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977 NE 93 St (8)Inspection Number: INSP -i Inspection Date: 05/02/2006 Inspector: Grande, Claudio Owner: OSSMAN, LANCE Job Address: 977 93 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- HOME OWNER Building Department Comments Monday, May 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition Phone Number (786)423 -8188 Parcel Number 1132060350060 Lot: Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -i Inspection Date: 05/02/2006 Inspector: Grande, Claudio Owner: OSSMAN, LANCE Job Address: 977 93 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- HOME OWNER Building Department Comments Monday, May 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition Phone Number (786)423 -8188 Parcel Number 1132060350060 Lot: Page 2 of 2 NEW STEPS TO FRONT DOOR 4/ 4 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspec t on I IS Inspection Date: 04125/2006 Inspector: Grande, Claudio Owner: OSSMAN, LANCE Job Address: 977 93 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Monday, April 24, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone 05)795 -2204 Fax: (305)756 -8972 Block: aR -3-06 -656 Permit Type: Residential Construction Inspection Type: Foundation Work Classification: Addition Phone Number (786)423 -8188 Parcel Number 1132060350060 Lot: Page 2 of 2 Owner's Address Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building c1-r 66 are sr Job Address (where the work is being done) Contractor's Company Name 0/ - Contractor's Address City State Qualifier Name Ri CEIVED MAR 1 4 2006 Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) " CF nJ1t Phone # 1 42t — / 0 0 Cit Minwl Si3/4P.45. State Zip 3 3/ 3 g Tenant/Lessee Name Phone # 4\-y> JAE XS City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO State Certificate or Registration No. Certificate of Competency No. 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: : 1 7 / 4 1 4 y L fV 46 Scr ( �� a`c„ 411 -rQ krk <T2ur csrl Q6.11 411 k S 1 h ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * ** ** ** ,i'k * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ bf ttliK ZS ^ CCF $ 0 . (o 0 CO /CC Z V Notary $ �= Training/Education Fee $ " O. Technology Fee $ Z - Scanning $ q - CO- Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Master Permit No. Phone # Permit No r W Zip 3 71 3 Zip Phone # Total Fee Now Due $ 16;5. SS See Reverse side —+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mort fegirpindeis 1pie (ifhppLicable) Mortga644der' address rd 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 inspection will not be approved and a reinspection fee will be charged. Signature (.) Owner or Agent The foregoing instrument was acknowledged before me this If day of fled( , 20 (,C, , by Clata, 0, who is personally known to me or who has produced P.W I,iiStK . 0 LIs I 6/ 4O As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: �� � I/ Nli I ' �ff MONICA LISSETH DIPL MY , • EXPIRES: October 20, 2rn } :3 Bonded My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) "1" • _ 1A NOTARY PUBLIC: Zoning Signature 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. Sign: Print: My Commission Expires: Plans Examiner Engineer VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: L nc,, cssr 1h ADDRESS: Gil-) 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 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 Initial ab 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 ei 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. DATE: 140 Initial Ch 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 e/_ 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 contract disputes. Initial 04 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 0(.0 7. I understand that if any person gets injured on my construction project —they are entitled to worlcmen'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 O 6 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 /1 day of i , 20 0( By adeb O OWNER who was personally known to me or who has Produced there License or p. --pr,„d °J 1Z 0�� as identification. ,„111 MONICA LJSSETH DIAZ ,. .* r MY COMMISSION # DD 483995 Ilrl: RG,C�' Bonded TAru roots p �� 20, erw ry k linden/Item Issue Date: 3/28/2006 Owner's Name: LANCE OSSMAN Permit Type:. Residential Construction Work Classification: Addition Job Address: 977 93 Street NE Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: INSTALL NEW STEPS TO FRONT DOOR AS PER DRAWINGS. STEP CONSTRUCTION ONLY. ALL OTHER WORK HAS BEEN PERMITTED. Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/14/2007 Type of Construction: STEPS Stories: NA Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: 3/14/2006 Occupancy: Single Family Exterior: NA Rear Setback: NA Right Setback: NA Bathrooms: NA Certificate Status: NA Additional Info: NA 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. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $150.00 Scanning Fee $9.00 Technology Fee $3.75 Total: $168.55 Building Department File Copy Applicant Signature C -c. Parcel #: Block: Section: Total Square Feet: 50 Total Valuation: $ 500.00 Required Inspections Footing Stem Wall Footer Density Termite Letter Slab Fill Cells Columns Second Floor Slab Spot Survey Tie Beam Bond Beam Second Floor Tie Bond Beam Rake Beam Special Inspection Letter Trusses Plan Submittal Floor Trusses Roof Trusses Roof Sheathing Wall Sheathing Window and Door Buck Wire Lathe Window Door Attachment Framing Insulation Drywall Screw Final PE Certification Shutter Attachment Shutter Final Final Ruildinn Permit Status: APPROVED Permit Number: RC -3 -06 -656 Phone: 1132060350060 Lot: PB: (786)423 -8188 Invoice Number Amt Due Amt Paid RC - 3 - 06 - 24262 $168.55 $168.55 Total: $168.55 MAR 2 8 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Owner's Name and Address__. ! ! / Registered Architect and /or Engineer Name and address of licensed contractor. Location and legal description of lot to be built on: Lot__ 4. _. Block Street and Number where work is to be done____r State work to be done and purpose of building (by New Building __ R modeling__ ____. Addition To be constructed of __(? c J - Kind + f ariere , Estimated Total cost of improvements $ ! r1. 1l (..... Zone cubage required j Distance to next nearest building._ Maximum live load to be borne by each floor_.. Chairman Member Member . Disapproved _ _ D (Signed) �-[. / _ . LANNING BOARD Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORE VSILLAGE BUILDING INSPECTION EPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date_____ _. n (Signed Subdivision floors) -- - - - and for no other purpose. Repairs No. /rie g._ P� f Roof Covering.. A ount of P it $ / ©d plan Cubage 2 - I 1 • Size of Building Lot I hereby submit all the plans and specificationstfoi said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra ors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss Before me, .:.. undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ..... `7 7I Date!_1 — Le) " G17 ....___ - Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ DATE Member Member Member .- Disapproved , 19.6 Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty