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DS-07-1454Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Numbe IN, P -55 22 Pe t Number a' -7-07-1454 Inspection Date: 07/30/2007 Inspector: Grande, Claudio Owner: RENES, CECILIA Job Address: 705 94 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final eis•Work Classification: Addition /Alteration Block: Phone Number (786)587 -0701 Parcel Number 1132060141960 Lot: Building Department Comments Friday, July 27, 2007 Page 2 of 2 1 Passed t "" Inspector Comments my Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, July 27, 2007 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 BUILDING C"l1 }�1 PERMIT APPLICATION FBC 2004 Permit Type (circle): 1 JUL 1 2007 L Y:_G,�m Permit No. OS Olt [ Master, Permit No. Bid_ alibi' ihkeheoppievelio Roofing Owner's Name (Fee Simple Titleholder) lMJA- ■ C • Owner's Address ti_ City IAA-kW, < State _ • Zip '31f-3.50 Tenant/Lessee Name___— l Phone # -- Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name reCilLIA. VOISS CCU ) Contractor's Address SAM • City State Zip Qualifier Name Phone -# State Certificate or Registration No. Certificate of Competency No. Phone '# ! " ( Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: ❑Addition Phone # 1-000 DAlteration Square / Linear Footage Of Work: ❑ Re pair/Replace ❑ Demolition ***************************************Fees**************** Permit Fee $ Notary $ ' OD Training/Education Fee $ 040 Scanning $ ���//'''lm Radon $ DPBR $ Bond $ 'WO CO Code Enforcement $ Double Fee $ Total Fee Now Due $ 12- ' JUL 1 7 4', See Reverse side Submittal Fee $ �ff yy * * * * * * * * * * * * *, * * ** CCF $'''' bli CO /CC Technology Fee $ Jj ' 12- • Zoning $ Structural Review. $ 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 ss'parate permit must b8 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 Appl . nt: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in go d fai that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose proper f s eject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first 1 j ect n which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wil .. t b approved and a reinspection fee will be charged Signature i Signature wner or Agent Contractor The fore instrume i t was acknowl ed before me this it The forego _ instrument was acknowledged before me this day of 2001, by I Ct , day of 20 , by , who • perso' . ly kno me or who has produced q,,p who is personally kno to me or who has produced identification and who did t ip.0 as iden cation and who did take an oath. NOTARY PUB 0ti '4���5', * oo,0: NOTARY PUBLIC: Sign: Print My Commission xpires: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print My Commission Expires: �1 Plans Examiner Engineer Zoning Jul 05 07 04:59p From: Deeb Law F E-+Bcn es' 305 - 757 -0193 P.3 07/05/2007 18:28 0248 P. 003/003 . ratio b is • Survey Number:4544 See Reverse seal cite original Ild99ti CO 5, ,4.4 -. VIC flp70lN.I�(• NE 94111 STREET • No *No emateedtmetimarer *mobs svmscamertalauhatbrie (Mummy. ..1m.mi1mx WIIMIVI IM139919911131 A•.99311111191629 9•.•191!91 Sim- 99(16 arm among Owaata9a9199 1 0s. ppy•rr 9109.9 �a.�m 98n mum fixwoRgsv amemma ®teal, 1A9.91 av ttaewivlaY w9pA aiM it mat. A saaaeuale 1.aw tv.. oar 9.9•+1111.99 !9111 Pa tt9g61 - (9•+919. . --WY alotu.,mm1 im�a KM Q lowwr �w� wwrgpamr iR.L10�l1991Yt1 4to4"PPpW� rmt. s,en1. ours -.. ,ems urnu•arrt mu.19m•a9ra ,�. 9a 'f°x°°1plirwnsai"6:9an®..,aa®9 DClirtlys 0. Bello, P.13.1111. PROFESSIONAL SURVEYOR AND MAPPER 12230&W.131etAvenue, Suits 201 M1au1d, Florida 33188 Tel: ( 251-9006 Pax (305)261-6057 • • • • • •• • • •••• • • ••• • ••• • • • •• • •••• • • • • •••• • •• • • • • • • •• •• • •• • • • • • • •••• 0• • • • •••• • • • •• • ••• • • • •• • • • •. • • • • • • • • • • • • VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: l& CL PIA .cS DATE: 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 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 Initial G 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 Initial CC-12- 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 C '-V-- . 4. I understand that the building official and inspectors are not there to design, alter or give advice ors how toy meet code —. only if the structure meets the minimum code. Initial CC^Z _ 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. Initial 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. Initial C-C� 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 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. Was acknowledged before me this f2, day of B,,Cec,tli a ePAs Initial 20 al who was personally known to me or who has as identification. n lir i x. n Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. DS-7-07-1454 Issue Date: Not Issued Expires:Not issued Folio Number:1132060141960 Owners Name: JAIME & ANA MALCZYK Owners Phone: Job Address: 705 94 Street NE Total Square Feet: 816 Miami Shores, FL 33138- Total Job Valuation: $ 2,000.00 ..... .. .. •, ........ ......... ••••••••••••••• ........... •••••••-••••• •••••••••••••••••••• • ••• Contra ctor(s) Phone Primary Contractor •• Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/13/2007 : Yes Comments: