RC-08-285 m
. :. Inspection_Worksheet....... ...._..._-__.-- ..
Miami Shores Village
k. s 10050 N.E. 2nd Avenue Miami Shores, FL
y'1 Phone: (305)795-2204 Fax: (305)756-8972
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Inspection Date: 06/03/2008 Permit Type: Residential Construction
Inspector: Dacquisto, David Inspection Type: Spot Survey
Owner: LUBETSKY, CARYN Work Classification: Addition
Job Address: 9953 4 Avenue Road NE
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Block: Lot:
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
NEW 2 CAR GARAGE
Inspector Comments
Passed E]_
Failed El
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Tuesday,June 3, 2008 Page 1 of 2
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE U.S. No. 1660-0008
Federal Emergency Management Agency Pea-i
••• • • • ••• Expires February 28. 2009
National Flood Insurance Program Important: thr in��r�c to#is on pages 1-8.
SECTION A-PRfiOPERW INRO TION For Insurance Company Use:
Al. Building Owner's Name CARY&CARYN LUBETSKY Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/of.-Blrg:No.)$r P.O-RZFe end Bos(fb.• Company NAIC Number
9953 NORTHEAST 4 AVENUE ROAD • • • • • • • : : • •
City MIAMI SHORES State FL ZIP Code 33138 • • • ••• • •
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PB 15-14 LOTS 5&6 BLOCK 96 OF:MIAMI SHORES SEC 4 AW, P!J41 RECORDSOF MIAL41-DADE COUNTY,FLORIDA
• :•: : • • i of •
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Ac gesso y,eta.1�,RjgW TIAL•:
A5. Latitude/Longitude:Lat.25DEG 52'13.18"N Long.80DEG 11'2$.42"W Horizontal Datum: ® NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 8
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) 36M sq ft a) Square footage of attached garage 515 sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade 10 walls within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b 1744 sq in c) Total net area of flood openings in A9.b N/A sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
VILLAGE OF MIAMI SHORES-120652 1 MIAMI-DADE COUNTY FLORIDA
B4.Map/Panel Number B5. Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12025C-0093 J 7-17-1995 3-02-1994 "X" N/A
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)
Bl l. Indicate elevation datum used for BFE in Item 139: ®NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
B12. is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No
Designation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction- ®Finished Construction
-A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized NAME N-603 Vertical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 11.91 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N/A. ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) /A/A. ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) 11.09 ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 11.46 ®feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
0 Lowest adjacent(finished)grade(LAG) 10.51 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 10.87 ®feet ❑meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. l certify that the information on this Certificate represents my best efforts to interpret the data avaffable.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
❑ Check here if comments are provided on back of form.
Certifier's Name ARAMANDO F.ALAVREZ License Number 5526
Title PROFESSIONAL LAND SURVEYORS&MAPPER Company Name AFA&COMPANY,INC.
Address 13050 SOOT COURT City MIAMI State FL ZIP Code 33186
Signature Date 06-042008 Telephone 305.234.0588 -^---
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
11 1 11
IMPORTANT: In these spaces,copy the corresponding Information from Section A. For Insurance Company Use:
Building Street Address(including Apt..Unit.Suite.and/or Bidg.=Jb n PO:Rode all p83 No. Policy Number
9953 NORTHEAST 4 AVENUE ROAD • • • ••• • • •
CityMIAMI SHORES State FL ZIP Code 33138 ••• • • • • ••• • • Company NAIC Number
SECTION D-SURVEYOR,EMINEEII,OMRCHJIECT•CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)comgMpittoticisl,N inspratcA a9*/cJmpany,and(3)building owner.
Comments CROWN OF ROAD-+--9.88' • • ••• • • •
•• •• • • • • ••
Si gKat a •• ••• • • • tq ••
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1-E4,use natural grade,If available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑ meters ❑above or❑ below the LAG.
E2, For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Secdons A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building: _❑feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
♦ T
• • ••• • • • •••
•• •• • • • •• •• •
• • • • • • • • • •
Builcfing F-homographs
See Instructions for Item A6.
