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1209 NE 96 St (8)IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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..._. _.._.__ ...._._ _....... , 19Z Owner's Name and Address . , ...... .2G..... /.. .... No..P .V.1 Street..il' - 9 - T� Registered Architect and /or Engineer N r� . n :: .. . rxr:• r..: ^.rxrtxrrrm r. _xr ...... Name and address of licensed contactor .._ . Locatio a 17a1 description of lot to be built on: Lot I ' 7 - � Block Subdivision / - S # Street and Number where work is to be done /a zic .7 / :..22.2 / _ State work to be done and purpose of building (by floors)........./�_v / Q y' oc°J. ..23!- !; and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of kA,,e ..C1 Kind of foundation Roof Covering Estimated Total cost of improvements $ '%0 49" Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does 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, Permanent 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 suc • • ntractors, on work to performed under this pennit, as are licensed by Miami Shores Village. Remarks (Sig t• :/..... w` 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.._.._ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) STATE OF FLORIDA, j COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - — Building Inspector My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member ...... _ .._._ - - — - - Member ...._ _ .._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval has been obtained from the Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. cypREs$ rsacg.. /4e_ 14, sr. 9 q Cfik PORI 04(06-E / (ITAL. 7 1, q 4, 1 11244 5 - __Cy/vas AwAteg_e_c_49,0 - Et. Dv aois - op AfE9I c; F 75" 4 I s4 6 A:(-6-Q) 4IP 11 ‘ ■ eeia6 Passed Inspector Comments AZ • e_Qf Z . b Zoc IGw &e Viet '2 L)71 1 a-re,,s At US-r Apr A41- �� M-. ite �j�"� iti 1l 4�' ` �ivV L p � v a Failed Correction Needed Re-Inspection p Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -725 Permit Number: FW -12-05 -1098 Inspection Date: 02/23/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Wednesday, February 22, 2006 . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL jpne: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Fence/Wall Inspection Type: Final Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 FW -12 -05 -1098 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Project: <NONE> Owner: FRANCOIS MACLELLAN Phone: Job Address: 1209 96 Street NE Parcel: 1132060143820 Miami Shores Village, FL 33138- Block: Lot: Scheduled Insp # Inspection Type 01/04/2006 INSP -4928 Footing 01/11/2006 INSP -5720 Columns 01/11/2006 INSP -5722 Tie Beam DENIED MISSING STEEL IN BEAM ON WEST WALL. LAP ON BEAM ON REAR WALL NOT 24" MIN. ARCHITECT TO PROVIDE INSPECTION REPORT. Inspection Status APPROVED APPROVED Claudio Grande 1/4/2006 Claudio Grande 1/11/2006 Claudio Grande 1/11/2006 01/12/2006 INSP -5923 Tie Beam APPROVED Claudio Grande 1/12/2006 Fence/WaII Inspector Date Completed 02/23/2006 INSP -725 Final Pending Inspection Claudio Grande Not Complete Wednesday, February 22, 2006 Page 1 of 1 e MICHAEL ALAN FINE, PA ARCHITECTURE FII!E January 12, 2006 Miami Shores Building Department Building Inspections Division RE: Permit # FW 1205 -1098 1209 Northeast 96 Street Miami Shores Please be advised that as the Architect of Record I personally visited the site and have observed the construction. I reviewed the steel placement in the footing, the vertical steel in the wall and columns and the bond beam steel in the cap. All of the installations meet with my approval and meet with the criteria set forth by the permit documents and the Florida Building Code. Sinc GABLES ONE TOWER 1320 SOUTH DIXIE HIGHWAY SUITE 902 CORAL GABLES, FL 33146 Telephone: (305) 667 -4377 Facsimile: (305) 667 -4133 mfinedesign@prodigy.net c ael Fine President Michael Alan Fine Architect P.A. 