RC-18-237 i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-300601 Permit Number: RC-1-18-237
Inspection Date: March 15, 2018 Permit Type: Residential Construction
Inspector: Riveron,Alexis Inspection Type: Final Building
Owner: BRANDT, LORI Work Classification: Addition/Alteration
Job Address:241 NW 91 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010331340
Project: <NONE>
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Contractor: HOME OWNER
Building Department Comments
INTERIOR REMODELING OF KITCHEN AND BATHROOM Infractio Passed Comments
I INSPECTOR COMMENTS False
TO REPLACE EXPIRED PERMIT
RC17-266
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Inspector Comments
Passed 12f
1 3 )SZUl�
Failed El
Correction �
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
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For Inspections please call: (305)762-4949
March 30, 2018 Pagel of 1
Permit NO. RC-1-18-237
5HO1S L,� Miami Shores Village ! Permit Type:Residential Construction
10050 N.E.2nd Avenue NW
Per' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000
Pennit Status:APPROVED
Phone: (305)795-2204
to 10
issue Date: 2/612018 Expiration: 08/05/2018
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Project Address Parcel Number Applicant
241 NW 91 Street 1131010331340
Miami Shores, FL 33150- Block: Lot: LORI BRANDT
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Owner Information Address Phone Cell
LORI BRANDT 241 NW 91 Street (786)553-1962
MIAMI FL 33150-
241 NW 91 Street I
MIAMI FL 33150-
Contractor(s) Phone Cell Phone Valuation: $'10,000.00
HOME OWNER
Total Sq Feet: 100
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved:: In Review Drywall
Date Denied: Miscellaneous
Type of Construction: INTERIOR REMODELING OF KITCF Occupancy:Single Family Window Door Attachment
Stories: Exterior: Tie Beam
Front Setback: Rear Setback: Final
Left Setback: Right Setback: Framing
Bedrooms: Bathrooms: Insulation j
Plans Submitted:Yes Certificate Status: Final PE Certification
Certificate Date: Additional Info: INTERIOR REMODELING OF KITCH Truss Insp
Foundation '
Bond Return: Classification:Residential Window and Door Buck
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Columns
CCF $6.00 Fill Cells Columns
DBPR Fee $4.50 Invoice# RC-1-18-66278 Wire Lathe
DCA Fee $3.00 01/30/2018 Check#:458 $50.00 $290.50 Review Building
Education Surcharge $2.00 02/06/2018 Check#:461 $290.50 $0.00 Review Mechanical
Notary Fee $5.00 Declaration of Use
Permit Fee $300.00 F.Termite Letter
Scanning Fee $12.00 F.Elevation Certificate
Technology Fee $8.00 Review Planning
Total: $340.50 Review Structural
Review Electrical
Review Plumbing
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 AFFID VIT: I certify th a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and oni Fut�ier I uthorize the above-named contractor to do the work stated. ,
February 06, 2018
Auth i d Signatu .O n / Applicant / Contractor / Agent Date
Building Department Copy
February 06, 2018 1
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Miami Shores Village 7JAN
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Building Department 302018
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 201
BUILDING Master Permit No. 8 -Z3�
PER IT APPLICATION Sub Permit No.—= -s '- 1 Q
1
DBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION EjRENEWAL
❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
� / CONTRACTOR r DRAWINGS
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JOB ADDRESS: o2 V Z Ls) �1 Z ,fl-
City:
City: Miami Shores County: Miami Dade Zip: .22 J U
Folio/Parcel#: �/' 3�"(�� ��.3 ' �.� Y� Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood•Zone: BFE:z FFE:
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OWNER: Name(Fee Simple Titleholder): /I/ l ��Gf✓lL V;1Z Phone#: 7ap
' Address: d yl A J Z/ J7:
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City: /tel/GC 077/ J 4 /'P1' State: - Zip: -22+ /j 0
Tenant/Lessee Name: Phone#:
Email:
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CONTRACTOR:Company Name: &0 1� Phone#:
Address:
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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:$Zoe)a Square/Linear Footage of Work: //00 -P"Q 7c�
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
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Description of Work: U 1-
-V(o '(4lace -,eXp�Led k1rl1Aij
Specify color of color thru tile:
Submittal Fee$ J I'd Permit Fee$ 3CO• 00CCF$ =CO/CC$
Scanning Fee$ (2 • OO Radon Fee$ r 03 DBPR$ (+ Notary$
Technology Fee$ '0 Training/Education Fee$ 2 • acil Double Fee$ X!
Structural Reviews$ Bond$ /gyp,
TOTAL FEE NOW DUE$ •L� !O
(Revised02/24/2014) '
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Bonding Company's Name(if applicable)
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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.....
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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.
r "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR]M'PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
1
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 beforemethis The foregoing instrument was acknowledged before me this
day of hwaY 20 C} by day of 20 by
wY i r1 i'A ho is personally known to who is personally known to
me or who has produced DY;\f°Q( 1 i C\ AST as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
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NOT4UBL NOTARY PUBLIC:
Sign: Sign:
Print / r
Print:
Seal: ' l�Y'Py' YA YPRIETO Seal:
_ MYCOMMISSION#FF 214031
- a EXPIRES:March 25,2019
ti� pF nd' Bonded Thru Nlotary Public Underw6ters
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APPROVED BY Jp Plans Examiner $ Zoning
Structural Review Clerk
(Revised02/24/2014)
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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: ZQ -I e?/ DATE: I
ADDRESS: W j, J �ro
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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.
