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BPP-13-851 L Miami Shores Village ' wilding Departmen ' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 - INSPECTION'S PHONE NUMBER: (305)762.4949 FC 0 �I,_.e��e��m.aoos�e�e=e BUILDING � �� /- / permit No. 3� � PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING �Jy JOB ADDRESS: Coe• �p "4 , City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //- 32-0(0 - 0/3'Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): YY1� \ Phone#: Address: q'l City: Q t-�t`I yt S State: Zip:'_�� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ,I 1 J t 5-C) Address: City: State: Zip: J (6 Qualifier Name: Y1 U f n GLY1 'e Phone#: 1?)01S_ State Certification 2or�Registration#: Certt o etency#: JV Contact Phone#: S '�) 3 Sq Email Address: ' . Yl DESIGNER:Architect/Engineer: 'Yl n Phone#: Value of Work for this Permit:$ t DC o, Zew are/Linear Footage of Work: 4 & owl + Type of Work: ❑Addition ❑Alteration�- ❑Repair/Replace T Demolition Description of Work: CA�) 0I [� y1 Color thru tile: �m>kx>kx�xx=K�:x�xx*�>K*�xxxx>xx�>k�x��x:x>kxxxxFeesx=Kux�>�>K�x�*�*>F:��:;xxx.:x:xxxxx**xx�u�>Kxxxxxx�>k� oJ, Submittal Fee$ Permit Fee$ J v _ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ° t ' Bonding Co►S►pany'?Name(if applicable) Bonding Company's Address City State Zip 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Ownet or Agent ��.�' Con actor It The foregoing instrument was acknowledged before me his AZ C) The foregoing instrument was acknowle ged before this day of C i ,20 by mP day r i 20 ($ by 0r�Y1 CIYT who is personally known to me or who has produced. °CQ(/) wh ally known to me or who has produced �l/1 As identification and who did take an oath. as identificatio and who did take an oath. NOTARY PUBLIC: NOT LIC: ANGELA BAE2 �o�" II iANGEL A Sign: Public-State of Florida Sign: aikle iN cr y x 'rea Mar 7,2016 .N,, m.Ex it r Print: 1 Print- ''•' re ifouda My Commission My Co APPROVED BY PlansExaminer Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ABS4INC-01 MATERAT ACORN?° t TE(MIUDD/YYYY) �..- CERTIFICATE OF LIABILITY INSURANCE DA3/27/2013 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,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 endorsement(s). PRODUCER CONTACT NAME: Insurance Office of America,Inc. PHONE 800 243-6899 IFAX : 407 788-7933 P.O.Box 162207 A/c No Ell:( ) ( ) Altamonte Springs,FL 32716-2207 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Guarantee Ins Co 11398 INSURED INSURER B: Swimming Pools of Florida,Inc. INSURER C: Go ABS4,Inc.8:ABS2,Inc. 999 Vanderbilt Beach Rd.,Ste 200 INSURERD: Naples,FL 34108 INSURER E: INSURER F COVERAGES 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 CONTRACTOR 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. INSR TYPE OF INSURANCE 0 D POLICY NUMBER MMIDDD/YYFYFY MM GCD YY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEIT_ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY I I PRO LOC MBI $ AUTOMOBILE LIABILITY Ea cad a .n SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PER ERTY DAMAGE $ HIREDAUTOS AUTOS $ UMBRELLA L" OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'IJABILITY T I ITS YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE❑N N/A GWG0334001939-112 5/14/2012 5/14/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-PO LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Miami Shores Village Building Department 10050 no 2nd avenue Miami FI 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r G ————--——— 2013 FIRST-CLASS LOCAL BUSINESS TAX RECEIPT U.S.POSTAGE 2012 IMIAMI-DADE COUNTY MIAMI-DADE COUNTY-STATE OF FLORIDA PAID TAX COLLECTOR EXPIRES SEPT.30,2013 MIAMI,FL 140 W.FLAGLER ST. MUST BE DISPLAYED AT PLACE OF BUSINESS PERMIT N0.231 I s,FLOOR 8A-ART.9&10 MIAMI,FL 33130 PURSUANT TO COUNTY CODE CHAPTER ,S NC i A 3"LL-=C: C-?'" RENEWAL 608777-9 635038-3 B"jg '.