540 NE 96 St (17)Issue Date: 5/10/2006
Owner's Name: DANIEL WEINGRAD
Permit Type: Windows /Shutters
Work Classification: Window /Door Replacement
Job Address: 540 96 Street NE
Comments:
REPLACEMENT OF EXISTING WINDOWS
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: 11/04/2006
Contractor(s) Phone
HI- RELIANCE CORP (305)631 -6995
Primary Contractor
Yes
Type of Work: IMPACT WINDOWS No of Openings: 31
Additional Info:
Classification: Residential
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.
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: WS -5 -06 -1190
Phone: (305)751 -8583
1132060140690
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 13,000.00
Required Inspections
Window Door Attachment
Shutter Attachment
Final Shutters
Final
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$7.80
$2.60
$410.00
$12.00
$10.25
$442.65
Invoice Number
WS - 5 - 06 - 24775
Total:
Amt Due
$442.65
`S7 b
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
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIONS \UC 7 0116
FBC 2004
Tenant/Lessee Name
Job Address (where the work is being done) .21 0 N E 9 (
E@MgW9
Master Permit No.
BY:__ / 10)1
Permit Type (circle): P uildin: fJ Electrical Plumbing
Owner's Name (Fee Simple Titleholder) G1 e 1 �� 1? e Phone # 3 0'' 7fj / 57
Owner's Address c 7 0 1 t ?(P , W Sky ( �,/
Cit},1.&Vyl,t. $ State t.. Zip 3 3 1 3 Z5
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name e) W G
Contractor's Address
Type of Work:
Describe Work:
Submittal Fee $
Notary $
Scanning $
Bond $
3 (lam'
City
Qualifier Name
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ /3, D 0
Structural Review. $
['Addition ['Alteration INew
( tfpad - m/ /✓t di) IA )
S
Training/Education Fee $
NO
Phone #
S-f
Permit No.
Zip
Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
;;irRePltifAReP
Total Fee Now Due $
See Reverse side -
Mechanical Roofing
"3 3 3
Phone # 3o5- 3O5-75! - 5-o 3
State Zip
Phone #
❑ Demolition
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** , F * * * * * * * * * * * * * * ** * * * * * * * * * * * * * **
Permit Fee $ i4-. CCF $ CO /CC
Technology Fee $
Radon $ DPBR $ Zoning $
Code Enforcement $ Double Fee $
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 T() 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
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this
day of 40 , 20 01 , by ' ___Lheloa Wein ytad , day of , 20 , by ,
who is personally known to me or who has produced f7 P' /lve /ISl (Cwho is personally known to me or who has produced
w rs
SZ U As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
.►-j'�� ONtCA�S� pp 493g
:::r 'gip••, MY CO , pctobe ;ee
LL'LtiS.'J•�lL� f; ,r 1FES Pub(uUn
4: o :4: Boded
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
•
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
4. I' understand that the building official
alter or give advice on how to meet
minimum code.
Initial
Do hereby petition the Village of Miami. Shores to act as my own contractor pursuant to the laws
ofthe State of Florida, F.S 4$9.1.03(7). And Ihave read and understood the following disclosure
statement, which entitles nie 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 yolk 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.thatyou must deduct F.I.C.A and withholdings 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
�VU
2. I understand that as ari owner - builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial k /i
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 EW
and inspectors are not there to design,
code —. only if the structure meets the
Initial E A
[ 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 E//(/
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
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.
Initial' kW
I. understand that under state and local laws I can not do any Electrical,
Plumbing, Heatin:g, Air & Roof work on my property with out first .obtaining
the proper permits by licensed contractors.
Was acknowledged before me this IF day of AI oT , 20 6‘
BY " ill Vokgrac who was personally known to me or who has
Produced there License or (' . 'uj"S.L. (M52,403.34/ $82b
as identification.
MONI A USSETH
MY COMMISSION # DD 48
s EXPIRES: October 20, 2009
Bonded Thar Notary Public Underwriters
Initial
Miami Shores v inage isuliaing veparimem
Owner's Name (Fee Simple Titleholder)seapid outd E I Wei r+ . Phone # 305 - 7,6 ! -g5
Owner's Address dJ 1 {'D iv E Q to cS� --�� J
City t&Iw1r►'► State 'FL Zip 3 1 3rd
Tenant/Lessee Name Phone #
Job Address (of where the work is being done) 6 )v G Q �
Cit .11Xrn Sko(eS
Change of Contractor
Permit No. VA 0C — 1 9
County fl Zip 3'3)35
Legal Description
Contractor's Company Name i� Phone #
Contractor's Address
City �r v l State Zip
Qualifier
Wirt do tALS
Describe Work:
I net.ct a I
I hereby certify that the work has been abandoned and /or the contractor is unable or
unwilling to complete the contract. I hold the Building Official and the Village of Miami
Shores harmless from all legal involvement.
NOTARY P
Sign:
Print:
Signature
Owner or A:int
The foregoing instrument was acknowledged before me this 4
this vii /
�-� �
day of personally f , 20 by frl 1�'G! " l l� VCt(1
who is known to me or who has produced r•Ilwaf`iU( •
23340
10 As identification and who did take an oa
Signature
day of
My Commission Expires:
Rev. 09/19/03)
Contractor
The foregoing instrument was acknowledged before me
,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:
TheFinal inspection done on 7/10/06 was revoked because
of the Illegal Licensed Contractor.
Permit was reissued to Homeowner with a Change of
Contractor's form on 8/18/06. Finall inspection was
approved on new permit on 8/21/05 CG.
Passed
t::5
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -16724
Permit Number: WS -5 -06 -1190
Inspection Date: 08/21/2006
Inspector: Grande, Claudio
Owner: WEINGRAD, DANIEL
Job Address: 540 96 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Thursday, August 31, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Windows /Shutters
Inspection Type: Final
Work Classification: Window /Door Replacement
Block:
Phone Number (305)751 -8583
Parcel Number 1132060140690
Lot:
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