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R-08-2032 t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 .0 Inspection Date: January 28, 2009 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: SHUSHTAR, MOJDEH Work Classification: Kitchen Cabinets Job Address: 848 NE 91 Terrace NE Miami Shores, FL 33138- Phone Number Parcel Number 1132060050350 Project: <NONE> Contractor: HOME OWNER Building Department Comments ,JAN 3 0 EDT'D Inspector Comments Passed cc Failed Par ini Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 26, 2009 Page 1 of 1 Jul. 14. 2009 6 :19AM No. 3856 P. 1 rJU C L gug 15 20 July, 13, 2009 BY. -------- - - - - -- Miami Shores Building Department Dear Mr. Norm: 1 would like to ask for a 30 day extension of my electric and building permit for the kitchen renovation of my house at 848 NE 91 TER, Miami Shores. Thank you for your kiaad consideration. Best regards, Mojdeh Na our S htar A� / 6 0 ,doom, 0 1 P V Inspection Worksheet Miami Shores Village —= 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ..� Inspection Date: January 27, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SHUSHTAR, MOJDEH Work Classification Addition /Alteration Job Address: 848 NE 91 Terrace NE Miami Shores, FL 33138 - Phone Number Parcel Number 1132060050350 Project: <NONE> Contractor: HOME OWNER Building Department Comments VIP Inspector Comments Passed cc A -04 0 A Failed Correction Needed ❑ �' Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 26, 2009 Page 1 of 1 ............... _1% ------­-----_---- . ....... ................... - ----- - ------ - - - - -- .......... . .......... - .. . ............... . . . .. - - - — - - - - -­------------------ - --------­---------­ ......... . ... ................... Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795-2204 Fax: (305)756-8972 .......... . .. . . ............ Inspection Date: January 07, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection , Type:4AkW. Owner: IBR�ft JK All_ Work Classification: Addition/Alteration Job Address: 42 NE 97 treet NE Miami Jhor 33138- Phone Number Parcel Number 1132060130780 Project: <NONE> Contractor: ALTO VOLTAGE INC Phone: (305)218-7347 B uilding Department Comments Inspector Comments r Passed 12 W Failed Relglxce, Correction Needed / C ff P�r '4_11 V 'e h /Z C 1z::Wa e A . Re-inspection e Fee -&/�- l No Additional Inspections can be scheduled until a �� -���� - ate re-inspection fee is paid. Wednesday, January 7, 2009 Page 1 of 1 1yvs Miami Shores Village 10050 N.E. 2nd Avenue° W Miami Shores, FL 33138 -0000 y Phone: (305)795 -2204 , „.y,. Expiration: 1712009 Project Address Parcel Number Applicant 848 91 Terrace 1132060050350 MOJDEH SHUSHTAR Miami Shores, FL 33138 Block: Lot ==j Owner Information Address Phone Cell MOJDEH SHUSHTAR 3928 GATEWAY Drive PHILADELPHIA PA 19145 - Contractor(s) Phone Cell Phone Valuation: $ 3 ,000.00 HOME OWNER Total Sq Feet: 60 t Approved: In Review Available Inspections: Comments: Inspection Ty pe: Date Approved:: In Review Di Date Denied: Final Type of Construction: KITCHEN REMODEL Occupancy: Framin Stories: Exterior: insulation Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Certificate Status: Certificate Date: Additional Info: Bond Return: Classification: Residential Fees Due Amount Total Amt Paid Amt Due CCF $1.80 Education Surcharge $0.60 $ 0.00 $ 0.00 �,o Permit Fee - Additions/Alterations $100.00 Scanning Fee $6.00 Payment Type: Technology Fee $2.50 Total: $110.90 CG XP 24C 2 6 PAI �j 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. December 19, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, December 19, 2008 1 F �r Miami Shores Village 10050 N.E. 2nd Avenue #y� wzl Miami Shores, FL 3313 8-0000 f Phone: (305)795- 2204 ., FxORD�' Expiration: Project Address Parcel Number Applicant 848 91 Terrace 1132060050350 MOJDEH SHUSHTAR Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell 1 MOJDEH SHUSHTAR 3928 GATEWAY Drive PHILADELPHIA PA 19145 - Contractor(s) Phone Cell Phone Valuation: $ 1, HOME OWNER Total Sq Feet: 0 Type of Work: ELECTRICAL Available Inspections: Additional Info: KITCHEN CABINETS Inspection Typ e: Classification: Residential Underground Rough Final Motor Box Alteration Relocation Fire Alarm Service Change W. W. Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee - Additions/Alterations $159.99 Payment Type: Scanning Fee $3.00 Technology Fee $4.00 Total: $172.79 PAID 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. December 19, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, December 19, 2008 1 Miami Shores Village a ,.�, M W, Building Department 1 x"06 t 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �• Tel: (305) 795.2204 Fax: (305) 756.8972 BY: __ ::____.__- BUILDING Permit No. - f j' - "02l t�, 0 PERMIT APPLICATION Master Permit No. vZ FBC 2004 Permit Type Electrical Owner's Name (Fee Simple Titleholder) 1� Ye '_" r sef 1 41 Owner's Address Tq g Mc K City "-�— f or State 151- Zip u Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City . Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ( i�� a Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Arch itect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 0 Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ONew ❑ Repair /Replace ❑Demolition Describe Work: r�t Submittal Fee $ Permit Fee CCF $ CO /CC . Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� I Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Natne (if applicable) W 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 inspecti will not be approved and a reinspection fee will be charged Signature Signature Owner or Ag t Contractor The fore oing i strument was acknowl bee ore me t is !�.L— The foregoing instrument was acknowledged before me this day o4 &W) , by V�1 s Y, day of , 20 'r , by , q is personally known to me or w o has produced who is personally known to me or who has produced �'� VT _ As identification and who did take4M9ath. as identification and who did take an oath. TA Y PUBLIC: 0o1oiti NOTARY PUBLIC: Sign: b6 e Sign: Print: �' „ o yS �' Print: My Commission Expires: My Commission Expires: �rxxicxx &xxrx4exxtYxa: S:xxxx�e� • xr. &xxxx9: eexse &xxxxirxxxx•xxx9:xxxFxxxxxic iex9cxxacx�x &xi: YxxYxotxxY,Y,kx�� APPLICATION APPROVED BY: /#;� G'® Plans Examiner Engineer Zoning. (Revised 02/08/06) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: l � ADDRESS: S�� —�_/ TER ©Y1 icy rn / 9/V 6 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 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 violttion 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 hold title to the above property and I am planning on doing this construetio Myself. C � 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 permits for a period of over 180 days will become null and void (expired) and a new permit will be required. to be issued for reinstatement of e permit. Initial _PC-4_ ) 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. A Initial 1 4. 1 understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the st ture meets the minimum code. Initial 5. T understand that as an owner - builder, 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. Initial 6. I understand that if I compensate any person or company for work performed they are requited 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. Initial 7. 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. Initial 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 Was acknowledged before me this day o , 20 B _ �h,was personally known to me or who has Produced there License or X41 - �� identification. O R NOTAR`t G b $ o ®q ,.,.o,,,,Go �'1§ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 136217 Permit Number: EL -12 -08 -2130 Scheduled Inspection Date: March 09, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SHUSHTAR, MOJDEH Work Classification: Addition /Alteration Job Address: 848 NE 91 Terrace Miami Shores, FL 33138- Phone Number Parcel Number 1132060050350 Project: <NONE> Contractor: HOME OWNER Building Department Comments KITCHEN REMODELING Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 136051. Need smoke/carbon dioxide detectors, and all fixtures installed. Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 08, 2010 For Inspections please call: (305)762 -4949 Page 19 of 34 a r Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING °'�' uj Permit No. j u) C 6 l PE RMIT APPLICATIO NOV 2 1 2009 aster Permit No FBC 2004 ---- Permit Type (circle): QEding Roofing Owner's Name (Fee Simple Titleholder) M_O j r_� dl'; Phone # -3 ifD 0 Owner's Address _ � tjC_ q j �T :Fe- r- P A r- y city M;Ami S ur e_S M II LW State j;j Dr( I A Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Villaee County Miami -Dade Zip FOLIO / PARCEL # dO k ®O OZ a Is Building Historically Designated YES NO Contractor's Company Name Home Phone # __ 1 653 WO 3 l jj Contractor's Address City lK, <n ; 14ijAi State r-L Zip Qualifier Name Phone # State Certificate or Registration No. yy Certificate of Competency No. Architect/Engineer's Name (if applicable) N Phone # Value of Work For this Permit $ 2 �; 1� Square / Linear Footage Of Work: b Type of Work: DAddition DAlteration ONew &' Repair/Replace ❑ Demolition - Describe Work: d I Submittal Fee $ Permit Fee $ c�0 CCF $ @07CU Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side Y ! A 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person w ose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site f the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the pection will not be approved re's ection fee will be charged Signature tore e or Agent Contractor The foregoing instrument was acknowledged before me this � The foregoing instrument was acknowledged before me this day of o 20 f by q U of . 20 by who t p�onnally known to me or who has produced C, ( who is personally known to me or who has produced U _��s identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: lQ l n, OL Print: My Commission Expires: , ! �$�� My Commission Expires: APPLICATION APPROVED BY: '� Plans Examiner Engineer Zoning (Revised 07/10/07) VERONICA p 140BOA A` Notary Public, State of Florida Commission# 130786851 My comm. supine May 08, 2012 l VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: Ma J a/e A S_4 L4,4&1 DATE: I — /.� °Qj ADDRESS: &V Alf j 1T J P-^, - ne-e- 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 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 FICA 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 Initial 6 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 Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 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 minimum code. Initial 5. I understand that as an owner - builder, 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. Initia Y 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. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not 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. Initial 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 Was acknowledged before me this C o day of Q cy"e r, 20 0 By 6yli, =�a �.J �, t ro was personally known tome or who has Produced there License or ��-'�L ���SUQ'j��` as identification. b O R NOTARY A VERONICA P NOBOA Notary Public, State of Florida Co MWkn# 007801 My Comm. expires May 08, 2012 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Ot 'o7� Fd- Job Name Date / / -,da STRUCTURAL CRITIQUE SHEET L'd 64 91 CI& 4 fr-aZef T —� ®- f4 - r 3 Q4 • Ls AD 41CA"Az6 GF7 b4flg p-e- — t�ts�o� ILA m e Ail JAfr W 'e 0 ice k W1� NQ t. 4tAQ.ts ` B t pA I I It.� P 1 �Ar I �A v'V { 0000.. D c m m z 9 0 O c 0 fi O O U O Z O m u 7D D 0000.. 0000.. . M 0000. . c 0000.. r n .• . • 0 • • • M m 0000 • •• 0000• • •0.0.• • • 00009 z 0000•• •• •• • 0 • 0000•• m g • F- 0000 00...• • . 61 • • c m • • • • • 0000•• .• . •. . . . .. . 0 A ILA m e Ail JAfr W 'e 0 ice k W1� NQ t. 4tAQ.ts ` B t pA I I It.� P 1 �Ar I �A v'V { 0000.. 0000.. 0000.. . 0000.. 0000. . 0000.. 0000 .• . • 0 • • • 0000 • •• 0000• • •0.0.• • • 00009 • • 0000•• •• •• • 0000.. • 0000•• • • 0000 00...• • . • • 0000 • • • • • 0000•• .• . •. . . . .. . psi C) ...... . ...... s • t. c \ 1 e ShUs -hew _ ... ... ..... .... . . ..... . .... ...... 12 + J-1 i • • III � � •• • •• � =•••s: 777777 • • • s ' s • • .. ••.•.• m I p C 5 C ;3 e �� � -t .� .� �l Pse �- ..... Ell • • •••• •••••• • • w