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DEMO-17-2223 r Inspection Worksheet Miami WiresVillage 100 NX—2rtd Aver—tit, l i Shores,FL Phone.(305)7SS-2204 F x.=I~ )756-8972 Inspection Nu tber: INSP-289038 Permit Number DEMO-9-17-2223 1 Inspection Date: Mauch 14,2098 Permit Type: Demolition Inspector..Nalranjo,Ismael' Inspection Type: Finan Owner: NARDO,LAKEN Work Classification: Building Job Address:16 NE 100 Street .Miami Shores,FL Phone Number Project: <NONE> Parcel Number 1132060131240 4^ Conthictor: HOME OWNER r ■ Building Pepart ent Comments REMOVE WOODDECK tzrtrstiio assed Comments INSPECTOR COMMENTS False i Inspector Gurrsrrtts -Passed Failed ED Correction F Needed t Re-Inspection 1 Fee No Additional tnepections can be scheduled until roe-inspectionf is paid For?Ins tions please call:(305)762-4949 Match 13,2018 Page 1 of f INSPECTION RECORD POST ON SITE Permit NO. DEMO-9-17-2223 9�►ORP_s � Miami Shores Village Mit,T It on to 10050 N.E.2nd Avenue �� t, Miami Shores,-FL 33138-0000 ,a t ;�, „WO/�C C/BSS/fQ8 I�n:�Ul g 'Phone: (305)795-2204 Fax: (305)756-8972 �x0Rivp► Issue Date:9��s�zo�7 03/17/2018 Expires: INSPECTION REQUESTS: (305)762-4949 or'Log on at https:/Ibldg.miamIisporesvillage.comlcap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWINdliiDNESS DAY. Requests must be received by 3 pm for following day inspections. ' A Demolition '` A Parcel #:1132060131240 A� Owner's Name:LAKEN NARDO �'��• ,, �� ,.•..� . Owner's Phone: Job Address: ti � Total Square Feet: 336 Miami Shaies. FL Total Job Valuation: $ 500.00 Bond Number: , WORK IS ALLOWED: Contractor(s) Phone t -6:OOPM. „ ,jiPriMary Contractor MONDAY THROUGH FRIDAY,8:00AM-7:OOPM. SATURDAY 8:OOAM HOME OWNER Yes NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READILY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO ' RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION RECORD WINDOWS&DOORS PLUMBING INDATE INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation Attachment " Stemwall Rough Slab Water Service Columns(1st Lift) 2nd Rough Columns(2nd Lift) PUBLIC WORKSTop Out Tie Beam ' ' INSPECTION DATE INSP Fire Sprinklers Truss/Rafters lExcavation Septic Tank Roof Sheathing '; Sewer Hook-up Bucks Roof Drains Interior Framing ELECTRICAL Gas Insulation INSPECTION DATE INSP LP Tank Ceiling Grid Temporary Pole Well- Drywall 30 Day Temporary Lawn Sprinklers Firewall Pool Bonding Main Drain Wire Lath Pool Deck Bonding Pool Piping Pool Steel Pool Wet Niche Backflow Preventor Pool Deck Underground Interceptor Final Pool Footer Ground Catch Basins Final Fence Slab Condensate Drains Screen Enclosure Wall Rough HRS Final Driveway Ceiling Rough Driveway Base Rough PLUMBING COMMENTS Tin Cap Telephone Rough Roof in Progress Telephone Final " Mop in Progress TV Rough Final Roof TV Final Shutters Attachment Cable Rough Final Shutters Cable Final Rails and Guardrails Intercom Rough ADA compliance Intercom FinalMECHANICAL Alarm-Rough INSPECTION DATE INSP Alar r Final Underground Pipe DOCUM 5 Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work With Floor Elevation_Survey Ventilation-Rough 1 Reinf Unit Mas Cert ELECTRICAL COMMENTS r Hood Rough Insulation Certificate Pressure Test Spot'Survey Final Hood Final Survey ' ' Final Ventilation Truss Certification Final-Pool Heater STRUCTURAL COMMENTS Fina)Vacuum MECHANICAL COMMENTS " INSPECTION JDATE JINSP ' _ Final Sprinkler ' Final Alarm Permit No. DEMO-9-17-2223 �swO1 s o,� Miami Shores Village Permit Type:Demolition 10050 N.E.2nd Avenue NE It Work Classification:Building Miami Shores,FL 33138-0000 'Per Permit Status:APPROVED Phone: (305)795-2204 Issue Date:9/1812017 Expiration: 03/1 71201$ Project Address Parcel Number Applicant 16,NE 100 Street 1132060131240 Miami Shores, FL Block: Lot: LAKEN NARDO Owner Information Address Phone Cell LAKEN NARDO 16 NE 100 ST MIAMI SHORES FL 33138-2315 I Contractor(s) Phone Cell Phone Valuation: $ 500.00 HOME OWNER Total Sq Feet: 336 