Loading...
DGT-16-24717 Miami M' � J Shores Village Building Department artment f BUILDING PERMIT APPLICATION (BUILDING ❑ ELECTRIC ❑ ROOFING 10050 N.E.2nd Avenue; Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 PLUMBING ❑ MECHANICAL [I] PUBLIC WORKS JOB ADDRESS: -72 NW' 91 re 7r S P26 016 S t FBC 20(' Master Permit N (i41 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF r? CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores • County:. Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): a iC) a iVasioctui< Address: ' BFE: zip: 5iI5 NO FFE: Phone#:����7_���� -72NW9151 City: ' M' C 11 C �� ��� State: Zip: ,~ / 5 Tanant/Lessee Name:Phone# c31 Gf 7 ' )13 Email: CONTRACTOR: Company Name: Phone#: Address: City: t 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: Type of Work: ❑ Addition ❑ Alteration Description of Woork: ❑ New ❑ Repair/Replace n Demolition rD 9-c- Specify color of color thru tile: Fi lV.)44 Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ `CO/CC $ DBPR $ i . _. r �......' _ _Notary $ _.r......_.._ Double Fee$ Bond $ tRPvispdn7 /74/70141 TOTAL FEE NOW DUE $ ar t' Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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. A a certified copy of the recorded notice of commencement must be posted at the job site for the first' inspection which occurs sev: n (r) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve and aj ei sp -ction fee will be charged. Signature 'gnature OWNE or ANT CONTRACTOR The foregoing instrument was acknowledged before me this_ The foregoing instrument was acknowledged before me this :f 1 ' day of J(^ .l , , 20 /l F7 , by day of , 20 by (who is personally known to, , who is personally known to _ as me or who has produced as a identification and who did take an oath. melor who has produced identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: J aal Sign: :L.r-, t-!,t!�'.Z.�• L ��21 yl vier \//r6)7-763 Print: Seal: :4'PV PVe.,, i;F: fi SYLVIA WROMAS '' MY COMMISSION #FF019752 '''•'f or'F�` ' EXPIRES May 20. 2017 vtii*sti'fi�t'tr*** *da*t o't` rysrv,ce y e* *** APPROVED BY Sign: Print: Seal: Plans Examiner Zoning Structural Review F\ rDc�dcc.�n�/-n Nn11 Clerk 0 ..:,... . ,_:4 - • , 0 oholio H- Ty), 0.01-xern : LULL3t Vi1L5 naejje5 06 GL calic_ei tail oi_so-P_____a_._ ri-LJR3S-- ih Fe:. 0_, toit 0 . Duat_kxiaii-tries, 4426/6. rleas . iki /5 . 1-1-eickk,_66a6eLcu `(6. -teLLedroiTt- . LT.t. V fl&J-6--'.30/7. i___cle.,e, . - (hrtql d elticitieutilki , . &WA Cnoie ;ea/ . , intsciaiLyLs_Lus2aLeaa . dr*• ktZjL&as l()-Citta LatiY) ntrtld A, WIATeeded,17)4orLoarct_ tritt IA tilt cak_ce_ / • recemoct--4=0 rauce.t. emlit at)zchLnq emiceilo6D0 cr€-- I -he a re,w_pd-io,w6 r 4-tal 01066C Hats 3 )4i-1-5)13 1-7ZkApi 97,ST 1-1(ami kcii,e5, R_ 33157) Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FI 33138 Tel: 305-795-2204 Fax: 305-756-8972 12/4/2017 Owner: 72 NW 97 Street Miami Shores FL 33150- Process No: DGT-1-16-247 Address: 72 NW 97 Street Dear Sir or Madam: Our records indicate that the above referenced permit application has expired. According to section 105.3.2 "Time limitation of application. An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued." In order to serve you better, we need to keep our files up to date. Please be advised that an expired permit application will hinder your ability to obtain new permits, refinance or sell this property. It may also suspend a contractors permit privileges in Miami -Dade County. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, 21/X2 Ismael Naranjo, CBO Building Director 305-795-2204 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 RECTA•T1,,T JAN292015 BY - INSPECTION LINE PHONE NUMBER: (305) 762-4949 PERMI III'LICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: City: li/Irel#: Occupancy Type: �2 NW9isT Miami Shores 1131010330350 Load: County: lNCfUEit Fsc2o�4. sw\ M No.���4 No. 1 l (0—'24 4- Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Dade Zip:3S I( O Is the Building Historically Designated: Yes NO Construction Type: Flood Zones, BFE: FFE: OWNER: Name (Fee Simple Titleholder): g, O r) a "6)kM l7 —,50 Address: City: Zip: Tenant/Lessee Name: Phone#: 9mrec`1/ac ,nd Email: CONTRACTOR: Company Name: Address: City: State: Zip: Qualifier Name: Phone#: Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: /� Value of Work for this Permit: $ 42 Type of Work: ❑ Addition Description of Work: ate of Competency #: Phone#: City: �1 State: ) Zip: 5`` Square/Linear Footage tfirt% (P ❑ Alteration ❑ New [� Repair/Replace` } I Demolition p Ia cn 60 d er_. won Ezx 33 Specify color of color thru "` ' t Submittal Fee $ Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ 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 ! }' Alt. .i. .