The URL can be used to link to this page

RC-08-1368 (2) COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur Item 4 If Restricted Delivery Is desired. O Agent ■ Print your name and address on the reverse X i7 Addressee so that we can return the card to you. B. "Ived nted Name) (I Pate of Delivery IN Attach this card to the back of the mailplece, a r or on the front If space permits. r- 1. Article Addressed to: D. Is delivery address dffferent from item 1? ❑Yes If YES,enter delivery address below: O No a,3 I q-1 ST 01 (Yl ` � i:X, 3. Service type Certified Mali® CI Priority Mail.ExpreW 33 3 13 Registered tff Return Receipt ❑Insured Mail D Collect on Delivery (08 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from service 7 0 01 2 510 0 0 01 0841 212 9 Ps Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name,address, and ZIP+4®In this box• • J V ►►f1l�►�1��111►►l�lrilllllff,l�►►►►fh►f►fllf+►►yll►ill►1►�1 Miami Shores Village g '�- Building Department JUN 17 los 10050 N.E.2nd Avenue Miami Shores Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 1 BUILDING Master Permit No SMC -'-7 :01- 6a PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION WENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS CHANGE OF CANCELLATION ❑ SHOP �, CONTRACTOR DRAWINGS JOB ADDRESS: �3 N'�' I City: Miami Shores I County: Miami Dade Zip: Folio/Parcel#: _ �6 ®Z-'3 -Y L/ 63 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:: r� Flood Zone: BFE: FFE: �, ca OWNER:Name(Fee Simple Titleholder): 1 q6 `r' �-i i-(f Phone#: 704 67S_/0 s�--li p f Address: � � I? ' - 9.7� City: YL d State: C-L Zip: -3,3/3,9 Tenant/Lessee Name: Phone#: Email: �V� ��+'e,�'►al'0 /�� lSm /ZK. //C`}�' CONTRACTOR:Company Name: CA! ( J 4)37 Phone#: I& Address:�®D 7& City: State: � Zip: Qualifier Name: ZY-0 e ,y494� p- /, Phone#: State Certification or Registration#: (2-6C O5 0&/ Certificate of Competency#: DESIGNER:Architect/Engineer: t A FAIN p J Phone#:3057 1� Address: _7 3' —City: 50045� State:P-L Zip: 31 Value of Work for this Permit:$ Square/Unear F tage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New epair/ReplaceQ❑ Demolition Description of Work: I v O l c12ita/r,ib p SP n k Specify color of color thru tile: Submittal Fee$ &0'ZV'f Permit Fee$ OZ3 CCF$ O6 CO/CC$ (� Scanning Fee$ Radon Fee$ DBPR$ Notary$ Y� Technology Fee$ li 00 06 Training/Education Fee$ ��'' �A7 Double Fee$ Structural Reviews$ Bond$ (1 OD c=F CONI V--c"OfW— TOTAL FEE NOW DUE$ -3, 9440 s� (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) &/ 2e ®r- 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement b posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs ce of uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �_ 1 - Signature 56 AE 4ZV-4!f OWNER or AGENT CONTRACTOR The foregoing instrumee, was acknowledged before me this The fore ng inst ment was acknowledged before me this e,4 day o- 20 by dray c J� .20 /6 ,by is personally known to cJ who is personally known to me as-- me or who has produced as '-'. .'en-and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �" Sign: Print Print: NOTARY PUBLIC. Seal: �,� Seal: M-A$TATE OF FL("0,k � L019 WELLS 7C23K19Camm#FFI * * MY WMM�SIOI#FF 149810 EXPIRES:Au t ,2018 Exph�es 5/113/2020 sssssssssssssss: g�essssssssssssssssssssssssssssssssss*sssssssssssssssssssssssssssssssss r � APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �l6h t1oRFS JOIN 17 2010 Miami shores Village Building Department �oRIDp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. q Owner's Name(Fee Simple Title Holder): Phone#: :lye S-Sr4 2N Owner's Address: /.� . City: 01/ e' 6 " State: Zip Code: 330-? Job Address (Of where work is being done): xl'6, '� City: Miami Shores State:—Florida Zip Coder/ Contractor's Company Name: 1d Address: ��—� � � �1� City: ` 1 — Zip Code _ Qualifier's Name: Uc. Number: 1 .330,5-3 7 Architect/ Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contra the Bui ing Officia d the Miami Shores harmless all legal invo vem n ---- Signature Sign re Owner or Agent Contractor or Architect The foregoing instrument was aknowled d before me The foregoing instrument was aknowledged before me // this ay of �/`'� 2011,by j'`c//,,,0is day of 'TaaJL ,20 1� V P� Who is personally known tc me w---hehas-prodat�d ^vv,,•whois-dear + has produced as indentification. �` as indentification. Notor Notary Public: ign: Sign: au LOiSWELLS '`:,,�•` fJiY CQ��$ 148910 a°`,""��:.". 1.019 WELLS *a, g ededthru 2111 * * WIOI#FF 149910 EXPIRES:August P,3,2018 •�tBOP j9�OFfl°�� inlN()U��/$MV(� Alyam, 4 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204• Fax; (305)756-8972 4/5/2016 To: Current Owner 123 NE 97 Street Miami Shores, FL 33138- Permit: RC-7-08-1368, EL-10-08-1840, PL-10-08-1839 Address: 123 NE 97 Street Miami Shores FI-33138- Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, I U.S. . • stal Service- CERTIFIED MAIL RECEIPT,,�' ..(DomesticOnly; .- • . .•. Ismael Naranjo (CBO) Cr Building Director r=1 ru . Postage $ AL1 Certified Fee O Postmark Return Receipt Fee Here .-1 (Endorsement Required) O Restricted Delivery Fee © O (Endorsement Required) O Total Postage&Fees Ln Sent To ru - ----- -------- � U7Z------------------- Street,Apr.No.; C3 or POO Box No. �7 C --------- ----- p C(g;Stat ZIP+4RS— ----------------------------------- 4-lAnt 5AMf�� 33t3 :,, January 2001 David Hester, Inc. 420 NE 115 `Street-Miami, FL 33131 786.294.0954-Office hesterbuilder@gmail.com CRC1330537 To: Miami Shores Building dept. From: David Hester Inc. Regarding: 123 N.E. 97h street Date: 3-13-2015 To whom it may concern: I would like to retract my request for being solely able to submit permit applications, Temp C.O. and/or inspection requests on the above property. Want to Thank you for standing with me on my previous request. David Hester David Hester, Inc. 420 NE 115th Street-Miami, FL 33131 786.294.0954-Office a hesterbuilder@gmail.com F � 1 2015 CRC1330537 Job location: Robert Butler 123 ne 97'street Miami Shores,Fla 33138 Permit Number: V, �_ — To whom it may concern: I am asking t that no permit inspection requests be honored by any other than David Hester Inc.. I will come in to request inspections. ou David Hester Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204• Fax; (305)756-8972 2/11/2016 Current Owner 123 NE 97 Street Miami Shores, FL 33138 Permits: RC-7-08-1368, EL 08-1840 and PL 08-1839 Address: 123 NE 97 Street Miami Shores FL 33138 Date Expired: 7/19/20015 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department,within 15 days of receipt of this letter in order to take care of this matter. Sincerely, LJ Ismael Naranjo (CBO Building Director Miami Shores Village 7el-? 4Building Department10050 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 10 BUILDING Master Permit No,'RC Cog' 136E PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL I ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �- S�-� •e C4_ City: Miami Shores County: Miami Dade Zip: .33 13<A Folio/Parcel#: 3 �. '.` � � Is the Building Historically Designated:Yes NO A Occupancy Type: Load: _Construction Type: Flood Zone: BFE: FFE: �\J �-. Q )gyp OWNER:Name(Fee Simple Titleholder): ®�e l��`"'e Phone#: 3®� "' 1 "-©bp3 Address: 17-. M E 9 1 C City: 1`rye).l A J ©CPS State: F 18 C t ® A- Zip: 2) 1 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: O1 ��' ` C-. Phone#: Ag 1 Address: l[:)-Q ►V E—: City: State: 1 O C Q► Ph Zip: Qualifier Name: Phone#: �° ^2.4 b--6,q State Certification or Registration#: R�-. 3?:)C7.3 tj Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �� ®Q • Square/Linear Footage of Work: Type of Work: Addition ❑ New Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile:y]:2 cc Submittal Fee$ Permit Fee$3,70 60 CCF$ 7 Scanning Fee$ ?• Radon Fee _'2 S2 DBPR$ ✓r0 +a.S Notary$ Technology Fee$,F3. Yi� Training/Education Fee$�2� D 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 ence of such ce, the inspection will not be approved and a reinspection fee will be charged. Signature--/zg Signature OWNER or AGENT CONTRACTOR The foregoing instrum nt was acknowledged before me this The foregoing instrur'nent was acknowledged before me this day of n CS d��.'Pr 20`�'' by day of,LTcc�/� 20 �L/ .by who' personally known to n/V Illn4 who is personally known to me or who has produced �`Y� . I` as me or who has produced7��D_S Cls identification and who did take an oath. identification and who did take an oath. NOTA LIC: NOTARY PUBLIC: Si 3 Print: pubttc sate of �. 3s'p 3'' ` ®� Joanna 0 082753 Seal: 910Z'si iel'9elldx3-ww06 AW -� •6 1�0 o My Commtssian FF epiiol j 10 81e1S-3Il4Rd AAWN PX01112f2tlib 1131S314 '01)1Vb r %J; Rep *,* APPROVED BY Z 6' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) � A STATE OF FLORIDA DEPAREOF BUSINESS AND PROF � ,T �kGULATION CRC1330537 06/09/2014 CERTIFIED R tAETOR HES-TER,DAN11'' p DAVID HESTEF � °'= 11/20/2014 5 : 58 AM FROM: 7276667636 TO: 3057568972 P. 2 ' Date CERTIFICATE OF LIABILITY INSURANCE 11/20/2014 Producer: Lion Insurance Company This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. 