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PT-09-1859 w yi Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129013 Permit Number: PT -11 -09 -1859 Scheduled Inspection Date: April 26, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: PEREZ, SARA Work Classification: New Job Address: 188 NW 98 Street Miami Shores, FL 33150- Phone Number Parcel Number 113101026002 Project: <NONE> Contractor: Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 23, 2010 For Inspections please call: (305)762 -4949 Page 4 of 27 110 5CAra�t Miami Shores Village g Building Department 10050 N.E2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2209 Fax: (305) 756.8972 BUILDING Permit N © - o PERMIT APPLICATION Master Permit N o. FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) � E�E�Z'S�' Phone # ��� Z �►-1 ZZ,.C��- Owner's Address 1 Q22j 1.1W City (A iA% } State V-L— Zip 3 31 , 50 Tenant /Lessee Name Phone # E- MAIL:--- - -- P-S - L GO M Job Address (where the work is being done) City MiamiShores Villa <ge"' County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name.__ 0 VJt$, -- Phone # Contractor's Address City__ State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. OWNER BUILDER: Value of Work For this Permit $ Type of Work: Addition / ❑ Alteration / ❑Newt 0 /Replace Describe Work: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify thatno work or installation has commenced prior to die issuance of a permit and that all work will be perforated to meet the standards of all laws regulating construction in this jurisdiction. I understand thai# ' ` to perntit must he secured t2tr E1.1-VTRIC'Al. WORK. Pt.UMBING, SKINS, WEIA.S_ POOL.(), FURNACES, BOILERS. HEATERS, TANKS and AIR L'O NOTIONiHRS, ETC..... "WARNING 7'O OWNER: YOUR FAl1 URF. 7'O RECORD A NOTICE OF COMMENCEMENT MAY l'1l.T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF VOU IN'T'END TO ORTAIPI FINANCING, CONSU T WITH Y>t3ltlt E.ENIlER_.CIR AN ATTORNEY BEFUIi[ RECORDING YOUR NOTICE OF COMMENCEMENT." Notice io applicant: .1.e a condition to the issriance qfa building permit with an estimated value exc�eedhrk JU applicant mtnt pratnise ingrxad.faiih that a crgn rll'tlx, notice ofcommencement and construction lien law brochure will be delivered to the person whose property iksdhjecl to attache nt. Also. acar /ified cc Y of the recorded notice of commencement must he posted of the job site for the inspection which occurs seven (7) days after the building permit is issued. in the absence of such trusted notice. the inspection will not be approved and a reinspeetion will be charged. Permit Fee $ CCF $ Technology Fee: Training /Education Fee $ Notary $ Code Enfgrc{�nent Double Fee $ ' Zoning $ Total Fee Plow Due - 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. Walls: I 2 ' 4 Attach color samples with name and Fascia: 1 2 3 4 number. Drip Cap /Drip Edge: 1 3 4 Sol it -- 1 C ' 4 Root 1 2 3 4 -- -- Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 J Awnings I 2 3 4 2 Chimney: 1 2 3 4 Doors and Door Jams: 1 3 4 SW 6163 Grassland Garage Doors: I 2 3 4 Railings: 1 2 3 4 Fences:' 1 2 3 4.... All brick (simulated or regular 1 2 3 4 - Stucco Banding: I 2 3 4 Any other Stucco Features: I 2 3 4 4 Accessory Buildings Other: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complian a with all applicable laws regulating construction and zoning. X Signature Signature -9— Owner or Agent Contractor The foregoing i strument was acknowledged bet' re me thi The foregoing instrument was acknowledged before me this_ . day of W V .2(0q. by (C 'V (C _ S Y , of . 20 _ by who is erson<d� known to has produced L n 1 _ who is personally known to me or who hits produced — 3 6 As is n, t take an o as identification and who did take an oath. NOTARY 16LIC• NOTARY PUBLIC: Sign: Sign: Print: _ _ Print: 7 My Commission Expires: �7 My Commission Expires: �7 ��* r�*, ����** �*, r, t* ��:** �������• �• x*, �����* ���, t��, ��r, �• a�a* ��x* x* x��x* �* �******* ���* s�: r*** �r* �* * * *xa * * * � APPLICATION APPROVED BY: Plans .Examiner Preservation Board Cade Enkrcement (Revised 04/24/( )', i 5 Miami Shores Village Paw gm 10050 N.E. 2nd Avenue Y UP Miami Shores, FL 33138-0000 M 011 46" 9 0 �, l Phone: (305)795 -2204 n rh y " , Expiration: 06112J201 Project Address Parcel Number Applicant 188 98 Street 1131010260020 Miami Shores, FL 33150 Block: Lot: SARA PEREZ Owner Information Address Phone Coil SARA PEREZ 188 98 Street MIAMI SHORES FL 33150 - Contractor(s) Phone Cell Phone Valuation: $ 0.00 _.. -_ _. _... _....... Total Sq Feet: 0 Type of Work: For Inspections please call: Color: (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color. Approved Code Comments: SHERWIN WILLIAMS - WALLS - G Final Color Approved_ Color: _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due Notary Fee $5.00 PT -11 -09 -36379 $ 68.00 $ 68.00 Permit Fee $60.00 $ �'�� Scanning Fee $3.00 Check #: 347 Total: $68.00 11 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 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 November 13, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 13, 2009 1 r Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 , °^ Phone: (305)795 -2204 Expiration: 0511 Project Address Parcel Number Applicant 188 98 Street 1131010260020 Miami Shores, FL 33150- Block: Lot SARA PEREZ Owner Information Address Phone cell SARA PEREZ 188 98 Street MIAMI SHORES FL 33150 - Contractor(s) Phone Cell Phone Valuation: $ 0.00 Total Sq Feet: 0 Type of Work: For Inspections please call: Color (305)762 -4949 Additional Info: Available Inspections: Classification: Residential Inspection Type: Color: Approved Code Comments: SHERWIN WILLIAMS - WALLS - G Final Color: Approved_ Color. _Denied Fees Due Amount Invoice # Total Amt Paid Amt Due Notary Fee $5.00 PT-1 1 -0 $ 68.00 $ 68.00 Permit Fee $60.00 $ �'�� Scanning Fee $3 .00 Check #: 347 Total: $68.00 Applicant Copy For Inspections, Call (305) 795 -2204. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found In GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. November 13, 2009 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 129172 Permit Number: DEMO -11 -09 -1870 Scheduled Inspection Date: April 26, 2010 Permit Type: Demolition Inspector: Bruhn, Norman Inspection Type: Final Owner: MAJOROS, PAUL & MILDRED Work Classification: Building Job Address: 601 GRAND CONCOURSE Miami Shores, FL Phone Number Parcel Number 1132060172140 Project: <NONE> Contractor: HOME OWNER Building Department Comments REMOVE APROX 638 SQ FT OF EXISTING ASPHALT DRIVEWAY AND REPLACE WITH SOD (PLANS ATTACHED) Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 23, 2010 For Inspections please call: (305)762 -4949 Page 5 of 27 a JL + ^� JL _ ,e Asphalt Driveway- proposed Demolition 1 f 601 Grand Concourse Existing Asphalt to be Demolished and Replaced with Sod j Wll Atha to be Dem-oligbed: 638 square feet L����r����r�r�'��r��wrrl u i of 2 got l �T- 3 � r# rte? s dJ �� 9 ;;' � 1 �i r ,' • � ; 1 • I �,',�.�{ p._..�f7'u� -.' -. N _ t z T - { a, ti =: a ti ► ,�, This property described as: Lot West 20.00 feet of Lot 14, V 4 SlD k : : i3? . , .L1� :MITI SHORES SCI ' , according to the Plat r.,. �'< t thereof, as recorded in P. Plat Book 15, Page 14 �l Ae r � ' •� of the Public Records of Mh9�ti -- Dade County, Florida. a s` r 0.1 f qt s 601 Grand Concourse, Mia Shores, Florida oPf�' x ' . 3313 r r _ wr vAt.ta w rrmnrr A BOUNDARY ♦ivo teacrsardt xaks> t.pr I hereby certify tism the movey mpre. I..#NNES AND (;AIR IA. INC. - 0 MAM a ax seined boom mean the +ter+ num { L.I3. # IM t teems stndit * set kw* the soard ltjltlt 'F.YOKS- MAPi'EIt."i -!:Y31 !'L»4YlNt:tLS p a r � Ca ' of Low 3ae`eyrses in 4tGi7 -f a 4 ., t to o h 472 There�ewo FRANCISCO F. F�i.TARDO #4767 -.w- am V the PLK Q#w 11M ffi addrm 'lorida 33134 Ct' g { tawr r�YCatM, l •ur el Gabim E 1 6 W 79 " 7Yi.! JL�OYV.i D ATE SCALE i DRAWN H Y D RWG. NO /Z.:.. ! 122549 -2 - Recent ed, ertifie To, Name an Flood n is ev r E01V 1 sy. ----- A i fi f 'F T Miami Shores Viil ic g APPROVED BY DA 8 ZONING DEPT [! BLDG DEPT /l /6oF SUBJECT TO COMPLIANCE WITH ALL F C'E4L STATE AND COUNTY RULES AND 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. 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 W attorney. The department will not mitigate any contraef disputes. Initial 6. I understand that if I compensate any person or company for work 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. ?. I and i atad that if any person gets injured on my construction projset —they are entitled to workmen's compensation: • Anil lk they do not posses a workmen's policy I could be held liable for all doctor and related cost which co d include Was of wages during recovery from injury. Initial 8. T understand . that under state and looal 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. Initial Was .acknowledged before me this day of , 20 0 "1 B who was personally known to me or who has Produce a License of lentification. t OWNER Y V ILLA GE OF MIAMI syo:REs 0 WNER BUILDER DISCI.LOSUM TATEMENT NAME: - .DATE: ADDRESS: 6 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 484.103(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 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 youra4(f. You may build or improve a one - family or two- family residbnce. You may also build or improve a oommercial building at a cost of $23,000.00 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 sale or lease, which is a viollition of this exemptien. You ctiay not hire an unlicensed person as a contractor. It is your responsibility to mike sure the people employed by you hsv ®lleenses required by state law•add by county or muaipipal licensing ordinances. Any person working on your building who Is not licensed rttgst 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' Rompensation fbr that employee, all w prescribed bylaw. Your construction must comply with all applicable laws, ordinances, .buildings codes and zoning regulations. Please rogd and initial each paragraph. I. I hold. fide to the above property and I am planning on doing this ns ction 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 reinstat e t of the permit., Initial _a� 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and inters tet the code. There is a copy of the code in this office for review. Initial