RC-15-3143SPECTION RECO
INSPECTION REQUE
REQUESTS ARE ACC
Requests must be receive
Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
s: (305)762-4949 or
TED DURING 8:
Perm
Issue Date: 1/5/2016
No. FCC-12-15-3143
Type: Residential Construc
Work Classification: Alteration
Expires: 07/03/2016
og on at https:/ibldg.miamishoresvillage.com/cap
- 3:30PM FOR THE FOLLOWING BUSINESS DAY,
y ., pm or following day inspections.
Residential Construction
Owner's Name: JULIE KANG
Job Address: 46 NE 101 Street
.Miami Shores, FL
Bond Number:
Contractor(s)
Phone Primary Contractor
HOME OWNER Yes
Parcel #:1132060131360
Owner's Phone: (305)322-5441
Total Square Feet: 00
Total Job Valuation: $ 1,000.00
WORK IS ALLOWED MONDAY THROUGH S
7:30AM - 6:OOPM. NO WORK IS ALLOWED ON
SUNDAY OR HOLIDAYS.
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS 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
—-TRl3CTAL
INSP
INSPECTION
DATE
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Windows/Doors
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA com • liance
FINAL
DOCUME
,, ,
Ovh llf
TS ,
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Surve.-
Reinf Unit Mas Cert
Insulation Ce1 t irate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
ZONING
INSPECTION DATE
Zoning Final
ZONING COMMENTS
ELECTRICAL
INSPECTION
DATE
INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
8Iab
Wall Rough
Ceiling Rough
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
FIRE
INSPECTION
DATE INSP
Final Sprinkler
Final Alarm
FINAL
PLUMBING
DATE
INSP
INSPECTION
Rough
Water Service
2nd Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
_
Condensate Drains
HRS Final
FINAL
PLUMBING COMMENTS
-MECHANICAL
INSPECTION
DATE
INSP
Underground Pipe
Rough
Ventilation Rougt.
Ventilation nvuyu
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
FINAL
MECHANICAL COMMENTS
BUILDING
PERMIT APPLICATION
C;• :UILDING ❑ ELECTRIC
❑ PLUMBING ❑ MECHANICAL
JOB ADDRESS:
City:
46 boL
Miami Shores
Miami Shores Village RECEIVED
Building Department DEC 2.1 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
BY•
FBC 20
Master Permit No.g / S —3J4J 3
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
County:
Miami Dade Zip:
Folio/Parcel#:J/ ,32.0501g/ Ad1,' Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder):
NO Oc •
BFE: FFE:
R`?U CO tC4-Q,(Xi1 . Phone# j 3,a4- `144
Address: 4h iOE. (0tSr S (
City: IQ . �-G ��a S
State:
P-c__ Zip:
Tenant/Lessee Name: Phone#:
Email:
p vlet ( cage exmo.Covv\
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name: Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address: City:
c)IJ
-- Phone#:
Value of Work for this Permit: $
Type of Work: ❑ Addition
Certificate of Competency #:
Phone#:
State: Zip:
Alteration
State: Zip:
Description of Work: I�sAP) -tAnWeAr • (VIC..�I l Vk ct D
Yte��► �a. 04 e im + l' P 0,1- - 61 Z
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 50— ce • Permit Fee $ 160, CCF $
Scanning Fee $ C 0 Radon Fee $ 'CIC3
Technology Fee $ E
Structural Reviews $
DBPR $ 2 - Notary $ . co
Training/Education Fee $ • 2._0 Double Fee $ 0
Bond $ 0
(Revised02/24/2014)
TOTAL FEE NOW DUE $ (. 60
Y- R
Bonding Company's Name (if applicable)
I +.
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.
1° s
Signature
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
%/ day of ,7eC' . , 20 /.SS , by day of , 20 by
�V fj le:ary , who is personally known to , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Si
Print:
Seal:
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
********
Nee. Notary Public State of Florida
Joanna M Feliciano
6 • My Commission FF 082753
noExpires 01/12/2018
APPROVED BY
Sign:
Print:
Seal:
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
Ir
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: l,C( _l� k (J Vl) ( DATE: l Z (5
ADDRESS: 4 &)E__ 1 0(5r/ J17 (j Pc— 33 c3 ff—
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.
Initial o � /
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. A
Initial l�(,C
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 licenserequired by law -and by county or
municipal ordinance.
Initial U
i.
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 c�
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 regulations.
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.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial z 1 L-
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:
c0k 5+.
Initial
12. I 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 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 ai day of • , 20 15
By /y
who was personally known to me or who has
Produced there License or
OWNER
as identific-_'o
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