• •• For Insurance Company Use:
Building Street Address(including Apt.,Unit, Suite,a rSdg•Nb);o?0:),R04 ape Box No. Policy Number
9953 NORTHEAST 4 AVENUE ROAD • • • • • • • • • • •
• • • • • • • • • • •
City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number
• ••• • • • • •• •
If using the Elevation Certificate to obtain NFIP flood V414 r 4 4M 4 least=wo building photographs below according to
the instructions for Item A6. Identify all photographs with' date taklerf ""80 View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
FRONT VIEW
k .5
REAR VIEW
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oil
r.
I f.
®a
.`: '"c-
Builaing71rh 5tasifiawls
Covtip6tipr>:PPge •••
For Insurance Company Use:
Building Street Address(including Apt., Unit,Suite,and/or Bldg.No)or P.O. Route and Box No. Policy Number
9953 NORTHEAST 4 AVENUE ROAD ••• ••• • • ••• ••• •'•
• • •• • • • • • • • •
City MIAMI SHORES State FL ZIP Code 33138 '•' '�' '•' �•• ••• •�• Company NAiCNumber
If submitting more photographs than will fit on ths•0AAip0•pA0v, Vfrlx•tM additional photographs below. Identify all
photographs with: date taken; "Front View"and"Rear'Vi&"4 &ct it*41ted, ORight Side View"and Left Side View."
• • . • • • L.
-
SIDE VIEW
1 -
s
a
t
• as
SIDE VIEW
z
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1
1
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ADDITION
»..<.wYpti•,i'yd+,4+ip�.u.➢b.........4 -,:::1�,''+.-JkfS.-�t,..;a-'�
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Inspection Worksheet
Miami Shores Village
AA 91!11
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 0511512008 Permit Type: Residential Construction
Inspector: Grande,Claudio Inspection Type: Slab
Owner: LUBETSKY,CARYN Work Classification: Addition
Job Address: 9953 4 Avenue Road NE
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Block: Lot:
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
uilding Department Comments
NEW 2 CAR GARAGE
Inspector Comments
CREATED AS REINSPECTION FOR INSP-8668. GARAGE SLAB ONLY
Passed CC (PLEASE IN THE AFTERNOON)
5/1308
Failed Need soil compaction certificate. CG
Correction
Needed
Re-inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Thursday,May 15,2008 Page 1 of 2
S.E.T. Ie-car 2
JOBENGINEERING &TESTING LAB, CORP.
2855 NW 112 Ave. Suite 8 Miami FI. 33172 HUGE
Tel: (305) 594-4396 Fax: (305) 594-4305
Field Density Report '- ••------
Client: CLE STORATION, INC. Client NO.1236-2008 Date: 05/15/08
Project: 9953 NE 4 AVE. ROAD MIAMI SHORE, FL
Soil Description: TAN SILICA SAND
Proctor No.: 2821
MAX
FIELD MOIST. DENSITY
LOCATION DENSITY CONTENTS % LIFT RESULTS
(LBS/CFT) % IN THE
FIELD
EAST CENTER UNDER SLAB 100.0 8.8 98.5 FINAL P
CENTER UNDER SLAB 100.2 7.7 98.7 FINAL P
SOUTH CENTER UNDER SLAB 100.0 8.3 98.5 FINAL P
Moisture % No.: 11.8 100% Max Density: 101.5 ASTM D-2922-71
DEPTH: 12_" REQ.COMPACTION: 9595%-
Remarks: ALL OF THE ABOVE TESTED LOCATIONS COMPLY WITH THE JOB SPECIFICATIONS.
P=PASS F=FAIL FT=FOOTING SG=SUB-GRADE BC=BASE COURSE
Resp ly Submitted
FERMIN A. MAR EZ P.E.
FLORIDA REGIS RATION # 19363
S.E.T.
Engineering &Testing Lab, Corp.
2855 NW 112 Ave. Suite 8
Miami Fl. 33172
Tel: (305) 594-4396 Fax: (305) 594-4305
DATE: 5/15/2008
CLIENT NAME: PINNACLE RESTORATION, INC.
