DEMO-16-1473 EMID
4%mo
I 1-, -
'� �' � rn�?�' ' Miami Shores Village g RECEIVED
Building Department MAR 13 2017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2019SIL
BUILDING Master Permit No.am O ��" 1 113
PERMIT APPLICATION Sub Permit No.
F-JBUILDING ❑ ELECTRIC ❑ ROOFING REVISION EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2 2 13 OSS 414 6\45 OkA Q
City: Miami Shores County: Miami Dade Zip: 31 3
Folio/Parcel#: 1 1 s -3 9Z C M 6 - 65 10 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): K \J ' N ci )— Phone#: (3-cy✓ 213 •aO a7
Address": `J la15 �3 c i�g TN STi•R�e T-
City: Cv - J`n, fi M I State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: TO CSCE L. PB-9 M iT n 16 S
Specify color o olor thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature +L Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before
-mme this The foregoing instrument was acknowledged before me this
}` day of 1 ' 1ny1�' 1 ,20 1 C by day of 20 by
M O N11 1,who is personally known to ,who is personally known to
me or who has produced go -Q&-�i5- rPe or who has produced as
identification and who did take an oath.-F-40'rd(:7k identification and who did take an oath.
NOTARY PUBLIC: t ICe� NOTARY PUBLIC:
S' n. Sign:
Print: ""Y Print:
my COMMISSION#GO 044602
Seal: Pyr EXPIRES:November2,2020 Seal:
''•$P; °•'' Bonded Thru Notary Public Underwriters
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
March 13, 2017
I would like to cancel the permit that was obtained for demolition work. The work was
never done. A tenant who was being evicted, made false statements and when she was put
out by the Courts,the property was inspected and found that the statements that she had
made were false and she had f made statements that were fraud. I did not have to do the
work and would like the permit to be canceled. I am the owner of this property and I
Kevin O'Neil state that these facts are true and correct.
g I& 13 0�F
Kevin O'Neil
-�n-, Al
fi l 3
N ..
04, -a-'
Miami Shores Village `' y �it Tjr , temQ n
10050 N.E.2nd Avenue NES
Miami Shores,FL 33138-0000Af
,
Phone: (305)795-2204y n
j 6 'I2 16 Expiration: 12/0412016
Project Address Parcel Number Applicant
8813 NE 4 Avenue Road 1132060460510
KEVIN ONEIL
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
KEVIN ONEIL 8813 NE 4 AVE RD
MIAMI SHORES FL 33138-3177
Contractor(s) Phone Cell Phone Valuation: $ 2,054.00
SLUYTER CONSTRUCTION (970)379-9730
Total Sq Feet: 7.8
Type of Demo:Building Available Inspections:
Additional Info:DEMO DRYWALL AT WATER DAMAGE AREA Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# DEMO-5-16-59956
DBPR Fee $2.00 05/26/2016 Credit Card $50.00 $72.80
DCA Fee $2.00
Education Surcharge $0.60 06/07/2016 Credit Card $72.80 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $122.80
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 AFFIDAVI : 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 zo Futhermore,I the abPve-named contractor to do the work stated.
June 07,2016
Authbrized ignaturOwne / Appli nt / ontractor / Agent Date
Building Department Copy
June 07,2016 1
� • Miami Shores Village - )
MAY j6 281�
3 � Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
_ FBC 20 ly
BUILDING ' Master Permit No. - 1973
PERMIT A L CATION Sub Permit No.