%N' 1ma �VdS TION FLORIDA INC STATE CE ��+�7768 6914 NW 50 ST 33166 UNIN DADE COUNTY 0wSj^ IMMING POOLS OF FLORIDA INCWORKER/S S-j Vge5ft6T'AtTY BUILDING CONTRACTOR 1 THIS IS ONLY A 'OCAL BUSINESS T:+X REC:.IPT.li DOES NOT PERMV -.4E HOLOER TO "c>aT°ANY DO NOT FORWARD oMSTING REGULA ORY OR _ONING UNVS OE T.Sc coal:: OR cr.-.Es. NO., ICES T axaq.T THE ..OLDER FROM ANY OTHER �Esmr s�avf�SNSE SWIMMING POOLS OF FLORIDA I NC N0-A CEP.?1:7CATiOP1 OF MANUEL HERNANDEZ 1-IF 23w`ns.^.lrA_RCA 6914 NW 50 ST ,IONS. N MIAMI FL 3316 PA"i MFNT RECE;IE MIAIffi-DARE COUti^."Y T,9: c6 cTOR: 08/31/2012 60030000063 ;= F° Es•:• •E'siif:3:Eii2eil:::a: =a?a:•'• ':;�9 000075.00 •'•"'"''' ! SEE 07 HER SiDE c gg�� 616 6 6 2 6 STATS OF FLORIDA 6`�i�r' � g, DRP ►R KWARtTBCTj® I 1TS�'R R�I� �� B®d�RD T�� Vpc1457768 r"'SN NRR 06 20 201 117059176 The RESIDENTIAL POOLI/SPA CONTRACTOR Named bel®w IS CERTIFIED Under the provisions of Chanter 489 PS. Respiration date% AUG 31, 201.4 HERNANDEZ KANML SWIM:[= 60OLS OF FLORIDA INC 6914 NN 50 STREET MIAMI EL 33166 SCOTT 1E� SCOTTK= LAR ON RICGOVERNOR SRcP�1,`TART CERT ,llt� SATE OF LIABILITY INS ANCE °ATE03/27/13 YY' THIS CERTIFICA'l ISS 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 WAIVED,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 endorsement(s). PRODUCER CONTA NAME:CT ARAYS GARCIA Okay Insurance (HSN o Ext): (305)267-7232 FAX No): (786)388-0492 7293 W.Flagler Street A MAIL agarcia@okayinsurance.com Miami,FL 33144 INSURER(S) AFFORDING COVERAGE NAIC#_- Phone_ (305)267-7232 Fax (786)388-0492 INSURERA: SCOTTSDALE INSURANCE INSURED INSURER B: SWIMMING POOLS OF FLORIDA INC INSURER C: -_ 6914 NW 50 ST INSURER D: Miami,FL 33166 (305)597-3950 INSURER E: INSURER F: COVERAGES 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADD ISUBR POLICY EFF POLICY EXP LIMITS LTR IN POLICY NUMBER MM/DD (MMIDDNYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.0_0_ Q COMMERCIAL GENERAL LIABILITY PREGE TO M SES EaENTED occurrence $ 100,000.00 ❑ ❑ CLAIMS-MADE ❑ OCCUR CPS1707868 MED EXP(Any one person) $ 5,000.00 A ❑ 12/18/2012 12/18/2013 PERSONAL BADV INJURY $ 1,000,000.00 I ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 POLICY ❑ JPRO- E] T ❑ LOC _ $ O ED AUTOMOBILE LIABILITY EeMaBxl i SINGLE LIMB ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS NON-OWNED PROPERTY DAMAGE F-1HIREDAUTOS ❑ AUTOS Per axideM $ F1UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ f El DED ❑ RETENTION$ $ WC STATU- OTH- WORKERS COMPENSATION ❑ I ❑ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ -t - - — I ! I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space is required) I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE MIAMI,FL 33138 AUTHORIZED REPRESENTATIVE ARAYS GARCIA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD MAP OF BOUNDARY SURVEY N.E.98th STREET w Property address: 9 g 7 6 5 4 3 2 z �%1 361 N.E. 97th Street 42 e � City: Miami Shores W County: Miami-Dade 6 17 18 19 20' 21 22 23 24 z _ State: Florida Zip Code: 33138 Folio # 11-3206-013-5760 N.E.97th STREET SUBJECT PROPERTY LOCATION SKETCH O NOT TO SCALE SURVEYOR'S REPORT: 1 1. MAP OF BOUNDARY SURVEY, Fieldwork date f data 6 qu si ion: O tober 31, 2014. 