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RC-08-1960Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 9917 MIAMI Avenue Miami Shores, FL 33138- Fees Due CCF DBPR Surcharge Education Surcharge Notary Fee Penalty Fee Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Technology Fee Amount $1.20 $0.28 $0.40 $5.00 $100.00 $100.00 $0.28 $6.00 $5.32 Total: $218.48 Building Department Copy Address =:w Valuation: Total Sq Feet: $ 2,000.00 56 9917 MIAMI Avenue MIAMI SHORES FL 33150- Contractor(s) HOME OWNER Phone Cell Phone Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: BATHROOM REMODEL Stories: Front Setback: Left Setback. Bedrooms: Plans Submitted: Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Invoice # RC -11 -08 -33303 Check #: 1070 Parcel Number 1132060131250 Block: Lot: Authorized Signature: Owner / Applicant i Ccntractor / Agent Phone Total Amt Paid Amt Due $ 218.48 $ 218.48 $ 0.00 Applicant Date Cell For Inspections please call: (305)762.4949 Available Inspections: Inspection Type: Final PE Certification Shutter Final Window Door Attachment Tie Beam Slab Termite Letter Framing Insulation Drywall Screw Shutter Attachment Window and Door Buck Ceiling Grid Fill Cells Columns October 15, 2009 PROVED Expiration: 04/13/2010 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. October 15, 2009 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 it Nov 0 5 2388 jui BY: Permit No. WJ Q l 61 (QO BUILDING PERMIT APPLICATION Master Permit No. FBC 2004 • Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) /94Se/ fr) .6/;z- 2 Na r � � b Phone # 305 t Owner's Address .9 f/ 7 W /'?rte,' / City A`r." State Tenant/Lessee Name Job Address (where the work is being done) ?q / 7 /f4 -t4 /04a-+) d Aye_ City Miami Shores Village * Coanty • Miami -Dade Zip 3 3 B FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name • ()cow Zip 33L4 Phone # Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. l Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ yg.�� Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Renl�ace_ ❑ Demolition Describe Work: Me G c d /Kg_ j *-- /rde -n Led , ✓ c ®�_2 d o P C �� %) 6)4 " I;eL �� f�. 116o o r J•rn -otie.0/ �� tz t 04;3 s fi cst,., -e-t _ l Submittal Fee $ Notary $ ‘c Scanning $ ' I 0 O Structural Review. $ * *** *** ******* * ************:x******** ** F ees ************* ** x ****** * ** * *:x********* Permit Fee $ /60 CCF $ 0 'C Training/Education Fee $ 0 Technology Fee $ 5 0 Bond $ Code Enforcement $ Radon $ d 2 ?) DPBR $ Zoning $ Double Fee $ ID Total Fee Now Due $ I e : 1 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 The fore day of who is persona I Owner or Agent oino instrument was ackn • y;ll ' for r , 20 '0 by = _ ► lt+ ► ly known to me or who has produced identification and who did th. 0 4 Sign: Print APPLICATION APPROVED BY: (Revised 07 /10/07) A this v ' Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: "'•� 'q o ****** **+x**+x***.x****:x*************************** ****** ** ***** ********** ******** *****.x****+x**** *.x************ Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: And s/ Al. hi`eL z ' MaeieIa 1) i . DATE: Oc73 o � 2,00d' ADDRESS: 79/7 NP r/ / i PL 3 3 /33 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 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 hold title to the above property and I am planning on doing this construction Myself. Initial A 6 - 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 .4 11 H® 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 A hD 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. 