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DEMO-09-1154Project Address Owner Information BISCAYNE 88 TERR LLC Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 8849 BISCAYNE Boulevard Miami Shores, FL Address Parcel Number PARC2003 -23 Block: Lot: VSSAMSYMAIMSONAESEMMENV Valuation: Total Sq Feet: $ 200.00 1140 KANE CONCOURSE BAY HARBOR FL 33154- Contractor(s) Phone CeII Phone CONSTRUCTION DEVELOPER GROW (305)215 -1988 Type of Demo: Building Additional Info: Interior Counter Classification: Commercial Fees Due CCF Education Surcharge Permit Fee Permit Technology Fee Scanning Fee Submittal Fee Submittal Reversal Fee Amount $0.60 • $0.20 $100.00 $2.50 $9.00 $50.00 ($50.00) Total: $112.30 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Expiration: 1 /11/2010 Phone Pay Date . Pay Type Amt Paid Amt Due Invoice # DEMO -7 -09 -35354 04/14/2010 Check #: 1168 $ 62.30 $ 50.00 07/10/2009 Check #: 1017 $ 50.00 $ 0.00 Applicant BISCAYNE 88 TERR LLC CeII (305)868 -8203 (786)252 -9216 Available Inspections: Inspection Type: Final Final Final 1 April 14, 2010 Date April 14, 2010 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) =� ` lra S& L 1 Phone # Owner's Address 1 ['t OVi f City it— . State L_ Tenant/Lessee Name '/d 'v f `s Q i `Va Email 154LeV sLA Soap, .„..)^Er Contact Phone Job Address ( w h e r e t h e w o r k is being done) gg i ` is , j E e. L'/ , , M I t - y e s `(; 4 City Miami Shores Villa a County Miabni -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO r/ Flood Zone t Contractor's C o m p a n y N a m e e®a, S `F e eJ e-t i 0 n1 -Qv e<6 PPGZ Phone # 3-0 93 Ti'' Contractor's Address 2®3 f?, p l-/ ve. -6 City e c1A 4`0 ax4 State CL, Zip 3 3 1 e 0 Qualifier Name 6 79 0 014 Phone # -g6 -3 = 3 5 State Certificate or Registration No. C G c. 1 04 995 Certificate of Competency No. - 42 3 Li Li -3 ? o2 Miami Shores Village MMEW p Buildin g Department artment AF 1 2310 it 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y : Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 00 019 Type of Work: ❑Addition ['Alteration Describe Work: Zip Permit Np.l 9 ' («y Master Permit No. Phone # (71,-6) 3 )e 39 fs Square / Linear Footage Of Work: 300 , c>0 ❑New ❑ Repair/Replace Demolition Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 2. 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 is the the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner o gent Contractor The foregoing instrument was acknow edged before me this/4 1 The foregoing instrument was acknowledged before me this /d day of /4f!I4 , 20 /D, byMAVO , aitit) f , day of 4PAIL , 20Id,by us74V®4,5m , who is personally known to me or who has produced who is personally known to me or who has produced tification and who did take an oath. as identification and who did take an oath. Sign: Print: •_ I N . ti1WA miAR Z MY COMMISSION # DD 787664 a EXPIRES: June 24, 2012 •T,Arat„ Bonded Thor Notary Public undenmters My Commission Expires: 6 - 2Q - za /z APPROVED BY Plans Examiner Zoning (Revised 07 /10 /07)(Revised 06/10/2009) My Commission 6 -24 -z Engineer Clerk checked BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): City Tenant/Lessee Name Type of Work: DAddition Describe Work: ____71 D Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DAlter Roofing Owner's Name (Fee Simple Titleholder). fIN T,/ '3 Owner's ddres Oev state Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Value of Work For this Permit $ o? (44. °% County Scanning $ q • 00 Radon $ Bond $ Code Enforcement $ Structural Review. $ Miami -Dade Permit No. .01-0 Master Permit No. Phone # Zip s/S Phone # Zip 91 X74' - o /zs'' Contractor's Company Name HiAts4 £ )/IST 62, Phone # Contractor' ddress /44 C 7 `�' / C City /' I &i4f/ State F Zip SPIO Qualifier Name 114 TEa S AN* HE Z Phone # v — , -V /r/j. State Certificate or Registration No. ` Ce 62 42 7d Certificate of Competency No. CG C €51'3'2 7efor‘- Architect/Engineer's Name (if applicable) Ai f Phone # W-44 .