2. LEGAL DESCRIPTION: �o !i ®6TMAIW 201 _--- Lots 19 and 20, Block 42, AN AMENDED PLAT I ON No. 1, acc at thereof, as recorded in Plat Book 10, Page 70, of the Pub i a d i mi—D a County, Florida. 3.AREA: Q � I Containing 11,500 Square Feet or 0.26 Acres more or less by calculations. �� g 4.ACCURACY: °' < w l� < w � The accuracy obtained by measurement and calculations of a closed geometric figure wa and to d exceed this requirement. Linear 1 foot in 7,500 feet. © Ji P 5. DATA OF SOURCES: E w 4�tlF � , ' HORIZONTAL CONTROL: f a_ v —The Legal Description was furnished by client. �'` ® o a o —North Arrow as per Plat Book 10, at page 70 of the Public Records of Miami—Dade C ` i++ y, Flory Ia.(-,) ® ¢ f VERTICAL CONTROL• I� Q Q � Elevations are referred to N.G.V.D. 1929. Benchmark used: Miami—Dade County Benchmark No. N-603—R, Elevation=8.05' (N.G.V.D. 1929) Located @ N.E. 96th Street and N.E. 6th Avenue. 6. FLOOD INFORMATION: By scale determination this property is located in Flood Zone X, as per Federal Emergency Management Agency (FEMA), NFIP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0302, Suffix L, FIRM Panel Effective/Revised Date 09-11-2009. 7. LIMITATIONS: No research was made for other instruments than the existing in the plat and provided by client. There may be additional restrictions or instruments that are not shown on this Survey that may be found in the Public Records of Miami—Dade County. No determination was made as to how the site can be served with utilities. Fences and walls ownership by visual means only, legal ownership not determined. No underground utilities and/or structures(foundations) was located within or abutting the Subject property. SURVEYOR'S CERTIFICATION: I certify. This Map of Boundary Survey meets all applicable requirements of the Florida Minimum Technical Standards as contained Chapter 5J-17. Unless indicated to the contrary, the measured distance and directions shown on the Map of Boundary Survey are the some as the deed distances and directions. Not valid without the signature and the original raised seal of Florida Licensed Surveyor and Mapper. Additions or deletions to Map of Boundary Survey by other than signing party or parties is prohibited without written consent of the signing party or parties. This Survey Map and Report are not full and complete without the other. Seal: Job# 14-1030 FormTech Land Surveying, Inc. State of Florida LB#7980 12209 S.W.129th Court,Miami,Florida,33186 Date: l l - . Ph:(786)429-3034 (786)443-0285 (786)443-0678 genic L.Formosa P.S.M. www.formtechsurveyors.com w.formtechsurveyors.com email:info@formtechsurveyors.com State of Florida LS#6660 Page 1 of 2 MAP OF BOUNDARY SURVEY _uw__ -CUL- =--= _ 9 ASPHALT PAVEMENT 0 9� 15 ALLEY +�6 ;� ao R W °' 140.00' Q t;p WM4.p C3 FOUND LR.01/2° -Po .J ' C.B.S. WALL POOL o 20.3' FOUND I R 01/2° O (NO ID.) x o �� EQUIPMENT A ©NE STY._ 1 `�' (NO ID.)' 12.0' SOD , �o� g � GARAGE .11WE V m CL Sl�g 1 + •� R'y L.F.E.=10.04 CN - co IZ 0 �ti �°� gyp. 28.2 �'�' 0 F.F.E.=11.68' S 3 N O 7.8' gyp. 3 5 FENCE 0 1.8 9.9 o�ry 7.99 Goo rn 9.9 SOD O CJ 35.4 Lij19.0 Z 7. .o \ O U) �, i_? CONCRETE t ,�o` J Ld 004 Uf t' O O 0 M N POOL N I DECKL �? ,�prO A/ ,gyp Ld -� ® C ® 4.9 . 1 U) r V_ 11.6' 35.6' I 16.3' I In 031. M Q ob 18.5 oh 18.9' � r 2 I- -J PLA �^ C3 AY Lr) I a o C) 06 LL 06 LIFT o � 9.5' o o� 18.0 I O Q I- + pN I A �ti M :5 '� O `. . J x F�2.4n1 0 CL 7. 3' TWO STORY M w i RESIDENCE o Q o 00 No. 361 I a SOD od w I L.F.E=11.93' Q 1.2 METAL GATE 70.1)' 5.2 ,00K 0 I CRETE °° z 1,01 Q 24.8 LOT 19 ' BLOCK 42 I 15.0' +S o Q I ti ti �ry o Cb, '' "' I +1, SOD LOT 20 `V Q �0�,� I BLOCK 42 FOUND N.