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RC-09-2061Inspection Number: INSP - 143954 Scheduled Inspection Date: August 25, 2010 Inspector: Bruhn, Norman Owner: ESCOTT, KEVIN Job Address: 78 NW 99 Street Miami Shores, FL 33150- Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 replace tile work in bathroom Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 143705. No access NB August 24, 2010 For Inspections please call: (305)762 -4949 Permit Number: RC -12 -09 -2061 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1131010330070 Page 5 of 26 Inspection Number: INSP - 146007 Scheduled Inspection Date: June 16, 2010 Inspector: Devaney, Michael Owner: ESCOTT, KEVIN Job Address: 78 NW 99 Street Project: <NONE> Miami Shores, FL 33150- Contractor: HOME OWNER Building Department Comments June 15, 2010 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 e �1 Phone Number Permit Number: EL -12 -09 -2099 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Parcel Number 1131010330070 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments / Page 12 of 20 BUILDING PERMIT APPLICATION FBC20 Owner's Address , ,. j City CN PFk D 51 CS Tenant/Lessee Name Email Cc 5: Job Address (where the work is being done) Contractor's Company Name Contractor's Address City Qualifier Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Type: BUILDING ROOFING. Owner's Name (Fee Simple Titleholder) ye, ika Phone # 9. „St 23 t State k Zip 1 'q$ 14.4 4s 51 City Miami Shores Villa • e County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone State State Certificate or Registration No. Certificate of Competency No. 'Contact Phone E -mail Architect/Engineer's Name (if applicable) jeo, Phone # Value of Work For this Permit $ ti Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ik Repair/Replace ❑ Demolition Describe Work: t24ty \� �,r,r� ,II \jqANr * * ** * ** ** *** * ** * * * * *** ** x * * * * *** * * * * * ** F * *,r** * * * * * * * **** * * *** * * * * * * * ** Submittal Fee $ Permit Fee $ leo Cr CCF $ 0 ' CO /CC $ Training/Education Fee $ 0'D-CO Notary $ Scanning $ Radon $ 0 Violation date: DPBR $ Permit No. Master Permit No. Phone # Phone # Zip Phone # RECEIVED DEC 1 4 2009 ....... Technology Fee $ 0 Bond $ Total Fee Now Due $ ( % 6y. (0° See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) l-3C 5 Mortgage Lender's Address fO Q o ) U ..3 3 City (C S State = A 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIVIENCEMENT 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. My Commission Expires: APPROVED BY Signature Signature Owner oorlAgent Contractor The f g g ttuument before me this f 9 The foregoing instrument was acknowledged before me this day ofl/kali, 20tft by (ei) AJ FCol7 , day of , 20 _, by who is personally known to me or who has produced CL .1D who is personally known to me or has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: * * ` o +`'e tl � �� �� NOTARY PUBLIC: Sign: `� w e,� ':O Sign: Print: a -- • S • y' • ••••.J = Print: % - *(0...0 My Commission Expires: ■ CZ °Al (Revised 07 /I0 /07)(Revised 06/10/2009) Zip SO 3 ®6 Plans Examiner Zoning Engineer Clerk checked OWNER BUILDER DISCLOSURE STATEMENT NAME: CA.) DATE:a lq.°'S ADDRESS: ".:)- % SI S 2`1+4r � vve Pc_ 3315U 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 disdosure 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 fora 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 new form states 75,000). 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 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. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initi 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initi 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initi 4. I understand that I may build or improve a one family or two - family residence or a farm outbuilding. l may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or o cuparrcy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initij 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Infi 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 8. I understand that 1 may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner-builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:/ hww. mvfloridalicense .comldbpr /pro/alb/iindex.html Initi 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: - 7 C^ i-s es 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that 1 have provided on this disclosure. Initia�s ) Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in WI court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 1 day of kif//lik 20 £J By k 1 n/ ,6 G(T1 who was personally known to me or who has Produced there License or /� as identification. Initial Initial, -�— Initial Initia AL / -0era Q; ia,� \' .4.1 ' Ir. S. '... % 0 O,,\6y� 'N, ,,, AT �,,rr ilr����`. Permit No: 09- ( Job Name: 407 , 2009 Norman Bruhn CBO 305 - 795 -2204 Building Critique Sheet FA 30S -SSA -19 Cbryirrl '4 NR 1212(10C M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. 