly Lr -'. i ..:. ) •'t 31' 1 i ''1 K. xLc $-'d / i d.. y 27.00 ran a 20 .00 4?1fyL.tTlS''T+tt�' ;'.:.ie %4:. tt.. l>.a�C'Y: -� n4Z1.u'I'sc*yy 1Y',y'•Y}5yc,<�SiF'.� Y ( .M1.. ':,4} 4!'u : i ".. - lkffi^zt' a:Gltt .C:..:. �i Z'. c."_�K Y C It �^ 1 .•y '"'C �"� a' t. 3�.va _. � �'!:a � `. p_1 Y.S. � ' i .i-.uT.� l^ F:�*�'�.•:bt r F- Sc- L ?~£ � -- 3'� ti.-- M SjG _ 34.- 100. MEMIM 2,210.00 2,896.00 I have earefull reviewed the HUD -I Settlement Statement and to the best o mRRow5p ON DATE: 6(30/2014 dis is made on m amu t or y lge and belie it is a true and accm ete statement of all r�ipts and p y by me in this transaction. I further certify that I have received ofthe HUD -1 t Statement. Borrower Selly* J Omble Stephen B. Parke 1 Borrower The I -FUD -1 Settlement Statement i h e r arced is a trva and aocumte account or this transaction. I have caused the Amds to be disbursed in accord- ance with this statement. RAPID TITLE SERVICES COMPANY Seller Settlement Agent 6/30/2014 Date WARNING: it is a crime to knowingly make false statements to the United States on this or any other similar fort. Penalties upon conviction can include a fine and imprisonment For details sem. Title 19 U.S. Code Section 1001 and Section 1010. Page 2 of 3 142-141 *Pyt�tiTfk.9 o OMS Approval No. 25M-0265 A. Settlement Statement 2. [RHS 3. 5a --on v: Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number 4. A 5. []Conv. Ins, 142-14P C NOTE: This farm is rn� ed to glue you a statement of actual settlement costs, Amounts aid to an Items marked " " F y the settlement agent are shown. - (p(A�o c) were paid outside the ciot�sin the are shown here for mformat�nal ses and are not included in the totals. 0 } b `� R �-�';ry-'�. -1'.-,r�>•x a,y�' �'s`,i?iy',3°-^'�'iiir'Mf '�37v..�" "M. ��� �''hb"` -a��'1r�r��.. a.� "t`= t {.�-Js „p� i a.s�ns �4;i���'� E. NAME OF SELLER. P ADDRESS OF SELLER 707 Muscovy+, Lake Wort)t, FL 33463 i"�. S:� fd J -r 1 '_£,7,.}i3,�J`slYi:L`1L�lYli--••tik �„t dh` '*y -id Z9w,,,,i.. 5 2'-1?.t �t 'f.'1,�v,-ic-+, 1�L h` i '-Y 2 MIS 1700 N.E. ] U5th Si. Unit 1 l'7 l�. �.�r ':.,��,.,r=='e�.�i_���� LOCATION: Miami Shores, FL. 3� 138q� k� -�. fi ,. }.`=Gq I L SETTLEMENT DATE- 0/201 V iK v t o f�� y 170,000.00 y ,000.00 Q .�� 10 1 r s V_ 10 '�� Q IuVJd� �4�O 1 Oti b __ a m �F r }. t Joy; _ to �� _ �: 11 y P s e 4a s 172,210.00 "x:` .a.� <e ,�'• ti .: �n,_,4. ''E_ 170,000.00 e bl1 b' a rT 2,896.00 . . j � 1S 17 y� Z 1 J nvf'_ {-> �` .��v'v� _'` �;.y�' S. a.''� '��:` 4 -d � '3 �• -y{r .�: - — •='�S .Es�S Ts` ft- ��'S�;� � �k'�' k rq - :..t _ 4 v• v� 4t..:j 'tJ� � Y �5.,,.'tjt ,�..:, ':K -J9. -r ��� O8 :Yv W3, 'Sy M4 4UG��: tb 1�r SY lML `" -' .;-'.,{+ +",:,;x:'; 38i i 272rAi �r �{ �g s Cg v y �Rt4 t5 .5' y 4Sf:;'A :i- kJ %§-.'.. .b `�.:.:a 3a r M1� a`1s -i- _538.02 +�'�+a�ti {r: 3Y j°�'a `! �' i +ti 4 / 3 fiL � :` �: 'i1t'�i� �~ ` f ?E � .F• +",4r 'S ; � i81-`tk r � ciK . _ _ ��' >�,. ; ;,-•�'.