&D. FOUND N.&D. FOUND I.P.01/2" (N0 ID.) NO ID. o,�O (NO ID.) BLOCK CORNER 5' SIDEWALK R W 100.00 1:b g , 0 203.81' Abh o�� 23.8' PARKWAYo�° ��9 . 10'PAVERS DRIVEWAY �� T.B.M. SOD � ti .o' V=10.32' g1 19' ASPHALT PAVEMENT `° 'A N.E . 97th STREET This Survey Map and Report are not full and complete without the other. A Arc Pg. Page ABBREVIATIONS & LEGEND -Chain Link Fence FND Found R/W Right-of-Way U.E. Utility Easement Center Line ® Unknown Manhole Fire Hydrant -"-Wood Fence Sewer Manhole E Electric Box -0�- Metal or plastic IP Iron Pipe ►til Monument Line O Telephone Manhole ® Fence IR Iron Rebar Temporary t Light Pole N&D Nail & Disc TBM ' -auu-Overhead lin Benchmark ® Water Meter 4 Utility line COL. Column PWY Parkway � Utility Pole o0 W/P Water Pump wV CG Water Valve CLP Concrete Light Pole + Spot Elevation P.B. Plat Book ENC Encroachment D.M.E.Draina a Maintenance Easement ® Catch basin ® Property Comer FormTech Job # 14-1030 31-201 Scale: 1" = 20' Date: 10-31-2014 Land Surveying, Inc, State of Florida LB#7980 0' 10' 20' 40' 12209 S.W.129th Court,Miami,Florida,33186 Ph:(786)429-3034 (786)443-0285 (786)443-0678 GRAPHIC SCALE www.formtechsurveyors.com email:info@formtechsurveyors.com Page 2 of 2 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 11/16/2015 To: Current Owner 361 NE 97 Street Miami Shores, FL 33138-0000 Permit: BPP-4-13-851 Address: 361 NE 97 Street Miami Shores FL33138-0000 Date Expired: 5/30/2015 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo (CBO) Building Director Miami Shores Villa e RECF��IEIa CEI EIS APR 17 2014 Building Departme APR t� 90050 N.E.2nd Avenue,Miami Shores,Florida 3 138 } .�. Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)76 • B �0 ILD Permit No. I BUILDING PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 36/ 416 U,<4- City: Miami Shores �^ County: Miami Dade Zip: Folio/Parcel#: A/- c7 3 goo d� 7,�Q Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): �Ctil'r165 Phone#: Address: 2361 ff6 Vk± City: �VEi State: F Zip: '✓o Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:_,5W'Y rnbj"n J 190yIs 0-P OU"Phone#: L,3 `59 7"3150 Address: 67//-/ /16) 60M S+ City: 4aan 1, State: F1 Zip: 33145 Qualifier Name: Mga l ber / Z• Phone#: State Certification or Registration#: C96 I1-/�7769 Certificate of Competency#: Contact Phone#: ( )&V--3 o Email Address: �(�X r/, Gd m DESIGNER: Architect/Engineer: A'hldh�d 64ixle g PE Phone#: 3� -(A Value of Work for this Permit:$ dsa ©oo Square/Linear Footage of Work: !' Type of Work: ❑Addition ❑Alteration )WNew ❑Repair/Replace ❑De olition Description of Work: Ale44 POO-1 C%h& ,gPG. Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ .Bonding Company's Name(if applicable) Bonding Company's Address I - City State Zip 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 abse ce of such posted notice, the inspection will not be a proved and a reinspection fee will be charged. Signature Signature Ow er or Agent Co tractor The foregoing instrument was acknowledged befor,me Vs The fore ing i strument was acknowle ed before e this day of ,20 1y by ens day of ,20�A by o is personally known to me or who has produced who' personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P LI NOTARY LI Sign: Sign: Print: � r-L IPA .a��u C� Pr t ., '`n A LA 2 WIC My Commission ,r ,' Notary PubfExpires Florida M :°�. ® y PubExp;res Mar 7,2016 ;Neg My Comm. ,2016 esu. EE 176938 '• n#'9sav � ' Commis6938 s•9r ,z�: Gommiss�c a�kk:x�akk��a��:kk�k�kka��c:xx:�ksk�s�sk 7o7/ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)