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RC-10-559Inspection Number: INSP- 156079 Permit Number: RC -4 -10 -559 Scheduled Inspection Date: February 17, 2011 Inspector: Bruhn, Norman Owner: GUEVARA, EDWIN Job Address: 25 NE 103 Street Project: <NONE> Contractor: HOME OWNER Building Department Comments KITCHEN AND BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee February 16, 2011 Miami Shores, FL 33138 -2326 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)775 -7095 Parcel Number 1121360130940 Page 13 of 16 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder lvi 6UF U"A Loa0- C.14 ��r one # Owner's Address ZS -- 1'E ? 0 3 " S City / fi0i 11 S `t4 / -LS State ��07^ i C I Tenant/Lessee Name Email F1434.7 ' i O 0 me_ • 4-0 14 1 Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address City State Qualifier Name State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect /Engineer's Name (if applicable) C-- I>W4 4 a tA b 1 A # Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: _ i Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 YES X 0 00 ❑Alteration 2s 1o3 rcl 5 & NO Zip Master Permit No. 33 !C g Phone # County Miami -Dade Zip 3 51 S 3e0S" 3-s /?-79 a- osii4 !S'x ta'fewskcgs Square / Linear Footage Of Work: 1- rot's 2 7S c/i 10.- ❑Newepair/Replace ❑ D emofltion ogp k1QQ 4 * * *: **** * * * ** * * * * * * * * * * * * * * * * * * * *** * *** F ees * * * * * * * * * * * * * * * * ** * * * * * * * * * ** ** * * * * * * * * * * ** Submittal Fee $ — S0 - 00 Permit Fee $ ?c o 00 CCF $ 012' 00 Permit No.fC' )O — 'l9 3cS g }- *4Z Flood Zone Phone # Zip Phone # CO /CC $ Technology Fee $ Bond $ Notary $ Training/Education Fee $ 9 Scanning $ Ls 0 ,) Radon $ w DPBR $ 1 4(. \ . Double Fee $ 6)0 4 Violation date: Structural Review. $ Total Fee Now Due $ 2- • See Reverse side -* PaMEWIED APR 0 2 2010 4/o Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /5 0I - , . i i l_P 1 C 4 Mortgage Lender's Address City State 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. Signature w / /1 1/14 / Signature Owner or Agent Contractor The for goin instrument was ackno ledged befor e this as The foregoing instrument was acknowledged before me this d a y ,2010, WW1 yof 20,by who is . ersona kno to me or who has produced n� who is - personally known to me or who has produced 0 Y 1 p C ■ p Y p fs identification and who did takeath. as identification and who did take an oath. NOTA Y ' UBLIC: ' ' , ,I'',`, 1 4 \ (;N:',' � Sign: Print: My Commission Expires: My Commission Expires: (Revised 07 /10 /07)(Revised 06/10/2009) go y NOTARY PUBLIC: Zip Sign: Print: APPROVED BY Plans Examiner Zoning Engineer Clerk checked NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street /address: •l` 2. Description of improvement: >k� 1i G /115' cz 3. Owner(s) name and address: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 1 111111 11111 11111 1 111111111 11111 11111 1111 1111 i CFN 2010R0246294 OP Bk 27248 Ps 3981: (1Ps RECORDED 04/14.2010 10 :51:29 HAR:VE'i RUVII4 p CLERK OF LOUR ' MIAMI -DADE COUNT'i► FLORIDA LAST PAGE Interest in property: Name and address of fee simple titleholder: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a 7., Florida Statutes, Name and address: �— 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statu Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is s.ecified) Si. . ure of Owner Print Owner's Name Sworn to and subscribe ti> tv t Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE4 8/02 ✓ -/1 be ore me this Z t 3 Er t n !f, IORIDP A .\ `�. �rrrrn u n����� • a 0 Prepared Address: by � ;4. ‘1744 / 31-Y Scheduled Inspection Date: September 22, 2010 Inspector: Hernandez, Rafael Owner: GUEVARA, EDWIN Job Address: 25 NE 103 Street Miami Shores, FL 33138 -2326 Project: <NONE> Contractor: HOME OWNER Building Department Comments September 21, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 150510 Permit Number: PL -4 -10 -561 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)775 -7095 Parcel Number 1121360130940 PLUMBING WORK FOR KITCHEN AND BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 139624. cancelled by owner Page 13 of 20 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) li(i. GIVA4- - r 4:4- Phone # / .64 / 0 Owner's Address City ( )4-0/‘ / �e'( '� State Tenant/Lessee Name Email Contractor's Company Name Contractor's Address City Qualifier Name Contact Phone Architect /Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: Permit Fee $ /J d 2 ?• CCF $ Training /Education Fee $ 0 Scanning $ Radon $ - DPBR $ 1. 