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BP-04-462 "Alto Miami Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL toR�uP' Phone: (305)795-2204 Fax: (305)756-8972 Nurri I ' '(' .k' a armtt�ul r t r.' 130,10 4- f 2 Inspection Date: 05/01/2006 Permit Type: Imported Permit Inspector: Grande, Claudio Inspection Type: PAINTING Owner: RABINOVICH,SAUL Work Classification: Paint Job Address: 560103 Street NE Miami Shores Village, FL 33138- Phone Number Parcel Number 1132060170890 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed E:1_ Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Thursday,April 27,2006 Page 1 of 2 t Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 BUILDING PERMIT APPLICATION ''' �� ► Master Permit No. FBC 2004 APR 2 7 200 Permit Type(circle): Building �1Y- t ical, Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) J� �r �`-�"�hone# Owner's Address City State Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) "✓(,:9 V IV.JJ+ City Miami Shores Village County . Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO X Contractor's Company Name Phone# Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: u\SICy-) 1 r ki _. j�� Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side Bonding Company's 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. Signa Signature caner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by day of .20_,by , 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. as identification and who did take an oath. NOT UBL Mabel Vargas NOTARY PUBLIC: • 0,? Commission:DD231 Mol 13,20e Porded Sign: li�r�� Sign Print: Print: My Co ission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village ",oc Building Departmentry�, � y04 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag: (305)756.8972 BUILDING Permit No. � --�.L1 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): uilding Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titter) �r(1� � J. �� Phone# � Owner's Address 5 6 D ^8C— 103 � City 0; 'f+ ii-fyz C� State FL Zip 3-?,isb Tenant/Lessee Name Phone# Job Address(where the work is being done) 5-60 ^�41 10 City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO_.Y— Contractor's Company Name 0 L9"IJPhone# Contractor's Address City State Zip Qualifier Architect/Engineer's Name(if applicable) Phone# $Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work• '��`r e Submittal Fee$ Permit Fee$ 60 .co ° CCF$ ® 00 CO/CC Notary$ 5. ) Training/Education Fee$ - Technology Fee$ Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ � V, ° APR 0 6 PAID (Continued on opposite side) 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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ., Signature er or Agnt Contractor The foregoing instrument was acknorw�led ed before me this (4 • The foregoing instrument was acknowledged before me this day of A � t 20 ,by �l t�C I C )1 'L�.�'(.dX /` .20 by who is pers mown to me or who has produced, who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOT PUBLI `.� NOTARY PUBLIC: Sign: C 5 Sign: ��'" �mmwion#DD23198 Print: _ � Print: A- :*: xpires:Ju 2007 My Commission Expires: s �F.•Q Bonded Thai My Commission Expires: Atlantic Bonding Co.,Inc (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. 7 APPLICATION APPROVED BY: MAY 2 020 Plans Examiner Engineer ar Zoning Chc 12/15/03 Miami Shores Village • Paint Color Approval and Agreement Date r� Pc Phone# Owner's Name �� 4t: /�` y I �_ Owner's Address A�- /03 City /3'}'�1 c Lr-F State Fes, Zip Job Address(where the work is being done) City Mari Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name(if applicable) Phone# All elements on the site must be listed and indicate the color to be Painted Walls Jar •i�ES%� �!l l�� Fascia X Drip Cap/drip Edge 'Y lG Soffit Roof Flower bins ach Color Samples Shutters With Numbers Awnings • Chimney Doors and door jams Garage doors ( 1 Railings Fences C Decorative metal All brick(simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other 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 regulatin construction and zoning. ,�/az Signature _- °� �^ Date Q Owner or Agent Date APPLICATION APPROVED BY: C � C� P&Z Ofli •al chc 