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RC-09-1531 (2)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 FBC 20 MAR 1 9Li2 Permit No. Master Permit Nog el O9 -r /531 Permit T pe: BUILDING) ROOFING OWNER: Name (Fee Simple Titleholder): D ty s s (r6 ickowe i Phone#: Address: it "' *-1ftc Sa 37 .9VNSer Sr City: 31) Nfl.►Se. State: P4 . Zip: 33322, Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1/ E 3 /vg" ''I 1 %EP L City: Miami Shores Folio/Parcel #: County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: bi, /Ner (!/E' 'Nont5 Phone #: (3o s) 2794179 It Address: 33357 g cc). //L CT City: Al / Aim t t / . State: Zip: 51/6 .r- Qualifier Name: j 0.5 /4 , bone L Phone #: 17 ,6 4 367 -„Lc 5 State Certification or Registration #: C_G•C Q5.7 57' ( Certificate of Competency #: Contact Phone #: (7:6) 347-2. s--19 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this'Permit: $ Square/Linear Footage of Work: Type of Work: DAddition DAltera on ❑New ORepair/Replace ODemolition Description of Work: C K,%te1 ems. la Itiv& w 10 f y ****+************ ********** ***: x** * *****Fees**+x ********** ** ***** ************** *** * * * * * ** Submittal Fee $ Permit Fee $ ,, 3 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 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 AIk'DAVIT: I certify that all the foregoing information is accurath 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 es promise in good faith that a copy of the notice of commencement and construct whose property is subject to attachment. Also, a certified copy of the recorde for the first inspection which occurs seven (7) days after the building pe inspection Mill. not be approved and a reinspection fee will be charged. • n Signature Owner or Agent n lien l notice of c it is issued. value exceeding $2500, the applicant must w brochur' - ' be delivered to the person ment mus be posted at the job site absence of such posted notice, the Signature The foregoing i strument was wledge re me this _ 1 J9 The foregoing ins ment was acknowledg d before me this 6 day of I Y , 20 JL • by Q j ON CC) day of _graffer, 20 arby< who i personally kno to me or who has produced who idd personally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: As identification and who did take an oath. NOTARY PUBLIC: Sign ivy Commission Exp • APPROVED BY Sign: Print: My Commissio MY COMMISSION if 1) 2013 ��.ta, n. s< ag . '"aJ724/ Plans Examiner Zoning »• Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk iarni Shares Village uilin apartment 0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795:2204 I+ax: (305) 756.8972 ECTION'S " PHONE NUMBER; (305) 762.4949 9 2009 J` •BUILDIN PERMIT RIC 20 Permit No. Master Permit No. ?)C q ['q , 81 Permit Type: B Owner's Name (F Owner's Address City Tenant/Lessee Nam Email rirt i* 3 a5 S 2 `7 City FOLIO / PARCEL Is Building Historic Contractor's Comp Contractor's Ad City Qualifier Name State Certificate 'Contact Phone done , i .'/ ',a 1 1 `� j '"xV+ le 'Shores Village _� - Cortnty',' Mia' i -Da a Zip tm d y i)esign ted YES Flood Zone ylrlame , er �!(� �._ ` Phone # `306 -tZidi - <?2 fka) t u.)e, , ( MBE= or ' gistration o. r�rv- State - i ,�i Zip ` 'b 15 l ✓i 't Thorn # -C6 •rtificate of Competency No. Mail h b rrye A �,: Corn) Architect/Engineer' cable) Value of Work For Type of Work; Describe Work: teration, in Notary $. Scanning $ Double Fee $ Structural Review. Kermit 1 $ CCF $ CO /CC ..$ rainin ducatlon Feel Technology Fee $ o $ DP BR & $ Bond $ Viol Ite: ation d'� Total ff ' P'eeNew�ueS 1� * * ** * ** * * * * * * * * #008* *�x**** * * * *w #* a�* *,rya x , sa;��a *Ati �s a 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 even 7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b„epproved and a ei ection fee will be charged.. Signature Signatur� Owner o ; gent / ' / Contractor Th regoing irtnunent was acknowledged before me this 3 The foregoing instrument was acknowledged before me this dayot� �� bC i, 20 CC', by , day , 20 o ci,,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. NOTARY Sign: l� Print: C r i NOTARYP Ici► C:� Sign: Print: (CI. 1'4;4 CARMEN ASIAN My Co mis�i�., VOW �13LAAI My Commission Ex # ir* COMMISSION # DD OOM EXPIRES: has 20, 22013 uy ''- t EXPIRES: Ms 20 2013 APPROVED BY 114-1 l74 .gra cri- Plans Examiner Zoning Engineer (Revised 07 /10 /07XRevised 06/10/2009) Clerk checked vtloi to Akkami Miami Shores Village Building Department 100$0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 INS ECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Owner's Address City c \ ! 