DEMO-09-90Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Contractor(s)
HOME OWNER
Phone
Cell Phone
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$3.00
$2.50
$111.30
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Project Address Parcel Number Applicant
301 96 Street 1132060135880
Miami Shores, FL 33138- Block: Lot:
JUAN & SUSAN RODRIGUEZ
... Owner Information Address Phone Cell
JUAN & SUSAN RODRIGUEZ 301 93 Street
MIAMI SHORES FL 33138 -2717
Valuation:
Total Sq Feet:
Type of Demo: Building
Additional Info: 2 BATHROOMS
Classification: Residential
Invoice #
DEMO -2-09 -33814
Check #: 1189
Total Amt Paid Amt Due
$ 111.30 $ 111.30 $ 0.00
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.
February 03, 2009
Date
Expiration: 08/02/2009
$ 1,000.00
700
Available Inspections:
February 03, 2009 1
Inspection Type:
Final
Permit Type (circle): Building Roofing
Owner's Address
City M 1 a ktt. t SyoY e
Tenant/Lessee Name
Contractor's Company Name
Contractor's Address
City State
Value of Work For this Permit $
Type of Work: DAddition
Describe Work: _ Yb
ll re laee
petmlis q_
501 1 Vbg(o+ k- S'
da--
ph is pernirt
►%em odel i t9, Le c&P w1 umber
Miami Shores Village �;e 2 77 "
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No.O=O ® O
PERMIT APPLICATION Master Permit No.
FBC 2004
Roari Phone # 7(519 413 a. Vic()
Owner's Name (Fee Simple Titleholder) a Ei N-LS
state
Job Address (where the work is being done) 30 I 'I. E., G i (p'
City Miami Shores Village County Miami -Dade Zip 53 t F'
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
0.1.wr
p
BY: _.
A
zip 33 l 3 $'
Phone #
Phone #
Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.I
Architect/Engineer's Name (if applicable) Phone #
*6.00 .00 ZrCOZl14 hoy Be Iti 1 $
Square / Linear Footage Of Work: 3CA-'u't 5 = cl S O 5E -4-
Repair/Replace i L
TL Ir' JI 'LIP���■ -� 461kT
Alteration LINew
= remove -e s fr!es
********************************** ***** F ******** *******•x+x**** * * * * ** * ******
Submittal Fee $ Permit Fee $ 7 " CCF $ a t "` coley
Notary $ sAilo Training/Education Fee $ CeoZ4 Technology Fee $ /..:
Scanning $ 1 Radon $
DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ M* 3/0
See Reverse side
rrnds -lo AiontHerkieutd4
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) �YDp j' 0-0 - Rn Hike.. l ,Ya de L} l& LiSYN
Mortgage Lender's Address �- el s (1
City ?- ernbroke. It res state zip 330 SZ — Rf'1 14
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 FI.ECTRICAL 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
The fo
day
who is
NOTA
Sign:
Print:
(Revised 07 /10/07)
)
Owner or Agent
going instrument was ac)owledged
My Commission Expires:
APPLICATION APPROVED BY:
Signature
Contractor
re n this lCD The foregoing instrument was acknowledged before me this
day of , 20 _ , by
ho 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
4
NAME: S',
DATE: j /mil p11
3b I R.E. ge - Li I,eru t gez,oret 6312
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.
ADDRESS:
OWNER BUILDER DISCLOSURE STATEMENT
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Myself.
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 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
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.
Was acknowledged before me this )
actin i
day of
Initial
Initial
Produced there License or
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.
6. I understand that if I compensate any person or company for work performed
they are requited 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.
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 not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
B who was personally known to me or who has
(3 14K - 0 D 19.' VJ 9 4 I as identification.
u•
41
1
11 w
11 �‘∎
11 \\
1 ` J
14 - <"
i #
►1 ij
it /, ••••
.. • .. • . •
il. ti .
• 11 • ••.. • •
• • •
•
• • ■
••••• •
• ►�.... .�....
••
•
• H. •• f.....•
• .• i!
• ji •., • ••••••
• •
• • ••
...... .... • _• • . • • • •
•
•
•
•
•
•
•
•
•
•
•
•
13o kvacsrn -k 3
• • •
• • •
••••
• •
•
•
•••• •• ••
• • • •
• •••
•• .
. .•
•..
•
• • •
• . .
• • •
• •
.• •
••••
• •
••••
•
• ..
• • •
• •
•
•
• •
•
•
e .vtxv,
••••
• • •
•• •
•••••.
• • ••••
• •
••••
•
• •
•
•
7• a
•
•••• .• ••
• • •
•••• •..e.•
• •
••••
•• •
• • •
• ••
•
• •
• • • •
• •
••••
• ••
• • •
• •
••.