6/1$/03 • � xvxz Miami Shores Village 4PR �� 4 20ps d Paint Color Approval and AgreemM. Date e n 1 Q` I �N� �� l�70 ny(CI ► Phone#� �' `-j Owner's Name c Owner's Address City State Zip Job Address(where the work is being done) City_ Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name(if applicable) Phone# All elements on the site must be listed and indicate the color to be painted Walls NO Fascia Drip Cap/drip Edge Soffit Roof r'� Flower bins Attach Color Samples With Numbers Shutters Awnings Chimney Doors and door jams �E ro Garage doors Railings Fences Decorative metal All brick(simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other 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. Date 0 d Signature Owner or Agent Date APPLICATION APPROVED BY: y clic 6/18/03 P&Z Official s ' is Miami Shores Village Building Permit d.still "no?" 10050 NE 2nd Avenue ---�- Phone: 305-795-2204 Permit Number: BP2004-462 ` Rtoo Printed:5/20/2004 Page 1 of 1 gyp► Applicant: SAUL RABINOVICH Owner: RABINOVICH SAUL JOB ADDRESS: 560 NE 103 ST Contractor Contractor's Address: Local Phone: Parcel# 1132060170890 Legal Description: 6 53 42 PB 15-14 MIAMI SHORES SEC 4 AMD PLAT LOTS 5&6 BLK Fees: Description Amount FEE2004-3560 Building Painting Fee $60.00 Total Fees: $67.30 FEE2004-3561 CCF $0.60 Total Receipts: $67.30 FEE2004-3562 Notary Fee $5.00 FEE2004-3563 Training and Education Fee $0.20 FEE2004-3564 Technology Fee $1.50 Total Fees: $67.30 Permit Status: APPROVED Permit Expiration: 10/3/2004 Construction Value: $700.00 Work: PAINT EXTERIOR AS AGREED Signed: (INSPECTOR) 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: ,SNoR,Fs �� Miami Shores Village c, 10050 N.E.2nd Avenue "" "mf" Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status: APPROVED Issue Date: 5/20/2004 Expires: 09/30/2006 Permit Number: BP2004-462 Owner's Name: SAUL RABINOVICH one: Permit Type: Imported Permit Parcel#: 1132060170890 Work Classification: Paint Block: Lot: Job Address: 560 103 Street NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 700.00 Comments: Re uired Inspections PAINT EXTERIOR REVISION Additional Information Perm Type:Building Alpha Two:PAINT Alpha Four:PAINTING Alpha Five:Residential Alpha Six:SINGLE FAM Pay Date:4/7/2004 Pay Amount:67.3 Pay Comments:PAID CASH Bond Return: 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. Fees Due Amount Invoice Number Amt Due Amt Paid Revision Fee $35.00 imp-4-06-24633 $35.00 $35.00 Total: $35.00 Total: $35.00 C-C Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature OWNER'S NAME T PRESENT ADDRESS LICENSE NO. PHONE- Q._-.. E.11,.ivcEachern I 700 N.E. 121;th St. I 6033 JOB LOCATION (ST.OR AVE.) LOT BLOCK SUBDIVISION 56Q N. 103rd St. �-�I 93 I 9ee.4 GENERAL CONTRACTOR I ADDRESSI PHONE NO. LICENSE NO. owner-builder BUILDER'S BOND 12130 IDATE 9-2751 22*00 1339 9-27510 BUILDING PERMIT NO. PERMIT FEE$ NO. DATE 189500 I 2591 .0 189000 ZONE REQUIREMENTS CU.FT. PLAN CUBE CU. FT. EST. COST$ DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION x I CBS I Built up gra e1 terazzo floors plaster and NEW CONSTRUCTIONwoodpaneeel e I3 bdrm.-2 baths-screened porch-living-dining roan-kitchen-garage REPAIRS DESCRIPTION ALTERATION ADDITION APPROVED REJECTED REFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD I REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. V ISSUED a �JA BY I TO MIINSPECTION BUILDING PE T AND INSPECTION RECORD—MIAMI SHORES VILLAGE i F �B ILDING INSPECTIO QS INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY r- FOUNDATION t) o BEAMS&LINTELS FRAMING FINAL CLEAN-UP ,p��-� -�� •� PL MBING PERMITS & INSPECTIONS CONTRACTOR ;—A'o.,,��' �--p— PHONE PERMIT NO. 0-xz DATE 10 r FEES NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK SEWER $ i SOLAR HEATER $ GAS $ INSPECTIONS �jDATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING GAS SEWER �v SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR II —ti ! N?, -U PHONE PERMIT NO. y DATE FEE$ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H.W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY r TEMP.SERVICEa ROUGHING Lv6s H.W. HEATER CONN. ORANGE CONN. FIXTURES&FINAL q '4APPROVAL TO POWER CO.FOR SERVICE DATE