DS-09-1857 3 f
= e
Miami Shores Village' "` £ �
10050 N.E. 2nd Avenue -
""� ' Miami Shores, FL 33138 -0000'
Phone: (305)795 -2204
£fRk
f �
Expiration: 1
Project Address Parcel Number Applicant
64 102 Street 1132060131470
Miami Shores, FL 33138- Block: Lot: MICHAEL & CLAUDIA DEVINE
Owner Information Address Phone Celt
MICHAEL & CLAUDIA DEVINE 54 102 Street 305 - 759 -4883
MIAMI SHORES FL 33138 -
Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00
HOME OWNER
Total Sq Feet: 0
Approved: Yes For Inspections please call.
Comments: (305)762 -4949
Date Approved: 11/13/2009: Yes Available Inspections:
Date Denied: Inspection Type:
Type of Work: PATIO & STEPS EXTENTION Additional Info: PAVERS Final
Bond Return: Classification: Residential Sidewalk
Landscaping
Foundation
Fees Due Amount Invoice # Total Amt Paid Amt Due
Bond Type - Owners Bond $300.00 DS-11 -09-36377 $ 462.20 $ 412.20 f
CCF $1.20
Education Surcharge $0.40 DS I M36377 $ 462.20 $ 462.20 $ 0.00
Permit Fee $150.00 Bond* 1919
Scanning Fee $9.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $1,60
Total: $462.20
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.
January 22, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Cop
January 22, 2010 1
I!
Miami Shor Village r
Building Department , v 0 9 20 9
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 •
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: _ ®m
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUUILDING PermitNo.wm � M
PERMIT APPLICATION Master Permit N o.
FBC 20
Permit Type BUILDING ROOFING -
Owner's Name ee Simple Titleholder
� p ) � G�Cl �.� V t C�..+2 _Phone #
Owner's Address S q n
State Zip 331 c
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) �(7_. ! D 2 1 15� r
City fil4 A A Miami Shores Villaee County 0 Miami -Dade Zip 5
1 3
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name QkOhl C f F3_V i LZ ER Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of.Competency No:
, Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
ci
Value of Work For this Permit $ � ��?(,� �"—" Square /Linear Footage Of Work: 2
Type of Work: ❑Addition ❑Alteration (yTew ❑ Repair/Replace ❑ Demolition
Describe Work: ,Abb Wek a P-j �7� eQ_ e ,( wb G) i�
x , � * * * **
_ Fees
Sub �tt rV $ Permit Fee $ �Sy a J CCF $ CO /CC .$
Notary $ Training/Rducation Fee $ 0 • D Technology Fee $ kon
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due`_• I
See Reverse 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 incompliance 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 an r a reinspection fee will be charged..
Signature k Signature'
Owner or Agent c�c�3 Contractor
The foregoing instrument was qp owledged before me this 0 The foregoing instrument was acknowledged before me this
day of _ , 20 Bby - C�\ R��, day of , 20 _, by
w is uersonally known tome o r who has produced who is personally known to me or'who has produced
tification and who did take an oath. as identification and who did take an oath.
NOTARY NOTARY PUBLIC:
Sign: Sign-
F
4 TATS O FLORIDA
Print: � Print:
My Co fission Expires: Commission # DD500117 My Commission Expires:
Expires: JAN. 12, 2010
Bonded Tbzu Atlantic Bonding Co., Inc.
APPROVED BY Plans Examiner .. Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
Miami shores Village
Building Department
R`ZOR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: " DATE: t
1, ,�, �� � c•Ldn� - ��V�
❑ Contractor
A Owner
❑ Architect
P u sets of tans and o her
Address: 4i'vi
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building epartment to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
Miami shores Village
Building Department
10050 N.E.2nd Avenue
lk Miami Shores, Florida 33138
�R Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: 09 -/Ol
Job Name:
2009 Page 1 of 1
14,,, � "Idling Critique Sheet
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.
Norman Bruhn CBO
305 - 795 -2204
VILLAGE OF MIAMI S r00:RES
0WNI<;R BUILDRR DISCLOSURR TATFMFNT
NAME
ADDRESS:'
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 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 pontractor. You have applied for a
permit under an exception to the law. The exemption 41lows you, as the owner of your property,
to act ao your own contractor even though you do not have a lioense. You must supervise the
constmodon youraof. You may build or improve a one - family or two- family redidbnce. You may
also build or improve a commercial building at a east 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 sale or lease, which is a violation bf this axempti®n. You dnay not hire
an unlicensed person as s contractor. It is your responsibility to make sure the people employed
by you have lieenses required by stato law Arid by county or muriiolpal licensing ordinances. Any
person worldng on your building who Is not licensed tfiust work anger 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 bylaw. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please road and initial each paragraph.
1. I hold. tide 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
1 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.
Initial
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 0
attorney. The department will not mitigate any contract'disputes.
Initial
b. I understand that if I compensate any person of oompany for work performed
they are requited to h;Ave 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.
Wtial
7 I wdefatwd'that if any person * gets injured on my construction project they are
entitled to workmen's compensation: Ilk they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
kiss of wages during recovery from injury.
Initial CS:> .
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.
Initial
Was.acknowledged before me thi day of (),0V w," 20 QCXJT
By . j v K.J who was personally known to me or who has
Produced there License or �. as dentification.
,o
OWNER *NOTX
NOTARY P( UC -STATE OF FIARI A
[U #M717923
&M SEP 2a, 2411
BGNi 'tititd y gl 8MNDMG CO., INC,
Planning and Zoning Criteria
Miami Shores Village Permit No. DS 1 - 0 9 - 1 8 5 7
.... 10050 N.E. 2nd Avenue t
} Miami Shores, FL 3313 8-0000
JA
Phone: (305)795 -2204 Fax (305)756 -8972 `,• �
#tiAlllf�''
Issue Date: Not Issued
Expires:
Folio Number) 132060131470
Owner's Name: MICHAEL & CLAUDIA DEVINE Owner's Phone: 305 - 759 -4883
Job Address: 54 102 Street Total Square Feet: 0
Miami Shores, FL 33138- Total Job Valuation: $ 2,000.00
Contractor(s) Phone Primary Contr
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/13/2009: Yes
Comments:
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 129002 Permit Number: DS -11 -09 -1857
Scheduled Inspection Date: February 18, 2010 Permit Type: Driveways /Sidewalks/Slabs
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: DEVINE, MICHAEL $ CLAUDIA Work Classification: Addition /Alteration
Job Address: 54 NE 102 Street
Miami Shores, FL 33138- Phone Number 305- 759 -4883
Parcel Number 113206013147
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
ADD NEW STEPS OVER EXIST AND EXPAND SLAB,
DECK TEN FEET (10') TO REAR BEYOND THE TERRACE
Inspector Comments
Passed
G W
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 17, 2010 For Inspections please call: (305)762 -4949 Page 10 of 24