CLIENT'S#: 1236-2008
PROCTOR#: 2821
SOIL DESCRIPTION: TAN SILICA SAND
140.0 -
135.0 -
130.0 --fi- --- -
125.0 --- -'—- Dry
I
o
120.0 — Moisture kDensity
b
115.0 - - t
110.0 --} - { rt- 5.3 91.2
w 105.0 -- 11.8 101.5
100.0 12.7 98.9
95.0 --4-
90.0 -
85.0 - ---
5.0 -4-90.0 85.0 --: --
80.0 -- -�-75.0 ---
70.0
5.0 70.0
2. 3. 4. 5. 6. 7. 8. 9.1011121314151617181920
0 0 0 0 0 0 0 0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0
%Moisture
OPTIMUM MOISTURE: 11.8% MAXIMUM DRY DENSITY: 101.5
AASHO DESIGNATION:T-180 D
Res-'DactWly submitted
RMIN A. M , P.E.
FLORIDA REGISTRAfION#19363
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL NN 14
EM
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 05/13/2008 Permit Type: Residential Construction
Inspector. Grande,Claudio Inspection Type: Slab
Owner: LUBETSKY,CARYN Work Classification: Addition
Job Address: 9953 4 Avenue Road NE
Miami Shores,FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Block: Lot:
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
NEW 2 CAR GARAGE
Inspector Comments
Passed GARAGE SLAB ONLY
CC(PLEASE IN THE AFTERNOON)
Failed fLQ
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid
Monday,May 12,2008 Page 2 of 2
ALL FMIDA
PEST CONTROL&F LIZATION
STATE LICENSE NUMBER:M4106
SPECIAL SERVICE AGREEMENT
TREATMENT PREMISES: 9953 NE 4 Ave.Rd.Miami Shores,Fl.33138
NAME: PINNACLE RESTORATION
ALL FLORIDA PEST CONTROL AND FERTILIZATION shall provide the following
one-time services at the above treatment premises: Subterranean Termite Pre Treatment
For the control of: Subterranean Termites
Specific area(s)to be treated: 600 Sq, ft. slab
Period of guarantee(if blank then there is no guarantee):one Year
NOTE:THIS AGREEMENT DOES NOT GUARANTEE THE ELIMINATION OF ANY TYPE OF
DAMAGE TO THE AREA(S)TREATED,THE STRUCTURE OR IT'S CONTENTS,IN THE
PRESENT OR FUTURE.
c4Qcot -fftz-ft
Treatment Date: JV112 8' Treatment Cost: $250.00
Payment is due upon completion of Service.
PURCHASER1.4L
e DATE:
AFPCAF REPRESENTATIVE:SIGNATURE: )&&4 fg.YZ Qa DATE: 6r
PRINT NAME:JIM MALER e-mail: imaler(Dallfloridapest.biz PHONE#:(954)520-2418
2950 N. 28th Terrace • Hollywood, FL 33020
Phone 954.378.2325 • Fax 954.926.2620
ALL FLCIRIDA
PEST CONTROL&F RATION
TERMS AND CONDT4WNS
i. EXISTING DAMAGE: AFPCAF is not responsible for the repair of either visibIF-or hidden damage existing as of the date of this Agreement.
Because damage may be present in the areas which are inaccessible to visual inspection,AFPCAF does not guarantee that the damage disclosed on the
inspection Graph(if included),represents all of the existing damage as of the date of this agreement.
2. FUTURE DAMAGE,LIMITATION OF LIABILITY:Due to the nature of construction,the extent of existing damage,the degree of termite
activity and/or application restrictions.AFPCAF DOES NOT GUARANTEE AGAINST AND AFPCAF SHALL NOT BE RESPONSIBLE FOR,
PRESENT OR FUTURE DAMAGE TO PROPERTY OR CONTENTS NOR FOR REPAIRS OR COMPENSATION THEREOF.In consideration of
the sums charged by AFPCAF hereunder and as a liquidated damage and not as a penalty,and NOTWITHSTANDING ANY CONTRACT,TORT OR
OTHER CLAIMFA PCAF SHALL NOT HAVE PROPERLY PERFORMED IT'S DUTIES TO PURCHASER,THE SOLE RESPONSIBILITY OF
AFPCAF IN THE EVENT OF A CLAIM SHALL BE TO PROVIDE FURTHER AFPCAF DRYWOOD TERMITE TREATMENT FOUND
NECESSARY BY AFPCAF FREE OF CHARGE(within the guarantee period).PURCHASER EXPRESSLY RELEASES AFPCAF FROM,AND
AGREES TO INDEMNIFY AFPCAF WITH RESPECT TO,ANY OTHER OBLIGATION WHATSOEVER.THIS PLAN DOES NOT
GUARANTEE,AND AFPCAF DOES NOT REPRESENT,THAT TERMITES WILL NOT RETURN.
