Loading...
BP-4-1672Miami Shores Village Building Department SEP s 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 10 BUILDING Master Permit No, -- Pam PERMIT APPLICATION Sub Permit No. 1. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL 0PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP City: i A \Oyll1 ,-,o State: Zip: Tenant/Lessee Name: Phone#: Email: /1 CONTRACTOR: Company Name:S J012 y` S.11.- Cab `'I'hone# Address: AH a ) '_ � City: LtiV" V Qualifier Name: 1 Y S L—State: � y . Zip: -3 11 -3 0\2 4uea-- Phone#: -7Y6-all-7a07 State Certification or Registration #: r, & C 1 S� 5'a () Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ M f , Mn S are/Linear Footage of Work: V Type of Work: I]Addition F-1AlterationNew ❑ Repair/Replace ❑ Demolition Description of Work: C a Specify color of color thru tile: . Submittal Fee $ Permit Fee $ X7°6 , (AD CCF $_ Scanning Fee $ 3 . C)O Radon Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ (33 TOTAL FEE NOW DUE $ N CONTRACTOR DRAWINGS JOB ADDRESS: 19CV5 ® �� C4 V r City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �AC�,onstruction � IVv ` Ad 1,, ®r"� i�; /I Phone#: 3()S —7560-( Address: a\9 -e r" City: i A \Oyll1 ,-,o State: Zip: Tenant/Lessee Name: Phone#: Email: /1 CONTRACTOR: Company Name:S J012 y` S.11.- Cab `'I'hone# Address: AH a ) '_ � City: LtiV" V Qualifier Name: 1 Y S L—State: � y . Zip: -3 11 -3 0\2 4uea-- Phone#: -7Y6-all-7a07 State Certification or Registration #: r, & C 1 S� 5'a () Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ M f , Mn S are/Linear Footage of Work: V Type of Work: I]Addition F-1AlterationNew ❑ Repair/Replace ❑ Demolition Description of Work: C a Specify color of color thru tile: . Submittal Fee $ Permit Fee $ X7°6 , (AD CCF $_ Scanning Fee $ 3 . C)O Radon Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ (33 TOTAL FEE NOW DUE $ N 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 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 approA # and a rein4ction fee will be charged. 1-/ , Signature. OWNER or AGENT The foregoing instrument was acknowledgdd before me this day of 20 by who is personally known to me or w as identification and who did take an oath. NOTARY PUBLIC: Signature CO OR The foreg ng instru nt s acknowledged before me this day of � s� 20 M , by �vI �P.lgZgjg,To o who is personally known to me or who has produced I zlyca1�11/- as identification and Awho did take an oath. NOTARY PUBLIC: !1 Sign: Sign:_ Print: k -0-1w t'� i OC Print: Seal: E;W APPROVED BY (Revisedo2/24/2014) MILY Seal: WCO AQUON � FF 131786 EXPIRES:,koe 11, 2018 1 Thro ru6lt Undanrr . Plans Examiner Structural Review EXPIRES # EE080681 Zoning Clerk 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 FB'C 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): ®�4 f vk Address: �1 % 0" I a NOV 0 5 2010 Permit No. 4— k09j Master Permit No. City: _ oState: tZip: Tenant/Lessee Name: Phone#: Email: q -f-e tza JOB ADDRESS: S ft.% City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company N , ej Phone#: ® Z Address: 14(7% City: 4-,(-/A fJ,,--H State: Qualifier Name: a / �- 4 6A State. Certification or Registration #: �� Contact Phone#: Email Address: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ '-3'06> Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew Description of Work: , a./ R A r7 ffRepair/Replace ----I ODemolition 1-110-�j .el Arv2 7, COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Traimng/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. "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 