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RC-16-1078Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Expiration: 11/01/2016 Applicant 1015 NE 93 Street Miami Shores, FL MUMMA Owner Information Address 1132050150050 Block: Lot: Phone GEORGE & CHRISTINA PAUL Cell GEORGE & CHRISTINA PAUL 1015 NE 93 Street MIAMI SHORES FL 33138- (305)323-8178 1015 NE 93 Street MIAMI SHORES FL 33138 - Valuation: Total Sq Feet: Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: remove Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : existing floors as per plans Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $5.40 $4.05 $4.05 $1.80 $5.00 $270.00 $3.00 $7.20 $300.50 Pay Date Pay Type Invoice # RC -4-16-59493 04/21/2016 Credit Card 05/05/2016 Credit Card Amt Paid Amt Due $ 50.00 $ 250.50 $ 250.50 $ 0.00 Available Inspections: Inspection Type: Window Door Attachment Framing Insulation Drywall Screw Final PE Certification Window and Door Buck Fill Cells Columns Review Building Review Planning Review Electrical Review Plumbing Review Structural Review Mechanical 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, PLUMBINe, ECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNER VIT: I construc foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ;�;y� the above-named contractor to do the work stated. 41 plicant / Contractor / Agent d Signature: Owner Building Department Copy May 05, 2016 Date May 05, 2016 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 l •3 Inspection Number: INSP-266528 Permit Number: RC -4-16-1078 Scheduled Inspection Date: September 02, 2016 • Permit TypeResidential Construction Inspector: Mesa, Michel . Inspection Type: f=inal Building Owner PAUL, (;FORGE & CHRISTINA Work Classification: Alteration Job Address: 1015 NE 93 Street Miami Shores, FL project: <NONE> Contractor: HOME OWNER Phone Number (305)323-8178 Parcel Number 1132050150050 Building Department Comments remove existng floors as per plans INSPC Passed comments INSPECTOR COMMENTS False REPLACE PERMIT RC -15-2462 Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee Is paid. 13 ptember 01, 2016 For Inspections please call: (305)762-4949 Pane. 14.4 )1 1 4(?c5 ayC +0 ha v--, lieu) 4 - foo p . hoq,e-)e o!� tots s SEPy15 2015 ei I COPY s-. G2 • • .•.• .. • . . • .. ..•• • •. Manii Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT ei1 IJ SU[3JFCT TO COMPLIANCE WITH ALL FEDERAL ;TATE AND COUNTY RULES AND REGULATIONS . . .Y •• • .• • • . .• • • . , • • • • • • • • •• • . • ••• • • • •, • Y •• • • . • • • • 1 • • • • \olCo \,f1,. Miami Shores Village y • Building Department BUILDING PERMIT APPLICATION 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 uniWnVirtrffer APR i 2016 5-141 FBC 2014 Master Permit No.2CA CO ^ I 01E5 Sub Permit No. JX3UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ['PLUMBING ❑ MECHANICAL ['PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION CONTRACTOR jOrs A) G '5d Sf re JOB ADDRESS: City: Folio/Parcel#: Miami Shores County: I I— G'- 0 Ic —005-0 ❑ RENEWAL ❑ SHOP DRAWINGS Miami Dade Zip: r Is the Building Historically Designated: Yes NO FFE: Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder): efl'tQ' 'G ) • PCwl eta . (1'l (r:tiM .0 Address: [PCS � � c $ c City: r1,""+�V®�7 State: �![ Zip: Tenant/Lessee Name: I, , Email: vc\(t 1n� ' e ( �+ ,C (�yFe5. Co, / CONTRACTOR: Company Name: `cV V t l DC's I Phone#: Address: City: State: Zip: Qualifier Name: Phone#: Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: 13( Pt - Value of Work for this Permit: $ Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: 9.% co 0 Type of Work: ❑ Additions, ❑ Alteration0N/V`�ew Repair/Replace Description of Work: `(t& e !(ep(a (ale [S1 ®c y ❑ Demolition Specify color o Submittal Fee $ Scanning Fee $ Technology Fee $ color thru LSO Structural Reviews $ (Revised02/24/2014) tile: P( Permit Fee $ 0. 00 CCF $�J14• '�10 CO/CC $ Radon Fee $ T o • V DBPR $ • 5 Notary $ S Training/Education Fee $ en • Double Fee $ Bond $ TOTAL FEE NOW DUE $ z� `1 • SQ Bonding Company's Name (if applicable) /74 - 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 rei -ction ee will be charged. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before a this The foregoing instrument was acknowledged before me this day of `S , 20 I) , by day of , 20 , by C.►--t1aS-1 1 -VA me or who has produced o is personally known to , who is personally known to UN L as me or who has produced as identification and who did take .�4`���tt}t...1I j,l�a i a ir`�• eo •'rl•bs°°.Or�yP NOTARY PUBLIC: 0910 ;aF Sign: ,per. ri Sign: Print: Vii,, •••.•NOISS;.