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 an 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 required to have 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. Was acknowledged before me this Produced there License or'` L ' 6 ( 9 . J 0 1 1 - 1 0 - - Q 0 3 OWNER day of Nlie , 20 Initial A D l Initial 6 — Jy Initial 4 D — D 7. I understand that if any person gets injured on my construction project-they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial AD — HD 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 - HL I i Ok GiatO who was personally known to me or who has identification. 9,0 ZONING PERMIT #: Az ae- /9-60 DATE MIAMI SHORES VILLAGE APPROVED STRUCTURAL ELECTRICAL PLUMBING ,RECHANICAL A4 I SUBJECT TO COMPLIANCE WWI ALL FEDERAL 1 STATE AND COUNTY RULES AND REG' BLDG. ,5 ,1'6'/ Inspection Number: INSP -99592 Permit Number: EL -11 -08 -1961 Scheduled Inspection Date: October 21, 2009 Inspector: Devaney, Michael Owner: DIAZ, ANGEL Job Address: 9917 N MIAMI Avenue Project: <NONE> Miami Shores, FL 33138- Contractor: HOME OWNER Building Department Comments October 20, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please c:a11: (305)762 -4949 c‘e- --0 8- la 0 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131250 OUTLET CHANGE FOR A BATHROOM REMODEL (after the fact) Passed Failed ■I Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments vt2. 9 #A- & r© r/A e zP A Page 6 of 7 Project Address 9917 MIAMI Avenue Miami Shores, - FL 33138- Owner Information ANGEL DIAZ October 15, 2009 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Building Department Copy Type of Work: ELECTRICAL Additional Info: BATHROOM REMODEL Classification: Residential Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Penalty Fee $160.00 Permit Fee - Additions/Alterations $159.99 Scanning Fee $3.00 Technology Fee $4.00 Total: $332.79 Address Authorized Signature: Owner / Applicant / Contractor / Agent Expiration: 04113/2010 Parcel Number 1132060131250 Block: Lot: 9917 MIAMI Avenue MIAMI SHORES FL 33150- Phone Valuation: Total Sq Feet: Invoice # Total Amt Paid Amt Due EL -11 -08-33301 $ 332.79 $ 332.79 $ 0.00 Check #: 1070 Applicant Cell $ 1,000.00 56 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. 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. October 15, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 City Miami Shores Village FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Permit $ I Type of Work: Descri rk: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Electrical Owner's Name (Fee Simple Titleholder)/), / kt c ix apf etr /eI . >aa.Phone # No cclJ Owner's Address 79/ 7 o a-/4/4 i Avt.. City / Z- v,,' SA-0 rev State ,F Zip 3 3/ Sri Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 9 9 / 7 /`/pyZ /vf , .■1,„ County Miami -Dade Is Building Historically Designated YES NO '" /tfvt• Permit No. Master Permit No. Contractor's Company Name Ykl/r Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: 0 Phone # Zip 3 3 / O Square / Linear Footage Of Work: Notary $ 5.0 co Training /Education Fee $ • 20 Scanning $ 3 p O Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ tzv ® 5 MB ------------------- 52 3,0,3' / ['Addition ❑Alteration ['New ❑ Repair /Replace ❑ Demolition ■ s �" . Coll r ., At at/et fie. et-7 4 ro orr, w xxxxxxx *x* xxxx4cx****w.www* *****xr.**** Fee$ xxxxxxr ,x *xxa:xxxxxx *xxxxxxxxxxxxx 4:xxxxaY****xx Submittal Fee $ Permit Fee $ / P' a44' CCF$ a (0 0 CO /CC Technology Fee $ 4 0 b Zoning $ Double Fee $ / 670 , G k Total Fee Now Due $ 3 '3 a a lb 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged SignatureX The foregoing ins rument was ack day of 1 0 b Sign: Print: My Commission Expires: Owner or-Agent APPLICATION APPROVED BY: (Revised 02/08/06) wledge before ally known to me or who has produced 1 who is personally known to me or who has produced 9 As identification and who did take anat % 4 1 3 as identification and who did take an oath. 0 )N 1. g G~ N fr TAR PUBLIC: ,° � .