-4 4 -41 «4 C seg' Square / Linear Footage Of Work: ,..?e Repair/Replace demolition 6 / * * * * * * ** * *** *** ***** * *** * * ** * * ** *** F ees * * * * *** ** *** ** *** ** ** ****1 ** ** * ** * * * * ** * * * ** Submittal Fee $ 0 51-Ct Permit Fee $ ® CCF $ ® nn 1,01€C Notary $ Training/Education Fee $ 0 •QC) Technology Fee $ of DPBR $ Zoning $ Double Fee $ n Total Fee Now Due $ �Q(>G X30 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 FO R 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 • i roved and a reinspection fee wi be charged. Signa Owner or Agents Contractor The forego trument was acknowledg , efore me this , / The fore oin instilment was acknowledged before me this day of 1 ' , 200, , by , day of v , 20 04, by w o iisperso al y known to me or who has produced___ who is - rsonally known to me or who has produced .7'6 • � '�(l�► 4N1 identific. ' n and who did take an oath. C a.P TARY PUBLI ' : P * 1°49 JOR - LUIS MEDINA MY COMt`FESSIOfd t; DD517121 * * * *1eil***s ** (407) 398- 0 1 -059` Rosic;c . b1eaYvtoaao Sign: � di/ Abe Print: `, - MyCoii * * * * * * * * ** APPLICATION APPROVED BY: -% (Revised 07/1"0/07)_ NOTARY PUBLI Sign: Print: My C * * * * * * * * * * * * * * * * * * ** on and u• •'d takean oath. i fiission Expire'S: ` 3g0N 4 DD517121 (407) 3984)1.53 Prriettotagigngitgfil4** as identifi * * * * * * * * * *• Plans Examiner Engineer Zoning RECEIPT PERMIT #: / e lf/jy DATE: � fipl re 7 I , ....jd:e7 le eegtog. Contractor b Owner ❑ Architect Picked up 2 sets of plans and (other) Address: JWs CJb ,r/, treks t2. From the building department on this date in order to have corr€ctions done to plans And/or get County stamps. I understand that the plans need t• e brought back to Miami Shores Village Building Department to continue permit n . ss. Acknowledged by / PERMIT CLERK INITIA RESUBMITTED DATE: O?s �11 PERMIT CLERK INITIAL: M iani Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09 -II5 Job Name: 6,i , 2009 Building Critique Sheet Page 1 of 1 Norman Bruhn CBO 305 - 795 -2204 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: SANCHEZ FEIN: 650050046 BUSINESS NAME AND ADDRESS: MATSA CONSTRUCTION COMPANY INC 16800 SW 248TH ST HOMESTEAD FL 33031 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR 03/24/2009 EXPIRATION DATE: 03/24/2011 MATEO 02 -04 -2009 * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 4 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 AP RD. CERTIFICATE OF LIABILITY INSURANCE DATEiMwDDIYYYY) 6/25/2009 PRODUCER ASD ALL -LINES -INSURANCE ASSOC INC 8249 NW 36th St #218 Miami, FL 33166 _posy 463 - 6781 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAOC# W9U4ED NATSA CONSTRUCTION CO., INC. 14167 S . W. 143 COURT . MIAMI , FL 33186 1305- 525 -1975 INSURER A: MT. HANLEY XNSLTRANCE CC IPANY LIMITS EACH OCCURRENCE INSURER B: 4 INSURER 0: , _ INSURER 0: . . INSURER E: . --TIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MAY.PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN PPOEIIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE WITH RESPECT IS SUBJECT TO PSLICY El- F `CTIVF DATEtMM10DJYVI 02/18 /09 FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH •_ LIS 11+18Ro TYPE OF INSURANCE POLICY NUMBER PO IO YEXPIRATICN DATt( :MILL 02/18/10 LIMITS EACH OCCURRENCE $ 1,000 000 4 Gr_NERP,& 3{ LIABILITY �AERGIAL COI GENERAL LIABILITY j CLAIMSMADE Fiji OCCUR MCF0001604 P R®UISES (Ea Off) $ 50,000 _�_... GEM 7 MEO EXP (Any Onepnrs*n) $ 5,0(10 PERSONAL &ADVINJURtr $ 1,000,000 GENERAL AGGREGATE $ 1 , 000 , 000, AGGREGATE LIMIT APPLIES PER POLICY I X jECT pl we P_ RODUCTS • COMP/DPAGO $ 1 , 000 , 0 00 "— 67 AUTOMOBILELWBILrIY ANYAUTO ALL OWNEDAWTOS SCHEDULE] AUTOS MIRED AUTOS NON OWNEDALITOS COMBINED SINGLE LIMB. (Ea accident) • 6•��' a i