EL-09-1532 Miami Shores Village
10050 N.E. 2nd Avenue F/
Miami Shores, FL 33138 -0000 Pj
Phone: (305)795 -2204
IRR
y Expiration: 1 010
Project Address Parcel Number Applicant
525 90 Street 1132060400030
Miami Shores, FL Block: Lot: MARIA LEANDER
Owner Information Address Phone Cell
MARIA LEANDER 525 NE 90 ST
MIAMI SHORES FL 33138 -3148
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 0
Type of Work: For Inspections please call:
Additional Info:
(305)762 -4949
Classification: Residential Available Inspections:
Inspection Type:
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $ EL -9-09 -35908 $ 50.00 $ 50.00 $ 0.00
Education Surcharge $0.20
Notary Fee $5.00 Check #: 5630
Permit Fee - AdditionstAlterations $100.00 EL -9-09 -35911 $ 58.30 $ 58.30 $ 0.00
Submittal Fee $50.00
Submittal Reversal Fee ($50 00) Check #: 5632
Technology Fee $2.50
Total: $108.30
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.
September 17,. 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 17, 2009 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305).762.4949
BUILDING Permit No. E L q — 0g — t5 ? J 2
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: ELECTRICAL Ceti., a>5 5 0
Owner's Name (Fee Simple Titleholder) C 1.1 +FF00 IJWIA V 1.qq 1 . hone # – O-r 73'1 lk3 e
Owner's Address .sue f N• 1 9 .
City & /Ht»11 5�� State PL Zip .43 / IF
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) 2 S Ad A.
City Miami Shores Village County Miami =Dade 3 / 3
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone E-mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square ! Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
❑ Repair/Replace ❑Demolition
Describe Work: ��3Tr4 jTr -�{ /'L(
I
'I
Submittal
Permit Fee $ Av'00 d'�
Fee $ , � CCF $ —""" CO /CC $
Notary $ Q Training/Education Fee $ °-- ----- Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ _5, "s (D
See Reverse side
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 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 re- inspection fee will be charged.
Signature R� � _�� Signature
Owner or Agent J- h Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day o 20 =/, by A y _ L C Cl�'j (, �eof 20 by ,
who is personally known to me or who has produced — / who is personally known to me or who has produced
As identificatio d• a an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
q O
f
Sign: t Sign:
Print: t r/r Print:
9
My Commission Expires: �,; 2� My Commission Expires:
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APPROVED BY 1-5 ' P Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
4. b 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 �yy� - .---
5. 1 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
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 hfive 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.
h,utial '�•
7. I understaud'that if any person gets iWured on my construction projsct they are
entitled to workmen's compensation. - Ana if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
[dos of wages during recovery from injury.
Initial
8. 1 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
�h
Was.acknowledged before me this _day of /--- , 20
By 2 C who was personally known to me or who has
Produced there License or -t' �� as identification
dentification
Bit
s
OWNER ®C� 'ARY
�56
e
VILLAGE OF MIAMI Sjr0kHS
OWNER BUILDER DISCLOSURE STATEMENT
NAME: d L 9R 1 A V. 4 E40b 43? . DATE:
ADDRESS: dS2S 00. L C.
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, RS 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 shows you, as the owner of your property,
to act as your own cohtraetor even though you do not have a license. You must supervise the
constrmtion yourself. You may build or improve a one- family or two- family redidbnee. 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 foe sale or lease, which is a violation bf this exemption. You gray not hire
an unlicensed person as It contractor. It is your responsibility to make sure the people employed
by you hive licenses ragnired by state law-and by county or municipal licensing ordinances. Any
person working on your building who is not licensed rilyst work under your supervision and must
be employed by you, which means that you must deduct F.LC.A and with - holdings tax and
provide workers' compensation fbr that employee, all as prescribed bylaw. Your construction
must comply with all applicable laws, ordinances, -buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold, fide to the above property and I am planning on doing this construction
Myself.
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 the
permit.,
Initial
3. 1 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 Q2-,n,.-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 135985 Permit Number: EL -9 -09 -1532
Scheduled Inspection Date: February 23, 2010 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: LEANDER, MARIA Work Classification: Alarm
Job Address: 525 NE 90 Street
Miami Shores, FL Phone Number
Parcel Number 113206040003
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Install burglar alarm
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 22, 2010 For Inspections please call: (305)762 -4949 Page 14 of 25