4 3 0 Double Fee $ ) t7� Violation date: -- ------.J Structural Review. $ Submittal Fee $ Notary $ Addition Miami Shores Village rOVVIVEIR Building Department a APR 0 2 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 YES NO ❑Alteration E -mail Permit No. Zip �� 1 Phone # Job Address (where the work is being done) 7 /?) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated Phone # ❑New epair /Replace Total Fee Now Due $ BY: U� Master Permit No. C/ 10 s79) g Flood Zone /t/0 O w & U Phone # State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Square / Linear Footage Of Work: ❑ Demolition V 102ffialff 110 * *** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Fees************* * * * * * *** * * * * * * * * * * * * * * * * * * * * *x* I �U CO /CC $ Technology Fee $ 'COO Bond $ ( ')14-C o 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature APPROVED BY * ** * *** * * * * ** * * * * * * * * * * * * * * * ** (Revised 07 /10 /07)(Revised 06/10/2009) c-' r „ Signature Owner or Agent Contractor The fore • oin instrument was ackn ledged bet • me this �L The foregoing instrument was acknowledged before me this day of � 4 , 20 , by1IJ ���� f � day of , 20 , by who 's p! s•nalll wn to me or who has produced � who is personally known to me or who has produced A.) As identification and who did take an oath. as identification and who did take an oath. NO �A' � PUBLIC: ^� ,$'• NOTARY PUBLIC: 4 I t i F 1p: ` 1 1 U Sign: .sal/ t .....�. ��'' Sign: Print: a> .� Print: My Commission Expires: My Commission Expires: ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** `Plans Examiner Zoning Engineer Clerk checked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: iii /�% Z it �G l DATE: t ( 2/ (;) ADDRESS: ./mod. /0 5 1-1 1 /0 04 . . 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 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 supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of 525,000.00 or less (The new form states 75,000). 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 of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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 with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 1 understand that 1 may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that 1 may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or htp: / /www. myfloridalicense .com /dbprlpro/ciibiindex.html 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that 1 am the party legally and financi for the oposed construction activity at the following address: 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. �1 4(1111___, O oC Was acknowledged before me this day of 20� By r -- AY) GOQ%V o was personally known to me or who has Produced there License orrl tie.iw- 6-01 Pict b as identification. G� /? d ell iZ �' OWNER NOTARY Initial Initial `K:� Initial Initial Initial '" t j Inspection Number: INSP - 145656 Permit Number: MC -4 -10 -684 Scheduled Inspection Date: June 29, 2010 Inspector: Perez, JanPierre Owner: GUEVARA, EDWIN Job Address: 25 NE 103 Street Project: <NONE> Miami Shores, FL 33138 -2326 Contractor: HOME OWNER Building Department Comments June 28, 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 Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)775 -7095 Parcel Number 1121360130940 MC WORK FOR INTERIOR REMODEL L.9 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 141212. water leaking everywhere jpp Page 10 of 20 Lkh9 lFt) ���� Miami Shores Village i 5166° Building Department � -� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y : Tel: (305) 795.2204 Fax: (305) 756.8972 - - INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. ` 46 3 1 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) .. " ---- 1/14-4 Phone # 5 i 4 - - Z ` g Owner's Address 7 /1/AF— /6 S & City t 1 j j c0 —j V,oc State '— (, T 1(%x„A Zip 2 3 ,/ ? g Tenant/Lessee Name / , Phony t' Email 712.14-w.1 (y 0 p t iA/-Q ` C a: v1. Job Address (where the work is being done) City Miami Shores Village County FOLIO / PARCEL # Is Building Historically Designated YES )(... NO Architect /Engineer's Name (if applicable) Value of Work For this Permit Type of Work: ❑Addition Describe Work: R E PL F C> Structural Review. $ [New * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** *k* Miami -Dade Training /Education Fee $ 1 - (00 Notary $ Scanning $5' O Radon $ Double Fee $ Zip Contractor's Company Name Y - i/ie+C tIAi%J. e l # 3C3 7 ' 1 S 9 Contractor's Address / q7/e) V im' `' 0 / 72_ E T City rV \i �\ i State F Qualifier Name C talk L R V b , 8 Phone # State Certificate or Registration No ( C 8 — 3 7 Contact Phone 30S- 7 S r l 58 2, E -mail Zip 33 Flood Zone /1/° Certificate of Competency No. 2010 toi =:t 4 L aI Phone # Square / Linear Footage Of Work: DPBR $ :34 'T 1 epair /Replace ❑ Demolition ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $-A) 0 Permit Fee $ CCF $ 4.