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RC-13-0009a b Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INS P- 183642 Permit Number: RC- 1 -13 -9 Scheduled Inspection Date: January 08, 2014 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Owner: STANLEY SUMMER, ANASTASIA Work Classification: Addition /Alteration UNIX A Job Address: 408 GRAND Concourse Miami Shores, FL 33138 -2463 Project: <NONE> Contractor: STANLEY SUMMER LLC '7g11i11ilaIlfZ� Phone Number 3051758 -2542 Parcel Number 1132060170090 Phone: (305)776 -2443 CONVERT 4 BEDBROOM INTO MASTER BATH INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 07, 2014 For Inspections please call: (305)762 -4949 Page 1 of 27 ...... 0000.. ...... 0000. 0000. ...... ...... . 0000.. 0000 0000 0000 .... ..' .. .... . Second Floor 408 Grand Concourse 0000.. 0000 17 16 4 A 0000 26 25 f 0000.. 0000.. 0000.. 0000. 0000. 0000.. 0000.. 0000.. 10 15' ' irl 13 :e w First Floor ..,. 408 Grand Concourse 0000 0000 0000.. 80, .. 0000 0 as 000000 0000 0 0000 . . I� L 0000 0000 10 15' ' irl 13 :e w fAl 'I96l3 Sq.lp� I �� B � WING 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 PERMIT APPLICATION Permit Type: BUILDING FBC 26 Permit No. � p � "-3 _G Master Permit No. ROOFING JOB ADDRESS: 408 Grand Concourse City: Miami Shores County: Miami Dade Zip: 3138 Folio/ParceW 1- 3206 - 017 -0090 Is the Building Historically Designated: Yes NO - - Flood Zone: OWNER: Name (Fee Simple Titleholder): Anastasia Espinosa - Stanley Sumner Phone#: 305- 776 -2443 Address: State: 408 Grand Concourse City: Miami Shores 33138 Tenant/ essee Name: Phone#: Email: stanleysumner@gmail.com CONTRACTOR: Company Name: Stanley Sumner, LLC -dba Builttospec, LLC Phone#: 305 - 776 -2443 Address: 408 Grand Concourse City: iami hroes State: L zip* 33138 Qualifier Name: Phone#: ty Stanley Sumner 3p05- 776 -2443 15052 State Certification or Registration #: Certificate of Competency #: Contact Phone#: 305 -176 -2443 Email Address: stanleysumner @gmail.com DESIGNER: Architect/Engineer: Arturo Fanjul Phone#: 305-726-8313 Value of Work for this Permit: 0 �� UW ' m Square/Linear Footage of Work: 110 Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Convert 4th bedroon into master bath. Submittal Fee $ Permit Fee $ �?Tj. 00 Scanning Fee $ Notary $„ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Bonding Company's Name (if applicable) NA Bonding Company's Address City State Mortgage Lender's Name (if applicable) NA Mortgage Lender's Address City State Zip Zip R 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. "WARMING 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 nothe approved and a reinspection fee will be charged U_ it Signature �L Signature f Owner or Agent Contractor The for oing instrument was ac owl ged ore )me this day of �� 201, by "� , wh tsonally known to or who has p uced As identification and who did take an oath. NOT Sign: Print: My C The foregoing instrument was acknowledged before me this-Lo- day of 20 by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Examiner Zoning Structural Review (Revised 3 /1=012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTICE • _ COMMENCEMENT LM M i,'ilf NI " 1.:9 1 i•i `+ h5i- i 'i - I <'. �:, PIEWIT NO. TAD( FOLIO NO.—II-3206-017-W90 •,_ r:. I. 0" F s THE UNbEFISK3NED herd gives nafiee that imProveme ntc will be made to certain real property, and in accordance with Chapter 713, Florida Sautes, the following information is provided in this Notice of Commencement CFN 2013RO s� X5712 OR EIL 28427 Pg 11721: (log) RECORDED 01 /03/2013 12 =2026 HARVEY RUVINP CLERK OF COURT MIAMI— tDAiDE COUNTYr FLORIDA LAST PAGE Space above rewrved for use of r9cording oft o 1. Legal description of property and streWaddre= 653 42 PS 15-14 AMD PL OF M AMl SHOFdES SEC 4 LOT 15 aL.K 86 LOT erg 13707 90 FT OR 20196-OtS 02 2002 1 COC 2401040" 05 2000 1 _ 2. Description of improvement: Convert 4th Bedroom to Mester Bath S. Owner(s) name and addftw. _ ; 218619y S,a,m 408 Gatnd Concouran Miami ct,aa� tit1� Intwed in property: Cmum a Name and address of fee simple *Wwklei 4. Ca*acctoez name, address timid phone r umber. S c,. e t t�� ,d rn,,.,ne„v� farm e6r..,aa 91 q.q1 mR b. Surety: (Payment bond required by owner from contractor, if any) Nam, address and phone number: 8. In add Won. 1*hii H, Owners designates tha following person(s) tfte c eiv e a copkof the`�enor's To 713.13(l )(b), Florida Statutes. Name, address and phone number: S Expiration date of this Notice of Commencement: (thc g,Vd bOn ftD is 1 YOW tram the dato of MC;Vf U"IM a t59 nt drat®i apnbft4) WARMI G 70OWNt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13. FLORIDA STATUTE$. AND CAN RESULT IN YOUR PAYING Tl4VCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT' MUST BE REODRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 10.0B'TAIN FINANCING. C014S lLT WITH Y M LENDER OR AN ATTORNEY BEFORE CCMAMENCIING WORK OR REOOPWINQ YOUR NOTICE OF COMMENCEMENT. Sagnati"(s) of or svriir 'Authorized Officer/Director/Partner/Manager Prepared By, Prepared ay Print Name Stertley Sumner Print Narne Titletoftice Title/Office -- STATE OF FLORIDA. COUNTY OF tultAMI -DADS: The foregoing inativmant was accknowkWged before me this J�7 day By Individually, or © as for a Personally known, or d produced the followho Ivae of i+dentificai Signature at Notary Public: :`�.' , - Pfart Name: (SEAM°? % e` Commission # EE 128810 o� Bonded Through National-Notary Assn. raanaaa http: / /www.pdfescape.com/ open/ RadPdf. axd? rt= c& dk= 01920DDgRBY7G6Q8PL7OA3884OGBT13TT &pc =1 &m =undefined &r =56614420 Page 1 of 2