PT-16-455 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-253223 Permit Number: PT-2-16-455
Scheduled Inspection Date: December 11, 2017 Permit Type: Paint
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: LEBRON,JOSE Work Classification: Addition/Alteration
Job Address:68 NW 92 Street
Miami Shores, FL Phone Number
Parcel Number 1131010170170
Project: <NONE> '
Contractor: HOME OWNER
Building Department Comments
PAINT Infractio Passed Comments
INSPECTOR COMMENTS False
i
4
Inspector Comments i
Passed _J
n r 1 ,
Failed --------T`l
1 /e i
Correction ��(///`,
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 08, 2017 For Inspections please call: (305)762-4949 page 1 of 34
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Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
12/4/2017
To: Current Owner
68 NW 92 Street
Miami Shores, FL
Permit: PT-2-16-455
Address: 68 NW 92 Street Miami Shores FL
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,
L/ , r
Ismael Naranjo ( r
BO)
Building Director
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Miami Shores Village � x --
\b Building Department FEB 19 2016
°J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC20
PAINT Master Permit No. ?-F )6 l)l6
PERMIT APPLICATION Sub Permit No.
JOB ADDRESS: (9 /V W /o'er A-k- s� y" -
City: Miami Shores County: Miami Dade Zip: �d5
Folio/Parcel#: Is the Building Historically Designated:Yes NO
OWNER: Name(Fee Simple Titleholder): d t'kL til Phone#: ('b 6
', .!�/ p- // *-4 .
Address: O ' Gl
6
y f Y 0S State: / Zip:
Cit i�'�iYl i �� 3
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Tenant/Lessee Name: // Phone#:
Email: /-'ei*y�a,, /atd �'� -3 Cc Vic
CONTRACTOR:Company Name: /V 8 ►'t�t-,. Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Value`of.Work„forthis•Permit:.$4 '3 Square/Linear Footage of Work:
�Description•ofWork:•-.
er d :i�af2(
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,PLUMBING,SIGNS,WELLS,POOLS,FURNACES, BOILERS,
HEATERS,TANKS,AIR CONDITIONERS,ETC.....
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"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$2500,the applicant must promise in good faith that a
copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified
copy of the recorded notice of commencement must be posted at the job site for the first inspection whickoccurs seven(7)days after the building permit is issued.
in the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged.
Permit Fee$ CCF Fee$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
TOTAL FEE NOW DUE$ t
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
DIRECTIONS: Please circle corresponding number to appropriate color sample.
Walls: 2 � 4
Attach color,sample with name and number
al
Fascia: 2 3 4
�e
Drip edge: 1 2 3 4 1 Trickling Waterwheel 1Cg12
Soffit: 1 2 3 4
_ 1
Flower Bins: 1 2 33 4
Shutters: 1 2 / 31 4 . - �,
Awnings: 1 2 3 4 y .
2. ,JrTlu,r Or.ar a Blue 7,513
Chimney: 1 n2 3 4 _
Doors&Jambs: 1 2 3 4 t_
Garage Doors: 1 2 3 4
Railings: 1 2 3 4 3. ( 140
Fences: 1 2 3 4 '^.
All Brick: 1 2 /3 1 4
Stucco Bands: 1 2 3 4
Other Stucco
Feature: 1 2 3 4 4•
Accessory Bldg: 1 2 3 4
OWNER'S AFFIDAVIT: I certify that jah1he fore oing information is accurate and that all work will be done incompliance with all
applicable laws regulating c struc 'o nd zo n .
Signature Signature
CONTRACTOR
The foregoing instrument was acknowledged before
me this The foregoing instrument was acknowledged before me this
day of 20 by day of 20 by
vla who is personally known to who is personally known to
me or who has produced �� { as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
I
NOTARY PUBLIC: NOTARY PUBLIC:
!— Sign: _
Print: Print: l
a� Notary Public State of Florida
Seal: ;� Joanna M Feliciano Seal:
" My Commission FF 082753
Expires 01/12/2018 i
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APPROVED BY: Code Official
1 ' Historic Preservation Board
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SNORES` Miami Shores Village
.,, oil ,,,,� Building Department
�-�- 10050 N.E.2nd Avenue
^�,Ty�°e�` Miami Shores, Florida 33138
�toRIDp' Tel: (305) 795.2204
Fax' (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME:\-- U 3 f- 26 fj DATE: 9 E'
ADDRESS: -a5v�
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. ' 3(7� `33)St
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�/l//
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 \1
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that II may YYYprotect 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 numbersn
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 v 1j
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 v V
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 actingg a
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 " V
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 hfto://www.myfloddalicense.com/dbpr/pro/cilb/indexhtml
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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
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12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information#�at'f
have provided on this disclosure. BVI
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 contractors 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 fie3l _, 20 1-6 .
By �C S e C� r �n . who was personally known to me or who has
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