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RC-15-498PERMIT# 12,C.--15 gct 8 CONTRACTOR: j SUBMITTAL DATE: P (2.015 ADDRESS: I-.. 3 W I OS •S — NAME:174 I U? IcA M RESUBMITAL DATES: (1NQ,ODM PLUMBING PROJECT TYPE: Q �' 3 i7/ ZONING tz- —. � — -- 3 (11 IDS �r . MECHANICAL .�.... :.- s 1 a, f waw��1 f • 94`Ikl STRUCTURAL; - _ . -- ELECTRICAL ar BU LDING -- Via-- Yanady Prieto Subject: Location: Start: End: Recurrence: Meeting Status: CANCELLATION • 173 NE 105 ST 786-556-1995 PHILIP KIM PERMIT RC-3-15-498 job site meeting 173 NE 105 ST Thu 9/13/2018 8:30 AM Thu 9/13/2018 9:00 AM (none) Meeting organizer B '3OAM i?4 (k (CP- <rp BUILDING PERMIT APPLICATION ❑ BUILDING PLUMBING JOB ADDRESS: ❑ ELECTRIC ❑ MECHANICAL 173 NE 105th Stre Miami Shores Village Building Department 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 20 Master Permit No. RC-3-15-498 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION [II PUBLIC WORKS ❑ CHANGE OF x❑ CANCELLATION CONTRACTOR et ❑ RENEWAL ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2136-005-0150 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: 173 NE 105th Street Philip and Penny Kim Phone#: 786-556-1995 City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: City: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Description of Work: Alteration Certificate of Competency #: Phone#: State: Zip: Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Ti Demolition Please close out Permit # RC-3-15-498. The work was never done. Canc{c ?Trmil- Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ Co/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this L9t21 day of Se. irt (lva(.,2v' ,20 I0 ,by day of ,20 ,by 11A11;C k�wt , 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. NOTARY PUBLIC: Sign: Print: Seal: JASMOSPICI arrOXRUSION.PPISIZS m70.202111 pgrogitsmilockbeSildni identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******************************,N****** ******+Ica*******s*********s****s**s***s***s*******************s******** r APPROVED BY (f/l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ELECTRIC ❑ROOFING ❑ R ION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHI+_ 'o ❑ CANCELLATION ❑ SHOP CONT'4,Y4:' DRAWINGS RECEIVED MAR 19 2015 BY: JOB ADDRESS: 1 S �G Q�"wt & hei.a FBC 20 (0 Master Permit No. � 49e Sub Permit No. t 4 City: Miami Shores County: Miami Dade Zip: 3Si38 Folio/Parcel#: I ZI b OOS -- 0 IS Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): i'v f krill ti eE Vi 4Ij 4I44 Phone#: (.3 6\SS(9 - I (i, cis Address: 1t3 NE (Kit :Shred - City: 1 pp aa City: 1v11 Q,iti\ l 'jt l2II State: flu 4ctsk_ Zip: 33 I S P Tenant/Lessee Name: Ni A Phone#: 13 A Email: o4v,A.a ?Q_vt.S CONTRACTOR: Company Name: 1 15 ' r�� �,., Phone#: Address: City: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: gai/AV . Vt.1 like, Phone#: �-v�� N�!-J ++ �3ac)8ZZ-3i41 Address: 2-106 V$JLLd .SW.ep , £ i- �I� City: th AI 1421A. State: Zip: Squpre/Linear Footage of Work: 1'(O sr/aro cat - Type of Work: n Addition n Alteration ❑ New ,ryF ❑ ,Repair/Replace rX Demolition es, I' Description of Work: bawtbLcI a)4S�LN SUt1 novvi QY� l,t.pILGQ ill tfil1. Attu �1�1rd 0A4 i yN 0 ik r Stk 'dl.N/4 INi\d Iw / C�.ocir. 1 Value of Work for this Permit: $ 20, OOC► , 6 0 State: Zip: Specify color of color CC-) Permit tile: Submittal Fee $ �J ' `') Permit Fee $ '' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) r Y Bonding Company's Name (if applicable) Bonding Company's Address City VP' 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 aJl, work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a.tsgpara a permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIQ,NERS ETC OWNER'S AFFIDAVIT: I certify that all the forvgding information is accurate and that all work will be done in compliance with all applicable laws regulating construction anf►cinir '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 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 �' ''11�' t Signatur OWNER or AGENT CONTRACTOR The foregoing instrument�"�was acknowledged before me this The foregoing instrument was acknowledged before me this � �~ day of r V �s-vVC�"- , 20 by day of , 20 , by IPA:X%p 1C4� , who impersonally know o , 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. OTARY PUBLIC: NOTARY PUBLIC: ro`µv ►°°ek, ' KIMBERLY RO! ' , r' • ',� .. ,4 MY COMMISS,,C. , :7 ;.' Sign: a,. • ., Sign: Print: (k VYN dL" _-(0c2,0_ '"k-2 c Seal: 4.6`'''.7.1•Taels KIMBERLY RODRIGUEZ w" °�*i, T MY COMMISSION # EE 879807 MY COMMISSION # EE 879807 `' * * EXPIRES: March 3, 2017 1�IAFS: March 3, 2017 ni Print: APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk , 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: /I,l (I r DATE: _ 1,°1 I Z®l S ADDRESS: 1 3 �i Th tk (Siva, YU ituf(,rl j1a>(ltsc 77,-/- .g 13� 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!be4done 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. _9 a. . 