RC-07-562 Permit No R04-07462
� Miami Shores Village Permit Type: Residontial Constructlon
" 10050 N.E. 2nd Avenue
.•: "'... Miami Shores, FL 3313$ -0000 t WO* Cia53iicatian: Repair
Phone: (305)795 -2204 Pennit' APPROVED
issue Date: 312312007 Expiration: 09/1912007
Project Address Parcel Number Applicant
,_.... ....._......_ ..... .. ........... .
_ .. ............................ ........._................_._,. ...
70 NE 99 Street 1132060131050
Miami Shores Village, FL Block: Lo EVON MULLINS
Lot
Owner.lnformatlon Address _ .
..... ..................... ............. _. ...... ............. _ ...... _. Phone... _ ......... _. Cell
.......................... . ............. . . .......
EVON MULLINS 70 NE 99 ST
MIAMI SHORES FL 33138 -2339
'� .. ..,..wYY ..di :.. Mme... ......atr'-: :::.'.3s • , .::...$ .:1.:. .....c ..._...s"4.5. ..:w..zi".4'. ... ": ,mow.,...,.. �... & ... .......... ».:...>. x a "D" ::......
Contractor(s) Phone Cell Phone _ .... $ 1,000.00
HOME OWNER Valuation:
Total Sq Feet: 47
Approved: In Review
Available Inspections:
Comments:
Date Approved:: In Review
Inspection Type:
Final
Date Denied:
Type of Construction: SOFFIT REPAIRS Occupancy: Single Family
Stories: Exterior:
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted: Yes Certificate Status:
Certificate Date: Additional Info:
Bond Return : Classification: Residential
Fees Due Amount Total Amt Paid Amt Due
CCF $0.60
Education Surcharge $0.20 $ 0.00
Notary Fee $5.00
Permit Fee - Addrdons/Aiterations $100.00 Payment Type: BAR 2 6 2007 I
Scanning Fee $3.00
Technology Fee $2.50 p
Total: $111.30 BY: C-r"' ___ee�_ b ------
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above named contractor to do the work stated
March 23, 2007
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Friday, March 23, 2007 1
g9A:6'
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
�? Phone: (306)795-2204 Fax: (306)756-8972
Inspection Date: 0612212007 Permit Type: Residential Construction
Inspector: Grande, Claudio
Inspection Type: Final
Owner: MULLINS EVON W Classification: Repair
Job Address: 70 99 Street NE
Miami Shores Village, FL Phone Number
Parcel Number 1132060131050
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
REPARING THE FASCIA OF THE PROPERTY SIDE AND
BACK
/eT J U N 2 12001
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Thursday, June 21, 2007 Page 1 of 2
meceipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: RC -3 -07 -562 Owner Address:
Invoice Number: RC -3 -07 -27951 70 NE 99 ST
Applicant: EVON MULLINS MIAMI SHORES, FL 33138
Company Name:
Job Address:
70 99 Street NE
Miami Shores Village, FL
Date Payment Type Check Number. Amount Change
Monday, March 26, 2007
03/26/2007 Check 6210 $111.30 $0.00
Total Payment: $111.30
Page 1 of 1
p Miami Shores Village,
Building BAR 2 `
g _-
10050 N.E2nd Avenue, Miami Shores, Florida 3313$
Tel: (305 795.2204 Fax: (305) 756.8972
BUILDING k-_.
Permit No.
PERMIT APPLICATION W Ck-- Master Permit No.
FBC 2004
Permit Type (circle) Ruildin Electrical Plumbing Mechanical Roofing
fI
Owner's Name (Fee Simple Titleholder) ®�1 m t l + rl S Phone # 3 ,
Owner's Address 9 9 S -Fk EE"]--
City !?� k/A 1S State Zip 3
Jr
TenanvIessee Name /J J Phone #
Job Address (where the work is being done) . q 9 S`-g 67e--T—
city Miami Shores Village County Miami -Dade — zip , .. 3..3 1 e3 f
FOLIO / PARCEL # I 3 aO 6 °' C "" ®,&
Is Building Historically Designated YES NO
Contractor's Company Name 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 #
L� �1 / R
Value of Work For this Permit $ 7 Square / Linear Footage Of Work: (► n e« (
Type of Work: []Addition []Alteration []New a Demolition Re air/Re lace
P P ❑
Describe Work:
Submittal Fee $ Permit Fee $ " '- CCF $ 4 GO CO /CC
Notary $ ---S Training/Education Fee $ t Technology Fee $ 2. JU
Scanning $ ' Radon $ DPBR $ Zoning $
Bond S Code Enforcement S Double Fee S e l�
Structural Review. S Total Fee Now Due!$ . (.-`
See Reverse side–* PAN
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 OWNED- 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 )rust
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 J Signature
Owner or Agent Contractor
The for mg instrument was acknowledged befo this The foregoing instrument was acknowledged before me this j
day __ — _Y, 20Q_l , by day of . 20 by ,
who is rsonall known t
to me or who has o
r du
1� y ced � o is personal known to me or who has
S who r y p roduced
r
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
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APPLICATION APPROVED B �.� ' Plans Examiner
Engineer
Zoning
(Revised 0V08/W
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VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
V
NAME: yo' O� CJ / I1-4/ DATE: - 0 � 0 1_ � 7
ADDRESS: S _3
Do hereby petition the Village of Miami Shores to act as my owl! contradtor 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:th-O 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 conmiercial 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 underyour 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.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial
2. 1 understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at -the time of permit application
Initial M
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 E M
4. I understand that the building official and inspectors are not there to design,
alter or give advice an how to meet code -. only if the structure meets the
minimum code.
Initial E
fe, p
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.
Initial
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 M
7. - I. understated 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 � M
8. I understand that' under state and local laws I can ' not do any Electrical,
Plumbing, Heating, Air & Roof work on my with out first obtaining
the proper permits by licensed contractors.
Initial E M
1
Was acknowledged before me this day o 20
B
_ who was personally known to me or who has
Produced there License or G /C , as identification.
.OWNER ► Vc
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