& e NOTARY PUBLIC: at J _ 4$c. � °�� Sign: 4 ti 4 w� Print: o 1 '4 .... My Commission Expires: xxxx XxxxY.xY.xXxxxx XXXx Xx %xxX W* W* ** O xxx *xxxx'x'x Y x'xx** *****Y. xxx x xx xx x x xxx' Y.xx x xx xxx xx x**** * ***xx x x x* ***'Y. Signature Contractor this 5 The foregoing instrument was acknowledged before me this day of , 20 , by g i40L/42 2 1 3 Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -99602 Permit Number: PL -11 -08 -1962 Scheduled Inspection Date: October 21, 2009 Inspector: Levrock, James Owner: DIAZ, ANGEL Job Address: 9917 N MIAMI Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments CHANGE GALVANIZED PIPES FOR COPPER PIPES AND PUT PVC UNDER SINK IN ONE BATHROOM Passed Failed Correction Needed Re- Inspection Fee October 20, 2009 No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspentiorm please call: (305)762 -4949 Phone Number Rc -c( -o 8 -rah o Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Parcel Number 1132060131250 Page 7 of 7 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) /� el Al 6;4- /loir'e .0,uphone # 30 s 7 ST -1-98/ 8/ Owner's Address 99/ 7 A1or77`1, City / 7 #nj S r-, State PC. Zip 3 2/ SO Tenant/Lessee Name E -MAIL: Is Building Historically Designated YES Value of Work For this', Permit $ Notary $ c 0 0 Scanning $3, 0 0 Bond $ Structural Review. Radon $ Miami Shores Village IMumnral 13uitding Department lit ov o 5 no 10050 N.F.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY Job Address (where the work is being done) q / WO a't4 14 City Miami Shores Village County Miami -Dade Zip 3 3/C FOLIO / PARCEL # Contractor's Company Name Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Type of Work: ❑Addition ❑Alteration DNew f' Repair /Replace ❑ Demolition Describe Work: Wt. G`i /- � i� 1001++ j . _f / 7 - Greet- 4\k, Cao * ** * * * * * *o4+YtY9c4e• is ****s4 &aYatia4******aY***** *** F 9e********xx xxxx****** *ic********$c****** ** Submittal Fee $ 6v„0"/ Permit Fee $ l 7 CCF $ (10 CO /CC Training /Education Fee $ 2. u Technology Fee $. '1 3 w, Code Enforcement $ NO r/ DPBR $ Permit No. Master Permit No. Phone # Phone # Square Footage Of Work: b Co Double Fee $ `, v Zoning $ Total Fee Now Due $ j (p i See Reverse side -� 12r Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that'll() 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: 1 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? Sign: Print: My Commission Expires: ** (Revised 02/08/06) State State Owner or Agent The foreg ing instrument w s acicno - dged b fore me day of , 200 by G 1Y Jc�/ u h j is personally known to me or who has produced APPLICATION APPROVED BY: Zip Zip s identification and who did tak oath. )4' cso wxxxxxxx wwwwwxwwwwwwxxxxxx***ic Signature Contractor The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: wwwwwwwwwwww icwwwww*** xwwwwwwe'ewwwwwwwwwwwwwwwx 11 /x" Plans Examiner Engineer Zoning Project Address 9917 MIAMI Avenue Miami Shores, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Owner Information ANGEL DIAZ Address Expiration: 10 /15/2009 Parcel Number 1132060131250 Block: Lot: 9917 MIAMI Avenue MIAMI SHORES FL 33150- rtiffNIOES Contractor(s) HOME OWNER Phone CeII Phone Phone Type of Work: PLUMBING Type of Piping: BATHROOM REMODEL Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Notary Fee Penalty Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $175.00 $175.00 $3.00 $4.38 $363.18 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy October 15, 2009 Invoice # PL -11 -08 -33302 Check #: 1070 Total Amt Paid Amt Due $ 363.18 $ 363.18 $ 0.00 Applicant Date Cell For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory 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. October 15, 2009 1