'Inspection Number: INSP- 5923 Permit [number. FW -12-05 -1098 Inspection Date: 01/12/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Contractor: HOME OWNER Building Deaartment Comments Thursday, January 12, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Fence/Wall Inspection Type: Tie Beam Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 l 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- 5923 Permit [number. FW -12-05 -1098 Inspection Date: 01/12/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Contractor: HOME OWNER Building Deaartment Comments Thursday, January 12, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Fence/Wall Inspection Type: Tie Beam Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 'Inspection Number: INSP -5720 Inspection Date: 01/11/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, January 10, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -12-05 -1098 Permit Type: Fence/Wall Inspection Type: Columns Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 1 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -5720 Inspection Date: 01/11/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, January 10, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -12-05 -1098 Permit Type: Fence/Wall Inspection Type: Columns Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 1 of 2 -' ur 'Inspection Number: INSP -5722 Inspection Date: 01/11/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Deaartment Comments Tuesday, January 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phope: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -12-05 -1098 Permit Type: Fence/Wall Inspection Type: Tie Beam Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 Passed i nto Inspector Comments < z� r '�'� m � S / } ()AO _.-- / 1 _a S x3-11_, 6 -e 4-141 711L) 2� id6p N (�� , g e 2: ,-- - , f5/2 pert( 1- ..- --- ----- PA- 1'LLf� ��l I -- Failed Correction Needed .i Re- Inspection Fee ($75) Additional Inspections can be scheduled re- inspection fee is paid. until -' ur 'Inspection Number: INSP -5722 Inspection Date: 01/11/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Deaartment Comments Tuesday, January 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phope: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -12-05 -1098 Permit Type: Fence/Wall Inspection Type: Tie Beam Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 CO. � / " f, Passed I Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -4928 Inspection Date: 01/04/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Contractor: HOME OWNER Building Department Comments Tuesday, January 3, 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: Permit Number: FW -12-05 -1098 Permit Type: FenceIWall Inspection Type: Footing Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 2 of 2 Issue Date: 12/20/2005 Owner's Name: FRANCOIS MACLELLAN Permit Type: Fence/Wall Work Classification: Concrete Precast Job Address: 1209 96 Street NE Additional Information Building Department File Copy X t. Lam.. Miami Shores Village, FL 33138 Ap¢licant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/21/2006 Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: BUILD FENCE WALL AROUND REAR AND WEST SIDE OF THE HOUSE Type of Construction: Concrete Precast Additional Info: MASONRY WALL 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 $4.20 Education Surcharge $1.40 Notary Fee $5.00 Permit Fee - Concrete & Masonry $288.00 Scanning Fee $30.00 Technology Fee $7.20 Total: $335.80 Permit Status: APPROVED Permit Number: FW -12 -05 -1098 Phone: Parcel #: 1132060143820 Block: Lot: Section: PB: Total Square Feet: 160 Total Valuation: $ 6,500.00 Required Inspections Final Foundation Invoice Number Amt Due FW -12 -05 -23195 $335.80 cl '13 D EC 2 PAID / Total: Amt 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. Miami Shores Village i3uilding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING OVED Permit No. PERMIT APPLICATION NOV aster Permit No. FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address PO r City rtiti44-t j S tico4 State Tenant/Lessee Name Job Address (where the work is being done) bog / i f `1 4 sTliee T City Miami Shores Villa :e County Miami -Dade Zip 33 8 Is Building Historically Designated YES NO — Contractor's Company Name O1.L flt'C/ Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) H� tt9��I U) jt4/Z Phone # $ Value of Work For this Permit Type of Work: ['Addition ❑Alteration New ❑ Repair/Replace ❑Demolition Describe Work: BULL to uc� 0-4441 14- � e0414. 1g,, 1.1f iC i 1 S ei lay r twat, • mA S .. Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Total Fee Now Due $ (- /s (Continued on opposite side) Electric .1 I" Plumbing Mechanical Roofing Y' K14NCGi ItOcirt IAA Phone # 3° I 3`( Gi/ c4 S' Tk- - * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Code Enforcement $ Structural Plan Review. $ Zip 3 3 i ,3 j Phone # Square Footage Of Work: CCF $ Technology Fee $ Bond $ Noc U5 - Iogff 3o5 - x`11 4 ir,so CO /CC 4 . Bonding Company's Name (if applicable) a 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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be proved and a reinspection fee will be charged. Signature Sign: Print: My Comm APPLICATION APPROVED BY: chc 05/13/03 1-iPte •���C� _ Owner or Ag; t The foregoing instrument was acknowledged before me this 2_ I The foregoing instrument was acknowledged before me this day of \IoV , 20 b M C.,01 LAELLA-N day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced lb NOTARY PUBLI : As identification and who did take an oath. OTARy PUBLI onded Thru OF FLORIDA Signature My Commission Expires: Contractor as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 2009 Bonding Co., Inc. * * ** * ** ********************************************************************* , * * * * * * * * * * * * * * * * * * * *** * * * * * ** ** * ** ** * ** ** ** * ***** *** ** * * ** ** * ** ** * ** ** * * * **** * * * * * * * * * * * * * * * ** *- * * * * ** * * *** * * * * * * * * * * * * * * ** * * * * ** * * * Plans Examiner Engineer Zoning • Produced i LD Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I f oucti 6-64cletivhait being the legal property owner, for the property Located at: Ie9°1 P4 c Gtat' e 7 Pk c S4 t Legally described as 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 understand the following disclosure Statement, which entitles me to 3irork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STA'i'hMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that 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 or a farm out - building. r You may also build or improve a commercial building at a cost of 525,000.00 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have Iicenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Iicensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. 'Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was a ac cknowledged before me this 2-1 day of NC'V , 20 c € S c___Vwho is personally known to _me or who has as identification and who did take an oath. MICHAEL ALAN FINE, PA ARCHITECTURE FII!E December 15, 2005 TO: Miami Shores Village Building Department RE: Permit # 05 -1098 Please be advised that as the Architect of Record I will be visiting the site and observing the construction. I will be reviewing the work for compliance with the code and permit documents and as such will be the special inspector on the project. Sincerely, GABLES ONE TOWER 1320 SOUTH DIXIE HIGHWAY SUITE 902 CORAL GABLES, FL 33146 Telephone: (305) 667 -4377 Facsimile: (305) 667 -4133 mfinedesign@prodigy.net ichael Fine President Michael Alan Fine Architect P.A. DEC 1 9 2 5 • • •• • • • • • • • • •• • • • • • •• • • •• • • • •• • • •• ••• ••• ••• • • • • • • • • • • • •• • • • • • • • • • • • • • • •• ••• • • • • • ••• • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • •• ••• • • • •• • • 4 J d€5 5 f/WNij Reviewer: Claudio Grande C.B.O 305- 795 -2204 Ext 430 Miami Shores Village Building D epartment BUILDING CRITIQUE SHEET 4 P aovia 51,4:_aca .0,41,6c10 ierviz 1N5 ci 2. t o w ia( l,os c- C/N rf `Q7,as o,J O.), (0)s /Z T 4 / p.tO pfMvvs _ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. d � / d IS Job Name Date ,J1 . 1/ X , Wit I #1 e adfr, S c< 4)7/42eQ "AC 74E 5b >ru ,i c JOB ADDRESS: fr & e ,JE ? APPLICANT: �/ / r('c(c. 3 f'7ctChe - On APPLICATION: I N: /^�- ' I r W4 /f Opar rrSe tJ_ DATE COMMENTS '1 l J f, L INITIALS 11 fa)les < �,.4. fp.c4� n S )1 (c) aie S L 7 c /�cS7 O c5 v G 0. ! 1 1 p 4. �i - 1, �' � n �Y��a / � n� n f l � alley v e y .• / � 1 m u cS �c b k a 'f e i ea /` -1 � // ( La. 1 P rvt.D y/v,' e�sl— on. s ;-fie. pl n. --Cr-5 ZONING CRITIQUE SHEET PERMIT # (At.sire- 0+1 t7(. I"eiu1e.w 1 S o P/ /, �✓ 0181 r , 5' ,vie; �,p..t 1 (k■ ,, lc0■4, „ ,r5 p-po ' e.e - o rn t � 4 r ?1/0/ 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 -12814 Inspection Date: 03/22/2006 Inspector: Grande, Claudio Owner: MACLELLAN, FRANCOIS Job Address: 1209 96 Street NE Project: <NONE> Tuesday, March 21, 2006 Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: FW -12-05 -1098 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Concrete Precast Phone Number Parcel Number 1132060143820 Lot: Page 1 of 2