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PT-16-831 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL K Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-265761 Permit Number: PT-3-16-831 Scheduled Inspection Date: March 09,2018 Permit Type: Paint Inspector: Naranjo, Ismael Inspection Type: Final Owner: SCOTT JR,GEORGE M Work Classification: New Job Address:480 NE 103 Street Miami Shores, FL 33138- Phone Number (813)362-9468 Parcel Number 1132060170710 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINTING EXTERIOR. Infractio Passed Comments INSPECTOR COMMENTS False i 1 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-255744. Not ready for inspection. Need to finish painting the window or door open ing'enclosed on the west, front side of the property. Permit required for the enclosure. Failed Correction ❑ . Needed x Re-Inspection Fee- No Additional Inspections can be scheduled until re-inspection fee is paid. 1 March 08,2018 For Inspections please call: (305)762-4949 Page 2 of 36 01 Permit o. PT-3-16-831 RFs y� Miami Shores Village Permit Type:Paint 10050 N.E.2nd Avenue NE Work� Work Classification.*NeW ' Miami Shores,FL 33138-0000 PerPermit Status:APPROVED F Phone: (305)795-2204 <ORIDA lssua Date: 3/2912016 Expiration: 09/25/2016 Project Address Parcel Number Applicant 480 NE 103 Street 1132060170710 Miami Shores, FL 33138- Block: Lot: GEORGE M SCOTT JR Owner Information Address Phone Cell GEORGE M SCOTT JR 480 NE 103 Street (813)362-9468 MIAMI SHORES FL 33138-2457 480 NE 103 Street MIAMI SHORES FL 33138-2457 Contractor(s) Phone Cell Phone Valuation: $' 1,600.00 HOME OWNER w_.._N _._ ......,.w..�__v._._.. _.... __. Total Sq Feet: 1685 Type of Work:Exterior Available Inspections: Color:WHITE Inspection Type: Additional Info:PAINTING EXTERIOR. Final Classification:Residential Color:WHITE_Approved Code Comments: Color:WHITE_Approved_ Color:WHITE—Denied Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Education Surcharge $0 40 Invoice# PT-3-16-59190 Notary Fee $5.00 03/29/2016 Credit Card $68.20 $0.00 Permit Fee $60.00 Technology Fee $1.60 Total: $68.20 i t In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio ning. Futherm orize the above-named contractor to do the work stated. March 29, 2016 Authon S na ure:Owner / Applicant / Contractor / Agent Date Building Department Copy March 29,2016 1 ;R L Miami Shores Village • Building Department . � ►� AR 2 2016 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 B FBC 2O N PAINT Master Permit No.'?j�l (� -931 PERMIT APPLICATION Sub Permit No. JOBrADDRESS: q?E) 0 r-7) 64 City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated:Yes NO t 1OWNER:'Nameqq(Fee Simple Titleholder): 6 e_or�� cso Phone#:r!(3 JC4 l Address: YZ>D ALL 103 "" Gity:m -- M ww f2 re-,5 Sta'to � Zip" �3 3 d Tenant/Lessee Name: Phone#: Email: L` I r� e'CONTRACTOR`Company Name:�� �Y" 1- DW A � rc Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: rma Va-.lue'of.Work,for;this'Permit' y,$ )�� Square/Linear Footage of Work: Q Description-of:Work: . a � f k-_-, Application is hereby made to obtain a p rmit 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..... "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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days ofter the building permit is issued. In the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged. Permit Fee$ CCF Fee$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ TOTAL FEE NOW DUE$ GR , PAINT COLOR APPROVAL AND AGREEMENT Z 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 3 4 Fascia: Attach color sample with'name and number 1 2 3 4 Drip edge: 1 2 3 4 1. Soffit: 1 2 3 4 SW 7004 256-C2 ' Snowbound Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 i Awnings: 1 2 3 4 2. Chimney: 1 2 3 4 Doors&Jambs: 1 2 3 4 I Garage Doors: 1 2 3 4 Railings: 1 2 3 4 3. Fences: 1 2 3 4 All Brick: 1 2 3 4 1 . 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 all the foregoing_ information is accurate and that all work will be done in compliance with all applicable laws regulating construction a ortrng Signatures Signature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of I G-r��^- 20 C-(-O- I by day of 20 by who is personally known to who is personally known to me or who has produced me or who has produced as identification and who did take an oath. `T identification and who did take an oath. NOTARY PUB C: �� NOTARY PUBLIC: Sign: Sign: Print: SI tJ�kA (mow ¢�C,� Print: Seal: Seal: -00 Pue Notary Public State of Florida Sindia AN araz Q My Commission FF 156750 APPROVED BY: � ort pxpires0310312018 Code Official Historic Preservation Board ,r ,5t►ORES jxG Miami Shores Village lo„ ,,,,,� , Building.Department 10050 N.E.2nd Avenue —roA°.Y Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 OWNER BUILDER`DISCLOSURE STATEMENT ` NAM E: © v d _ � DATE: -3 I ADDRESS: . f 33t3 � 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. .. f w 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. I Initial h f 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. 