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PL-09-876 f Shores Village � I e ti ;.. 100 50 N.E. 2nd Avenue i . 3 e. >¢ • t .-- - Miami Shores, FL 33138-0000 1 y .. O Q •G Phon • e. 305 7 k.. 95 -2204 •w� Jr ti 3Y J --�- Expiration: 1112912009 Project Address Parcel Number Applicant _..,,,. .,...... . , .,.,.... ,..... .,...,..,, , , ,,,,,,,, ,, ,,, ,,, ,,,...,,........ .... ........,,.....,,....... , 236 91 Street 1132060190440 Miami Shores, FL 33138 Block: Lot: DAVID MAHER .J. ......... .... :..:w 1 .... :.... .... J..J.w:f::w: •J .:.:wv:7 :.. :. :. :... .. :.. :... : :. w........ J.'i of n.....•• w•;J. :. :... ... .................... Owner Information Address Phone Ceti DAVID MAHER 236 NE 91 ST MIAMI SHORES FL 33138 -3128 ey8 " :............ f4••r.......: :a ° ••z,... ...... : :: >•r:: JJ ... . '4 ... :•r:C:' •9..... 4 • • J. wJx•: :.........J..•J.,yJ•J........J. ....... •..,. ,w.......y.. .JJ.•JJ: ::.•.• :.•.•.. ...... .: :•:? a ww w w w :•.,•JJJJ. > };. n 'Fv, O � -J S :'•DJ ..5 ° ..R.:w 4w�e. .V.•.•.•dJ ,- •.. w.•: ::.;.::;$•:. , ........ .....::':•'P'.•:•:5::•.'f: •f;;;wf: JJN.V Contractor(s) Phone Cell Phone i Valuation $ 2,000.00 W: HOMEOWNER ...................................................... ............................... Total Sq Feet: 0 Type of Work: PLUMBING Available Inspections: Type of Piping: SPRINKLER SYSTEM Inspection Type: Additional Info: Final Bond Return Underground Sprinkler Classification: Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1.20 PL -5-09 -34918 $ 194.10 $ 144.10 Education Surcharge $0.40 Notary Fee $5.00 PL - 5 - 09 - 34918 $ 194.10 $ 194.10 $ 0,00 Permit Fee - Addhions/Alterations $180.00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $4.50 Total: $194.10 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. June 03, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy June 03, 2009 1 G00 A7v Miami Shore p MG )ETUM Shores Village Building Department MAY 2 7 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:- Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 09 PERMIT APPLICATION Master Permit No. FBC 200gj Permit Type Plumbing Owner's Name (Fee Simple Titleholder) WW- FW('tJ AC Phone # Sos • 4ol . 4 Owner's Address 23c, NE 91 sr 2'. City I��tAMI alkRE.S State F– Zip 33135 Tenant/Lessee Name N/A Phone # E-MAIL: AAV) T Y'u -6ano A_ y —a6a0 ) C-OM Job Address (where the work is being done) :2jG Ns, 91 gr City Miami Shores Vi1149e County Miami -Dade Zip 33` 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name A oms owm EQ- Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E- MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ '0.000. b® Square / Linear Footage Of Work: Type of Work: []Addition ❑Alteration ❑New Repair/Replace ❑Demolition Describe Work: u ISG W / x *xxx *xxxr�xr F s xxxxxxxxxYxx�Xxxxx* Submittal Fee $ Permit Fee $ CCE $ CO /CC Notary $ �� CO Training /Education Fee $ Technology Fee $ _ Scanning $ �. M Radon $ DPBR $ Zoning $ Bond $ Code © ce $ _ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse sic>fe :4 JUN 0 3 2009 2 C'C. 7753 4 MIAMI SHORES VILLAGE 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. 1 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 inspection will not be approved and a reinspection fee will be charged. Signature rr Signature Owner or Agent Contractor The foreg g instrument was ac owledge before me this The foregoing instrument was acknowledged before me this day o , 20rA by day of 20 by PUBLIC:A NOTARY PUBLIC: ,� , , r 1 Sign: Sign: Print: Print: My Commission Expires: ; My Commission Expires: YOSI�yV �' APPLICATION APPROVED BY: Q Plans Examiner Engineer Zoning (Revised 02/08/06) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: DATE: ADDRESS: 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 violittion 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 construction Myself. Initial )97. 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. I have an understanding' Qf. the; 2004 BC & 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 �9 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 ° • _ Y T 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 an attorney. The department will not mitigate any contract disputes. Initial 6. 1 understand that if I compensate any person or company for work performed they are required to have a business license in the county. I£ 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. r Initial Was acknowledged before me this -.1 day of h A�( 20 By T),&.Nti t' J_ F-P_uC, A1_rO who was personally known to me or who has Produced the e License as identification. AA 4' r OWNER YOTARY Al �I�, x an= m�p'1' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INS P- 115135 Permit Number: PL -5 -09 -876 Scheduled Inspection Date: July 10, 2009 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Final Owner: MAHER, DAVID Work Classification: Sprinkler System Job Address: 236 NE 91 Street Miami Shores, FL 33138- Phone Number Parcel Number 113206019044 Project: <NONE> Contractor: HOME OWNER Building Department Comments REPAIR/REPLACE SRINKLER SYSTEM I VIA ns to ments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. j . a ..,, o ,,,,, For Inspections please call: (305)762 -4949