8t Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer s: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The poficiesiof insurance listed below have been issued to the insured named above for the policy period indicated- Notwithstanding any requirement,term or condition of any contract or other docurnert with respect to which this certificate may be issued or may pertain,the Insurance afforded by the policies described herein is subject to all the teras,exclusions,and conditions of such policies. Aggregate limits shower may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration LTR INSRD Type of Insurance Policy Number Date Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made Occur occurrences Med Exp General aggregate limit applies per. Personal Adv Injury Policy ❑Prolect ❑ LOC General Aggregate Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit Any Auto (EA Accident) $ All Owned Autos Bodily Injury Scheduled Autos (Per Person) Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2014 01/01/2015 X wC Statu- OTH- Employers'Liability tory Limits ER Any plvprietodpartner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO IfYes,describe under special provisions below. E.L.Disease-Ea Employee $1,000,000 E.L.Disease-Policy Limits $1.000,000 Ower Lion Insurance Company is A.M.Best Company rated A-(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicies/Exclusions added by Endorsement/Special Provisions: Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company : David Hester,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: DAVID P.HESTER LICENSE#CRC1330537 AS QUALIFIER/FAX:305-756-8972/ISSUE 11-20-14(TLD) CERTIFICATE HOLDER CANCELLATION in Date 10 19 2011 VILLAGE OF MIAMI SHORES Should any of the above described policies be cancelled before the expiration date thereof,the issuing BUILDING DEPARTMENT insurer will endeavor to mail 30 days written notice to the certificate holder neared to the left,but failure to do so shall Impose no obligation or liability of any kind upon the insurer,its agents or representatives. 10050 NE 2ND AVE MIAMI SHORES, FL 33138 1 ' ACC) CERTIFICATE OF LIABILITY INSURANCE °��`"1120""""' 12/01/201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. PHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(let)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: Sarai Medina Emmanuel Insurance&Associates,Inc. PHOVC NE ED: (305)6934003 NI: (305)6914381 2370 E 8TH AVE ADDRESS: sarai@emmanuelinsumnce.com INSURER(S)AFFORDING COVERAGE NAIL 9 HIALEAH FL 33013-4236 INSURER A: Preferred Contractors Insurance Co. 12497 INSURED INSURERS: DAVID HESTER,INC. INSURER C: LORRI HESTER INSURER D: 420 NE 115 STREET INSURER E: MIAMI,R 33161 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DLl7R TYPE OF INSURANCE IADULNSR POLICY NUMBER WISH POLICY EFF POLICY EXP LMM GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 COMMERCIAL GENERAL LIABILITY PREMISES Eeo cumence $ 50,000.00 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000•00 A Y PC2605926-02 10/06/2014 10/06/2015 PERSONAL a ADV INJURY $ 1,000,000.()0 GENERAL AGGREGATE $ 2+000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000.00 POLICY JEOT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMR $ acdderd ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PPROP:E dR DAMAGE $ HIRED AUTOS AUTOS ( ar UNBRELA L1AB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAI MADE AGGREGATE $ DED RETENTION$ $ WORIU M CONIPENSARON WC STAT T OTH- AND EMPLOYERS'LIABILITY YIN TORY LIM TS ER ANY PROPRIETORIPARTNERIF_XECUTIVEElNIA EL EACH ACCIDENT $ OFFICER/MEMBER In IEXCLUDED? EL DISEASE-EA EMPLO $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rte Schedule,If more space Is required) GENERAL CONTRACTOR. License#CRC 1330537 ? Any Changes or alterations Done to this document after being issued shall constitute it null and void. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg.Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 N.E.2nd Ave. THE EXPIRATION DATE THEREOF, NOTI9121 WILL BE DELIVERED IN Miami Shores Fla.33138 ACCORDANCE WITH THE POLICY PROM T:305-795-2204 Fax:305-756-8972 AUTWRGED REPRESENTATIVE ©1 988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD b p(� e�� L l FM Robert Butler --e--moaooe-.e_...,_ 123 N.E.97th Street Miami Shores, Florida 33138 Norman Bruhn, Director Miami Shores Building Department 10050 N.E.2°d Avenue Miami Shores, Florida 33138-2382 Re: Building permits RC-7-08-1368,PL-10-08-1839, EL-10-08-1840,EL-7-11-1349,MC-10-08-1838 Dear Mr. Bruhn: I am requesting an extension on the above referenced building permits for 123 N.E.97th Street. I have made arrangements to complete the project on my home no later than August 15,2012. Your assistance in this matter would be greatly appreciated. Thank you for both your past and present help in this. If you have any questions,please call me personally at 305 571-2112. Respectfully, /,,`s� %%// " Robert Butler V e Miami Shores Village Building Department JUN 2 9 PEr%e 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fag:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING OWNER:Name(Fee Simple Titleholder): �Pfe-a; �- S`-'TU�� Phone#: Address: kol—k 0-1-1 City: fy\l af-n StACVV -":�- State: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: rL 5-7 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: 0' 'R — Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: (>A C*-A,,G— C)( Submittal Fee$ Permit Fee$ 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 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this � The foregoing instrument was acknowledged before me this day of ,20 L` ,by Q�� ` , day of ,20_,by , who' ersonall a 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 PUBLIC: NOTARY PUBLIC: Sign: ® Sign: Print: Print: My Commission Expires: My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) S JAC I s�t Miami shores Village Building Department 10050 N.E.2nd Avenue RTDp► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N. ®(a —13b9 Owner's Name(Fee Simple Title Holder): 12-2,91�tr '"USW` Phone#: Owner's Address: Z 31V_ ,6_ 0 76-7' City: M/,dm ;fir State : Zip Code: 3�� Job Address(Of where work is being done): 5RIA&A- City: Miami Shores State:—Florida Zip Code: Contractor's Company Name: Ci L NEX2— rt�-)I Phone#: Address: City: State: Zip Code: Qualifier's Name : Lic. Number: Architect/Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work: lel c'—_s I hereby certify that the work has been abandoned and/or the contractorlarchitect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. Signature Signature owner or Agent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me this�day of21k,b � this day of ,20 by Who is personally known to me or who has produced who is personally known to me or who has produced R— as indentification. as indentification. \`0 ►►►UIII14jjjjz a `o�nk5'; � ad�d'� Notary Public: Notary Pu lic: �. .�.�p��`��..per, -.,, Sign: 0310612012 = Sign: Seal: = WARY PUBLIC . Seal: commission # ' u'�'••.OD1699Q1•�'Q- �� 0111111100��` Miami Shores Village Building;Department 1aiT50;N.E.2r-dAvsr Miami Shores, Florida 33138- Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: DATE- ADDRESS: 11' 3AIZ I Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,FS 489.103(7). And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers' compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built s bstantially improved it for sale or lease,which violates the exemption. // Initia L�-� 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initiai�� 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initi�IG �%� 7 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner builder permit that erroneouslyimplies 3haE the properly owner rs providing his er her own Tabor and atatena� d;as an oar bultder mai betld fi s Y -'t g8kie sirs s1 tE sot�oos_financial,risCc fcx any o (M.sustalited by arr t Ireanseff pt_a&hrs�eif ploys working on m"p�Yorty.;My homeoVmersinsurance rrtay not proVirie coverage those inNnes:ham�lnfffuky` as an owner-builder and am aware of the Units of my insurance coverage for injuries to workers on myproperty. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security,contributjons:under the Federal Insurance Contributions Act(FICA):and mast provide xorkers compensation for t( ern 'byee`.I Understand tffaf my failure to intknr these iriay subject to serious finan gal risk _ Initial 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. InftialyA/L 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or hftp://www.mvfioridalirense.com/dbpr/pro/cilbliindex.htmi Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owners driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of ��r�-�— , 20� By� Lq-_1 �L7�-��— who was personally known to me or who has Produced there License or as��yImUifiqgtion. 