BP-05-1330 Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax (305)756 -8972
Bill To
MICHELLE PIJUAN Invoice Number: RC -4 -08 -31459
Invoice Date: April 03, 2008
Permit Number: BP2005 -1330
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
.. .. .... :: .:::.::: ~ :'v.
Date Fee Name Fee Type Fee Amount
04/03/2008 Expired Permit Renewal Fee Calculated $300.00
Total Fees Due: $300.00
Payments
Date Pay Type Check Number Amount Paid Change
04/03/2008 Check 1352 $300.00 $0.00
DAM I Total Paid: $300.00
Total Due: $0.00
Thursday, Aprils 3, 2008
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Miami Shores Village;
RECEDED
Building D e p artment SE ' 3 2905
g p m
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ----
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
Permit No s )aL
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Phone # �e3�s - 3 Oct
Owner's Address / S my /o/
City /,gfi/ �iyO S State XG a ex&o *
Tenant/Lessee Name Phone # />r
00 Ch � , -
Job Address (where the work is being done) sWC—
City Miami Shores Village County Miami -Dade Zip ,,,,31.38
Is Building Historically Designated YES NO V
Contractor's Company Name 0 Uj oe(�!/y � Phone # /SG�i¢ •
Contractor's Address
City State Zip
Qualifier a
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) N/A Phone #
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
�� F1 Repair/Replace El Demolition
Describe Work: (240AI
/Nl ?moo Al or G'�os�`� �S3'r irz inl �3v�s i
/S�oi�ocOr� c c?�it�Zit� �U iN �l / ✓ /�v'6' l�oD/r? �K/��/ -� �a c,,rcc�
C -7,/CA6.�
Submittal Fee $ Permit Fee $ ,�a 'e' • CCF $ S •, CO /CC
Notary $5_(22 Training/Education Fee $ (• Technology Fee $
Scanning $ Z. Radon $ Zonin Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
i
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 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 approve6and a reinspection fee will be charged
i
Signa . '* Signature
er or Agent Contractor
The fo ego' `g ' ent was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _, by day of 20 by ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
chc 05/13/03
�... • VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
/f1 being the legal property owner, for the property
Located at:
Legally described as ,
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), 4nd Ihave read and understand 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.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out - building. / 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 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 Ivith- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk The foregoing instrument
Was acknowledged before me this day of , 20
By who is personally known to me or who has
Prdduced as identification and who did take an oath.
D
Notary
Owner
�n Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
'118 P
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Inspection Date: 04107/2008 Permit Type: Residential Construction
Inspector: Grande, Claudio
Inspection Type: Final Building
Owner: PIJUAN, MICHELLE Work Classification: Alteration
Job Address: 145 101 Street NE ,
Miami Shores Village, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060131940
Block: Lot:
Contractor:
Building Department Comments
CLOSURE OF DOOR LEADING TO GUEST BROOM,
INSTALLATION OF CLOSET SYSTEM IN GUEST
BROOM NON LOPAD BEARING WALLS IN LIVING
ROOM WITH POCKET DOOR SYSTEM, NO
ELECTRICAL
Inspector Comments
Passed AFT cc ER THE FACT
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Thursday, April 3, 2008 Page 2 of 2
Aft.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
�► '' Phone: (305)795 -2204 Fax: (305)756 -8972
Or"I w
MWOMOR
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Inspection Date: 01/09/2008 Permit Type FenceMall
Inspector: Grande, Claudio Inspection Type Final
Owner: RUDNICK, GREGORY Work Classification: Wood Fence
Job Address: 544 93 Street NE
Miami Shores Village, FL Phone Number (305)758 -7791
Parcel Number 1132060141070
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
DEMOLISHING MANSORY WALL. REPLACING CHAIN
LINK FENCE FOR WOOD FENCE ®®
nspector Comments
Passed cc
i
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Tuesday, January 8, 2008 Page 1 of 2