BODILYINJURY (Per perIRn) BODILY INJURY (Nerr . . $ '. " (�OF DAMAGE $ • M GARAGE LIABILITY AUTO ONLY EAACCIDENT $ 4T1iE1iTHAN EAACC $ AUTO ONLY: AGO $ SXCESSIUMBRELLA — I LABILITY OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE - AGGREGATE $ : S • ....a CC $ 1MRS TU. �T' TORY ER $ WORKERSCOMPF:NBATIONAWU THPLOYERS. LIMII.ITY 'ANY FROPRIETORlPARrNEREICECUnifE • OFICERAMER 1-BPEd1 Q . deacr ho und er : SPE B CIAL PROVISIONS below EL EACH ACCIDENT $ E,L DISEASE - EA EMPLOYEE 5 ' EL DISEASE - POLICY LIMIT S ' ' u. 1 OTHER . pRIPTION OF — GENERAL r E TIF OPERATIONS! LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL CONTRACTOR HOLDER CANCELLATION 1 k' k ' ., } tit I f CITY IT? OF MIAMI SHORES 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 FAR: 305-245-6341 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC�! rn BEFORE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR T•.MAIL NOTI,7P TO THE CERTIFICATE HOLDER NAMED TO 6 - ∎ - e , BUT FAILURE IMPOSE. NO OBLIGATION •. -'.Y - <2LnY OF ' KIND UPON THE INSURER, REPRESENTATIVES. THE EXPIRATION DAYS WRITTESE TO DO SO `MALL ITS AGENTS OR n AUTHORIZED REP'` " / FROM :ABD ALL -LINES INS ASSOCIATES FAX NO. :3054636782 VERAGES ORD x5(2o01 IB1 Jun. 25 2009 11:57RM P1 GACORD CORPORATION 1988 )'RI DA ROF ?SSIONAL REGULATION". N ING . BOARD , F ,m E TRI 1 ENGINEERING, JOB # PROJECT NAME SUBJECT CALCULATED BY: CHECKED BY SHEET # OF g`f 9 t? ..s Nf BLVD • • • • • Page 2 of 5 ... 6/22/2009 Page 3 of 5 ••. • • • 6/22/2009 Page 4 of 5 ••• 6/22/2009 rr • No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.374 / Virus Database: 270.12.80/2187 - Release Date: 06/19/09 06:53:00 Page 5 of 5 0000 • • • 0000 0000 0 • • • •.. • *me. •' • ...• 4@ e $ Ad q - v. •: • • *••e •0 •: .•• • • $ 0 tO 0 0 • •'0000 • * • 0 4 0 0 0•. 6/22/2009 • •• • • • • •• •••• • • •••• • • • • • • • •• • • •••• • • •••• ••• • • • • • • • • •••• • • • • •••• • • • • • • • • •••• • • • • • • • • • •••• • • •••• s • •• •• • • . • • • • • • • • •• Y i w n i u i DF.g';s.fd!''' 4 i+T OF ENVI ONNP,i° "'4'- R ES0 /..! w4 77!.';!1 Alt c■ COKE E i. W ' vN.4 - 1 7f 5 ,i4•14107 19/1) tx2 arearysed, r7 D, aid- -r >2 , 1 50 A c /..40"r' 5 'III u Derm lumber: 2009 - 081 -1 057- 739 Contact Name: JORGE MEDINR Contact Phone: (954)808 -8949 Folio: 11 3208 -011 -0190 Project Name: 88 B I SCA`r`NE Date Received. 08/17/2009 Reviewer Name: %r� e7-) • Inspection Number: INSP - 118762 Scheduled Inspection Date: July 16, 2009 Inspector: Devaney, Michael Owner: Job Address: 650 NE 88 Terrace Project: <NONE> July 15, 2009 Miami Shores, FL 33138- Contractor: B&B ELECTRICAL INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: EL -7 -09 -1127 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)868 -8203 Parcel Number 1132060110190 Phone: (305) 557 -0824 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 12 of 19 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Expiration: 01/10/2010 Parcel Number Phone Applicant 650 88 Terrace Miami Shores, FL 33138- 1132060110190 Block: Lot: BISCAYNE 88 TERR. LLC Cell Valuation: Total Sq Feet: $ 1 ,000.0 0 BISCAYNE 88 TERR. LLC Contractor(s) B &B ELECTRICAL INC Phone Cell Phone (305) 557 -0824 Type of Work: ELECTRICA Additional Info: DEMOLITION & REPAIRS Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $200.00 $3.00 $5.00 $208.80 1140 KANE CONCOURSE BAY HARBOR ISLAND FL 33154- 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy (305)868 -8203 Invoice # EL - 7 - 09 - 35369 Total Amt Paid Amt Due $ 208.80 $ 208.80 $ 0.00 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final i July 15, 2009 July 15. 