oc encement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified c y of the recorded notice of commen ement must be posted at the job site for the first inspec ' which occur seven (7) days aft the building permit is issued. In th ab ce of such posted notice, the inspection will not a a, proved and reinspection f ill a charged. Signature Signature I Owner or Agent The fo o g instrument was a owl dged efo m this day o= 2( who is personally known to me or who has produced As identification and who did take an oath. NOT PUBLIC: � s �ti Sig ' Print: My Commission Expires: Contractor ee�� The fore oin 'nstrament was ackn ed b ore i V day o , 20 , by who is a sonall�jknown jto` me or who has produced 1_5 +� I ' Antification and who did take an oath. APPROVED BY Plans Examiner Structural Review (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)(rev6/4/10) Sign: � Print: My Commission Expires: lyy1:111f: CL �1,1i" ,w,TJ _yea Cy1:. u8aebsklk�ktk�:bsk/klksk+A�Ik�1�dldasIaek�r&�e � e IRIks9egasgnp �tl Zoning Clerk CERTIFICATE OF LIABILITY INSURANCE111/01/10 V••••- '" DATE(MTMIDDIYYY1� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed If SUBROGATION IS WANED, subject to the terms 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 lieu of such endorseme s . PRODUCER All Motors Insurance 7361 Bird Rd.DRESS. Miami, FL 33155 CONTACT NAME; GONZALO SALAS PHONE(AIC, No Fxtl* 266-5080- FAC No): (3p5) 245-3831 GSALASAALLMOTORSINSURANCE.COM PRODUCER CUSTMER ID 9 Phone (3266-5080 Fax (305)266-4555 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: ASCENDANT COMMERCIAL INSURANCE INC SUNNY ISLES POOLS, INC INSURER B: INSURER C: 1601 BAY RD # 5 INSURER D: MIAMI BEACH, FL 33139 INSURER E: INSURER F : GUVCKAUt:5 CERTIFICATE 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. 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, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. gEEXCLUSIONS ILTR TYPE OF INSURANCEADDL MIAMI SHORES,FL 33138 SUBIRPOLICY POLICY NUMBER EFF MMIDD POLIC MMIDDY EX LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES occurrence $ 100,000 MED EXP (Any one person) $ 5,000 A ❑ ❑ CLAIMS -MADE © OCCUR ❑ GL-36095--o� 10/08/2D10 10/08/2011 PERSONAL &ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000 ❑ POLICY 11 SECT ❑ LOC $ A AUTOMOBILE LIABILITY .:ANY AUTO ❑ ALL OWNED AUTOS © SCHEDULED AUTOS El HIRED AUTOS CA -28595-0 10/02/2010 10/02/2011 COMBINED SINGLE LIMIT $ (Ea acciderd) BODILY INJURY (Per person) $ 10,000 BODILY INJURY (Per accidel $ 20,000 ' PROPERTY DAMAGE GE $ 10,000 ❑ NON -OWNED AUTOS $ ❑ $ ❑ UMBRELLA LIAR ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑ CLAIMS -MADE AGGREGATE $ ❑ DEDUCTIBLE $ $ El RETENTION $ WORKERS COMPENSATIONWC STAT% OIH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCWDED9 N I A EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) SWIMMING POOLS- SERVICE 2002 CHEV SILVERADO P/UP # 1 GCEC14W52Z345041 CERTIFICATE HOLDER CANCELLATION C 1988-2009 #CORD CORPORATION. All rights reserved. ACORD 26 (2009/09) OF The ACORD 7 and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AMANDA MCGOVERN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 9950 NE 4th AVE MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE C 1988-2009 #CORD CORPORATION. All rights reserved. ACORD 26 (2009/09) OF The ACORD 7 and logo are registered marks of ACORD 77 7�7 771 NOV 0 5 2010 11 13.2,^ ..