-K0 co /cc $ Technology Fee $ (0 Bond $ Violation date: Total Fee Now Due $ (914 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 witty 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. Signature APPROVED BY who is 0 NOTA Y PUBLIC: Sign: Print: My Commission Expires: 7 Signature Owner or Agent The fore oin instrument was ackno ledged be me this day of j J , 20 ) 0 , by' Y 1 . JUL ersonally known to me or who has produced (Revised 07 /10 /07)(Revised 06/10/2009) s identification and who did take an oath. lans Examiner Engineer Contractor The foregoing instrument was acknowledged before me this day of / , 20 1 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ‹\(..) Print: s4 f f j/ (& ' a 'Pi Q � \ My Commission Expires: * * * * * * * ** Zoning Clerk checked i Inspection Number: INSP- 147400 Permit Number: EL -4 -10 -560 Scheduled Inspection Date: September 22, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GUEVARA, EDWIN Work Classification: Alteration Job Address: 25 NE 103 Street Miami Shores, FL 33138 4326 Phone Number (305)775 -7095 Project: <NONE> Contractor: HOME OWNER Building Department Comments ELECTRICAL WORK FOR BATHROOM AND KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 147221. /c/2__ September 21, 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 Parcel Number 1121360130940 Page 6 of 20 1 Inspection Number: INSP - 147400 Scheduled Inspection Date: September 22, 2010 Inspector: Devaney, Michael Owner: GUEVARA, EDWIN Job Address: 25 NE 103 Street Miami Shores, FL 33138 -2326 Project: <NONE> Contractor: HOME OWNER Building Department Comments September 21, 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: EL -4 -10 -560 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)775 -7095 Parcel Number 1121360130940 ELECTRICAL WORK FOR BATHROOM AND KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 147221. Page 6 of 20 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 Ali FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in 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 re -inspe on ee will be charged. Sign: Print: NOT PUBLIC: ei My Commission Expires : APPROVED BY (Revised 07 /10 /07XRevised 06/10/2009) Signature Contractor The for oing instrument was ac ow dged bef me this 0 The foregoing instrument was acknowledged before me this day ofly , 24 V , by • day of , 20 _ , b who is personally known to me or who has produced As identification and who did take an oath. Owner or Agent ° ei • P P� G p 4 1G. * * * ** who is personally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ******** * * * * * ** * *** * *** * ** * ** *,* * * ** * *; * * * * * ** **** ** L'fr e'U Plans Examiner;, Zoning Engineer Clerk checked W (/V (7 VI..7 v71(4 3 ivr ,cpcgci= PI t�� 4fr O rrlr rcip /0/PE # 1 COPPC/L hrli ^ f 3, 7-49 i1 14 )•( /a , Sox IQn h Q 1- "f IA/ (, C/ 67" L'qf .4 ■r' f /03 r/4#tf,q //Oft f y 4GP t0 cgria4/ 4 p/ 0 C,t ac'/v2 fF - c aPP ,( frvitc 4 -Z - coPP&i rot 71/6 sa1/1GC_ c ri<< j©f1 c t- 7- #ij// _ bJ7 - r /cam lg -/)- T7 MA/ A / A /, P °6>C-, ' v c s c 4 J(0 nr Trn - --/r j)0-11 EY 1 c:L.7.J.E:77 Or 'F ,'-",;',(7' NIT1 ALL FEL P, '' 1 ,:i n,■ 1 ,,..! 7, ,p, r. .,2 , ; -, .., ,- ;', ' . t ' , , , i. . Miami Shores Village a 0 0E g d Building Department B APR 0 2 2010 tig 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 BUILDING Permit No. PERMIT APPLICATION Master Permit N FBC 20(n Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) //i / C le o- Phone # ;2 ( D Owner's Address '2C � /03 r4 SE- H, 1 ) City o /� V\A J Sioy State o v .c lei Zip j- 1 3 ^� Tenant/Lessee Name Phone # 36 S 2 1 oti e Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address Architect /Engineer's Name (if applicable) 2� / 4„ , -- le S & 1 Om\o/{ NO Phone # Flood Zone //l'? City State Qualifier Name State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Zip Phone # Phone # Value of Work For this Permit $ 3c00 • v Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration fNew Repair/Replace Describe Work: 1 ❑ Demolition Iretalcoir ees Submittal Fee $ "a) VIJ Permit Fee $ c CF $ CO /CC $ Notary $ 5.00 Training /Education Fee $ Ocs Scanning $ Radon $ Double Fee $ %14..V Violation date: SO DPBR $ 1 -43 Technology Fee $ Q � Bond $ Structural Review. $ Total Fee Now Due SI 51 • 4U7 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 approved and a re- inspection fee will be charged. Owner or Agent Contractor The for goin • instrument was ackno ledged befo me this The foregoing instrument was acknowledged before me this day of dWi� (' , �j 20 � b y. day of 20 _, by w li o i personally kno to me or who has produced who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. NOT ' _PUBLIC: p .