0 a 0� g 12 OWNER Commission # -9 ��ini n i m\��r�� December 15,2010 Harvest Trust Development 9154 S.W. 180th Street Palmetto Bay,Florida 33157 Re: Miami Shores Building Permit RC 08-1368 Dear Mr. Fernandez, Please accept this as formal notice that your services are no longer required on the above permit for renovation of my home at 123 NE 97th Street, Miami Shores,Florida 33138. This notice will be on file with the Building Department of Miami Shores. Respecflully, Robert Butler • •MPLETE • . • . DELIVERY S�N■ Complete Items 1,2,and 3.Also complete A. SI item 4 if Restricted Delivery is desired. X 0 Agent ■ Print your name and address on the reverse so that we can return the card to you. B. Rby jPrinted Name) C.Date o DWKW ■ Attach this card to the back of the maiiplece, or on the front If Spam permits. (✓rkK D. Is ddWery address afferent from item 1? 0 Yes 1. Ardele Addressed to: If YES,enter delivery address below: 0 No )'AViC4'.fj �r 7 �- C1 J 7 a servicetype 13 Cerwed Mat► E3 Exprees Mau 12A L�t'n v%',7v /J f D p RegWered C3 Rehm ftcW for Merchandise 0 insured Mai► 0 C.O.D. 4. Restricted Delivery?(Exna Fes) 0 Yes 2. Article Number ( wn*rfromsendbelobe 7010 1670 0001 6804 '4805 PS Form 3811,February Domesttc Return Receipt 102595-M-M-1540 Harvest Trust Development Group 18495 S Dixie Hwy Suite 125 Miami,FI 33157 305-720-8517 April 20,2010 Miami Shores Building Department 10050 NE 2 Ave Miami Shores, FI Re: Extension request for property 123 NE 97 St, Miami Shores We respectfully request that the Mechanical (MC10-081838), Electrical (EL10-081840), Mechanical (PL11-081931)and the building permit(RC08-1368)expiration dates be extended for another 90 days. The owner has a financial hardship and needs more time to come up with the funds to finish the work. 44Since ly L a ez eSince � ►� �`�� ,��rf�®ice L� ck) -lei 31 1 S59 ov -I�� o� -I b�3 "0 `+I b --�,cq • A10*0LX`. Miami Shores Village � ;v E 21�z7� gp Buildin Department lal JUL 2 4 2000 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 -------------------- BUILDING Permit No. R7J O� PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle): Buildin Roormg Owner's Name(Fee Simple Titleholder) Rd� Phone# 7P 'Z:S OLg/9 Owner's Address /2,3 A16 d9 7 3)4— city /4/ ''1 P`' S state_ - zip 331,37 Tenant/Lessee Name �— Phone# Job Address(where the work is being done) 123 ' XV 97 ''St— ,Q City Miami Shores Village County Miami-Dade Zip 331'30 FOLIO/PARCEL# 1�- 3Zd 6- a/3- Z Y40 Is Building Historically Designated YES NO Contractor's Company Nameu � Leone Contractor's Address l �rl cT` D►�C/'� [ y /26— City Am- 1l��?�,/ //'`` State /�� -zip___ ✓?�/.�? Qualifier Name iic/C!!l IK7 f`—�- A a k��'t— Phone# ��- State Certificate or Registration No.r--. C° 132-9 e0V Certificate of Competency No. Architect/Engineer's Name(if applicable) d"L 040%"AO�l Phone# ,143-7 Value of Work For this Permit$ J 1 S f s Square/Linear Footage Of Work: Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: hO b tnO�U &f r- A4, AlAe VW0--- &W- -7 0 S.4". rw-70Sa. ��L � � ��xx��x��xex��x:x�x��x�xFeesx��x��x��x��xe��x��•x��x��x�x�� Submittal Fee$ *�' Permit Fee$ CCF$ ®J 00 Notary$ Training/Education Fee$ i Technology Fee$ Scan $ A-. 0 Radon$ O` 1' I DPBR$ U Zoning$ Bond$� Code Enforcement$ t Double Fee$ ru Stctural Review.$ �(J••'`° �o D = `� otal Fee Now Due$ i o� d�� NOV SeeReverse side -� C(CI s1 MIAMI SHORES VILLAGE Bonding Company's Name(if applicable) ' Bonding Company's Address t 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 t oy.- of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjec� hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which—occurs sevat (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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �/� ,20-4,by d" day of v ,20 0?,by who is personally known to me or who has produced who is personIlly known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: "� RQUES O DD616172 Print `D MY COMMISSION Print: PIRES 1111a"r 19,2010 .�•,9°�'t EXPIRES November 19,2010 I�r X153 F�oridallotery9ernce-COM My Commissi F1onclaWowrsc�ber 19r, My Commission xpues: �e APPLICATION APPROVED BY: VA 0 lam/ 2 FA d •f l'' Plans Examiner Engineer -,U 7 •1 Zoning (Revised.07/10/07)