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DEMO-08-241173 NW 92 Street Miami Shores, FL 33150- 1131010330990 Block: Lot NASSER OTHMAN 1 NASSER OTHMAN 173 NW 92 Street MIAMI SHORES FL 33138- 0 —, 1 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Parcel Number Contractor(s) HOME OWNER Phone Cell Phone Type of Demo: Building Additional Info: SHED Classification: Residential Fees Due Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $0.20 $5.00 $100.00 $3.00 $2.50 $110.70 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy ue D inn: Sufic!! to APPROVE Expiration: 08/17/2008 /1 1 01 � Phone Valuation: Total Sq Feet: $ 1,000.00 0 1 Applicant Available Inspections : Inspection Type: Final FEB f 9 2008 \r 144o1 ac February 19, 2008 Date Cell Tuesday, February 19, 2008 1 Inspection Number: INSP -74419 Scheduled Inspection Date: July 28, 2010 Inspector: Rodriguez, Jorge Owner: OTHMAN, NASSER Job Address: 173 NW 92 Street Miami Shores, FL 33150- Project: <NONE> Contractor: HOME OWNER Building Department Comments REMOVE BACK YARD SHED Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 27, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: DEMO -2 -08 -241 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number - Parcel Parcel Number 1131010330990 Page 29 of 31 BUILDING PERMIT APPLICATION FBC 2004 Building � Roofmg Owner's Name (Fee Si le Titleholder) IV= iLku> Phone # Owner's Address (1....s om N.X �� �� a 61 City State L -. • zip Phone # 20 — S 0 ° SS _ Permit Type (circle Tenant/Lessee Name Job Address (where the work is being done) no i\t'► `I 6I2 Jl City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name PtO Phone # Contractor's Address City State Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 �_ Type of Work: ['Addition ['Alteration Describe Work: Submittal Fee $ Permit Fee $ Notary $ I NO0 Miami. Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 County Training/Education Fee $ a L0 Miami -Dade Square / Linear Footage Of Work: ❑ Repair/Replace Demolition ['New xewove) bGL j cnc sled ******** * * *********** * * ** * * *** ** Fees** * **** * ** * * * * *** * ** * *** *** *** *** Scanning $ ■0 Radon $ _ DPBR $ Zoning $ Bond $ Code Enforcem )) < , - I Dir le Fee $ Structural Review. $ p Tbt\al Fee Now Due $ 10 76 FED � � �9 2��'� � ' ' See Reverse side —> tbib NAM SHart4 F il Permit No. Zip 3 O FEB 1 --. MOB ; � I 0 Y: Master Permit No. Zip CCF $ C /CC Technology Fee $ . V V 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first insp : ion which occurs seven (7 s after the building permit is issued. In the absence of such posted notice, the (Revised 07110/07) inspection w 1 of b pproved and a r ; , coon ' e w . a charged Signature) Owner or Agent The fore o'ng instrument was aciciow ledgged before me this 11 day of ,20 ox, by 3\ R( 0 , who is perso ally known to me or who has produced rk. identification and who did taken oath. NOTARY PUBLIC: k1 , ' 46 Sign: (L....'" `a. ,, 4• 4 '' Print: Y 0 1M 4 c . My Commission Expires: • •.... .,•$° APPLICATION APPROVED BY: 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. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: 4- Q R. 0 r,g./11,4jJ • DATE: 2- (1 Ilp2 ADDRESS: l /V Z S Do hereby petition the Village of Miami Shores to.act as my own contradtor 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 gust 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 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 k) 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 N CD 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. Initial 0 ° ° 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. Iffor 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. 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. 8. I understand that under state and local laws I can Plumbing, Heating, Air & Roof work on my the proper permits by licensed contractors. Was acknowledged before me this 11 day of By Initial Produced there License or OWNER � ` Initial ,)0 -- C) not do any Electrical, with out first obtaining Initial u �� who was personally known to me or who has as identification. 1 �ti Natk NO. t c. t sc i . spa 1 +o- s resat f . , / .. • •1. .air A �d - - 8-- 1 am' Snores ■i "=.7e APPROVED E3Y DA I `✓ ZONING DEPT j 1/4P1 I '• 1 ii fC ,K , ,s , c , FEDERAL SUBJECT TO COMPLIANC 1M rH ALL STATE AND COUNTY RULES AND REGULATIONS f 'r. r are i r a PROPERTY ADDRESS: 173 NW 92 Street Miami Shores, Florida 33150 LEGAL DESCRIPTION: Lot 15 and the East Y of Lot 14, Block 134 of "MIAMI SHORES SECTION SIX", according to the .plat thereof, as recorded Miami -Dade County, Florida. FOR: NASSER OTHMAN. CERTIFY TO: NASSER OTHMAN. ILEANA M. GARCIA, ESQUIRE. COMMONWEALTH LAND TITL. �i INDYMAC BANK, F.S.B., its succ `q �� I; j& B Y: Bi OR'8 NOTE8r 1) this survey was conducted far the purpose of a 'Baundory Surrs" Only and is not intended to delineate the repdotary jurisdiction of any federal, state. Mond or local agency, board, commission ar other entity. 2) TDe accuracy ,try msmwmnents and adwlatt ns an this wevey, meets anarm :se& the Minimum Technical Standards requirements for g area (1 foot'kr 7.600 feet) as specified in Chapter 61017 -6. Florida AdminIstratlw Code. .a) TMs Zwvey daesenoi,anieat or dotanll.�on.*1p. 41— eggiedescript1on woe prodded by heaclient ad is subject to. any dedleatlons, Omltatlons, restrictions reservations or *easements of reccrdi s Esaraleatfon e�a y eat lw�ya made to determine recorded instruments, ft my affecting the property; d)J o efI� was mad by this entrees dg underground uttltiee and /or structures within or abutting the subject e Pert eurvsy has been prepared for 16# 0411114as use of tiro entities named hereon only and the certifications hereon do not extend to any umltreAU.TMiss. • • oth o areal for a Melt ?;enaction ants Not to be used for design and/or construction proposes without sent °7 yy U i tty Easenijte noted es violations. *10) Dr(repays padians thereof withbrpoldways not noted as violations or rearmaments. .11* .el )aF.e.1 s /: fo underneath footings undeeath the ground surface that may moss beyond the boundary lines of the herein described 1 A) �n Pipes ci farad ?pin on the sketch of survey have no caps unless otherwise stated. �1 , Parc6 osnerd .- a by dsuu eo rro a ly (1f my) Lead oener mat determbed 11S010 search D v ar mode by this firm beside the record plok therefore we do not imply or accept responsibility for a c � or Limitation fa whidh information was not furnished. 6 f the a�p lele ttonyr design work an the hereon– desarb.d -parcel far Building and Zoning 16) Professional Land Mayor and Mapper in responsible charge: Rotondo Ortiz LS 4312, State of Florida. 17) This aurvsy is not valid without the ely and and the raised seal of a Florida Lloeneed Land Surveyor d Mapper. above 1 hereb certify to the named firm and/or persons that the Sketch of Survey of the described propertyy le true and correct to the best of my lalord and belief, as recently surveyed and platted under my direction: also that meets the Minimum Teals al Standards set in Chapter 61017-6. Florida Code, pursuant to Section 472.027 Florida Statutes. DATE 418 NUMBER SKETCH NUMBER OS- 2 /- DO DV- 25$ a 2S7/ LOCATION MAP W.T.SJ fRAVN 1 gY, REVISIONS S T, n__1_ 1! _ vs of BY: MAW . 1.5 4312 OR: RICARDO 0012 1.6 8620 PROFESSIONAL LAND SURVEYOR & MAPPER, STATE OF FLORIDA. ACCORDING TO THE NATIONAL FLOOD tNSURANCE PROGRAM THE SUBJECT PROPERTY FALLS IN FLOOD ZONE SKETCH OF SURVEY . SCALE r - '