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WS-4-09-707 PERMIT DOCUMENTSMiami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 174 106 Street Permit No. WS-4-09-707 Permit Type Windows/Shutters Permit Work Classiiicab6n. Door Replacement Permit Status APPROVED <�' ...". •'' . .•,•issue hate: 51612049 Expiration: 11102J 9 Parcel Number 1121360080070 Applicant Miami Shores, FL 33138- Block: Lot: LEDONIA MEDE Owner Information Address LEDONIA MEDE 174 NW 106 ST MIAMI SHORES FL 33150-1248 Contractor(s) Phone Cell Phone HOMEOWNER Type of Work: DOOR No of Openings: 1 Additional Info: IMPACT Classification: Residential Fees Due Amount CCF $0 60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $110.00 Scanning Fee $3.00 Technoloqy Fee $2.75 Total: $121.55 Phone Cell Valuation: $ 1,000.00 Total Sq Feet. 0 'r q. Invoice # Total Amt Paid Amt Due WS-4-09-34665 $ 121-55 $ 121.55 $ 0.00 Available Inspections: Inspection Type: 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 construction and zoning. Futhermore. I authorize the above -named contractor to do the work stated. May 06, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 06, 2009 Ws?Enlava �►��v � of c�fi. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WWW.MIAMISHORE, SVILLAGE.COM BUILDING PERMIT APPLICATION FBC 20 Permit Type (circle): Building_ Roofing j�M, C�TIIWg j� .PR 2 8 2009 D Permit No. S M 7�M Master Permit N Owner's Name (FeeSimple Titleholder) M Phone # C-'G-- 7 L Owner's Address !l &�' City / I State .-- loi­ Zip 331 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City- Miami Shores Villaze County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO ' Contractor's Company Name rUUI Phone # Contractor's Address City _ _ State. Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No._ _ Contact Phone E-mail Flood Zone Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ � w Square / Linear Footage Of Work: —h ao i` 113 12IfX / Type of Work: ❑Addition ❑Alteration ❑New �,..F emolition Describe Work: v F r• ***************************************Fees*********************r*,********************** Submittal Fee $ Permit Fee $- -� CCF $ Ll ,�/ D r Notary $_�5 0-) Training/Education Fee $ 0.Z'16 Technology Fee $ Scanning $ Radon $. DPBR $. Zoning $ Bond $ Code Enforcement $__ Double Fee $ f Structural Review. $_ _ _ Total Fee Now Due $ ! y See Reverse side -� Bonding Company's Name (if applicable) Bonding,Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage'Le'nder'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 mutt be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, FOOLS, FURNACES,130ilI.ERS, HEATERS TANKS and AIR CONDITIONERS. ETC.... OWNER'S AFFIDAVIT: I certify that all the foregoing information is c g $ 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 Appiiconr. As a condition to the iss" anCe oj' a building permit with an estimated value exceeding $'2500, the applieam must promise in good faith t1wr a copy of the notice of comme?wement and construction lien lase 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 riot be approved and a reinspection fee Hill be charged; Sig.natur .` ! 6"�r Signature Owner or Agent The foregoing instrument was acknowledged before me this A3. day of 464�:, 20 N by _..�p� l�o is personally known to me r who has produced As identification and who did take an oath. NOTARYAJBLIC: Sign: Ll Print: My Commissio MARIE MAGDA! k.. rtLES 6lobry Public • c"^. J Florida Mlr Coeerrseinn E ..res JW t9, 201' Commission d DD 697039 -.-Fo@mlded Throug � Maliona1 Notary Aeon Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced _as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY _,40ayJ J Pf Plans Examiner Zoning Engineer Clerk checked (Revised 07/10/07) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: ■ DATE: :64 ADDRESS: I Us qs' 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-farbily or two-family reA'Wrice. You may also build or improve a commercial building at a cost of $25,000.00 or less. 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 exemptions. You cnay 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-ICA 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 hold title to the above property and I am planning on doing this construction Myself. r Initial < 2. I understand that as an owner -builder I must abide by all zoning ordinances and building regulations in. effect at the time of permit application. Inactive a % ` peg it it oI. a period of over 180 days will become null and void (expired) and a tsew permit will be required, to be issued for reinstatement of the permit. , 3. I have an understanding of the 2004, FBC & FRC and understand that this { .idepaArAent and --its' inspectors' art there to help enforce and interpret the code. �Theie is a copy of the code in this office for review. � .w � rl■1' 4. I understand .that the building official and inspectors are not there to design, alter or give advice on how to meet code - only if the structure meets the . ,Y. minimum code. ` Initial ` W//,- S. I understand-that"as an owner-biriideY, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. InitialY awl 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initia -- f C%• T I understand that if any person gets injured on my construction project -they are entitled to. workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. L � Initiaell�� 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. initial C1- Was acknowledged before me this day of , 2 By_(XKjQ who was personally known to me or who has Produced there License or s dentifcation. OWNER /7)10)/ 4 NOTARY• NOTARY FOUC�T, �CilbillO A fix;: rep rrrc c�,'�c. „o,;�tiurrsxu n�'i.At+'racts�� L BY: ------------ ------ 5}1ORIE Isis 9MIM 'LVRin� WINDOWS/DOORS/SHUTTERS WIND LOAD CALCULATIONS Please fill in the information requested: ADDRESS OF HOME HIGHEST POINT OF ROOF EAVE HEIGHT OF ROOF 0 BUILDING WIDTH BUILDING LENGTH 1 n� 0) W, 4� 0 ) Q p CZ w g1 ❑ w LL W Q CC Z ❑ U ❑ m ' n; ` a 2 z U O U O 2 a L O ~ z IL p to Q No CO (D U) The site specific plan must show the distance of the openings from the nearest corner. Wind Loads per RFBC 301.2(2) & 301.2(3) 150mph exposure C Mean Roof 1-leigbt Zone 4 Zone 4 (-) + 49.0 - 53.1 - 65.6 — 0' - 56.6 20' — 25' + 54.7 - 59.3 - 73.2 *Zone 5 is any opening within the corner distance from any corner. *Corner distance is .4 x mean roof height or .10 x width , but not less than 3' rA4 ,S�oRs11. Inspection Worksheet � el Miami Shores Village I 10050 N.E. 2nd Avenue Miami Shores, FL Ftnr��oP' Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSPA 15117 Permit Number: WS-4-99-707 Scheduled Inspection Date: June 11, 2009 Permit Type: Windows/Shutters Inspector: Bruhn, Norman Inspection Type: Final Owner: MERE, LEDONIA Work Classification: Door Replacement Job Address:174 NW 106 Street Miami Shores, FL 33138- Phone Number Parcel Number 1121360080070 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-113936. CREATED AS REINSPECTION FOR INSP-113430. Add tapcons per plan. NB Minimu 1/4" tapcon are required.NB Failed Correction ❑ Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 10, 2009 Inspection Worksheet ,s n n. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-113430 Permit Number: WS-4-09-707 Scheduled Inspection Date: May 11, 2009 Permit Type: Windows/Shutters Inspector: Bruhn, Norman Inspection Type: Final Owner: MERE, LEDONIA Work Classification: Door Replacement Job Address: 174 NW 106 Street Miami Shores, FL 33138- Phone Number Parcel Number 1121360080070 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed W X/ eo``f, 40,0,E A,t UA+ ge. Failed "O&� 4(Ac4e4( Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid.