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BP-04-1666Type Insp'n f� C 1-we, Permit No. lo ^ /66 Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 3 305- 795 -2204 Building Inspection Request Date \ 7 Jt4 y Company Phone # Inspection Date \.\69 5 Approved Correction ❑ Re -Insp' n Fee ❑ Company Phone # Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date ®7./ Type Insp'n 100 / Permit No. 181 e) (4 - I Name C -==Address +� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/4/2005 Applicant: ANNE MCCOY Owner: MCCOY ANNE JOB ADDRESS: 325 NE 96 ST Contractor DILBERT CONSTRUCTION Local Phone: 786/256 -6434 Parcel # 1132060135890 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1666 Contractor's Address: 151 NW 154 ST Page 1 of 2 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 43 LOT SIZE Fees: Description Amount FEE2005 -43 Building Fee $150.00 FEE2005 -45 Notary Fee $5.00 FEE2005 -47 Technology Fee $3.75 FEE2005 -48 Scanning Fee $15.00 FEE2005 -49 Structural Fee $50.00 FEE2005 -50 Structural Fee $25.00 FEE2005 -51 Builders Bond $300.00 FEE2005 -52 Submittal Fee ($100.00) FEE2005 -53 CCF $1.80 FEE2005 -54 Training and Education Fee $0.60 Total Fees: $451.15 Total Fees: $451.15 Total Receipts: $0.00 RO C__ Permit Status: APPROVED Permit Expiration: 6/18/2005 Construction Value: $2,500.00 ,P. 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 8/15/2006 To: Current Owner 325 NE 96 Street Miami Shores Village, FL 33138- Permit: BP2004 -1666 Address:325 NE 96 Street Miami Shores Village FL33138- Date Expired: 10/5/2005 Dear Sir or Madam Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Mabel Vargas Administrative Assistant t 44 ,R'eviw cytLei ail 0 ryLviazi • OWNER BUILDER DISCLOSURE .STATEMENT I J1C lAC being the legal property owner, for the property irr 1 K 9 gl Located at 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),,,gnd I have read and understand the following disclosure Statement, which entitles me tc? Mork 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 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 constl uction yourself. You may build or improve a one- family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct FJ.C.A. and with - holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Tile foregoing instrument cicnowledged before me this 3) day of /4.&-_, 20 !2 o is personally known to me r who has used • • • as iden• cation an who did take an oath.' • t , VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT Qommi n X3 23 0 Expire's:% , . , 26„200$ , ' "t1 Atlantic PnAsta Co., Inc. Miami Shores Village Building Department re i ra l'e rcirr y ( x4 - `e'®a ., co, vim, ) ✓2 Veriial 4- wall i be .fie/ in le4 t)IH 141464 bePkter44. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. o4- 16‘ 6 Job Name M 4. C'L/ 2 5 NE 96 5/ r STRUCTURAL CRITIQUE SHEET 12/3Z iz / / e4- ✓ /1 rU !4 &/ in 5.id 4 /2, 6 e " 4' "TIM, ak. 44 L peed' Miami Shores Village Aratuo r P/Z; kea Building Department Permit No, fi — /t66 Job Name BUILDING CRITIQUE SHEET / G Dm 49-LA 1a1 7\05 10050 N.E.2nd Avenue Miami Shores, Florida 33I38 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 756-8972 RECEIPT 1 1, U I N1 MCc contractor /owe, picked up 2 sets of plans for (address) 32G N E SIB from the Building and Zoning Department on (date) l to have actions done to plans and/or get County stamps. I understand that the plans need to be brought back to Miami Shores Bwlding and Zoning to contimm die permitting prods. 111J4= 1J aJ.i■t 1U, D1Vl.A 'tJ AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. ' 5' ct- .-lie f/Q a (we/ )1 L_ // Ei5' 0 Cl M ' oo'c�c. tir /7/ i ao.00 27 0 .itt afar Al n • T %, / J c / 2 5D AP//I7 .2o4/ 06 66 woos ,a c• d / 0O/'.� 5PI 1 L.T eoQ • 1 P • 1`1 (4/ • o • o •� come s5 e) v ' ,Q ON w Waco .STEP itgkicyj el/ ' . • /00.00: • 64., •• • /S -9 •• • p' 600 • kQ25' C'L ON 7e 0 Q 0 60 c 42.7d. s_• , ' • •CL i_ 4 7 / ON A4 4P. ,D) 0 wcArnoi4 J-MA4= QJ1% 1V, D.LV�.I\ YJ AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. O o , c (c )a! • ift; N Q A /Z/4 fickuird N S' 0 /road 04 /C. Pc b zc v /. / A .PNILT Ro•4D • Iao.o' 270 // 90' r 0 J.O S7' '', 7 X L'QiD' cats A Rte= / +�A/c / �,c'vc =ca W w {/x/000 sTFia 1, 4 . LfioLdc • C:). ice , 4 4F7 - /SP 4(4.T .eaa 52'0=1 Ic GG/.•E �E c. I d Y 01/ _ 0 16 /00 CM 412 967" ST F.'