2. I understand that building permits are not required to be signed bya'property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial TK- Initial q1L 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 4. 1 understand that I may build or improve a one family or two-family r a commercial building if the costs do not exceed $75,000. The buil not be built or substantially improved for sale or lease. If a building or myself is sold or leased within 1 year after the construction is complete, improved it for sale or lease, which violates the exemption. a farm outbuilding. I may also build or improve must be for my use or occupancy. It may have built or substantially improved sume that I built or substantially . 49 Initial ' \ 1C 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 license required by law and by county or municipal ordinance. cs„ • C. Initial ��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 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 U k.._ 9. I agree as the partylegally and y res onsible for this proposed Construction activity,I will abide byall applicable 9 9 Y financially P P P Pp 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 l [` 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.mvfloridalicense.com/dbprlpro/cilb/inddex.html Initial 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: (}5 iNE Io9 L v -, t38 12. I agree to notify Miami Shores Village immediately have provided on this disclosure. r Licensed contractors are regulaed to protect the public. If you contract with a person who does not have a license, the Constr4uction Indust i '« ;t g Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss thau 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. Initial' ons, deletions, or changes to any of the information that I Initial Aj K--- Was acknowledged before me4this-, :y' 1k — day of KWL01n , 20 ("c 11, B�0 U(,.( y ��.. w� who was personally known to me or who has f-L-fjY-I U-Cx NSA Produced there License or`' 5CO -- - CY04'd identification. OWNER NOTARY gy+Po Notary Public State of Florida 4Sindia Alvarez . � My Commission FF 156750 . �1� Expires 09/03/2018 September 7, 2018 Miami Shores Building Department 10050 NE 2 Ave Miami Shores Village FL 33138 Telephone: 305-795-2204 Facsimile: 305-756-8972 Re: 173 NE 105`' Street, Miami Shores, Florida, 33138 Request to Close Building Permit # RC-3-15-498 To Whom It May Concern, r....._ AF. SEp Hello, my name is Philip Kim, and I am the owner of the above -referenced property. A few years ago, I submitted a building permit (Permit # RC-3-15-498) for a sunroom renovation project. The work was never done. We were not satisfied with our architect/engineer and decided to postpone the project. I have some new plans in the works. However, I would like to close out the above -referenced building permit before submitting any new plans. Thank you for your time and consideration in this matter. Best regards, Philip Kim Owner of 173 NE 105th Street Cell: 786-556-1995 Email: pkim@penskykim.com Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FI 33138 Tel: 305-795-2204 Fax: 305-756-8972 11/24/2015 173 NE 105 Street Miami Shores FL 33138 RE: Process No.RC-3-15-498 Address: 173 NE 105 Street Dear Owner, Our records indicate that the above referenced permit has expired without obtaining the proper permit approval. In order to serve you better, we need to keep our files up to date. As per section 105.3.2 of the Florida Building Code, "An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless such application has been pursued in good faith or a permit has been issued." Please be advised that open permits will hinder your ability to 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/Z3/ '— Ismael Naranjo, CBO Building Department Official 305-795-2204