•........: Miami Shores Village Buildino Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT Permit Kb 04I(Dv, — Owner's Owner's City: Q., Job Address (Of where work is being done): XA I" V& U City: Miami Shores State:—Florida Zip Code: 09 tom( ✓ 0 22 Contractor's Company Name: '� Phone #: 3 is� Address: G P 1 4 � City: 1 Cit State: ; Zip Code: 0 Qualifier's Name: C I ��' G- CA a /Z C Lic. Number: 62�> PC? C7 �� y Architect/ Engineer of Record Name: Address: City.- Describe ity: Describe Work: I hereby certify that the wo unable or unwilling to complete n Mimi Shored%• Signature owner or Agent The foregoing i u ent was a4 this�day o�r,2do, Who L"_�ll known to me or who has produced Phone State: Zip Code: n abandoned and/or the contractorlarchitect is contract. I hold the Building Official and the less for all legal involy 7. r Signature Contractor or, Architect The foregoing instru (ntt waP aknowledge ere m this 5 day of V44 M 2010)y who is onall n w e or��//who as roduced as indentification. �� 'L s iAdentirication. Nota b ' Notary P b c: p. I o� �R1os Sign: �o Sign: V -VW_ t C�- ryot3 Seal: �^ ���,�°A1�t�??a ` °, "%� 5 '3'y1', �`, , 4eal: e, oe:.r. Goo., ��s'�•j 'i�re 1st ? 'lL' ,V-;,Q�•• ' y g0� 30 A gmw OCT 2 8 2010 BY - October 27, 2010 CERTIFIED MAIL/RETURN RECEIPT REQUESTED Mr. Thomas Benton Miami Shores Building Department City of Miami Shores 10050 N.E. 2nd Avenue Miami Shores, FL 33138 Re: 9950 N.E. 4TH AVENUE ROAD, MIAMI SHORES, FLORIDA 33138 Dear Mr. Benton: I am writing to you as the owner of the residence referenced -above to confirm that on October 27, 2010, 1 have sent a certified letter to Frank Vazquez, President, Blue Water Pools, 4811 N.W. 35th Avenue, Miami, Florida 33142 hereby terminating their services relating to my property for failure to timely obtain final approval and closure of the operational permit. A copy of the letter is enclosed herewith. Very trdl ours, Amanda Mc ern AMM/bj s Enclosures (1) Amanda McGovern 9950 N.E. 4th Avenue Road Miami Shores, FL 33138 7008 1.1.40 0.0.03 6841 15.98 Mr. Thomas Benton Miami Shores Building Department City of Miami Shores 10050 N.E. 2nd Avenue Miami Shores, FL 33138 4 6 71 1., i T -1711 'i�r» 1� 'd,` h 1141111111118!113Ill lit 1111f1111lit If IiittIllililtItitIhilil October 27, 2010 CERTIFIED MAnJRETURN RECEIPT REQUESTED Mr. Frank Vazquez President Blue Water Pools 4811 N.W. 35' Avenue Miami, Florida 33142 Re: 9950 N.E. 4TH AvENuE ROAD, MIAW SHORES, FLoRiDA 33138 Dear Mr. Vazquez: I am writing to you as the owner of the residence referenced -above to confirm that on October 27, 2010, I have sent a certified letter to Thomas Benton of the Miami Shores Building Department giving him notice that I am hereby terminating your services relatipg to my property for failure to timely obtain final approval and closure of the ope at, onal permit. LiA Aknanda ?&Gotern AMM/bjs gels` MW Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 - Fax; (305)756-8972 8/15/2006 To: Current Owner 9950 NE 4 AVE Road Miami Shores Village, FL 33138 - Permit: BP2004-1672 Address:9950 NE 4 AVE Road Miami Shores Village FL33138- Date Expired: 9/13/2005 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8-5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein. " Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Vargas Administrative Assistant Miami Shores Village 10050 NE 2nd Avenue Phone: 305-796-2204 Printed: 1/6/2005 Applicant: VICTOR Owner: ORTEGON JOB ADDRESS: 550 NE 101 Building Permit Permit Number: BP2004-1672 ORTEGON VICTOR ST Contractor BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 3400 N. MIAMI AVE Local Phone: 3051573-6269 Page 1 of 1 Parcel # 1132060171160 Legal Description: MIAMI SHORES