./L L,/e/u. '0i Nt- 0 , /5 • 4. •,l4 400 2 . o(/O'/D) 0,25 CZ `� ` Gf//G) Q �P �v" 24=11 / 0 0. s o 0', A(4,/o10) L OO T /ON MAP. (A/.T- S) 0 Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) City 1 `Pti t S State f-kDA Contractor's Company Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 50 0 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AI LB6V -1* J Plumbing Permit No. f aic ( -t 1 1 � 4 G ster Permit No. Permit Type (circle): Building Electrical � ,� Mechanical Roofing �► � 11 CC o Phone # (30'6 37,-W-00 � Owner's Address �fC ( l b zip 331 Tenant/Lessee Name Phone # Job Address (where the work is being done) 3Z5 4Q 16 Si City Miami Shores Village County Miami -Dade Zip 3 5 f 3 , Is Building Historically Designated YES NO Phone # -Z o . '" Contractor's AcWess /37 Am) �� /� d ,3? L/ Q City ,r /. `�au,� ��_1s! ' . State Zip tJ Qualifier State Certificate or Registration No. Certificate of Competency No. Phone # Square Footage Of Work: 10 S Type of Work: DAddition DAlteration ['New ❑ Repair/Replf.ce El Demolition Describe Work: VICIL 1F 1' " \) ui a (G 0...1 1_ _ * * * * * **** *****************F / bmittal Fee $ d Permit Fee $ ......... CCF $ 80 CO /CC Notary $ 5. -- Training/Education Fee $ © r 6 Technology Fee $ 3,75 Scanning $ 15" Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 50 X23 _ i75;60 Total Fee Now Due $ 4 1 X 10® Ck a lso (Continued on opposite side) �/ 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 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 • - r wir • ho is personally known to It 1 �«f1"_ ` , . . 1;11111 . Signature Signature Contractor '. G1 V1 Ate. 1 The foregoing instrument w ac . wledged before me this d Th- foregoing instrument was acknowledged before me this day NOTAR Sign: 1 �r1 t �' ,./ Sign: --. .. /�ewa aiW at ` i,. --a F i { 1 T " life? 4. Thru 87; Print: My Commission Expires: �� `� F 1 2008 My Commission Expires: ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** *** **** *** ***** ** ***** ** ** * * * ** * * * * * * * ** * ** * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 -t_- day of ,20 me r who has produced who is personally known to me or who has produced entification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: .,9,4Z Wac d-/D-3/47 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/4/2005 Applicant: ANNE MCCOY Owner: MCCOY ANNE JOB ADDRESS: 325 NE 96 ST Contractor Local Phone: Parcel # 1132060135890 Electrical Permit Permit Number: EL2004 -372 Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 15 & 16 BLK 43 LOT SIZE Fees: Description Amount FEE2005 -61 Building Fee $150.00 FEE2005 -62 CCF $0.60 FEE2005-64 Notary Fee $5.00 FEE2005 - Training and Education Fee $0.20 FEE2005 -67 Technology Fee $3.75 Total Fees: $159.55 Total Fees: $159.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/28/2005 Construction Value: $1,000.00 Work: ELECTRIC FOR FOUNTAIN - MASTER BP2004 -1666 Signed: (INSPECTOR) Page 1 of 1 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 'JAN 0 5 PAID BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) V City r Anti S1 "S state FL Tenant/Lessee Name City S Value of Work For this Permit I A Total Fee Now Due $ (Continued on opposite side) Mia Buil 10050 N.E.2 Tel: (3 State Owner's Address 32 N e Job Address (where the work is being done) 32' E 'Ito ST City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO$ Type of Work: ['Addition ❑Alteration ❑New Describe Work: Submittal Fee $ Permit Fee $ Ire • 4°T Notary $ 6 Training/Education Fee $ 0 - ZZO Scanning $ Radon $ Zoning Village ent orida 33138 8972 Plumbing Permit No. ' 0 (4 37;2 Master Permit OP 04— WC Zip ;;156 Phone # Contractor's Company Name Phone # /'r tea, lam" ************ ***** ** **** ** *** Fees ******* ***** * *****a** ********* Code Enforcement $ Structural Plan Review. $ Mechanical Roofing zip 33Ig Contractor's Address Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # (e /!!) Square Footage Of Work: ❑ Repair/Replace k 305 .151-.2- -Z0 ❑ Demolition CCF $ 0 CO /CC Technology Fee $ 5 . G Bond $ Bonding Company's Name (if applicable) Bonding Company's Address a. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. gent owledged before me this fA Signature The foregoing insirum .a .t.L...- _i , day of , 20 by II ----who personally known to me w . produced �_`` — °` identification and who did take an oath as identification and who did take an oath. NOTARY P Sign: P ' lairei e` ? , Y,''o' A '' , , i Ginn H. Gonell Print: Commission #DD323870 My Commission Expires: ��� ' *= Commission May 26, 2008 My Comssion Expires: o w• t oe; ** * ** *,t, *** ** * * * * *** * * *** **** **rr,+r,t,4s ► i i t it% : fir , * e************* e* aa*ia*** sit *** ** **:Ett *** ***e,t ** * * **it** ************ * * *** * * * * * * * * * * * ** * * * * * * * * * * * ** *aka APPLICATION APPROVED BY• Chc 05/13/03 Signature Contractor O The foregoing instrument was acknowledged before me this who is personally known to me or who has produced NOTARY PUBLIC: Sign: ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 7 /$'of- --1 Plans Examiner Engineer Zoning . OWNER BUILDER DISCLOSURE .STATEMENT I CS1M MCC 0 being the legal property owner, for the property Located at 32S IvF i 10 si;teg 33 L6 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),,.nd I have read and understand the following disclosure Statement, which entitles me ta' atrbrk as my own contractor, I further understand that I as the owner roust appear in person to complete all applications. 