3. WATER LEAKAGE: Water leakage in treated areas,in interior areas or through the roof or exterior of the Structures,may destroy the effectiveness
of treatments by AFPCAF and is conducive to new infestation.Purchaser is responsible for making timely repairs as necessary to stop the leakage.
Purchaser's failure to make timely repairs will allow AFPCAF to terminate this Agreement at any time without notice to purchaser.
4. ADDITIONS,ALTERATIONS:This Agreement covers the Structures described on the Inspection Graph as of the date of the initial AFPCAF
Drywood Termite Treatment.In the event the premises are structurally modified,altered or otherwise changed,Purchaser will notify AFPCAF prior to
such event and will purchase the additional treatment required by the change incurred.Failure to do so will terminate this Agreement automatically
without further notice.In the event of any such change,AFPCAF reserves the right adjust the annual extension charge.The failure of AFPCAF to notice
any such changes does not release Purchaser from the obligations set forth in this paragraph.
5. NOTICE OF CLAIMS,ACCESS TO PROPERTY:Any claim arising out of or related to this Agreement must be made to AFPCAF during the
term of this Agreement.The only obligation of AFPCAF to Purchaser arising out of or relating to this Agreement must be made to AFPCAF are to
retreat the structure,and then only if a valid claim is made during the term of this Agreement.In the event of any claim by Purchaser for anything other
than for AFPCAF to retreat the Structure,.Purchaser shall pay all of the costs and expenses of AFPCAF,relating to or arising out of such claim
Purchaser must allow AFPCAF access to the identified property for any purpose contemplated by this Agreement,including but not limited to
reinspections,whether the inspections were requested by the Purchaser or considered necessary by AFPCAF.The failure to allow AFPCAF such access
will terminate this Plan without further notice.
6. DISCLAIMER:
A. The liability of AFPCAF under this Agreement will be terminated if AFPCAF is prevented from fulfilling its responsibility under the terms
of this Agreement by reason of delays in transportation,shortages of fuel and/or materials,strikes,embargos,fires,floods,quarantine
restrictions,earthquakes,hurricanes,or any other act of God or circumstances or causes beyond the control of AFPCAF.
This Agreement provides for treatment and retreatment(as stated herein)for Drywood Termitea(Kalotermes spp.,Incisitennes spp.,Cryptotermes spp).
This plan does not control or protect against Subterranean Termites(Reticulitermes spp.,Heterotermes spp.)or against Formosan Subterranean Termites
(Coptotermes spp.)or against Asian Subterranean Termites(Coptotermes gestroi spp.),or other wood destroying organisms such as carpenter ants,
beetles,powder-post beetles,wood decay fungi,etc.
B. This Agreement does not cover,and AFPCAF will not be responsible for damage resulting from or services required for.
I) Any and all damage resulting from termites and/or any other wood destroying organisms.
2) Moisture conditions,including but not limited to fungus or mold damage and/or water leakage caused by faulty plumbing,roofs,
gutters,downspouts,and/or poor drainage,or other causes not related to the sole negligence of AFPCAF.
3) Masonry failure or grade alterations.
4) Inherent structural problems,including but not limited to,wood to ground contact.
5) Termites entering any rigid foam,wooden or cellulose containing component in contact with the earth and the Structures
regardless of whether the component is part of the Structures.
6) The failure of Purchaser upon notice from AFPCAF to promptly and properly cure at the Purchaser's expense any condition
which prevents proper treatment or inspection or is conducive to termite infestation.