SEC 4 PB 15-14 LOTS 1-2-3 BLK 95 LOT SIZE SITE VALUE Fees: Description Amount FEE2005-126 Structural Fee $50.00 FEE2005-171 Building Fee $270.00 FEE2005-172 CCF $5.40 FEE2005-173 Training and Education Fee $1.80 FEE2005-174 Technology Fee $6.75 FEE2005-175 Scanning Fee $30.00 FEE2005-176 Radon $0.42 FEE2005-177 Builders Bond $300.00 FEE2005-178 Submittal Fee ($50.00) Total Fees: $614.37 Permit Status: APPROVED Permit Expiration: 6/20/2005 Construction Value: $9,000.00 Work: NEW SPA Signed: (INSPECTOR) Total Fees: $614.37 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Bill To VICTOR ORTEGON VICTOR ORTEGON & AMANDA MCI 9950 4 AVE Road NE Miami Shores Village, FL 33138 - Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Permit Invoice Report ' Invoice Number: imp -3-06-23976 Invoice Date: March 01, 2006 Permit Number: BP2004-1672 Permit Type: Imported Permit Date Fee Name Fee Type Fee Amount 03/01/2006 Building Fee Calculated $135.00 Total Fees Due: $135.00 Payments Date Pay Type Check Number Amount Paid Change 03/01/2006 Check 7604 $135.00 $0.00 Total Paid: $135.00 C(ws Wednesday, March 1, 2006 Miami Shores VillageUVEE Buildin g p De artmentF 92005 L��` 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 –-------- Tel: (305) 795.2204 Fax: (305) 756.8972 �a BUILDING I Permit No. v PERMIT APPLICATION Master Permit No. LNp FBC 2001 Permit Type (circle): Building / Electrical PluMechanical Roofing Owner's Name (Fee Simple Titleholder) it l �i� � �ly Phone # � �� �� _� j r Owner's Address city &L l Tenant/Lessee State Zip Phone # Job Address (where the work is being done) t cl y City Nami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Contractor's Address city N1lGlN f� '� - 5 ^Vi, �f 01 F, • Phone # �44 State Certificate or Registration No. 4U G� �� : ; I Certificate of Competency N Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit Square Footage Of Work: Addition Describe Work: 0 Demolition i Submittal Fee $ Permit Fee 5 f— CCF $ CO/CC Notary $ Training/Education Fee Scanning Radon $ Zoning_ Code Enforcement $ Structu� e , J� Total Fee Now Due $ I (Continued on opposite side) Technology Fee $ Bond 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 on to issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith of notice of commencement and construction lien law brochure will be delivered to the person whose property is sub'me Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec onurs even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no be ad einspection fee will be charged. Owner or Contractor The foregIng instrument was l% acknowledged before me this �G The foregoing instrument was acknowledged before me this day of FfT2 , 20 by V G(/_0-'' T&OV , day of FTE? 20 �5 � by 1W4� W-erso ally kn� i» to me or who has produced vyho me or who has produced NOTARY PUBLIC: Sign: Print: Asri!on and who did take an oath. as NOTARY PUBLIC: C Sign: 06M SNMW Print: and who did take an oath. MygExpires 3eplsmb�r - My Commission Expires: i;�w O" 26 + MY s+m DDX?m g ?w �" 26.2M APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miam�ffmo es, Florida 33138 ' T 5.20-) 756.8972 BUILDING I DEC 3 2Q�4 PERMIT APPLICATIO .. FBC 2001 Permit No. F el �� ` :ZJ Master Permit No. Permit Type (circle):Buildi Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Il I s%C � ��'Phone # �='� "� � 61 � Owner's Address `lam �� `-t' Cityj- l L - / t/ !