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. 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 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 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 - 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 ( ) Was acknowledged before me this 5 day o 2003 By Produced VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STATEMENT initial of reviewing clerk. The foregoing instrument who is personally known to me or who has as identifica who did take an oath. w 11111111V ,„ Mabel V ► • Commission #0023198 °= Expires: Jul 13,200 o Bonded Thru tic Bonding Co., l A Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/4/2005 Applicant: ANNE MCCOY Owner: MCCOY ANNE JOB ADDRESS: 325 NE 96 ST Contractor Local Phone: Parcel # 1132060135890 Permit Status: APPROVED Permit Expiration: 6/28/2005 Construction Value: $1,000.00 Work: PLUMBING FOR FOUNTAIN - MASTER PERMIT BP2004 -1666 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2004 -373 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 43 LOT SIZE Fees: Description Amount FEE2005 -56 CCF $0.60 FEE2005 -57 Notary Fee $5.00 FEE2005 -58 Technology Fee $3.75 FEE2005 -59 Training and Education Fee $0.20 FEE2005 -60 Building Fee $120.00 Total Fees: $129.55 Total Fees: $129.55 Total Receipts: $0.00 cc 1010 5 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Tenant/Lessee Name Total Fee Now Due $ (Continued on opposite side) BiTILDING PERMIT APPLICATI FBC 2001 Permit Type (circle): Building Electrical Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ECIEIVED NEC - 9 2004 Plumbing Owner's Name (Fee Simple Titleholder) ' I MCC- ✓T "C�l: Owner's Address ? jZ j %Z. l City t (\ Kt 116 State Type of Work: ['Addition - ❑Alteration ['New Permit No. r. 0 " 5 Master Permit No. 3PO41 / Phone # Zip 7 j 3C g • Phone # Job Address (where the work is being done) '25 OE q,0 5I • City Miami Shores Village County Miami - Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Phone # Mechanical Booting c's• - 154- Z-vi $ Value of Work For this Permit 1y 0 0 0 • Square Footage Of Work: 0 Repair/Replace 0 Demolition Describe Work: * * * * ** * ** ** * * * ** ** * * * ** * *,*** * ** * ** ********** * ** * * **** * *,*** __ Submittal Fee $......„:"----- Permit Fee $ /46 CCF $ P 0 � CO /CC Notary $ Training/Education Fee $ 0 - Technology Fee $ 3 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip f • 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. 1 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 Agent Contractor The foregoing instrum was : cknowledged before me this h The foregoing instrument was acknowledged before me t is_ da , �.i t � t % -../ Z ( A-4_ . ,..,„ day , of , 20 by or who has produced o r who is personally known to me or who has produced mss____ As identification and who did take an oath. as identification and who did take an oath. • NOTARY PUBLIC: r ,��i a■ Sign: inns IJ�onell - °� = C4111°1151° D ; .' ' Expir M y l 6; " � .' °'ssion Expires: boa. p,,.,,7 � 3 8 7 � ! ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a� * * ***iif4leM* *. *** /ttlentlC es: BOIIaltlg 1:0 lilC. ***** * * ** * * * * * * * * * * * * * * * * * * * * * * ** * ** NOTARY P I Sign Print: Commission Exp es: * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Chc 05/13/03 Signature ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 0 0 Plans Examiner Engineer Zoning Proof of ownership provided ( ) Was acknowledged before me this By Produced im 0a009 Kncc� VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I q11 '1 o being the legal property owner, for the property Located at: 3zS tvF 9 - ti`1V 1 � E 33 ,35 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),.;nd I have read and understand the following disclosure Statement, which entitles me to''Work as my own contractor, I further understand that I as the owner roust appear in person to complete all applications. DISCLOSURE STATEMENT 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. t 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 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 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- 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. _ initial of reviewing clerk. Tlie foregoing instrument day o, 2005 who is personally known to me or who has Mabel Var_ e'er : Commission #DD23198 *= Expires: Jul 13,200 Bonded Tiro tic Bonding Co.,1 as identifica who did take an oath.