PT-09-1593Inspection Number: INSP - 125692 Permit Number: PT -9 -09 -1593
Scheduled Inspection Date: July 02, 2010
Inspector: Bruhn, Norman
Owner: BRUCE, JON TYLER
Job Address: 1113 NE 98 Street
Project: <NONE>
Contractor: OWNER
Building Department Comments
Paint Exterior
Passed ‘4/, Df 0
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
C C
July 01, 2010
Miami Shores, FL
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: Paint
Inspection Type: Final
Work Classification: New
Phone Number (352)212 -9562
Parcel Number 1132050180260
Page 1 of 14
Scheduled Inspection Date: July 02, 2010
Inspector: Bruhn, Norman
Owner: BRUCE, JON TYLER
Job Address: 1113 NE 98 Street
Miami Shores, FL
Project <NONE>
Contractor: OWNER
Building Department Comments
July 01, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 125692 Permit Number: PT -9 -09 -1593
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number (352)212 -9562
Parcel Number 1132050180260
Paint Exterior
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 1 of 14
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
1113 98 Street
Miami Shores, FL
1132050180260
Block: Lot:
JON TYLER BRUCE
JON TYLER BRUCE
Fees Due
CCF
Education Surcharge
Permit Fee
Total:
Amount
$1.20
$0.40
$60.00
$61.60
Building Department Copy
Address
FL
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
(352)212 -9562
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: Approved
Color: _Approved_
Code Comments: BEHR - WALLS, FLOWER BINS, G
Color: _Denied
Invoice #
PT - 9 - 09 - 35991
Total Amt Paid Amt Due
$ 61.60 $ 61.60 $ 0.00
Valuation:
Total Sq Feet:
$ 1,864.49
0
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.
October 01, 2009
Date
Cell
For Inspections please call:
(305)762-4949
Available Inspections:
Inspection Type:
Final
1
October 01, 2009 1
`fah (305) 795.2204 dada (305) 756.8972 .•�
BUILDING Permit No. ,A
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder ►'J Z -N 1< I M y # 3 Ru Phone # 3 s a- 'PAZ
Owner's Address ///3 JO 6 T S-� J
City MA k & S State FL Zip 33) 3 a
Tenant/Lessee Name
E -MAIL: k \w‘,MV C.CA AL) Vex S
Qa d �n►�
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company
Contractor's Address / 16b '5AW
City _. $
Qualifier Name
OWNER BUILDER:
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
41/3 iu ' 58f St
County Miami -Dade
Lb
NO
Phone #
E W SEo
Zip
P
3 33
NltQli.t I
1S6 a_
State Cerf - ate or Registration No. C.C# 216 - A. Certificate of Competency No.
Value of Work For this Permit $ /' , 1i Type of Work: ❑ Addition / ❑ Alteration / ['New / ❑ Repair/Replace
Describe Work: PIVO*JT OC 2to(- Of I -louse
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
"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 $2500, the applicant must promise in good faith that a copy of the
notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice
of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
a4* aQa4a' aaYaeaesedade**** *eYaYstx a6a' e8ca'e8caY3c$aa'zaSrs4dadr9aa4d ***Feesde$as' **** aYx aYa4de9edaeYde*9e*9osesYa4 ******* *aYaY4adcdz$aa4a49ca' ***
Permit Fee $ 6--(9 CCF $ I/Q Technology Fee: o
Training/Education Fee $ • rU Notary $ Code Enforcement $
Double Fee $ Zoning $ C� Total Fee Now Due $ 6 /
See Reverse side -+
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
Directions: Please circle corresponding number to appropriate color sample.
Signature
The fo
day of
who is
Walls:: 2 3 4
Fascia: 3 4
3 4
3 4
Roof: 1 2 3 4
Flower Bins: 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors and Door Jams: 1 2 0 4
Garage Doors: 9 2 3 4
Railings: 1 2 3 4
Fences: _ 1 2 3 4
Drip Cap/Drip Edge:
Soffit: 1
All brick (simulated or regular):
Stucco Banding: 1
Any other Stucco Features:
Accessory Buildings
- l oin l instrument was acknowledged before me thi
.;a
NOTA
Sign:
Print:
My Commission E
Ilv
'Owner or Agent
own to me or who has pro
APPLICATION APPROVED BY:
,by 101
2
3 4
3
Other:
Gj
Attach color samples with name and
number.
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.
Signature
Contractor
The foregoing instrument was acknowledged before me this
, day of , 20 , by
who is personally known to me or who has produced
identification and who did oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
1 Body: Fox Hill ECC -42 -1M
2 Trim: Cotton Ridge ECC -42 -2u
3 Accent: Deep Cherrywood ECC -42 -3°
Plans Examiner
Preservation Board
11 -A-• 1 1; 1 Code Enforcement
2
3
* * * * * * * ** * ** ****** ;!: * * fir ****** * * * **** * ****** * *** *** * ** sir***** sir ** ***** ** ************* * **** ***
(Revised 04/24/07)
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.
Produced there License or - FL L7L 2- 'i`''l
r) '
oeoeiiQ f
Initial
Initial
5. 1 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 halve 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
kiss 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.
Was acknowledged before me this 2- f 1 day of , 2 0 6 /
By br-1 iSticLch. was personally known to me or who has
as identification.
VILLAGE OF MIAMI SI!O:RES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: a A 62cecE DATE: 9A28/C)7
ADDRESS: /7/3 AJC t� � Al move t skOcLes
Do hereby petition the Village of Miami Shores to act as myown contractor pursuant to the laws
of the State of Florida, RS 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 z}llows 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 relidbnce. 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 attd 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 sate or lease, which is a violation Of this exemption. You may not hire
an unlicensed person as k contractor. It is your responsibility to make sure the people employed
by you hav ®licenses required by state law.an.d by county or municipal licensing ordinances. Any
person working on your building who is not licensed tryst work under your supervision and must
be employed by you, which means that you must deduct F.LC.A and with holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction , •
must comply with all applioable 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
Myself.
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. 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 ��
33