•,,,, , Print: `/ii41#4111100 �`lor- Seal:Seal: NOTARY PUBLIC: identification and who did take an oath. *************************** APPROVED BY (Revised02/24/2014) ******************************************************************* Plans Examiner Zoning Structural Review Clerk e 1 OWNER BUILDER DISCLOSURE STATEMENT DATE: Ift2f1/4 /DID& ADDRESS: ID iS 06 434 1 1A talu,l `lo-tes, Py NAME: 0,11CtStrt(AO- L(. EUl -r Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 Tess (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 ( e 2. I 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 att e 3. I 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. I 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 or lease,whiich violates the exemption. Initial Ott r 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the constructio 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 by county or micipai ordinance. ix Initial 1 4. • 7. I 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 -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial CU' 8. I 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 9. I 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 regulati Initial 10. I 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 tljR Florida Construction Industry Licensing Board at 850.487.1395 or http j/www.mvfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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, PUP 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of inf rmation thymol have provided on this disclosure. Initis 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 al day of By-Lc-rI who was personally known to me or who has Produced there License or <-- Dal II rit- OWNER Miami Shores Village 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS JOB ADDRESS: INS Of 031 6k1 eL4- City: SEP 2 5 2015 FBC 20 01( Master Permit No. fl 1 (5-a Sub Permit No. ❑ REVISION ❑ EXTENSION El RENEWAL ❑ CHANGE OF CONTRACTOR SHOP DIWINGS Folio/Parcel#: Miami Shores County: lr-39.0s—DVS—vos0 Miami Dade Zip: 351376 Is the Building Historically Designated: Yes Occupancy Type:lie`' ° Load: Construction Type: Ta04 Pt Flood Zone: P0 BFE: OWNER: Name (Fee Simple Titleholder): Ch' 4 aa- Pati Phone#:053 3 E L7 NO FFE: Address: City: 1°k iG,.14 S ht. ceS Tenant/Lessee Name: ti -DJ i\ State: Email: Ci‹.6N1rt ... Gl(A Q., t, g e5• Cvt--1 -1431.Ase ()W Nw2 CONTRACTOR: Company Name: Address: City: State: Zip: Phone#: zip: 33\3� Phone#: Qualifier Name: Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: 01 -4 - Certificate of Com4� p te,r1 C i - Phone: Address: City: State: Zip: Square/Linear Footage of Work: 47$ t/ ❑ New Value of Work for this Permit: $ DU Type of Work: ❑ Addition ❑ Alteration Description of Work: 34eMV1re 4.4S-41 ill -j Dogs etz, p\c n9 co fs (t5c Repair/Replace ❑ Demolition �r etyt I �Ied Olila r & YYl xc 640nem4'! e Specify color of color thru tile: Submittal Fee $ • cm 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) 1014C 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 Signature OWNER or AGENT CONTRACTOR The fore ng instrument w acknowledged before me this The foregoing instrument was acknowledged before me this 45 day of . is %.,_, v 1,J' , 20 IS- , by day of , 20 , by IX11lja = CO -u+\ , who is personally known to , who is personally known to me or who has produced , , ,� �� _ as me or who has produced as 11 18 ,�I• identification and who did take an-oatn, ,,,,±,_,_.,,±-,1� identification and who did take an oath. NOTARY PU LI Sign: Print: Seal: iT ANNIL'1 IIViay rI4_ tat Vass rib LINDA A. VASSEROT MY COMMISSION # FF192234 EXPIRES: January 22, 2019 ***************************** NOTARY PUBLIC: Sign: Print: Seal: APPROVED BY ' G Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: ChIP( 1t)a �'t' DATE: 7J aS1a� !- ADDRESS: tOtS 0E t' -e' 9-1 1-1,(43.it .1191/e5 a 33►3b' 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. 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. 2. I 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. I 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. 4. I 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 or lease, which violates the exemption. Initial 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. 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 by county orau unicipal ordinance. 11. Initial ► l iY 7. I 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 -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I 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 9. I 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 regulati Initial 10. I 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.mvfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the i formation that I have provided on this disclosure. Qom, Initia� 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 Toss 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 day of By Pat srn - tACGI P T L' who was personally known to me or who has Produced there Licens OWNER L lQ;c- N St as identification. RY itNotary Pudic State of Florida Sindia Alvarez 4 My Commission FF 156750 F ir" Expires 09103/2018