$9" NOTARY PUBLIC: erg �� , o $ Sign: \ .. L 1 //R tl�/ , ; _ �y c Print: 3 ' �' 4; �• �o .. I raq , My Commission Expires: Sign: Print: My Commission Expires: Vi a' * * * * * * * * * * * * * * * * * * * * ** ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) 7J44 Plans Examiner Zoning Engineer Clerk checked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: 71 6:4-1144 DATE: 9 / 7 -/Z- 19 / 0 ADDRESS: / /0 l�� re( r' 11 A 1" <1":, v,P C 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 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 supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the 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 with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. initia T 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 1--- 3. I understand that, as an owner builder, I am the responsible party of record on a permit I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. 4. I understand that I may build or improve a one family or two - family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 7 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www. mytloridalicense .com/dbnr /pro/cilbliindex.html 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Was acknowledged before me this cQ. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owners driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. day of I ,20) Initial By E u-Y\ (QOOfflL_1 who was personally known to me or who has Produced there License or R 1 O •02 as identification. io lq 'fl � S 1 �� a tI catl n. 6 k kt- OWNER NOTARY ��� 1 � ; %r,v 1-' vp ,3 + { ;;0 4 �lc 6a�ue° cn ®ems March 24 / 2010 To Whom it May Concern 25 NE 103rd st Miami Shores FL, 33138 BATHROOM #1 Existing Dimensions 10' * 65" * 8' 5" , qty (1) Packet Door to be replace with new Packet Door keeping original existing location qty (1) Window not to be change , the locations of existing Dimension are not to be change, Continue with safe dismantle of old existing not Hygienic or sanitary sink, Toilet , and bathtub , Complete Remedia work, Continue taking out the existing Finish Material like tile, Drywall, Continue taking existing 2" * 4" walls qty (2) , Continue taking old Furring from Block Wall, Complete Remedia work, Continue taking the existing floor out like tile or other laminated floor up to the subfloor, Continue and reinforce any wood damage cause by water intrusion, Continue Bringing Plumbing up to code Removing all old copper plumbing just below floor joist, install two 1/2 " coupling from existing hot and cold water supply lines and install qty (2) copper 1/2 " pipe to the toilet water supply, install hot and cold to bath faucet and also install hot and cold to shower divider, cut both toilet galvanized 3 " drain and shower 2 " drain install rubber boot with pvc to proper location, all pvc connections underneath the floor are to be glue and prime, faucet drain extended new additional work done, Continue Replacing 1" * 8" subfloor with new 1" * 8" pt wood , Continue Building 2" * 4" pt wall with studs at 16" on center , with 2" * 4" button plate and top plate keeping original dimensions, Continue installing new packet door with 2" * 4" header with studs at 16" on center , Continue installing 'new 1" * 2" furring pt on Block walls ( interior North and West wall ) with fire stops and backing using all pt wood , Continue bringing electrical up to code with new wires , vanity light , GFI circuit 4' down , center light and switch for center light at 44" down, Continue installing insulation to the 2" * 4" wall using the Fiver glass 16" R -11 type , and use the 16" Vapor Shield type over the new 1" * 2" furring pt 16" on center Continue installing 1/2" Dura Rock all that way around Bathroom floor Dimensions and shower walls, follow drawing instruction for shower detail, Continue installing shower pan with 6" all that way around the shower floor for water tight system, follow by the Motor mix at 3/8 thickness around the drain, Continue with the installation of the Green Board at 4' down around any plumbing section ( interior West block wall ) Continue hanging remaining walls with 1/2" Drywall even the other side of new walls (bed room and hall way side) , Continue taping joins and applying compound over joins and detail for smooth finish level 2, paint and Continue installing