� `'�. �'4i'' �:'i'i+' �� 6`�' " � �. ; :,.1 � �,� � tet+ �-a .,� Fa � �,} �_: fy �` +� 1 va -t`t;i6F± .br f'ij. Kr �'fi in O'S "..Fr' is` n3: Yw`.e'r. .%?• vy'4�9fi:t•�--k '�i. a x. �y 'tk.-i @-. Y '✓h '?'�i� ^9 r �i +}`� $ �Lj+��j �,�v� ...,. id.'IJ .:�r. rJ :t ..R. 15,538.02 ' U-1111- ga 1 .� 3,434.02 ter.: 1 ss b n U O a �R 1 302 o"" # for lug �var' 20. _ 15 538.02 €ass: rit' uo in 4 r app }" 9m 166AR.. 'Frohn p,ts�,67i.9s q}Q�lgM1 ,.j 3.Fn2c'Ea _' n` Previous iUons an: obsolete Page o saw s IKIIA Hone PI 2dntout I t ; . # i6 ' t7 Ad" 4 - NO POINT ALONG FOUNIE '� o' �,®s,¢L r, 2 FEET FROM G.F.t •PROTECTED PUT DIW;RECEPTACLE UNDER I S IN K\4+ 00 ALL FIXED APPCfA CER ON'DrEDICRTED CKT 044 leiT"ff/y i`-14410 1 41� l6l411elll BMAI - Nwth Wap 0000-6550-0356 'gor 1,V C.TK&f) ton Ns ACE PPOOVE �Y •'' ' DATE STRUCTURAL FLECTRiCAl. '41A y PLUMBING VI'c- AR a h Ka SU JECT To,: whwuAlm�j� 9�PilIIWtl[.�I �(�/;mVd� f {r ... . . . . ••• • A . ton Ns ACE PPOOVE �Y •'' ' DATE STRUCTURAL FLECTRiCAl. '41A y PLUMBING VI'c- AR a h Ka SU JECT To,: whwuAlm�j� 9�PilIIWtl[.�I �(�/;mVd� f me' � 1 � DMAl�- So1e�M WaU .w• 3. w.,-uww .S, 0000-WAVo-0356 S ..30114 1p we 30414 1� ` r - �- ..Ie 1 of 8 k. AN meaftr&m t I1 Hechm 34 U2 i http: /lt tci .- . - erakea com/us/[JUPages/Printouts/VPUISummaryPrintout.htm 6/28/2014 � 1 � r i http: /lt tci .- . - erakea com/us/[JUPages/Printouts/VPUISummaryPrintout.htm 6/28/2014 r i http: /lt tci .- . - erakea com/us/[JUPages/Printouts/VPUISummaryPrintout.htm 6/28/2014 f It Pu . ,Approved � I: � ► — - ;- - -Date— Disapproved 1 _ t f r~ L 14lrl"�--/�_ f i http: /lt tci .- . - erakea com/us/[JUPages/Printouts/VPUISummaryPrintout.htm 6/28/2014 II1':Hinlie Pla>ine>�Printout Page 3 of 8 ya a• 1 f IKEl11-Plan view Alit In indtes 132 V2 14 t3 r` . f:Ii r is+samlrll. . I:. S J r —s 7713 r Ar 1I: ' 98.17 11,14 i 4 - f M �_- r �-_ -�1-11_..j._-•__.__-._-- cam, J_. Y r I 9 } ul FIT •F • • • 1♦'� •• •.�•-.. •. _. IVa. '.: . __ _ : .......�. _ ., .,• • '' *00 •P : •i •• • ' • • •• go 00 ••• ::• • .� :••.•. • •. http:/ bieaplanner:ikea.com/udLgMagm4)tintouts/VPUISummaryPrintouthtm - -6/28/2014 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222185 Permit Number: RC -7-14-1475 Scheduled Inspection Date: October 23, 2014 Inspector: Rodriguez, Jorge Owner: GRABLE, JANE Job Address: 1700 NE 105 Street 117 Miami Shores, FL Project: <NONE> Contractor: LES FAUNCE INC Idulnming uepartment comments Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number_ Parcel Number 1122300500170 Phone: (305)606-1853 NEW TILE THRU OUT NEW KITCHEN CABINETS AND Infractio Passed Comments COUNTER TOPS SMOOTH OUT POPCORN CEILING. I INSPECTOR COMMENTS False October 22, 2014 For Inspections please call: (305)762-4949 Page 26 of 28 Inspector