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.
Initial ZZ
I 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 or lease,which violates the exemption.
Initial
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial__[_„
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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.
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Initial
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 /A
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 unde'rstand that my failure to follow
these may subject to serious financial risk.
+ Initial Z�6
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
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
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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:
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I ' \�am' c Vko v�q l 33 1,3O 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 i 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 50'� __d4of_JAY11Jri0 20
ByLVN-
Yl 0CI-�— who was personally known to me or who has
Produced there License or Y 1 Nl- V ' ue S-A as identification.
S
YMADY PRIETO
OWNER NO ARY +� MYGOFdMISSION#�FF214031
EXPIRES:March 25,2019
';; M• BriedTlruNavy PuftunJaww§
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FL 33138
Tel: (305)795-2204 9 Fax; (305)756-8972
1/22/2018
To: Current Owner
241 NW 91 Street
Miami Shores, FL 33150-
Permit: RC-2-17-266
Address: 241 NW 91 Street Miami Shores FI-33150-
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
I care of this matter.
Sincerely,
Ismael Naranjo (CBO)
Building Director
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TRANSMITTAL LETTER
. .
...... . .. ......
.... . .....
TO: LORIBRANDT •••••• •••• •••••�
FROM: CARLOS BRAVO " " " ' "•"0
...... . •
SUBJECT: REVISION A PERMIT LANS-MIAMI SHORES RESIDENCE 0 '
. . . . ......
DATE: FEBRUARY 15, 2017 •
CC: N/A
The following items are part of this transmittal:
1. (2) sets of Revision A Permit Plans
2. (2) copies of Response Narrative to the Building Department Comments
R.ECT-I'VE r)
FEB i 6 2017
BY:_ -�-
0
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February 15, 2017
Miami Shores Village Building Department •���
. . .... ......
10050 N.E. 2"D Avenue •
Miami Shores, FL 33138 ...... ....:.
RE: 241 NW 91st Street •
.... . .....
Permit# RC-2-17-266 '
...... .... .....
.. .. .. . ......
UrvanX is pleased to provide you with this narrative indicating the responses to your comm;;t Lr the above-referenced
permit number:
. . :.0.:. ......
BUILDING �•��•�
1. Plans should be signed and sealed by architect of record.
Response: Please see revised plans, signed and sealed by Architect of Record.
2. Reflect the location of the required smoke detectors on bedrooms and within 10 feet of bedroom door.
Response: See revised sheet A-1 and E-1 for smoke detector locations.
3. Provide tub wall detail.
R307.2 Bathtub and shower spaces. Bathtub and shower floors and walls above bathtubs with installed
shower heads and in shower compartments shall be finished with a nonabsorbent surface. Such wall surfaces
shall extend to a height of not less than 6 feet (1829 mm) above the floor.
Response: See detail added to Sheet A-1 showing tub wall detail.
ELECTRICAL
1. Need electrical plan with circuit numbers, panel schedule and load calculation.
Response: See revised sheet E-1 showing circuit numbers, panel schedule and load calculation.
2. Add smoke/ carbon monoxide detectors.
Response: See revised sheet E-1, Smoke Detector Plan for location of Smoke/Carbon Monoxide
Detectors.
3. show lighting.
Response: See revised sheet E-1 for lighting location. All lighting to remain existing.
Should you have any questions or need additional information, please contact me.
Thank you,
C los J. Bravo AIA LEED AP BD+C
Principal
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A R C H I T E C T U R E - P L A N N I N G - I N T E R 1 O R D E S I G N
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February 15, 2017
Miami Shores Village Building Department
10050 N.E. 2N1 Avenue •�•
Miami Shores, FL 33138 •,�• •,..;.
RE: 241 NW 91st Street
Permit# RC-2-17-266 •
...... .... .....
.. .. .. . ......
UrvanX is pleased to provide you with this narrative indicating the responses to your comm;gtSLr the abo,4e-referenced'
permit number: : ' : • • 0.00:•
BUILDING 40
1. Plans should be signed and sealed by architect of record.
Response: Please see revised plans, signed and sealed by Architect of Record.
2. Reflect the location of the required smoke detectors on bedrooms and within 10 feet of bedroom door.
Response: See revised sheet A-1 and E-1 for smoke detector locations.
3. Provide tub wall detail.
R307.2 Bathtub and shower spaces. Bathtub and shower floors and walls above bathtubs with installed
shower heads and in shower compartments shall be finished with a nonabsorbent surface. Such wall surfaces
shall extend to a height of not less than 6 feet (1829 mm) above the floor.
Response: See detail added to Sheet A-1 showing tub wall detail.
ELECTRICAL
1. Need electrical plan with circuit numbers, panel schedule and load calculation.
Response: See revised sheet E-1 showing circuit numbers, panel schedule and load calculation.
2. Add smoke/ carbon monoxide detectors.
Response: See revised sheet E-1, Smoke Detector Plan for location of Smoke/Carbon Monoxide
Detectors.
3. show lighting.
Response: See revised sheet E-1 for lighting location. All lighting to remain existing.
Should you have any questions or need additional information, please contact me.
Thank you
C os J. Bravo AIA LEED AP BD+C
P Incipal