12/21/2009 10:11 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES IJ 002 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECt'ION'S PTIONE NUMBER: (305) 762.4949 r , n BUILDING Permit No. �LY).0 2 O c 6 PERMIT APPLICATION Master Permit No. RC. - 12 — 09 2( FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) aCcI Phone it isolk. Sul_ °2.34 Owner's Address gh _''S' 51 City r _ Ane sWt'5 State >�C Zip WO 5O Tenant /Lessee Name Phone it Email Job Address (where the work is being done) ,..c._ City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name t..14 — 0 wwcA- o,,, \t,� Phone # Contractor's Address City State Zip Qualifier Name State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect /E ngineer's Name (if applicable) Value of Work For this Permit $ 444 Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration [New ❑ Repair /Replace ❑ Demolition Describe Work: 2e_ure _.14 � me_. a..., c z` '' + ° ..� ciao -V. VV: C c e t- y k L O i.le e - V 1 64 Lin. WANA " . e ' A,5 e..- 'r.-+Ces ,. Submittal Fee $ NAt‘ Phone # Phone th3rat** ski:+k* tkdr?e* *oF+t*te74a * **ksFs4***dt****4t ** * **dadirk***Xd3r8rdr****** ** t45F3e *tc*dr*** Permit Fee $ 00' G C.CF $ (0'(0O CO /CC s 0°K) Notary $ a Training/Education Fee $ O Technology Fee $ Scanning S 3 X 00 Radon $ DPER $ Bond $ Double Fee $ /60°° Violation date: �° Structural Review. $ Total Fee Now Due $ , ``� See Reverse side -+ 12/21/2009 10:11 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Q003 Bonding 'r.:c3ntj iy's Nanic (if applicable) Bonding Company's Address City State 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. 1 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 than all the foregoing information is accurate and that all work wine done in compliance with all applicable laws regulating constriction 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 ntttst 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 re- inspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2.2. The foregoing instrument was acknowledged before the this day of I 20 Cri, by k -i .ii N 1SCCr7 , day of , 20 —, by who is personally known to me or who has produced who is personally known to Inc or who has produced as identification and who did take an oath. As identification and who did take an oath. \ ��tt►t uutturt // � ra g SI�V r d r , @ I ites • �'��. 611 p1 ••• ▪ C o D 16g90 NOTARY PUBLI Sign: Print: My Commission Expires: *** dc*** * * * * *** **** * * ***** * ** * ** ** *'fir* **** ** ** * *** *** ****• *** dt' ksl**** h*9:1: 4ts4t+ e*9t& 4r. 4dC********* Jedtvh3t+&tt ****drdrasledcakaYd *** APPROVED 13Y (Revised 07 /10 /07)(Revised 06/10/2009) Ions Examiner Signature NOTARY PUBLIC: Zip Sign: Print: My Commission Expires: Zoning Engineer Clerk checked Inspection Number: INSP- 146006 Permit Number: PL -12 -09 -2062 Scheduled Inspection Date: June 16, 2010 Inspector: Bruhn, Norman Owner: ESCOTT, KEVIN Job Address: 78 NW 99 Street Miami Shores, FL 33150- Project: <NONE> Contractor: HOME OWNER Building Department Comments June 15, 2010 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: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010330070 REPLACE PLUMBING FIXTURE/ TUB AND SOME OF THE GALVANIZED PIPE. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 11 of 20 Owner's Address 73 {vv cis City r" ("( SNU@.e_ State rc_. Tenant/Lessee Name Email Job Address (where the work is being done) 'R$ NU 5 Contractor's Company Name Contractor's Address City Contact Phone Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) Ker:a..3 ts� Phone # go+{...50.1 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES State NO E -mail Zip 33 )SO Phone # Phone # Permit No. I R' P- Zip 3315 DEC 1 20 se WI X3 Flood Zone Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) NIA Phone # _Ltoz, al- IJulg eeliis r� Value of Work For this Permit $ Oppy._ � qus are / Linear outage Of Work; Type of Work: ['Addition ❑Alteration LINew p /Re \ t� (J� Re p air p lace ❑Demolition Describe Work: Qep \oee_ p Je• 11 �, k r " 3 °t s u,� cat A 14v0,,,i pee * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /O CCF $,p) CO /CC $ Notary $ Training/Ed cation Fee $ 0' DO Technology Fee $ 0 Scanning $ Radon $ DPBR $ Bond $ Double Fee $ /J 27 ate Violation date: Structural Review. $ Total Fee Now Due $ 15 ` -lib See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Na (if applicable) L XX 1�S Mortgage Lender's Address R tO S3 S City C twte-P e5 State Zip ' S'o3O 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 juridiction. 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 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 aiproved and a reinspection fee will be charged. E/2.. ®� p Owner or Agent Cjoi The foregoing instrument was acknowledged before me this day of (1t) , 20 (1, by kirlAii N (jL' (-6 11 who is personally known to me or who has produced P L, 11) Signature As identification and who did take an oath. t uN ,1 11 11 i o ********** **********:" :**" :************************************************************** g Plu ls E miner NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Signature Contractor The foregoing instrument was acknowledged before me this day of , 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: Zoning Clerk checked