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BP-05-1313Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/06/2007 Inspector: Grande, Claudio Owner: BLACK, BRIAN Job Address: 1294 96 Street NE Miami Shores Village, FL 33138- \8# Project: <NONE> Contractor: HOME OWNER QL 07 Block: I i `i11ltt4 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: <NONE> Phone Number (678)986 -2032 Farce! Number 1132060143840 Lot: Building Department Comments REMOVE AND REPLACE OLD WALL PANELING AND WATER DAMAGED DRYWALL FRAMING CELING& WALL REPAIR & REPLACE qfel7 Passed Inspector Comments my Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, September 5, 2007 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. epc5 - 01s Permit Type (circle ) Electrica QQ Plumbing Mechanical Roofing O'✓1 1V `. 6 la-014 Phone # (- 3-3/71® �2�Owner's Address 't City AM M ` t 6� State ft-C;srl, Zip c3 Owner's Name (Fee Simple Titleholder) TenantlLessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Zip Qualifier Winer Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit /e` Z10 — Square Footage Of Work: Type of Work: ['Addition tgAlteration DNew R air/Re lace ep � p ❑Demolition Describe Work: V-Qx"A*Q 0 Id vievit f'49-7"-eitYn f 0,01.113 ,r / t (4 74- , ') Submittal Fee $ Notary $ Training/Education Fee $ Scanning $ 3 - Op Radon $ Zoning Bond $ Code Enforcement $ CO CO * * * * * * * ** Permit Fee $ 3 00 CCF $ 1 - Z© CO /CC. Technology Fee $ ] . C7.4o Structural Plan Review. $ Total Fee Now Due I I (Continued on opposite side) SEP29PAID 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 011,/✓ Signature Owner or Agent Contractor The foregoing insment was acknowledged before me this The foregoing instrument was acknowledged before me this day of 0 K- by \/+ ( 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: * * * * * * * * * * * * * * * * * * * ** S * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05 /13/03 ** ANTONIO F. MOYA Notary public, State of Florida My comm. expires July 28, 2009 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: Plans Examiner Engineer Zoning COVERED ENTRY GARAGE LIVING ROOM BEDROOM BEDROOM Lawrit FLOOR_ G NER_AL NOT - ALL WOODEN DOORS & WINDOWS TO BE RE-FINISHED / REPAIRED AS NEEDED - REMOVE / REPLACE WOOD - PANELED WALLS AS NEEDED WITH DRYWALL - REPAIR & REPLACE DAMAGED DRYWALL & FRAMING AS NEEDED - REPLACE EXISTING VINYL & CERAMIC TILE WITH STONE & PORCELAIN TILE - PLACE NEW FIXTURES & APPLIANCES IN KITCHEN AND BATHS - PLACE NEW KITCHEN PERIMETER & ISLAND CABINETRY - REPAIR & REPLACE DAMAGED STAIR TREADS & RAIL - PLACE 30 " -36" NEW DUAL-FUEL RANGE & BURNERS - PLACE 36 "-42" NEW SIDE -BY -SIDE REFRIGERATOR - PLACE NEW SINK AND DISHWASHER IN ISLAND - REPLACE EXISTING VENTILATION HOOD - UPDATE ELECTRICAL & GAS CONNECTIONS AS NEEDED (TO BE PERFORMED BY LICENSED TRADESMAN) KITCHEN .:: ISLAND ; SOFFIT HOUSES RECESSED LIGHTING. 18" OC METAL STUDS SECURED AROUND PERMIMETER OF ROOM WITH OPENING CENTERED OVER ISLAND. FRAME FASTENED TO PERIMETER. WALL STUDS. PANTRY BEDROOM DINING ROOM ISLAND PENDANT KITCHEN FAMILY / MEDIA LAUNDRY EVE CEILING VIEW A 0 LOWER FLOO R.PLAN LIPPER- FOR.. GENERAL NOTES - ALL WOODEN DOORS & WINDOWS TO BE RE- FINISHED / REPAIRED AS NEEDED - REMOVE / REPLACE WOOD - PANELED WALLS AS NEEDED WITH DRYWALL - REPAIR & REPLACE DAMAGED DRYWALL & FRAMING AS NEEDED - MOISTURE - RESISTANT DRYWALL TO BE USED IN BATH AREAS - SHOWER AREA TO BE LINED WITH CEMENT BOARD W/ PVC LINING, TILE - SHOWER FLOOR. TO BE MONOLITHIC PREFAB SHOWER BASIN OR CURB - FORMED - BATH FIXTURES TO BE REPLACED AS NEEDED PER MFG. SPEC - MODULAR CLOSET / SHELVING SYSTEM TO BE INSTALLED - FLOORING TO BE REPLACED WITH WOOD PLANK (EXL. BATH) - BATH FLOORING TO BE STONE TILE W/ V4" CEMENTIOUS UNDERLAYMENT, WITH ROOFING PAPER AND 4 MIL PLASTIC MOISTURE BARRIER BENEATH CLOSET / 511ELYING SYSTEM ANCHORED TO ADJACENT WALL(S) FAB STONE SHOWER, (PER MANUFACTURER. SPEC.) INTEGRAL DRAIN PITCH CEMENT BOARD STAINLESS STEEL FLANGE DROP-1N TU& FRA .': SW 11 (PER MANUFACTURER SPEC.) BALCONY W.