/ w State rG ? � 1, Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) o 2% 5 ` ` City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 14 ir 14 u l Phone # `0^ Contractor's Address , ,' c '`fvl' ' __-Ii f� Qualifier �V StateL State Certificate or Registration No. ` %��°� 5 l Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $Value of Work For this hermit ! , V Square Footage Of Work: Type of Work: DAddiiion ❑Alteration [}New I] Repair/Replace ❑ Demolition Describe -Work: Submittal Fee $ Permit Fee $ CCF $ 5t �0 //MCC Notary $ Tr ' g/Education Fee $ 0 Technolo` Fee $ loi 75 Scanning $_3p� Ra n $ ♦ Zoning \ . Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $% �• �� �' (Continued on opposite 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 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 alta ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o rs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be a ed d a reinspection fee will be charged. s Signature Owner or Agent The foregoing ' ent was acknowledged before me this day ofe� 20 a by V'�l � 0� 6&w , who is personally known to meter who has produced. P AS who did take an oath. NOTARY PUBLIC: Sign: 4K Cir Print: �� `✓"�i,� _.` !x C°"ftak), Contractor The foregoing instrument was acknowledged before me this day of Pi , 20, by��� who is personally known to me or who has produced NOTARY PUl Sign: Print: My Commission Expires: 20, no My Commission Expires: 'b+ ss�a�"0 APPLICATION APPROVED $Y: '. Che 05/13/03 - 7 dZ10j/v4-' I Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TVAE OF FIRST INSPECTION PERMIT NO. ✓5 0V'/(07o2TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADS 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. 1131N1 OR 8k 22908 Ps 0222; (IPS) RECORDED 12/15/2004 12.'15=34 HARVEY CUVIN? CLERK OF COURT MIAMI-DADE COUNTYr FLORIDA LAST PAGE 1. Legal description of property and streettaddress: W. �-�—✓ &1Z !�- -3.P 2. Description of improvement: AW JP 3. Owner(s) name and address: ,V Interest in property Name and address of fee simple titleholder. 4. Contractor's name and address: f PIA 7V LCI -1- 0/- /-- • 8- - -- 1111A;gl Avg. VAR14 R, 3312 5. Surety: (Payment bond required by owner from contractor, if any) • Name and address. - a Amount of bond $- 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1xa)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. Expiratio d this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different a is ecified) Ire of Owner a 7 wner's Name—aji ' / Prepared by �i to and subscribed before me this day of 20 �. Notary Pubiic_b Print Notary's Name i My commission expires: 123.07-52 PAGE 4 &02 • owuno s-Pbll►ba Zg, ,OW Address, � VIAVI AI%�- AIM/ STATE OF FLORIDA, COUNTY OF DAD he I HERE13 Y CERTIFY that this rs a true coP day of rr�r I filed in this office n \ e A D 20 WITNESS my hand and Off, �ysal. ou ourt HARV IN RI1 C , D.C. e C0UIUr CIEm• \W 001) WA 140 W. FLAGLER ST., SUITE 1602 MIAMI FL, 33130 (305) 375-2527 CONTRACTOR'S BUSINESS CERTIFICATE OF COMPETENCY ISSUED JULY 06, 2000 THIS IS TO CERTIFY THAT SUNNY ISLES POOLS INC CONTRACTOR ''CERTIF1CjTE NO: TRADE: PLUMBING CERTIFICATE EXPIRATION DATE: 09/30/2011 HAVING MET THE CODE REQUIREMENTS OF MIAMI-DADE COUNTY, AS AMENDED, IS CERTIFIED AS A CONTRACTOR IN THE FOLLOWING CATEGORY(S): 0009 POOL MAINT UNLTD WITH ALL WORK TO BE DONE UNDER THE SUPERVISION, DIRECTION PAM CONTROL OF QUALIFYING AGENT CABRERA GILBERTO S.S.N. - -9987 ALTERATION, REPRODUCTION OR TRANSFER OF THIS CERTIFICATE IStPROHIBITED. HERMINIO GONZALEZ, P.E. SECRETARY, CONSTRUCTION TRADES QUAL117YING BOARD SUNNY ISLES POOLS INC 1601 BAY RD. #5 MIAMI BEACH FL 33139 FEE FOR THIS CERTIFICATE WAS PAID ON PROCESS NO. T2009109028