RC-09-1873Jio lJk /vq
BUILDING
PERMIT APPLICATION
FBC 20
FOLIO / PARCEL #
`Contact Phone
Job Address (where the work is being done)
City Miami Shores Village
Permit Type �,�BUILDI ROOFING
(Fee Si ptleholder) ie Ti /
Owner's Name (F 6 "
/�i > dl E��� /C " � Phone# � �Z P �� 6 CJ��
Owner's Address .� 3-4 AIL r 4/ /I, S i-
Ci r, State G^` Zip 331 6 0
Tenant/Lessee Name
Email
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City State
Miami Shores Village MOMEW
Building Department ig NOV 12 200
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:.
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration
Describe Work:
County Miami -Dade
NO
E -mail
Permit No. IC (53 1103
Master Permit No.
Phone #
Phone #
Zip
Phone #
00
Square / Linear Footage Of Work: 515 T '
� •
:New ❑ Repair/Replace ❑ Demolition
1 W) c,oct
! � '
Submittal Fee $ Permit Fee $ (� CCF $ CO /CC . $
Notary $
Scannin Radon $ V ' DPBR $ (J Bond $
a
Violation date:
ural Review. $ Total Fee Now Due $ b14
Train g/Educ: tion Fee $
i f
Flood Zone
(0e)
See Reverse side —*
MMMMMM 431.71,13.1.
Zip
Technology Fee $ of 'O
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 approved and a reinspection fee will be charged.
The fore
day of
who 's
NOT Y PUBLIC: .
rte► r14.
in instrument was ac owledged
2 t J�
onally known to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
s Sign:
ma c ° '
O
APPROVED BY
0 ..(0 Plans Examiner . s Zoning
Sign:
Print:
My Commission Expires:
(Revised 07 /10 /07)(Revised 06/10/2009)
•
•
re me this
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or has produced
as identification and who did take an oath.
Print:
My Commission Expires:
Engineer Clerk checked
Inspection Number: INSP - 129199
Scheduled Inspection Date: September 28, 2010
Inspector: Bruhn, Norman
Owner: GONZALEZ, SONSIRE
Job Address: 154 NW 111 Street
Project: <NONE>
Miami Shores, FL 33168 -4323
Contractor: HOME OWNER
Building Department Comments
September 27, 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 Number: RC -11 -09 -1873
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Phone Number
Parcel Number 1121360030450
KITCHEN REMODEL AND SOME DRYWALL
REPLACEMENT (SKIM COATING)
AS PER EXTENSION APPROVED BY NB, OK TO EXTEND
IT 45 DAYS 8/3/10
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 2 of 22
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Viviana Cubillos
From: Norman Bruhn
Sent: Friday, July 30, 2010 2:48 PM
To: 'Sonsire and Jiam Gonzalez'
Cc: Viviana Cubillos
Subject: RE: 154 NW 111 Street, Miami Shores
Sonsire,
I will extend the permits for 45 days which should give you the required time to get started. I will ask Vivian to extend
them today.
Norman Bruhn
Building Dept. Director
Miami Shores Village
Ph 305 - 795 -2204
Fax 305 -756 -8972
BruhnN@MiamiShoresVillage.com
From: Sonsire and Jiam Gonzalez [mailto: firstchoicepaintingco @gmail.com]
Sent: Friday, July 30, 2010 12:32 PM
To: Norman Bruhn
Subject: Re: 154 NW 111 Street, Miami Shores
We found someome trust worthy that we can use for the electric and we are going to start on the beam very
soon. It will be done before the 90 days are up. Do you think this would be ok? Thank you in advance for
your attention to this
On Thu, Jul 29, 2010 at 2:15 PM, Norman Bruhn < bruhnn (amiamishoresvillage.com> wrote:
Sonsire,
You have not scheduled any inspections for any of this work. Is there a
reason that you have not been able to get started? When will you be able
to get started?
Norman Bruhn
Building Dept. Director
Miami Shores Village
Ph 305- 795 -2204
Fax 305- 756 -8972
BruhnN(@MiamiShoresVillage.com
Original Message
From: Sonsire and Jiam Gonzalez [ mailto: firstchoicepaintingco (&gmail.com]
Sent: Thursday, July 29, 2010 11:02 AM
To: Norman Bruhn
Cc: Arlenis Silvera
Subject: 154 NW 111 Street, Miami Shores
1
gem--Itz
Hello Norm. This is Sonsire Gonzalez. I received two blue cards for
Permit Nos.: EL -11 -09 -1876 and RC -11 -09 -1873. I would like to request
a 90 day extension to work on these items. Please let me know if this
would be ok. Thank you.
NAME:
ADDRESS:
VILLAGE OF MIAMI S"O:RES
OWNER BUILDER DISCLOSURE TATEMENT
DATE: / /
1' �t
Do hereby petition the Village of Miami Shores to act as myown 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 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 supese the
oonstruction yourreJf. You may build or improve a one - family or two- family reaidbnce. 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 complete, the law will
presume that you built for sate or lease, which is a violation Of this exemption. You may not hire
an unlicensed person as 1; contractor. It is your responsibility to make sure the people employed
by you have licenses required by etata law.and by county or munielpal 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.LC.A and with - holdings tax and
provide workers' pompensation for that employee, all as prescribed by law. Your construction . •
must comply with all applicable laws, ordinanees,.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
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 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
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
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.
Produced there License or
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 811
attorney. The department will not mitigate any contract disputes.
6. I understand that if I compensate any person or company for work performed
they are requited to hive 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 ITC
7. I understetur that if any person gets injured on my construction project —they are
entitled to workmen's compensation.. Anil if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
lass of wages during recovery from injury.
v)
Initial ,6
day of 1 VIV v , 20_
who was personally known to me or who has
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