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FW-14-1334 Cheryl Sutton del Rosario 1050 SE 230 Street 7JAN MED Gainesville, FL 32641 8 2015 January 28,2015 Miami Shores Building Department Sindia Alvarez RE: Permit No. FW-141334 290 NE 101 Street Dear Sinda: I am writing to request a 30 day extension for permit no. FW-141334. The tenant eviction is in the final stage and I anticipate having legal possession within the next five days. At that time I will be able to complete the work. I appreciate your consideration in this matter. Thank you Cheryl Sutton del Rosario 133 KENNETH R. PFEIFFER, P.E. July 22,2014 Village of Miami Shores 10050 N.E. 2"d Avenue Miami Shores,Florida 33138 Re: Residential Swimming Pool for Pegg Residence 333 N.E. 103 Street Miami Shores,Florida Gentlemen: This letter is to inform you that the undersigned inspected the excavation at the referenced project site and noted the following: The soil conditions exhibited the presence of well compacted sand deposits. These deposits were interspersed with some elements of limestone fragments. The conditions present at this site are adequate for the design bearing capacity of 2000 psf. Should you have any questions concerning the above,please feel free to contact this office at any time. Very tru yours, e e 'ffer,P.E. 8754 S.W.208 Lane MIAMI,FLORIDA 33156 (786)235-2435 FAX.(788)235-24W Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 10/21/2016 To: Current Owner 290 NE 101 Street Miami Shores, FL 33138-2423 Permit: FW-6-14-1334 Address: 290 NE 101 Street Miami Shores FL33138-2423 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 obtain new permits, 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, Israel Naranjo ( B®) Building Director Miami Shores Village CFJN,78D Building Department JUN 232014 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 BY. Il Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 -� FBC 20/6 B ILDING i Master Permit No.FIA) PERMIT APPLICATION � Sub Permit No. 12�UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING r-1 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ � C'Jr4� 2:1 OP AWINGS (,l CONTRACTOR JOB ADDRESS: 6 o N I C�j City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I!$.aco of 3,.�sga Is the Building Historically Designated:Yes NO Occupancy Type: Load: ������ Construction Type: Flood Zone: BFE:: `t FFE:�I OWNER: Name(Fee Simple Titleholder).'\_ exl I ✓�"`�� Phone#. ��Y�lD u�F'-7 Address-AQ D f4le, D 1 5�_ &;A?)oU7a"I&y City: M IO M,% 41) re 5, State:�_ Zip: v?3(3S Tenant/Lessee Name: Phone#: Email: t��l rosa D q.8rp "voxprn CONTRACTOR:Company Name: ��� Phone#: Address: City: State: Zip: Qualifier Name: (f I a Phone#: State Certification or Registration#: yor Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: 1 City: State: Zip: Value of Work for this Permit:$ 150.0 D Square/LinearF,000tage of Work: Type of Work: El Addition 1:1rFF-1itiion ❑ Alteration p New � Repair/Replace Demolition di Description of Work: Imo-' 'e- 'f" -gf_ cel fear krivewail Specify color of color 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$ �)o (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,- ANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT:T 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 no be approved and a reinspection fee will be charged. Signature Signature OW R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of�)( 3/7-e 120 by day of ,20 by 0-�) ®B/ /26Sc,//�j who is personally known to ,who is personally known to me or who has produced D as 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. Sign: P P.,hun state of Florida Tint: at' Joanna M Feliciano Seal: @ My Commission FF 082753 Seal: OF Expires oin 2/2018 a A, APPROVED BY Ze Plans Examiner / Zoning Structural Review Clerk (Revised02/24/2014) o � pq ,gts Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 I OWNER BUILDER DISCLOSURE STATEMENT NAME: l S4ftn DATE: ADDRESS: djq jZ c, C)I S"r KtU4,,. `via ros ��1133 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 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. 1 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. Initia 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 or substantially improved it for sale orles which violates the exemption. Initial ?V 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the constructs Initial 6. I 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 y ounty or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner-buildera aware of the limits of my insurance coverage for injuries to workers on my property. 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 contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 65r 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 Initial (G- 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 http://www.myfloridalicense.com/dbpr/pro/cilb/index.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: a5— Initia 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 owner's 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 X23 day of —Lie , 20 C, By016j0/ f)ej ZSafi,�' who was personally known to me or who has P duced there License or O {I'2)aL-Tw-6 as identification. public State dT FOR— OWNER 'Pro: oanna M Feliciano TAR y Commission FF 082793 xpires 0111212018 ` Miami Shores Village sold Building Department 10050 N.E.2nd Avenue ` key` Miami Shores, Florida 33138 �ORIDA Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant, �� I � does hereby attest that (Property owner) Y` The attached survey, performed by h a., oln (N ne�of surveyor's company) n For address: Oti O �C)I _ZIY Q`P�'� 4A*K _': t�6!!S Performed on 4A I 10 1 V (date of survey)is an accurate representation of the existing conditions and locations of all st ctures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. (F'� h r,Affiant u Property Ow r Signature Prope y Owner Print Name SWORN TO D SUBSCRIBED before me this day of,=Ln e-— o;/-/ Affiant is personally known tome, produced s identification. Nota Revised on 5/22/2009/Revised on 6/12/09 te of Florida ROD ianoF 082753 1 8 �Z of®tuQ"c� �Sar1 c7 ............. ....... I o L E oio,r- 040ER NO, F.fl� KA N. REV: . . .......... REV.. SCALE V' Reed; I H AN!) 'LL 1 F C').*,'PA!:) H 3E Cc 4!Db ....... 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