all new tile for floors and walls, Continue installing shower faucet ,new toilet , keeping and installing old sink with new facet, apply caulking were is need it . Home Owner Edwin Guevara Luna Castellani March 24 / 2010 To Whom it May Concern 25 NE 103rd st Miami Shores FL, 33138 KITCHEN Existing Dimensions 135" * 15' * 8' 5" , qty (3) doors, qty (1) Window the location or Dimensions are not to be change. Complete Safe Dismantle of old existing not hygienic or sanitary Cabinets, appliances and Drywall or existing finish material, keeping in place all Existing 2" *4" Walls Dimensions that comunicate the kitchen with the house. Complete remedia Work, Continue with extermination for pest control , take out the existing old floor or tile to the subfloor , Complete remedia work , Continue and reinforce any wood damage cause by water intrusion, replace some of the old 1" *8" subfloor planks, Continue installing 4' *8' 1/2 " Plywood pt over the 1" * 8" pt subfloor , Continue installing the new (2" *1" pt furring) at 16" on center along Part of the Interior East Wall in the Kitchen (block Wall) , The interior South Wall of the Kitchen (block wall) and the interior West Wall in the Kitchen (block wall) , apply fire stops and backing with pt wood , Continue with the north wall of the kitchen ( Metal Frame Wall ) made out of 1 5/8 " Track and studs 20 gauge at 16" on center 4" from the Existing Block Wall (North Wail), Continue with Replacement of all electrical wires for center lights, and sink light 3 way 4 way switch's ,120 GFI circuits 49" down, 240 GFI circuit range outlet using the same existing pipes lay out keeping original location and up to code , Continue bridging the Plumbing up to code with the installation of the new drain and trap for kitchen sink, run pvc to main drain with rubber boot 2 inch , cut 1/2 " pipe underneath floor and install coupling for hot water and cold water keeping original faucet location, add a 1/2" tee to install water supply for ice maker refrigerator, Continue installing insulation for the 2" *4 " walls apply the 16" fiver glass R -11 type, for the block wall apply over the new 1" *2" pt furring 16" Vapor Shield , Continue installing 1/2 " green board 4' down in all the areas with plumbing pipes ( North and South wall of the kitchen ), Continue hanging remaining walls with 1/2" Drywall, Continue with the (exterior propane gas tank ) relocating the tank and gas line for accessible shut off valve, Continue taping joins and applying compound over joins and details for smooth finish level 2 , Continue with the installation of finish floor ( wood laminated ) over the New Plywood pt, Paint and some tile around the Walls in the kitchen , No cabinets to be install ,No Counter top to be install , the sink sits on especial base, build by the owner with pt Wood, 1/2" Dura Rock and Tile . Home Owner Edwin Guevara and Luna Castellani March 24 / 2010 To Whom it May Concern 25 NE 103rd st Miami Shores FL, 33138 BATHROOM #2 Existing Dimensions 921 /2" * 871 /2" * 8' 5" , qty (1) Door qty (1) Window , Existing Dimensions are not to be change , Keeping the original lay out , Continue with safe dismantle of Existing bathtub, toilet, sink , dismantle Finish wall existing tile or Drywall, take out existing floor tile or other laminated up to the subfloor , Continue and reinforce any wood damage cause by water intrusion, Continue bringing Plumbing up to code by removing and replacing old 1/2" cooper pipe underneath floors, install couplers for hot and cold 1/2" pipes and run new, no work on the drain, install two tee for hot and water for claw foot tub cut galvanized 2" and 3" drain pipes for shower and toilet and run pvc prime and glue, Replace the 1" * 8" subfloor with new 1" * 8" pt, Continue Removing only the 1" * 2" old furring from the East interior block wall, install new 1" * 2" furring pt 16" on center along the interior east block wall,apply fire stop, Continue with insulation for 2" * 4" walls use Fiber Glass 16" R -11, and over the new 1" * 2" furring pt on the east interior block wall use the 16" Vapor Shield, Continue installing 1/2" Dura rock all that way around the floor dimensions, install green board at 4' down all that way around the interior bathroom dimensions, hanging remaining walls with 112" drywall, Continue taping joins applying compound over joins and detail smooth finish level 2, Continue and paint walls, install all new tile for floor and walls, Continue installing new toilet, new sink, self standing tub plumbing remains cap, apply caulking were is need it. 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