= Asa,, C6.1 VMSt ACCESS PANEL TI L Vt&ON i DRAM M NIA FR 'teMIF WOOD FRAMED SUBFLOOR DRAIN OPENING Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 Parcel Record Pagel of 1 Printed: 9/9/2005 Parcel #: 1132060143840 Address: 129496 ST NE GIS X Coordinate: GIS Y Coordinate: Status: On Hold? ❑ Legal Description: Directions to Parcel: Taxation #: 1132060143840 Zoning: Addition: MIAMI SHORES SEC 2 Area: 1249375 SQ FT Block: Lot(s): Section: Township: Range: MIAMI SHORES SEC 3 PB 10 -37 E125FT OF LOT 1 & E125FT OF N 41.45FT OF LOT 2 BLK 84 LOT SIZE 99.950 X 125 CF 75R- 191702 SYLVAN H SARASOHN &W DALE HERBERT L DAVIDSON &W URSULA M Owners: Name: BRIAN BLACK Address: 1294 NE 96 ST MIAMI SHORES VILLAGE, FL 33138 Phone Numbers: Day: 305 - 803 -3176 Internet: Website: Evening: Fax: Email: Purchase Date: Purchase Price: Sale Date: Current Owner? Q Status: Cellular: Permits: BP2003 -699 BP2003 -1400 ME2003 -172 BP2004 -769 RO2005 -6 BP2005 -328 EL2005 -307 Applicant CARL L PAXTON JR &W JEAN CARL L PAXTON JR &W JEAN CARL L PAXTON JR &W JEAN CARL L PAXTON JR &W JEAN CARL L PAXTON JR &W JEAN BRIAN BLACK BRIAN BLACK Status CANCELLEC CLOSED CLOSED CLOSED CLOSED APPROVED APPROVED Filing Date 4/30/2003 8/27/2003 9/11/2003 6/3/2004 1/12/2005 3/8/2005 9/1/2005 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 9/27/2005 Building Permit Permit Number: BP2005 -1313 Page 1 of 1 Applicant: BRIAN BLACK Owner: BLACK BRIAN JOB ADDRESS: 1294 NE 96 ST Contractor Local Phone: Parcel # 1132060143840 Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E125FT OF LOT 1 & E125FT OF N 41.45FT OF Fees: Description Amount FEE2005 -12886 Building Fee $300.00 FEE2005 -12887 CCF $1.20 FEE2005 -12888 Training and Education Fee $0.40 FEE2005 -12889 Technology Fee $7.50 FEE2005 -12890 Scanning Fee $3.00 FEE2005 -12891 Code Enforcement Fine $100.00 Total Fees: $412.10 Total Fees: $412.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/8/2006 Construction Value: $2,000.00 Work: REMOVE AND REPLACE OLD WALL PANELING AND WATER DAMAGED DRYWALL FRAMING CELING & WALL REPAIR & Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. SLY v 1 Ai� CIKl Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Sim le Titleholder ( t Owner's Address ( Zq� City Mt Alike. l i (I 16 PQS State rd-g E Ft: 1 0116 1 Permit No. �. Master Permit No. Bp 2 aoS ( 313 Plumbin — Mechanical Phone # Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Roofing izq(( ue cup 61:15 County Miami -Dade �-- Zip Contractor's Company Name Sk ke-5 P (phone # L ®l 7J )' Z (Me, Contractor's Address ci o b f\to /44) State Z— Zip 5 1 l d City Qualifier t LN n\C, State Certificate or Registration No. C t"' C - 019 266— ® 6— Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Fermi Type of Work: ❑Addition Describe Work k 4K)(r"-' Alteration of Square Footage Of Work: New Repair/Replace 0 Demolition • l n ibor Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Permit Fee $ / CCF $ CO /CC Training/Education Fee $ Technology Fee $ Radon $ Zoning Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bond $ Bonding Company's Nane (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, tire inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent 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: Signature Contractor The foregoing instrument was acknowledged before me thi day ofL al 20 c6, by who is personally known to me or who . duced NOTARY s Print: as identifica VI, Idw o take an oath. UMW, fitill:W■TrAFIWArig, ria My Co os Commission # DD268491 toted By National Notary Assn. lark imicr* * r* *-Y *'w *ilk Mk * **************** * * * * * *** * * ** * * * * *** * * * * * * *** * ** * **,: * ** ***************** * ** * ** * * * ** * * ** * * ** ** * ** ** ** * ** APPLICATION APPROVED BY: Chc 05/13/03 2 � Plans Examiner. Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLIUA L LUN AN AEPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL TEM ATH T13 UNIT •1 FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER ( RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C • (CENTRAL) RINKM FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION CREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING NTERCEPTCR RANGE TOP UNDERGROUND TANKS .AVATORY Z OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS IDTHES WASHER t MOTCRS 0- 1 HP STEAM BOILERS 1-IOWER 1 ( MOTCRS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MIOTCRS OVER 3- 5 Ha MECHAN I CAL VENTILATION ;INK, RESIDENCE 1 MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 H' ELEVATORS/ESCALATORS TEIYPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE 'SPRINKLER. SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET Y MOTORS OVER 100 H? VIOLATION INDIRECT WASTES I A/C WINDOW REI,NSPECTJON WATER SUPPLY T0: I AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I I HEATER -NEW INST. GENERATORS-TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS I 1 LAWN SPRINKLER -WELL SPECIAL PURPOSE I SWIMMING POOL OUTLETS CO1&ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS *.SIGN TRANSFERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN I DISCHARGE ELL ODMESTIC WELL AREA DRAIN ROOF INLET J I SOLAR WATER HEATER FIRE STANDPIPE l I POOL PIPING 1 I LAWN SPRINKLER SYSTEM' I i GAS RANGE I METER SET (GAS) I 1 GAS PIPIN • f i 1 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 05/24/2006 Inspector: Levrack, James Owner: BLACK, BRIAN Job Address: 1294 96 Street NW Miami Shores Village, FL MAY 2 8 END CL Project: <NONE> Contractor: THE NEW MIAMI SHORES PLUMBING Permit Type: Plumbing - Residential Inspection Typ Work Classification: Addition/Alter tion Block: Phone Number (678)986 -2032 Parcel Number 1132060143840 Lot: Phone: 786- 553 -5424 Building Department Comments Wednesday, May 24, 2006 Page 2 of 2 f' Passed dlnspetor° Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, May 24, 2006 Page 2 of 2 NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STA:TEMENP Qp1a,. 1I4O 4 ADDRESS: I I L Ni f✓ c G DATE: Ell S /© 7 Do hereby petition the Village of Iyliarni Shores to.aot as my own contradtor pursuant to the laws of the State df Florida, F.S 489.103(7). Arid 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 one4arciily or twoafamily 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 tray 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 en your building who is not licensed must work underyour supervision and must be employed by you, which means that you roust deduct F.LC.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 6////. 2. I understand that as ail owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 0.4/ • 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 &/''r 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 6iv 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 a.ny contract disputes. Initial C34r 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. lifer any reason they do not posses a bilsiness license I will be responsible and liable for any wrong doing from this unlicensed etimpany-or person. Initial 45 47 5 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 t could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial -.A✓ 5' 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 1 day of .)(CtiL f)101C k Produced there License or Initial (/1-' 5 who was personally known to me or who has 6/ki .s6cC OWNER