0 Mate Tenant/Lessee Name,; Email Mr ir. C- IV7 GIs DEC 3 0 2009 if Permit No. Master Permit No. PC,-7-09. "15 3 1 Zip .53 Y1( Phone # Job Address (where the work is being done) ) 9) J e cl---c„--foc, - City Mia 'Shores Villaee County Miami -Dade Zip 3D0 FOLIO / PARCEL # -( OD ) Oa- 0 0 Is Building Historically Designated YES ° NO Contractor's Company NPP l ame O. tD ;:Art_ • Phone # �� Contra tor's Address , V 0 I ' 1 ©1 < riU ' • City Qualifier Name. Flood Zone State Zip VS 0 (t\ l�1 ( Phone # O 57 State Certificate or Registration No. 'Contact Phone E_ cate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For :his Permit $ Square / Linear Footage Of Work: Type of Work: [Addition DAlteration []New D Repair/Replace 0 Demolition Describe Work: Re '1/4a-S0-0 / AR e b80 12. 0 Yi . aim aA / Po c - * *114 * * * * * * * * * * *** * * ***** pax ** * * * *F *** * * * * * * * * * ** r * * * * * * * * * * * * *** * * * * *** ** * **** Submittal Fee $ Permit Fee $ Notary $ Training(Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Structural Review. CCF $ CO /CC $ Technology Fee $ Bond $ Violation date: . G Total Fee Now Due $ I3600 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 Iaws 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 sue 'ectto attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first insp 'tion phich o s seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wil prov a rednspection fee will be charged Signature or Agent L` The " • going ent acknowledged before me this N.) The fotoing ins day 20 iQ, by , day of who is personally known to me or wh• : • produced who is personally known to me or -who has produced Contractor as acknowledged before me this 0 (Q, by NOTARY P Sign:. Print: on and who did take an oath. My Commission Expires: * ' EXPIRES: Juno 20, 2093 Ar u Ban�AmWay Semis e o� ************************** * * * * * * * * * * * * * * * * * * * * * * * * * ation and who did take an oath. NOTARY Sign: Print: My Commis eSEXPIRES: Jan. 20 2013 * * * * ** *r * ** * * * *** *** * ** ** ** reap **** * * * * * ***** * * * **** ** APPROVED BY /� tr f iia )tr Plans Examiner //v Engineer Clerk checked (Revised 07 /10 /07XRevised 06/10/2009) , CA I 00 Cofr000 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 FBC 2004 Permit Type (circle): Building Roofing Permit No. CMgWEllTi It FEB 1 0 2010 ID 121Y: Master Permit No.eR Og —153 Owner's Name (Fee Simple Titleholder) tlf\-ThDr\ term CC-la-Phone # OwueAddress 1 I ADO-- k/U —1 16T -7Q-)49j-r14- City )11AN r-4 stetQflC V/1 Zip 3i1 Tenant/Lessee Name phione# — 4—e)1 Job Address (where the work is being done) 1 t/P) Ne qi rrzice City Miami Shores Village County Miami-Dade Zip 3313 c?) FOLIO / PARCEL # 1 — saoi5 - 00 -0 200 Is Building Historically Designated YES NO X Contractor's Company Name 61-0-0 4:::)nrIeS C Phone # Sp_et — gig el contractor's Address 11?,(.00 Lt_.›MUO011-tir-1 I., City )1/4A ID ad State 4-310 r-IM Zip 550 I,5 1 Qualifier Name 4 I berrp `Dead 0 `----g-3,i;a1 n i II Phone # 505-- 20-CW61'2_ State Certificate or Registration No.P,O--- DO- ...1 I itViI Certificate of Competency No. Architect/Engineer's Name (if applicable) ear-{(YD -A . - bra: Phone # b) 0- - CoOs7 a 0 Value of Work For this Permit $ 00 0 ---- Square / Linear Footage Of Work: 3(0 Type of Work: Addition DAlteration DNew Repair/Replace Demolition Describe Work: A32..tyi CO L-efre,--I Ala< - , ***************************************F *s******** ********************* *********** Submittal Fee $ Permit Fee $ 61) CF $ CO/CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ ) a:0 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $661 1..3) Total Fee Now Due $ 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 FT.ECTRICAL 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 % e notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attach t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins which occu 7 seven (7) days after the building permit is issued In the absence of such posted notice, the inspection w'. not b - approved , 1, a reinspe n fee will be charged. Signa a /�� (J ' o Agent The foregoing instru day o 1 l20 , by nt was acknowledged before me this who is person qrh ly known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Gffittiffi ASEAN * _ * loft C4SE1 N #DD8918$2 EXPIRES: has 20, 2018 Boded Rani Meet N t y Weds Print: My Commission Expires: Signature Contractor The foregoing //i��,,strument was acknowledged before me this 0l day of '' , 20 10, by Prl ezERIDDELLOWO LLIN o is personally known to meeor who has produced as identifi 4Ntnd w ,� �y• �� �' ' •\,1 Qa th. rra ^ is MY IX ISSION DD EXPIRES: Jun 20, 2013 Sendai Dun Mari Snakes My Commission Expires: *+ x******** ** ******e: ** ******* *** **** *********** * ***** ** * *** ** :a:** ** *** : +**v:****** * ** *+x*e: ***** ******** *,era * ** APPLICATION APPROVED BY: W �u 3�� �� (Revised 07/10/07) et. Y G •4''. Plans Examiner Engineer d Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT AP ' LICATIOl FBC 2004 RTOIERW3111 SEP 2 3;2010 BY: Permit No. C� q Master Permit No. R- l - 15 L. Permit Type (circle) Building Roofing ,mot, Owner's Name (Fee Sim le Titleholder) C S9 Rob (C Q Phone # taY &A -- t1 12--' Owner's Address 'i1�i °E �� ' P"Y J [."E' CitA-Cl (T GU rCtDState o i4 C (., Tenant/Lessee Name Job Address (where the City Miami Sh FOLIO / PARCEL # r� zip 33tv?) Phone # work is being done) l I[165. i E q 1 9'1raGe ores Village County Miami -Dade Zip 33 1 5TD l-`5 - 001- Og00 Is Building Historically Designated YES NO Contractor's Company Name 61R-PD 5 ` L ' Phone # Contractor's Address [kg) t UJe gFuOrT h City k-i State `t 0 (1 Qualifier Name 4i C( O LU i r)1 GC - D T& i Z:JCertificate of Competency No. Zip S-301 5 Phone# (3o5 oq Q . State Certificate or Registration No. Architect/Engineer's Name (if le) Phone # Value of Work For t ''type of Work: Describe W Square / Linear Footage Of Work: ['New ❑ Repair/Replace ❑ Demolition ****** *** ***** ** **** :***a:*********** six* ******* ************+x***** **** x *********** Submittal Fee $ Permit Fee $c) CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcemejtt$ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side --> CO /CC 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 FT.F.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, ;BOB.F,RS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFJJAVIT: 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 Owder or Agent Signature Contractor The for oing instrument was acknowledged before me this 2Z The foregoing ins ent w 7 acknowledged before me this day of , 20 l0, by , day of Z C who is personally known to me or who has produced who is personally known to me or who has produced „,,,,,o ru As identific . a oti .. d w,hp ►.n``. }� T as id , tification and who did take an oath. NOTARY P t 1 : :::,u. p an�a°r = ��Stoo�nu� #1111. C;? x EXPIRES: 4m 24, 2013 %i oFF,e 06014Vmr fifty IIMINIIIELEA NOTARY PUBLIC: Sign: C 4r FIRES: J+1ss 20, 2013 Swats My Commission Expires: Sign: Print: My Commission Expires: ***** ********** ***• x************ **, x* *, xa: *************** *********** ***** ***** *****, x********* * ***** ** * ********** APPLICATION APPROVED BY: '" e./ (o,e:'/cS (Revised 07/10/07) Plans Examiner Engineer Zoning BUILDIN PERMIT FBC 20 Permit Type: B Owner's Name (F Owner's Address City 'l l Tenant/Lessee Name Email dvE Miami Shores Village wilding 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 PPLICATION ILDING ROOFING: ) Simple Titleholder [J p `► /�- "tom, (--) 1( Q r L 0 Phone # ttb q T �� ce• ��II `" 1 State • reem._1 Dt2lil n'1 po(7 rLo C{DL ' C►©rn polo nLv@ OLO aorv1 . SEP 2 3�^ Permit No. Master Permit No. c_ l _ L 5 3 Job Address (where the work is being done) City i:,, • S sores Vill: FOLIO / PARCEL \ 1 D5- O) °goo u S 3 kJ€ Zip Phone # 5r County 1Vliami -Dade Zip j B Is Building Historicity Designated YES NO Contractor's Comp Contractor's City Qualifier Name y Name Cj 5 Flood Zone State Certificate or ' gistration I1to. Certificate of Competency No. Contact Phone E -mail Architect/Engineer' » Name (if 1 able) Phone # Value of Work For Type of Work: Describe Work: his Per I Addi • Li Square / Linear Footage Of Work: Alteration y ❑New ] N ❑�� /Repair/Replace / ❑Demolition /LI0 ick-de 'Ltd Al /! Ag e0 eAT 4 #,4i'J F 4- ** * ** * .,* * * * * * * * * * * * * ** Submittal Fee $ * * * * ** *Fees * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ CO /CC .$ Notary $ ", Training/Education Fee $ Scanning $ Radon $ DPBR $ Doable Fee $ Violation date Structural Review. Total, Fee Now Due $ Technology Fee $ Bond $ See Reverse side -a 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.. Signature J /'' 'L J —if. - Signature r� Owner or Agent The foregoing instrument was acknowledged before me this a' -- The fo day of `epT , 2010 by , day who is personally known to me or who has produced As identification and who did take an oath. f Sign: 1 c Print: �YY��?. ^�v••• „ `)(Cr+IASIAN * * MY #DD WW2 My Commission Expires: u . EXPIRES: June 24, 2013 + *m6 B1ned rue Midget Retry Smokes Contractor ent was acknowledged before me this a • 2010, by who is personally known to mo has produced aP� as idenr' Ig* NOTARY PUBLI XPIRES; dit<9 20,> Sign: Print 111111E 'ate ■ Mt My Commission df4P#0RP1.IP� eta.- TDD2 • .e 20, 2013 ,,latteryServIces APPROVED BY I #7 °V2 a //0 Examiner Zoning Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Clerk checked