•
• ••
• • •
• •
•
•
• - I
PERNIFT #: ayia
Miami Shores Village
APPROVED
ZONING DEPT
BLDG DEPT
••••
• • •
• • •• •
OOOOOO • ••
•••• • • •
• •
• •
• •
•
•
• r ° • •
OOOOO •
OOOO ••'_,TA
• _ •••
•• 011:•••
• •
• • •
• --- • •
•
BY
DATE
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
• ••
•••• • • • •
• s. •• •
cm poprr
7
• oi
•
•
000000
•• •
• ••
• • •
•
••••••
• a
• • •• •
•
••••
• •
000000
Project Address Parcel Number Applicant
301 96 Street 113206013
Miami Shores, FL 33138- Block: Lot:
Contractor(s)
HOME OWNER
Phone Cell Phone
Type of Work: PLUMBING
Type of Piping: DEMOLITION
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$180.00
$3.00
$4.50
$193.30
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
February 03, 2009
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Expiration: 08/02/2009
Valuation:
Total Sq Feet:
Invoice #
PL -2 -09 -33815
Check #: 1190
Total Amt Paid Amt Due
$ 193.30 $ 193.30 $ 0.00
JUAN & SUSAN RODRIGUEZ
Owner Information
Address
JUAN & SUSAN RODRIGUEZ 301 93 Street
MIAMI SHORES FL 33138 -2717
..,....Phone...._. ..... Cell ...........................
Available Inspections:
Inspection Type:
Top Out
Re Pipe
Main Drain
Underground Rough
Heater
Water Service
Water Main
Final
Lavatory
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.
February 03, 2009
Date
$ 1,000.00
0
1
BUILDING
PERMIT APPLICATION
FBC 2004
FOLIO / PARCEL #
Contractor's Company Name
Contractor's Address
City
Qualifier Name
Architect/Engineer's Name (if applicable)
Type of Work:
Describe Work:
Structural Review. $
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
Owner's Address 301 9
City I A t cM.i -2 %Ore& State TC_ Zip
Tenant/Lessee Name Yl C` I Phone #
E- MAIL:__ CID YYl t •
Job Address (where the work is being done) bO 1 10F,10-14-
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
luc Emir
State
❑Addition 01 „Alteration ONew
re-rm®ve. 11/6 CIA-. e bc
JAN 2 3 • 2CG3 I
BY: -- -;......
Permit No. 9)09-06
Master Permit No.
Value of Work For this Permit $ / 50 c) Square / Linear Footage Of Work:
eiTzfne # - ) 10 0 4 33 (r) .- go
(O
Phone #
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Phone #
Total Fee Now Due $
Zip
Repair /Replace [Demolition
- 77 t le VftvAi 111v -earl reryiNvfd pri OY r 1 se
************ *****' * ** ** * * **** ** *'fix * *FeesX x &k**** *aYxxxxx* a Y**********xxxx** *** **
Submittal Fee $
Permit Fee $ / fC ) CCF $ V,t►b
Notary $ Training /Education Fee $ 02.0 Technology Fee $
Scanning $ S • Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
C /C
See Reverse side --'
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 n % . e approved and a reinspection, fee will be charged.
Signature ✓`
(Revised 02/08/06)
State
State
Owner or Agent
The fore oing instrument was act owledged be re
day of 200W, by `�W
who is 4ersonally k own to me or who has produced
identification and who did take an oath.
c ef s e,(\ . 4 13 z, ,,N. c,
,• tic
** * * ** * ** * * * * * ** ** * * * * * * * * *** *.
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY
Zip
e this
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
& ///mAi
Miami Shores Village
Building Department
STRUCTURAL CRITIQUE SHEET
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. (J <'"lb
Job Name
Date /120
f " - e 7 ; S z i r i 7 d # L h / 4 0 0 4At. 1' .r. 01 a- A.aeta44,rd
REMOVE TUB IN BATHROOM #1 REMOVE
SINC IN BATHROOM #3
(TOILET, SHOWER, VANITY ALREADY REMOVED
TO OUR PURCHASE)
PEDESTAL
PRIOR
0 47
Passed
Ir,
pec
�l a►s
• r
omments
ke tz VwAlvti. ., ,o to vci
&say c
k./4J
/ SCd
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP - 104913
Permit Number: DEMO -1 -09 -116 I
Inspection Date: July 13, 2009
Inspector: Levrock, James
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
July 13, 2009
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
'9'0
AE�AQ - I-O -)
Permit Type: Demolition
Inspection Type: Final
Work Classification: Plumbing
Phone Number
Parcel Number 1132060135880
Page 1 of 1
REMOVE TUB IN BATHROOM #1 REMOVE
SINC IN BATHROOM #3
(TOILET, SHOWER, VANITY ALREADY
TO OUR PURCHASE)
PEDESTAL
REMOVED
PRIOR
Passed
In e
for C ments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
f. w
fr spection Number: INSP - 104913
Permit Number: DEMO -1- 09-116
Inspection Date: July 13, 2009
Inspector: Levrock, James
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
July 13, 2009
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 Type: Demolition
Inspection Type: Final
Work Classification: Plumbing
Phone Number
Parcel Number 1132060135880
Page 1 of 1
DEMOLITION OF TWO BATHROOMS
Passed `/
Inspector Comments
.
�,
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INSP - 104578
Permit Number: DEMO- 1 -09 -90
Inspection Date: July 13, 2009
Inspector: Bruhn, Norman
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
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
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 1132060135880
July 13, 2009
For Inspections please call: (305)762 - 4949
Page 1 of 1