ACT-09-670Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
248 98 Street 1132060134180
Miami Shores, FL 33138- Block: Lot:
... Owner Information Address Phone CeII
JOHN BERRY MAN III 248 98 Street (305)754 -1423
MIAMI SHORES FL 33138
Contractor(s)
HOME OWNER
Phone
CeII Phone
Approved: Yes
Comments:
Date Approved: 5/1/2009 : Yes
Date Denied:
Type of Work: REPLACE AWNING
Classification: Residential
Code Comments: WHITE AND AQUA:
Code Denied:
Additional Info: COVER REPLACEMENT
Color Approved: Yes: Yes
Code Approved: 4/24/2009: Yes
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$6.00
$50.00
($50.00)
$2.50
$114.30
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.
Authorized Signature: Owner I Applicant / Contractor / Agent
Building Department Copy
May 13, 2009
I -:
Expiration: 11/03/2009
Parcel Number
Valuation:
Total Sq Feet:
Invoice #
ACT -4-09 -34615
ACT -4-09 -34615
Check #: 4704
Total Amt Paid Amt Due
$ 114.30 $ 64.30
$ 114.30 $ 114.30 $ 0.00
Applicant
JOHN BERRY MAN III
May 13, 2009
Date
$ 200.00
0
Available Inspections:
Inspection Type:
Final
1
Ygoct 00,1
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type (circle): Building J Roofing /
Owner's Name (Fee Simple Titleholder) i/vY1 Se /7ii,6-�,,_ Phone # 1,,i6 .. 26q r 7 Z� Y
Owner's Address 2-#c 5 N f" f 0 7 e e
City /1 tad/i4 ( 5 f '9 State 1 --.i.-- Zip g 5 / S
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip . � ( $ g
FOLIO / PARCEL # it ' Z' 0 1 I I ( f 0
Is Building Historically Designated YES NO
Contractor's Company Name t■Q-- 0 IL.,0 )1 'hr Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2211 5) 756.8972
ECEW
APR , 1 9 2,0 09
_r.rs
v �
Type of Work: DAdditioon DAlteration :New
Describe Work: f ef e
Permit No. Act o ` 01b
Master Permit No.
Square / Linear Footage Of Work:
Repair/Replace D Demolition
ca r � ******** **** * **** * ***** ** * * ** * ***** ** ** Fees ** ** ** **** *** ***** ** * ** ** * **** *********** f't
e
Sub ttal Fee $ Permit Fee $ / / d� CCF $ 0 • (1) ( CSC'
Notary $ � // 7 �� • Training/Education Fee $ 0 . a-o Technology Fee $ 2 0
lld
Scanning $ 'O
Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ •
See Reverse 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 A}14IDAVIT: 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 Agl d and a reinspection fee will be charged.
Signature Signature
t
g ure
caner or Agent Contractor
The fo egoin instrument was acknowledged before me this 23 The foregoing instrument was acknowledged before me this
day rf , 200! , by Rill t...00 1Bayryko if , day of , 20 _, by
who is personally known to me or who has produced irThltel who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
51'1'f 0
NOTARY PUBLIC:
Sign:
• Print
My Commissio
APPLICATION APPROVED BY:
(Revised 07/10/07)
As identification and who did take an oath.
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * ******************************************************* ** ** * ** **** **** ** **** * ** * * ** ***
5
L
Plans Examiner
Engineer
0w�W Zoning
CI 49
EC[EIVr ED
2 3 2009
/, OWNER BUILDER DISCLOSURE STATEMENT
° NAME: �f , '/(/t �'/ 7 yi' e&t".. DATE: 1 / 'ZS o f
ADDRESS:. % J - ! 544 � 1 cl - S 3(E
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 requites 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 of 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 viohttion 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.
VILLAGE OF MIAMI SHORES
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this cons tion
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 untand 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.
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 n day of April
Produced there License or DYIYV 1, tc 51 J * - rt
Initial
r
5. I understand that as an owner - builder, that any contractor I : putes 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
6. I understand that if I compensate any person or company foy(vork 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.