-'11.• ..,.4' 't y .1,•. '� City .'` State"' Zip Olt fig'; i. ki . 1.i. `r 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 MAYr RESULT IN YOUR PAYING TWICE FOR'. IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH 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 • ' the job site for the first inspection which occurs seven (7) d• s after, t`lie building •permit,is issued. In the absene uc p•. notice, the inspection will not 'e approved a d a reinspec o 'ee will be charged. Signature r 0 Effo AG The foregoing instru ent was acknowledged before me this 02. 5 day of £ _.rl , , 20 /_ by 6-1,..-` a AAAlo.. , who is personally known tg me or who has produced as 4 identification and who,did take an oath. NOTARY PUBLIC: Sign: i Print: Seal: SYLVIA WROMAS MY COMMISSION #FF019752 EXPIRES May 20, 2017 ' Signature ONTRAC The foregoing instrument was acknowledged before me this l day of -JAM-4 , 20o� by F 2V - j'Yl 43k1 ACKartit is personally known to ael Fm, ix e or whJYo'has produced P ' — 1V(T. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: (4.7)318•0153 Flor °U1Y1YS:iYl4C 'sP***y*********************************************sF�4 I1l� ,0 APPROVED APPROVED BY Plans Examiner Zoning Structural Review Clerk r1 (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 OWNER BUILDER DISCLOSURE�,STATEMENT NAME: aloria � i `%4i1+C/% DATE: 1 ADDRESS: /2 NW 9-1 Si 1 "I''Om S 9O 5Ft,/SD 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 thoug��you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residen .K•t ; y 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 c upancy. 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 const I , 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 . • - ctor. 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 CANrgj I understand that state law requires construction to be done by a licensed contractor or 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 2. I understand that building permits are not required to be signed by a prop rty owner unless he or9 the is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I underst. • 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 .f 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. GA c IsidgrInitial 4. I understand that I may build or improve a one family or two-family re0t7a farm outbuild' . 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 constructi Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise pers s 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 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 suervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who ipP.,1 i.!C r r� �� _r my direct supervision and must be employed by me, which means that I must com I with laws re uirin the, . t. i al t •' tax and social securitycontributions under the Federal Insurance Contributions Act (FICA) and must provide workers comp e employee. I understand that my failure to follow these may subject to serious financial risk. 9. I agree that, as the party legally and financially responsible for this proposed C requirement that govern owner -builders as well as employers. I also underst Construction must comply with all applicable laws, ordinances, building codes, Initial tr ction activity, I,/rill abide by all applicable laws and Initial Fr 10. I 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.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understa legally and financially responsible for the proposed construction activity at the following address: s that I am the party Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of th 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 perso Constr4uction Industry Licensing Board and Department of Business and Professional loss that you sustain as a result of contractor may be in civil court. It is also important employee of an individual or firm is injured while working on your property, you may be held ia.le o ho does not have a license, the 1 sist you with any financial FI an unlicensed contractor or 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 J C-ii1 , 20 ne Produced th - re Li ense .- r who was personally known to me or who has SYLVIA WROMAS MY COMMISSION #FF019752 EXPIRES May 20. 2017 ication.