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BP-03-1737RECEPVED NOS fl 3 a0A3 BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES / Company Name 0 1/9}/1,/4 Contractor's Address / 70A 52A/Pc City State Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State 35 D $ Value of Work For. this Permit Miami Shores Village Building Department County Miami -Dade Number of: Bays Stories Families Type of Work: DAddition ['Alteration ONew Describe Work: . iil C) AVR/J LP4 ****************************F Minus Plans Check Fee $ 50. Total Fee Now Due $ el Aai - 6. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.? 2O6 fl3'7 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) c e 4 IJ.L.-L Phone # 'S 7,54 '252/ Owner's Address 4 76e . >V/i/ 1 /E 67 Cit cri-iD S' State 44 Tenant/Lessee Name Phone # Zip Roofing r © i P / /OVt# Phone # ldi9L ,W/Z 9.9.c 3 Zip Phone # Zip Square Footage Of Work: s Bedrooms Baths Repair/Replace D Demolition County Escrow Fee $ Permit Fee $ 1 eV Notary $ Education/Training Fee $ � sp Tech $ 150 Scanning $ 3 Radon $ Code Enforcement $ Bond $ S ct. $ 61.E3 (Continued on opposite side) 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 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 proved and a reinspection fee will be charged. Signature APPLICATION APPROVED BY: chc7nio3 O r; Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this /v day of _ O , 20_ by DYTh J, J\ 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. NOTAR' UBLIC. NOTARY PUBLIC: Si �0""A°1 r Si . Print: ,„ e1 �' ion itDID223a 84 Print i s My Commission E - Comm Lstpire d Dul l3 �'' ° t�onde Th 2007 My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * *s * * * ********* * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning NOV ° 3 20113 Plans Examiner 8/1/2006 To: Current Owner 76 NW 111 Street Miami Shores Village, FL 33138- Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 Permit: BP2003 -1737 Address:76 NW 111 Street Miami Shores Village FL33138- Date Expired: 5/1/2004 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Administrative Assistant i VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT . OWNER BUILDER DISCLOSURE STATEMENT I r pA) � j(��j�[ _ being the legal property owner, for the property Located at: N //1) 1/1 Legally described as 7 7 oe%e�-2 7 2 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to State of Florida, F.S. 489.103 (7)And I have read and understand the following disclosure Statement, which entitles me to' *ork as my own contractor, I further understand that must appear in person to complete all applications. DISCLOSURE STATEMENT the laws of the I as the owner 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 eat 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 I.C.A. and with- 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. initial of reviewing clerk 'rife foregoing instrument _ day ti( , 20 C.3 who is personally known to me or who has Produced as identification and who did take an oath.' e uni tit No: Proof of ownership provided ( ) 2� Was acknowledged before me this c.� ., By Owner Owner .t, ;;,., i afo©k Vargas % : Commission #DD231984 .._ Expires: Jul 13, 2007 � ' Bonded Thru '' '1 s o' Atlantic Bonding Co., Inc. • 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPUCATION Master Permit No. Contractor's Name: 1 ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (fL Section A (General Information). Process No. 1 Job Address: Roof Category ❑ Mechanically Fastened Tile ❑ Metal PanelShingles ❑ Other. 1 WoWtei5 - Roof Type ❑ New Roof ❑ Re-Roofing ❑ Recovering Ar Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes %No if yes, what type? ❑ Natural ❑ LPGX Roof System Information Steep Sloped area (V) Section B (Roof Plan) Page 2 63 1 'MortadAdhesive Set Tile ❑ Wood Shingles/Shakes Total (ft. 1 rage 1 oI 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, dearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'):1 ( Comer Size (a' x 1 j A kD kvoelz Arses g 7hvss) ti 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit No. 1 Contractor's Name: ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Section A (General Information). Process No. Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Other. 1 Job Address: 1 Z AAA/ f MortarIAdhesive Set Tile ❑ Wood Shingles/Shakes Roof Type ❑ New Roof ❑ Re-Rooting ❑ Recovering Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes YISNo If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (fL') Steep Sloped area (11 Section B (Roof Plan) Total (R I rage 1of Sketch Roof Plan: illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, dearly Identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (0:1 1 Comer Size (a' x a'):1 • Page 2 Y P -77A, 7frivet 1) /� O. mass) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/3/2003 Applicant: DON Owner: BUELL JOB ADDRESS: 76 Contractor Local Phone: Parcel # 1121360030390 NW 111 Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -1737 BUELL DON ST Contractor's Address: Legal Description: MIAMI SHORES EXT PB 43-40 LOT 7 Permit Status: APPROVED Permit Expiration: 5/1/2004 Construction Value: $350.00 Work: EMERGENCY REPAIR Page 1 of 1 BLK 220 LOT SIZE 75.000 X Fees: FEE2003 -6819 FEE2003 -6820 FEE2003 -6821 FEE2003 -6822 FEE2003 -6823 FEE2003 -6824 Description Building Fee CCF Notary Fee Scanning Fee Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $5.00 $3.00 $0.20 $2.50 $111.30 Total Fees: $1'L1 30 Total Receipts: 0:1:16 4 401. 30 , c NOV 0 4 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: ql3