Initial
, mpg
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.
By c lQkA LC* Uh who was personally known to me or who has
as identification.
Approved: Yes
Comments:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Planning and Zoning Criteria and Comments
Date Approved: 5/1/2009 : Yes
Issue Date: Not Issued
Permit NO. ACT-4-09-670
Expires:Not issued
Contractor(s) Phone Primary Contractor
HOME OWNER Yes ••
••
••
••
••
••
Folio Number:1132060134180
Owners Name: JOHN BERRY MAN 111 Owners Phone: (305)754-1423
Job Address: 248 98 Street Total Square Feet: 0
Miami Shores, FL 33138
. Total Job Valuation: $ 200.00
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PROPERTY OF: John and Beth
e rr
Not valid .unless embossed
with Surveyor's Seal.
F� DQt - ,.. to[A
.c2 c r
5 -23 -07 Recertified, Cert fied
This prgperty described as:
All of Lot 7 and The West i of
Lot 6, 'plock 31,
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.
248 N.
A BOUNDARY SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board of Land Surveyors pursuant to
Section 472.027, Fla. Statutes. There are
no encroachments, overlaps, easements
appearing on the Plat, other than as
shown hereto.
Fla. Reg. Land Surveyor No .
3-,
To and names revised.
98th Street Miami Shore.
305- 666 -7909
DATE _ sib
Page 1
of 2
331 L A NNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 359 Alcazar Avenue, Coral Cables, Florida 33134
Mailing address: P.O. Box 561131, Miami, Florida 33156
FRANOISCO F. FAJARDO #4767
21
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Certificate of Carne 1ettance
REGISTERED
APPLICATION
CONCERN No.
ISSUED BY
HER {_i 1'_ :i .1 PPODt iCTS, INC.
PO BO.- 435
EMIPS V F PA 17318
CITY CLEVELAND STATE OHIO
Date Work Performed
7/08/08
- -f +0 0._000,0
This is to certify that the materials described on the reverse side hereof have been flame -
retardant treated (or are inherently nonflamable).
FOR TRI VANTAGE; LLC AT 2937 WEST 25th STREET
44113
Certification is hereby made that: (Check "a" or "b ")
(a) The articles described on the reverse side of this Certificate have been treated with a flame -
retardant chemical approved and registered by the State Fire Marshal and that the application
of said chemical was done in conformance with the laws of the State of California and the Rules
•a Regulations of the State Fire Marshal.
• • 4 nge of eheirriiical used Chem. Reg. No
• • •••• • • •
• 'M4tTiod of application
(bb•ThGvirticlviescribed on the reverse side hereof are made from a flame- resistant fabric or
• • •mbrial mistvred and approved by the State Fire Marshal for such use.
• REINFRCD VINYL F -06901
• • • •d ie naci ®'$.flame- resistant fabric or material used Reg. No.
• • •• • WILL NOT
The z me Ordant Process U se d Be Removed By Washing
' •••• • •• (will or will not)
• • • •
•••• • • •
PE ,i.,,L,i siffi. , B Y STEPHANIE MUMMER T, 0 C MANAGER
Name of Production Superintendent Title
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aTAT.IDE TATItTIkr). 1).0 ATItT TJ MT):1TI�T7_�T?tlICT7 U�T1,tT1 ,JLT7 TA 1: [7(jJtT7tT1C11�11�TnT)�11�(Tl„ ..11.t. ;T) fJ T1, .1)LT1tl AP: E
We hereby certify this to be a true copy of the original " CERTIFICATE OF FLAME RESISTANCE" issued to us,
"original copy" of which has been filed with the California State Fire Marshal.
TRI VANTAGE, LLC
5. 1 0 0 y D
Control/ lot # Quantity
WE3LON CP2774 -62 ISLAND
Customer order # Description
P 857274
Td Vantage, LLC Invoice # Product Code
, ,a
By ,