EXCEPT AS OTHERWISE PROHIBITED BY LAW,AFPCAF DISCLAIMS AND SHALL NOT BE RESPONSIBLE FOR,OR ASSUME
ANY LIABILITY FOR DIRECT,INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL,EXEMPLARY,PUNITIVE AND/OR LOSS OF
ENJOYMENT DAMAGES.THE OBLIGATIONS OF AFPCAF SPECIFICALLY STATED IN THIS AGREEMENT ARE GIVEN IN LIEU
OF ANY OTHER OBLIGATION OR RESPONSIBILITY,EXPRESS OR IMPLIED,INCLUDING ANY REPRESENTATION OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
7. Change in law: AFPCAF performs its services in accordance with the requirements of law.In the event of a
change in existing law as it pertains to the services herein,AFPCAF reserves the right to revise the annual
extension charge or terminate this Agreement.
8. NON-PAYMENT,DEFAULT:In case of non-payment or default by the Purchaser,AFPCAF has the right to
terminate this Agreement and or pursue legal action to collect all amounts outstanding.In addition,cost of
collection and reasonable attorneys fees shall be paid by the Purchaser,whether suit is filed or not.In addition,
interest at the maximum rate as allowed by law will be assessed for the period of delinquency.
9. ENTIRE AGREEMENT:This Termite Plan,these Terms and Conditions and the Inspection Graph constitute
the entire Agreement between the parties and no other representations or statements will be binding upon the
parties.
10. The prevailing party in any litigation arising out of this agreement shall be entitled to recover its reasonable attorney's fees and costs whether pre-
trial,or at the trial or appellate levels.
11. This Agreement will not be binding until executed by both parties.
12. The Agreement shall be governed by the laws of the State of Florida and any legal proceeding arising from this Agreement shall be brought only in a
court of competent jurisdiction in Broward County,Florida
13. This Agreement constitutes the sole understanding and working arrangement between the parties hereto and any changes must be agreed to,in
writing,by both parties.
14. All time limits stated in this Agreement shall be of the essence.
"BUYER'S RIGHT TO CANCEL"
This is a home solicitation sale,and if you do not want the goods or services,you may cancel this Agreement by providing written notice to the seller in
person,by telegram,or by mail.This notice must indicate that you do not want the goods or services and must be postmarked before midnight of the third
business day after you sign this Agreement.If you cancel this Agreement,the seller may not keep all or part of any cash down payment.
2950 N. 28th Terrace • Hollywood, FL 33020
Phone 954.378.2325 • Fax 954.926.2620
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
0
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 05/06/2008 Permit Type: Residential Construction
Inspector: Grande, Claudio Inspection Type: Footing
Owner: LUBETSKY, CARYN Work Classification: Addition
Job Address: 9953 4 Avenue Road NE
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060171250
Project: <NONE>
Block: Lot:
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
NEW 2 CAR GARAGE
Inspector Comments
Passed cc A-KO
L-aw
Failed
6 � M PAIQ V-1 NO–C A C,
Correction
Needed
Re-inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-Inspection fee is paid
Monday, May 5, 2008 Page 2 of 2
4e
M1.ami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax 72
WELDING REC tool Permit 41DW*t%,r Lis
PERMIT APPLICATION Maste 'Permit No.
FBC 2004
Permit Type(circle): Building Roofing � �
Owner's Name(Fee Simple Titleholder) GU Phone*
Owner's Address // 4
City tate r(� Zip
TenandL.essee Name Phone#
Job Addresswhere the work is being done)—A9 /�/� (el
( II
City Miami Shores Villagg County Miami-Dade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES,-- NO
ContractSes Company j�jme� e Phone#
Q
Contras 's Address Qliel /'0It iY/t, �-
City. _ State
Qualifier Name Ci JkPhone#
State Certificate or Registration No. Certificate of Competency No. '
ArchitecdEngineer's Name(if applicable) &w 4"04 _Phone#
Value of Work For this Permit$ Square/Linear Footage Of Work: �����
Type of Work: DA 'tion QAlterationTew Q I.,Repair/Replace ❑Demolition.
