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DEMO-09-1696 T DAM Miami Shores Village 10050 N.E. 2nd Avenue " Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 �RV � �� "�� ` >f ,. � � � � -.. -, x ,3 Expiration: 0712482010 Project Address Parcel Number Applicant 1501 103 Street 1132050310200 MARTIN AND ROXANNA MEDINi Miami Shores, FL Block: Lot: s Owner Information Address Phone Cell MARTIN AND ROXANNA MEDINA 1501 NE 103 ST (305)759 -9148 MIAMI SHORES FL 33138 -2627 Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 HOME O WNER Total Sq Feet: 0 Approved: Yes For Inspections please call: Comments: APPROVAL IS FOR REMOVAL OF CO!.'JMNS AND REPAIR OF FASCIA (305)762 -4949 Date Approved: 1/20/2010: Yes Available Inspections: Date Denied: Inspection Type: Type of Construction: REPLACE ROTTEN WOOD Occupancy: Single Family Final Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Certificate Status: Certificate Date: Additional Info: DECORATIVE COLUMNS 8 FASCIA Bond Return: Classification. Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ RC -10-09 -36161 $ 106.20 $ 50.00 Education Surcharge $0.40 $* . Permit Fee - Additions/Alterations $100.00 RC 10 - 36161 $ 106.20 $ 106.20 $ 0.00 Permit Technology Fee $0.00 Check #: 3027 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $1.60 Total: $106.20 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 informatio i is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above - :1;4r ed contactor to do the work stated. _ January 28, 2010 Authorized Signature: Owner / Applica =r .� Contrac.: _ _ ! Agent Date Building Department Cop January 28, 2010 1 Miami Shores Village g Building Department I OCT 15 2009 10050 N.E.2nd Avenue, Miami Shores Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY INSPECTION'S PHONE NUMBER: (305) 762.4949 ID BUILDING P ermi t No. PERMIT APPLICATION Master Permit No. FB C 20Cn Permit Typ •BUILDING ROOFING- I Al Owner's Name (Fee Simple Titleholder) N( AG7 Al ! 2oX'9�/fl Phone # Owner's Address ZS O / /- � 8) . 3 City !(Qr7 / 5 N060 State / Zip 33 /-3? T,enant/Lesse Name Phone # Email /4 Q Cvt d / - 0 Cj Job Address (where the work is being done) l.� O / A / sT City Miami Shores Villaee County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name I� ' - � � � ?lionc # 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 # G Value of Work For this Permit $ �(�(�° — Square/ Linear Footage Of Work: .20 Type of Work: J Add tio�n Alteration EINew g o ; epair/Replace Demolition Describe Wor : V ec -c,�47 r v ii Cc+ L. yew 3 I1 1 ®�eT 5 F Submittal Fee $' Permit Fee CCF $ �' CO /CC .$ Notary $ Training/Education Fee $ D. • 0 Technology Fee $ J. Scanning $ � Radon $ DPBR $ Bond $ Double Fee $ Violation date: G� Structural Review. $ Total Fee Now Due $ 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 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 pproved and a reinspection fee will be charged.. Signatur Signature Owner or Agent Contractor The for 6 nt was ackn led* before me this The foregoing instrument was acknowledged before me this day of Oby Y �� y of , 20 by , who uced is p rsonally known to me or who has prod who A is personally known to me or has produced � As identification and who did take an oath. as identification and who did take an oath. NOT Y PUBLIC: NOTARY PUBLIC: Sign: v t�' Sign: Print:. �..., ec Print: My Commission Expires: % a P My Commission Expires: 7�f 7k'7k'�C7k �' 1T C7fC7�t1Y7�P7k' 1�t1�17�[ i 7�t1TC�t 'd'�671Ci�[�C�C9�C�C� �C3i'1�'�C'1Cf�C 1Tf1k'7k'�C*'�C f�G'�C 1k 51P�t7�(ik'�f 71f71G'�f *�f t4'�[71C tk➢�1�'1�f11e 7�t *7�ftti7�t �t�t�l9�t7�C'�C�C �C 7IC'�f �C�t1�C / -Z V /d APPROVED BY ` c V O -Plans Examiner l Zoning Engineer Clerk checked '. (Revised 07 /10 /07)(Revised 06/10009) :M,E:m! Mr s Vi a r i - 44 wmo R I 40 , AL N,4 Nv A l m- - V MOWS" In-ME 1 � I G 4 F A t * •• i2 • • •• •� • r s•• � F • �• 1 it • •��• • • '�4 �• �• �� 4 x �k d L. 1 r Planning and Zoning Criteria Miami Shores Village Perm No. RC 0 - 09 - 1696 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 i� Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date. Not Issued Expires: Folio NumberA 132050310200 Owner's Name: MARTIN AND ROXANNA MEDINA Owner's Phone: (305)759 -9148 Job Address: 1501 103 Street Total Square Feet: 0 Miami Shores, FL Total Job Valuation: $ 2,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/20/2010: Yes Comments: APPROVAL IS FOR REMOVAL OF COLUMNS AND REPAIR OF FASCIA ,KG�9 Miami shores Village onto ,,,,,rn Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��oR1DA Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09 -1691C Job Name: 2009 Page 1 of 1 Build Critiq �c� c 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 SRO RES 0 WNFR BUILDER DISCLOSURE TATE S MENT NAME: 6AL11a ° Ao1K4x1,4 1_1j!FD1Aj,4 DATE: eO A� �© 9 ADDRESS: JS vo�_ / ®3 s-r Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 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 41lows you as the owner of your property, to act a* your own contractor even though you do not have a license. You muet supervise the construction yourself. You may build or improve a one - family or two- family residbnce. 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 Pot sate or lease, which is a violAtion bf this exemptieft. You May not hire an unlicensed person as IL contractor. It is your responsibility to make sure the people employed by you have4icenses required by stato law.and by county or muaiolpal licensing ordinances. Any person working on your building who Is not licensed tiigst 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' compensation for that employee, all as presorlbed bylaw. Your construction must comply with all applicable laws, ordinances, -buildings codes and zoning regulations. Please rond 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 �� 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 4. b 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 114 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 Un attorney. The department will not mitigate any contract'disputes. Initia b. I understand that if I compensate any person or company for work performed they are requited to lid e 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. 14itial 7. I undaivtrand• that if any person gem injured on my construction project they are entitled to workmen's compeneation:• And if they do not posses a workmen's policy I could be hold liable for all doctor and related cost which could include kiss of wages during recovery from injury. • Initial � 8. •I understand . that under state and local laws * I can not do . any Electrioal, Plumbing, Heating, .Air & Roof work on my'property with out first obtaining the proper permits by licensed contractors. Initial ' W Was .acknowledged before me this 15 . day of DA& C, 0 B AM who was personally known tome or who has Produced there License or O Z,� as identification. 7 s OWNER TARY ,,QT, .Iy nWC , NM of FL Cl�► v f', Coast #DD 71,923 5;;, 23,201 BO NDED THR . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 127127 Permit Number: DEMO -10 -09 -1696 Scheduled Inspection Date: April 07, 2010 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: MEDINA, MARTIN AND ROXANNA Work Classification: Miscellaneous Job Address: 1501 NE 103 Street Miami Shores, FL Phone Number (305)759 -9148 Parcel Number 113205031020 Project: <NONE> Contractor: HOME OWNER Building Department Comments REPLACE ROTTEN DECORATIVE COLUMNS AND ROTTEN WOOD UNDERNETH FASCIA Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 06, 2010 For Inspections please call: (305)762 -4949 Page 3 of 16