'-J�BUILDING ❑ ELECTRIC R I��VISION EXTENSION DRENEWAL
F-IPLUMBING EJPUBLICWORKSCHANGE OF'' L01 Ti SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5?G )3 1-4- 1= AO AO
City: Miami Shores County: Miami Dade Zip: 35138
Folio/Parcel#: 1( - 3'aO&- 0 q&' O51 O Is the Building Historically Designated:Yes NO_ C
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 10E1t I nl 6 NI=1 L Phone#: (305�) 893 --44Z17
Address: 525 N3= t3,9" STRF-f-T
City: rA_ M%Am State: 'FL Zip: 3;316 1
Tenant/LesseeName: VF_I._g;r4E T)A6MiNS Phone#&I (V
SL�� & 3-3 0 4'3
Email: KO G PR a 0, y kYIard • cc m
CONTRACTOR:Company Name: C Phone#: 7
Address: ( !� 5
City: �Q7_ °"��.l'k, State /g=:7 Zip: 3313
Qualifier Name: ® Phone#:
State Certification or Registr ion#: �/?(--- 1 3 3 d t U 9 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ — Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ w ❑ Repair/Replace Demolition ®�
Description of Work: N7' 0
Specify color of color,thru file
Submittal Fee$ ! Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ 00
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ V
(Revised02/24/2014)
f ,t
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
�f •y
City State Zip x
Application is hereby made to obtain a permit to do the work a }� 4nstalla�ipns as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all w� ilk b TZ rf ed,to meet the standards of all laws regulating
Lf � l ,t rf '
construction in this juri� cti'on. t iderstand that a separate permit tn�st`be`secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEA-QRS,TAI K5,�11iL'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.
e
Signature Signature
OWNER or AGENT VONTRACTOFK
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1'2- qday of M{��1 20 J b by ^�day of 20 ((o by
VtEj INl"I I JC �)I N o is personally known to l �A �L"A-Qx- who is personally known to
me or who has produced ��\Q- �� s me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: nl ` ` Sign:
Print: 1 V U L -LaPrint: ��- n
Seal: Seal: `�� ���� ,,�� Heatther Mulroney
e o4Y pub Notary public State of Florida _ I CIMISSION#FF12V27
Sindia Alvarez - `
4 nny; emission=F 1567x0 :��a,� 0(P�RES. MW 21, 2016
�
APPROVED BY V7 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
OR.93s
Miami Shores Village
logo
Building Department
10050 N.E.2nd Avenue
ORiDp' Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner— Workers' Compensation ensation Insurance Exemption
t
tv
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees,including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if.
1. The officer owns at least 10 percent of the stock of the corporation,or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: 1.41
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this 'L day of
By 491 N �e Q.l-(Q� U I�E1 L who is personally known to me or has produced
�L
121 U kKE:e, L6N SF as identification.
Notary:
SEAL S(e v�((� `\� � c6p01 PL®, Notary�',lnlic State of Florid®
r Sindia Alvarez
a Pfly Commisslon FF 158750
v 9/031208
May 12, 2016
To whom it may concern:
I authorize Sluyter Construction Company to remove and repair water damaged dry wall.
I am the owner of the property located at 8813 N.E. 4th Avenue Road, Miami Shores, FL
33138.
Kevin O'Neil - Owner
The foregoing instrument was acknowledged before me this 12th Day of May,2016,by-
Kevin O'Neil , who is personally known tome or who has produced (Q -
as identification and who did take an oath.
NOTARY UBLIC:
Sign:
Print: ��(�►�« �Ly Q��
Notary Public State of Florida
$ ^ Sindia Alvarez
�Q My Commission FF 156750
Seal: moi OF FVo4 Expires 09/03,12018
tri
3�7 9 -9'736
Greg Sluyter, Owner
r SLUYTER_--. 970-379-9730
-' CONSTRUCTION,LLC.
SluyterConstruction@gmail.com
To Miami Shores Building Dept:
Sluyter Construction will commence demolition at 8813 NE.4thAve rd.Miami Shores,Fl. 33138 on
June 6th,2016.
)43Z
r
State of Florida)
County of Miami Dade)
Sworn to and subscribed before me this 2-W-`-
Day of 20,E
a � Heather Mulroney
By ;�= COMMISSION#FF125227
EXPIRES: May 21, tots
(SEAL) �''n;;; � ��``� WWW.AARONNOTARY.COM
Type of Identification produced
Licensed and Insured