2009 1 O'i»IQ9 ( W3. il tAM City Architect/Engineer's Name (if applicable) Qualifier Name State Certificate or Registration No. Contact Phone C305)91 - `1 Value of Work For this Permit $' _50 Type of Work: ['Addition Describe Work: ['Alteration Miami Shores Village uilding 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 No. EL - 'l ° oq ° 1121 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type; ELECTRICAL Owner's Name (Fee Simple Titleholder) - 36 S CO c1Q b T 2 CQ-- I-I- # Owner's Address 1 r y r . • # - R©o2_ City `) Ot ( d` a/1 State FL Zip 3.9)51/ Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 6 E 88 - Mao C2 City Miami Shores Village County Miami -Dade FOLIO /PARCEL # ) - 3 Z b , - o�� - 0 1 90 Is Building Historically Designated YES NO Contractor's Company Name TB 4 T) G C (--' Contractor's Address 1 O2.1 State PL. nEA c . Certificate of Competency No. s E -mail SU�rr 1 � p �{ -�'ie� (1)CoieDieAs+,11e-A-- Square / Linear Foo 1 Work: Phone # Zip 33D Phone # Phone # ■ (305) Sa 823 Zip Flood Zone 30sr?o ^W., /Replace ❑ Demolition ***************************************p **p ***** * * * ** ***** *** **** * ** ***** * * *** **** * * ** Submittal Fee $ �s Permit Fee $ .2 O�i e, e• CCF $ 0 `CPO CO /CC $ Notary $ Training/Education Fee $ 0' 043 Technology Fee $ E400 Scanning $ 3.00 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 00Z5 See Reverse side -4 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 F! F.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AI'FIDAVIT: 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 • subject 'to attachment. Also a certified copy of the recorded notice of commencement must be posted at the job site for the first ins ' ction which occu seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will be prov ' ; and � einspection fee will be charged. Signature Owner or Agent Contractor The foregoing_ instrument was acknowledg before me this 66 The foregoing instrument was acknowledged before me this day of c1 , 20Cf , by / n� / cold' CJld' � , day of —, uL , 20 0 1, by who is personally known to me or who has produced who is rsonally known to me who has produced As identification and who did take an oath. as identification and who did . e an oath. NOTARY PUBLIC: "' "'° ' - !a (Revised 07 /10 /07XRevised 06 /10/2009) Signature ' ^) �;; rp1,'�., R SSA RICARDO w� l /� � �' = C mil' - State of Florida Sign: �� CC � 1 �F Expires Jan 12,201 Print: /2( 4 i2I CAP 7)O '' •R,",t : *• Bonded B N otary Assn, 00 506558 My Commission Expires: O� 2/aOl0 y Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Off APPROVED BY 3 1-4"4 Plans Examiner Zoning Engineer Clerk checked Utak IO/TO 39Vd : Amides 650 ea Terrace fillaml Snores, FL 33138- Ownerter=rtsottert BISCAYNE MR.140 1140 VAIVE CM= 1 MIS BANI NVIINOR SLAW V- va&-ttreenisszsznerionorwemsistit. cor Egiumeen amberee Permit Pan , AdditieftwAtel'atiarte Searlsling Fee Sabi'? *Ike Fee Setentlef Reversal Fee Tommy Pee Warn: Shorn t/Ilkaiot 10050 NZ 2nd MAIM Miami 'likens FL 33138-M100 Phone: (305)795-2740 Gontraoitoris Ph Ce PItene ALL PRO PTIC S SEWER INC I AU oons-v.m. (acu2LS-447.3 Type of Work: PLUMBING Type of Plphig: OAP OFF FOR FIXTURES Acitiitonal Classification: Commercial His MUST BE O JOB AT TIME OF INSPECTION Ha AllislIJNI Fveht mAterms 113:20011C1910 Stook: Lt niSCAra SS Tann. aleaffettineelftMOTAg -111112rr — Fees Dut Mount invoice # Ts1 Agit a PLC-7-09-256 $ 10E05 0 PLC-7-09-35255 $ I08. l 0a.5 ee Chita tit 159S •^: iC, - .7 , ! -4 Pipe Metecmm e round Rot* Water Ma' Lavatory.. 7 IrrEZZEMECAVAMEZIZIVEZUSEN4500 Yelucalen: $ 2,000.00 Total Ar4 Feet: 0 pc g1002/003 - please. esit MgM7B24641/ A veRMio Inspection Type: • I To Out wer.stasasormr.tOte 60 • Copy . For Inspections, Call pi35, 7962204. Requests be reoeiv' eel by 3 pm for following day inspections. 1011CM In =Shim to the requirements of this permit, there may he AND TIME MAY BE ADOMONAL PERMITS REQUHRED FROM OMR &Nonni restriction= applirehlo to this mews/ that ew be found in OOVERrafferrid. 111TM3 SUCH As WATER MANAGE/Am in public records of this county. O 4 STATE AMeNCl2EL CM MURAL Amass. 7t:6A 600z/t7T/L0