1 understand that,as an owner builder,I am the responsible parry 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 k 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 lease4within 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. r ...._Initial _. . ,, r....,_..._ 5. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 1- 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise person 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 coun or 'unicipal ordinance. i Initial a 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-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 contra or 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. , QVWInitial 9. '1 agree that,as the party legally and financially responsible for this proposed'Construction activity,I Zill 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 F . 10. 1 understand that I may obtain more information regarding my obligations as an employer from the In rnal 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. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and underst s that I am the party legally and financially responsible for the proposed construction activity at the following address.. co L 3 3,r 3 Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any the infor at' 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 day of p�„rr/� 20 —J Ce Bi` OAUS` C- who was personally known to me or who has 3 Produced there License or -(lam. U__C;lL0 as identification. OWNER NOTA t°eqoO P%. Notary Public State of Florida Sindia Alvarez My Commission FF 156750 'e. fna4 Expires 09/0312018 A ,r I CFN: 20160116682 BOOK 29975 PAGE 4346 DATE:02/25/2016 10:31:09 AM DEED DOC 3,468.00 Prepared by: HARVEY RUVIN,CLERK OF COURT, MIA-DADE CTY David Hauser,Esq. 1 t 1 1 Kane Concourse,Suite 616 Bay Harbor Islands,FL 33154 Tel.No.(305)864-9934 Parcel Identification No.: 11-3206-017-0710 [Space Above This Line For Recording Data Warranty Deed This Indenture made this �A Z�day of February,2016,between Javier Fueyo Garcia,an un-remarried widower,whose post office address i101 N005 ST,Miami Shores,FL 33138,of the County of Miami-Dade, State of Florida,grantor*,and GeorgKcott,a Bingle man,and Natalie Zagury,a single woman,as joint tenants with right of survivorship,whose post office address is 480 NE 103 Street,Miami Shores,FL 33138,of the County of Miami-Dade,State of Florida,grantee*, Witnesseth,that said grantor,for and in consideration of the sum of TEN AND NO/100 DOLLARS($10.00)and other good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged,has granted,bargained,and sold to the said grantee,and grantee's heirs and assigns forever,the following described land,situate, lying and being in Miami-Dade County,Florida,to-wit: Lot 3,and the West 25 feet of Lot 2,Block 92,AMENDED PLAT OF MIAMI SHORES,SECTION NO. 4,according to the Plat thereof,as recorded in Plat Book 15,at Page 14,of the Public Records of Miami- Dade County,Florida. SUBJECT TO: 1) Taxes for the year 2016 and subsequent years and all applicable zoning ordinances and governmental regulations. 2) Conditions,restrictions,limitations,and easements of record,if any,but without the intention of reimposing same. and said grantor does hereby fully warrant the title to said land,and will defend the same against lawful claims of all persons whomsoever. *"Grantor"and"Grantee"are used for singular or plural,as context requires. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. Warranty Deed-Page I I t CFN: 20160116682 BOOK 29975 PAGE 4347 Sig e ,sea (Seal)le ai delivere n our presence: Printe Na e: ` �, Javier Fueyo Garcia Witness Printed Witness State of Florida County of Miami-Dade The foregoing instrument was ack/ledgedbefore me this l� day of Februa ,2016 by J vie Fueyo Garcia, an un-remarried widower,whoally known or[ ]has produced as identification. [Notary Seal] Notary Public State of Flodde �" �, p Hau9er Printed Name: �h�+` 5��� MYmln FF 943095 ' ExP1 01 My I My Commission Expires: Warranty Deed-Page 2