I2escrib 'Wark. �..y y'���? w,
�e✓F-
Submittal Fee$ Permit Fee$ ;3- a—b— CCF$ CO/CC
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning
Bond$ Code Enforcement$ Doable Fee$
Structural Re'v ew.$ (Pa," _ Total Fee Now Due$
See Reverse side—�
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mbtt"W endlr's Nagle(applicable)
Mortgage Lender's Address 4'
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 REC ING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estime v ue g$2500, the applicant must
promise in good faith that a.copy of the notice of commencement and construction lieatr c re ill be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of co must be posted at the job site
for the first inspection which occurs seven (7) s after the building permit is issued I he se a of such posted notice, the
inspection will not be approved and a reinspe fee will be charged /
Signature C4m Vl Signature:�•J��-�
Owner or Agent ontrac r ,'
The foregoing instrument was acknowledged
ged before me this� The foregoing instrument was acknowledged before me thisA
in�
day of W2008,by0A91 N LJ&CrSkV day of J5'I 2oa,by (�►� �LD� ,
who is personally Imown to m or who has produced who is personally known or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOT PUBLIC:
J
Sign: 1 Sign:
Print: /7 Print: J '
My Commission Expires: OD 672531 My Commission Ex s JUDITH 672531
Expires June 17,201.1
*eeeee* eeeea+�eeeeanengrsme sea� eaeaeeae�e xlbees
y� / / eanaeanurroyr�t�oeeoo,�nia
APPLICATION APPROVED BY:
/� 8/ <e� S
&4e,APlans Examiner
a y�� Engineer
Zoning
(Revised07/I(/O7)
....................................................................................................... ......--------- ....................................-........................................................................................................
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
..........
. ...........
RG
..........
Inspection Date: January 08, 2009 Permit Type: Residential Construction
Inspector: Bruhn, Norman Inspection Type: Roof Sheathing
Owner: LUBETSKY, CARYN Work Classification: Addition
Job Address: 9953 NE 4 Avenue Road NE
Miami Shores,FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid.
Wednesday, January 7, 2009 Page 1 of 1
----------------------------------------------------------------------...........................-------- .....-...................................................................................................................................
Inspection Worksheet
Miami Shores Village
10050 N.E, 2nd Avenue Miami Shores, FL
°kms Phone: (305)795-2204 Fax: (305)756-8972
:.::«;
Inspection Date:January 08, 2009 Permit Type: Residential Construction
Inspector: Bruhn, Norman Inspection Type: Roof Trusses
Owner: LUBETSKY, CARYN Work Classification: Addition
Job Address: 9953 NE 4 Avenue Road NE
Miami Shores,FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060171250
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
1JA� l SWT
Inspector Comments
Passed �D MAKE LATE AFTERNOON
Failed El Tc z.--_ tCo%-.. i` — vedoar
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Wednesday,January 7, 2009 Page 1 of 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone:(305)795-2204 Fax: (305)756-8972
Ww. z a.
' ,.rte.. a,.;:.r.__ s.. „:;'.r�' », '
Inspection Date: January 21,2009 Permit Type: Residential Construction
Inspector: Bruhn, Norman Inspection Type: Roof Trusses
Owner: LUBETSKY,CARYN Work Classification: Addition
Job Address:9953 NE 4 Avenue Road NE
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
BuIlding Department Comments
';JAN26
Inspector Comments
PassedCREATED AS REINSPECTION FOR INSP-8678. Masonry special inspector
4x'�!E;] 2® certification is required.
NB
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 20,2009 Page 1 of 1
Inspection Worksheet
Miami Shores Village
nn
10050 N.E.2nd Avenue Miami Shores,FL
R Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date:January 21,2009 Permit Type: Residential Construction
Inspector: Bruhn,Norman
Inspection Type: Tie Beam
Owner: LUBETSKY,CARYN Work Classification: Addition
Job Address:9953 NE 4 Avenue Road NE
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060171250
Project: <NONE>
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
Building Department Comments
.�AN26Et�
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-98895. TBA is missing at entry
Tie-beam at rear addition ok
NB
Failed El
Correction
Needed
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 20,2009 Page 1 of 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
21
maim,
Inspection Date:January 21,2009 Permit Type: Residential Construction
Inspector: Bruhn, Norman Inspection Type: Columns
Owner: LUBETSKY,CARYN Work Classification: Addition
Job Address:9953 NE 4 Avenue Road NE
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060171250
Contractor: EFE BUILDERS LLC Phone: (305)807-9217
BuIlding Department Comments
IJAN26E
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-98649. Wall dowels missing
Filled cells require#6
NB
Failed El
Correction
Needed a
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 20,2009 Page 1 of 1