Comments Passed - Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 22, 2014 For Inspections please call: (305)762-4949 Page 26 of 28 Miami Shores Village- a Building Department JUL �or4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B1', Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20 BUILDING Master Permit No. &—ZA —1117ir PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1760 Ald, lo5Mr .7y/??o it? Com: Miami Shores Countv: Miami Dade Zip: . 71900- Folio/Parcel#: Is the Building Historically Designated: Yes NO A Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1614F cad/_06 Phone#:,?_6 6-- ) % �bih� Address: 17lA Pvl City: AA t State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Z16Fs aQjA& zz ii Phone#: .16,s' z614 &13 Address City: Al 4"-1 State: ,t;/ Zip: Qualifier Name: 41,5s �i4 U�/Phone#: -. State Certification or Registration #: Certificate of Competency #: J /�� —9 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �, ®o Square/Linear Footage of Work: Type of Work: ❑ Addition 64 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: L ,L/. f ar ®/C z LV_4& 04&&9zf Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon-- $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ tet' C 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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. - - Z :- - I % - SignaturSignature 61/ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of U L X 20 % , by X14 tJlf if C�o,isJpersonally known to me or who has produced A! `isas identification and who did take an oath. NOTARY PUBLIC: c Sign: Print: 4NOEL i. FEIN& -M Seal: MyCO�MNISSION# FF 119W '' EXPIRES: May 29, 2018 The foregoing instrument was acknowledged before me this 2 8 day of L `r , 20 / 4? , by 1/,✓e C, who is personally known to me or who has produced L as identification and who did take an oath. NOTARYf Sign: Print: Seal:# * MYON#FF119M �e EXPIRES: Mey 29, 2018 "AN.!, 6MWTftWNftSM. APPROVED BY i t`r— Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t IKEA Home Planner Printout IKEA1 option 1 - North Wall 0000-6645-9776 O Page 2 of 8 All measurement in Inches. Te 12,04"Itl .r6 P 10,1fJO . to it °��rQ � tom' Y //1 //•� Vel I -cf- I q , I k -TI -5 livia 1 17 1&18 2916/18 171 5/18 1 183/4 1 T iO CO%![)LIAN :E WITH ALL FEDERAL ,N!) COI,NTY iM! [- ) AN(_) REGULATIONS � LUt k m j� fi�.� rP1ys;• ''�' �yY' � t � � F cc Q g, •�4�a�rkG�W �����'. k... _ n! � 3yy '36rrvl..c- t` �� yy ,45.51✓ 3�`4�. 0 .- i, 9008 ® 0 FL fD [D 1 Te 12,04"Itl .r6 P 10,1fJO . to it °��rQ � tom' Y //1 //•� Vel I -cf- I q , I k -TI -5 http://kitchenplanner.ikea.com/us/UI/Pages/PrintoutsNPUISummaryPrintout.htm 'V 4/2014 3 -E T iO CO%![)LIAN :E WITH ALL FEDERAL ,N!) COI,NTY iM! [- ) AN(_) REGULATIONS http://kitchenplanner.ikea.com/us/UI/Pages/PrintoutsNPUISummaryPrintout.htm 'V 4/2014