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RC-06-1839Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: IN P -21 935 Permit Nub RC- 7-06 -1839 Inspection Date: 10/05/2006 Inspector: Grande, Claudio Owner: Job Address: Project: Contractor: ARDEN, DENIS 375 94 Street NE fiCT 0 6 2600 Miami Shores Village, FL 33138- <NONE> HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number (305)648 -0032 Parcel Number 1132060136120 Lot: Building Department Comments Wednesday, October 4, 2006 Page 2 of 2 1 O Passed °4' Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, October 4, 2006 Page 2 of 2 Miami Shores Village l 4106 z-4 l Buildin g Department artment c nits, - 1'u 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING D Permit No. PERMIT APPLICATIO4 L ©2006 Master Permit No. FBC 2004 � BY Permit Type (circle): cal ./Plumbing Mechanical Roofing Owner's Name (Fee Simple Titlehold r) , l / ►�i /.�- �� (,�i Phone # �u�' C,9 1467' Owner's Address" City + } State ft Zip ) Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Vi11aze County Miami -Dade Zip 'S3136 FOLIO / PARCEL # Is Building Historically Designated YES NO I ` Contractor's Company Name 4 Contractor's Address City Qualifier Name Phone # State Zip Phone # State Certificate or Registration No. Certificate of Competency No. • Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ U ©© Square / Linear Footage Of Work: Type of Work: DAddition DAlteration []New Describe Work: L tCt I ga Repair/Replace [l Demolition Submittal Fee $ 0 , Permit Fee $ /0.l 5 �' CCF $ CO /CC Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Technology Fee $ Structural Review. $ Total Fee Now Due $ 12. 4] See Reverse sidu Lc.1 o� io 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 fir t inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspectio 1 I no a approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1 C) The foregoing instrument was acknowledged before me this day o 1 , 2(`tc;,b °Yl 1 SEcA r Ar c4ct- -flay of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: My c + sion Expires: OTAItYpIALIC briery Hernandez flominiemADIWA 55 Expires: SEP.27 �,�, Bonded Thra Atlantic Bonding Co., APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print My Commission Expires: Plans Examiner. Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: 1 • DATE:.'" -% 'GEz. ADDRESS: 3 OJe 57 Do hereby petitions the Village of Miami. Shores.to act as my own contractor pursuant to the laws of the State of Florida, F. 489.1.03(7). And I have read and understood the following disclosure statement, which entitles rife 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 corrunercial' building at a cost of $25,000.00 or less. The building must be for your own.use and.occupaticy. It may not be built for sale or lease: Ifyou sell dr lease a building you have built yourself within one year after the.constructlon 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.thatyou must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee,,alkas prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zbning regulations. Please read and initial each paragraph. I. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as an owner - builder I must abide by all zoning building regulations in effect at the time of permit application dinances and 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 ' understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the . minimum code. Initial 5. I understand that as an owner- builder, that any contractor disputes with sub - contractors and myself must be handled in a civil court with the advice of 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 poses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial 7. understand that if any person gots injured on my construction project —they are entitled to wdrknien'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 duripg recovery from injury. Initial 8: I. understand that under state and focal 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 GI C1'7 ® i S Produced there License or 1 Initial t O day of 4A-J - , 20 CD C'® E •4who was personally known to me or who has OWNER as identification. 4 ��, NO .° '! .STIVE OF FL eny Hernandez Commission # DD476455 Expires: SEP. 27, 2009 Bonded Thru Atlantic Bonding Co., inc. • Campanile & Associates, is $ rt f irge; • • .. of Authorization No. = F116781 • ;• ; ; • ... • • • • • . • • • • • .. .• • •• • . • FOUND PIPE . ,,fin .. • • • • • ... 4'C.LF. WEST OF PROPERTY LINE FOUND PIPE O. 2' 5' CHAIN LINK FEMME WOMEN PIONIERTY LINE \ -Z NI) NOTES: Examination of the Abstract of Title will have to be made to determine the recorded instruments, if any, affecting this property. The North arrow shown hereon Is based upon Plat Book 10, Page 70 and is referenced to the centerline of N.E. 94th Street, assumed bearing = due East. FOUND PIPE denotes found i/2° Iron pipe with no cap /cap illegible. SET PIPE denotes set 1/2' iron pipe & cap stamped 'F- 1578'. This survey was made In accordance with the Minimum Technical Standards for surveying and mapping as found in Chapter 6i- G17 -6, Florida Administrative Code. Elevations are based upon National Geodetic Vertical Datum. Legal Description supplied by Client. RW C. B. S. OW UP BO CONC ASPH WM WUP A/C E FWD. P. N&D LEGEND: CENTERLINE RIGHT -OF -WAY CONCRETE BLOCK & STUCCO OVERHEAD WIRES UTILITY POLE BARBEGUE CONCRETE ASPHALT WATER METER WOOD UTILITY POLE CONCRETE SURFACE FINISHED FLOOR ELEVATION AIR CONDITIONING APPURTENANCE FOUND PLANTER NAIL AND DiSK 187.50' LEGAL DESCRIPTION Lot i4 and the East 30' of Lot 13, Block 45 °AN AMENDED PLAT OF MIAMI SHORES SECTION ONE', according to the Plat thereof, as recorded in Plat Book 10, at Page 70 of the Public Records of Miami -Dade County, Florida. CERTIFIED TO: Na. DATE REVISION DESCRIPTION BY PROJECT* 4095 DATE &M EM d MITI U 4 -22 -2003 EE M DRAWN AC /CADD CHECKED FIELD BOOK; PAGES 290 23 DRAWING* I SCALE 4095 Su =30' FOR: DENIS 6 JAMIE ARDEN CAMPANILE & ASSOC I ATES, I NC. ENGINEERS PLANNERS SURVEYORS 6420 S. W. 147th STREET MIAMI, FLORIDA, 33158 (305) 971 -1988 (305) 971 -1989 (FAX) CAMPANI E & ASSOCIATES 14 CHI. APY. I NC. BY: LOUIS R. CAMPANILE, ' PRESIDENT PROFESSIONAL SURVEYOR AND MAPPER No.1224 STATE OF FLORIDA UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAWING, SKETCH, PLAT OR MAP IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT VALID.