Type of Demo:Building Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Review Building I F Fees Due ]MnPay Date Pay Type Amt Paid Amt Due CCF CCF f Fee Invoice# DEMO-9-17-65068DBPF DCA Fee 09/18/2017 Credit Card $69.60 $50.00 ` Education Surcharge 09/05/2017 Credit Card $50.00 $0.00 Notary Fee Permit Fee Scanning Fee Technology Fee Total: � I 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 AFFI AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct �anjzoninj. Futhermore,Lauthorize the above-named contractor to do the work stated. September 18, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 18,2017 1 Miami Shores Vill1 10age RECEIVED Building Department SEP 05 2017 10050 N.E.2nd'Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 i INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201`1 BUILDING Master Permit No-Di-'nC 1-1 -22Z PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � 6 //(/ —67 City: Miami Shores County: Miami Dade Zip: 3 l-5 O Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name'Fee Simple Titleholder): LAW /yaD() Phone# 3vy� Address: 1 !!/ C� 00 QST c City: AXE( ..1�are's State: / G Zip. �� 7 Tenant/Lessee Name: Phone#: Email: !�K��Pr � h' ��Q1 �� 1�/� - rolly CONTRACTOR:Company Name: Ul.l , 1 Phone#: 1 r' Address: I , City: State: Zip: Qualifier Name: Phone#:- State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: 33� 1 —01,1111011 Type of Work: ❑ Addition F-1Alteration El New ,,S ] Repair/Replace Demolition Description of Work: R, w� /AkoVe 000 LCA "_ Specify color of color thru tile: r�,�,;:{Eat,:" Submittal Fee$ Permit Fee$ ,_l� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ _ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ i TOTAL FEE NOW DUE$ (Revi,ed02/24/2014) Bonding Company's Name(if applicable) illi 1. 1 y � Bonding Company's Addre�i'ss 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. 't,, "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 Y' 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)i 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 g g OWNER or AGENT I CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this f5 day of N � S��20 f 1 �T� by day of 20 ,by e N AC00,who i e—s— n to who is personally known to me or who has produced f 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: Pl Sign: ••.%A Sign: i t _J•�U` I u.Z Print: _ •� et'.. Print: Seal: •v �`z �.�y �`` ;Q� Seal: MOWN APPROVED BY YI Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i 7� I HEREBY CERTIFY:THAT THIS DRAWING REPRESENTS THE RESULT OF A S VEY OF THE THIS SURVEY IS NOT VALID WITHOUT THE ' _ r' Miami Shores Village Building Department 10050 N.E.2nd Avenue �toRit�; Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 p / 'OWNER BUILDER DISCLOSURE STATEMENT NAME: DATE: ell 2 ADDRESS: /V I�O ' /`-t LG7/�-L �7 #0 r�5 /,X—C 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 personas 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. I 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 1 do not have a license. Initial 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. 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 or lease,which violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.. Initial 4 . 6 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. Initial I 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.1,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. 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 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.mvfioridalicense.com/dbpr/pro/cilb/index.html 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: le dJ ' .5t• 14 ►Y4-41 S kau e (-, L .3 1� b 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 t 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.Itis 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 �N20 By nU who wasp onaily�kn-oo me\o`\� hRi ,as vEPA Produced there License or OWNER NOTARY%�,��, +iata "`` �.