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BPP-09-854Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 132213 Permit Num R pPBPP -5 -09 -854 Scheduled Inspection Date: December 29, 2009 Inspector: Bruhn, Norman Owner: SWEISBERGER, ROBERT Job Address: 1245 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Repair eitlwaloo Phone Number Parcel Number 1132060143780 Building Department Comments REPAIR TILES AND RESURFACE IT. Inspector Comments Passed Oifi>4727e1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 28, 2009 For Inspections please call: (305)762 -4949 Page 16 of 18 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit Notr 154 PEIAT APPLICATION Master Permit No. FBC RECEIVED JUN 1 1 2009 ---- - - Ile -- die - Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) 0 (6 l 1 Phone # Nj ) 6o 6 - 55/7 IZ45 Jt tf sr Owne�j's Address ) 'l, City 141 a 1 State F' ( Zip -5 J Tenant/Lessee Name Jv lA Phone # Job Address (where the work is being done) City Miami Shores Village County FOLIO / PARCEL # I37 C O 1 1'3 1 v� 150 Is Building Historically Designated YES NO p Contractor's Company Name HQ11V1 t O' t l( Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. (11,1c a s aloft' Miami -Dade Zip Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ?J *7O Type of Work: []Addition ['Alteration Square / Linear Footage Of Work: 0 DNew L.►pJ Repair/Replace ❑ Demolition Describe Work: i fCct Tcoi * * * ** * * * * * * * * * * * * * *** :** * * * ** Submittal Fee $ 1 ** * * * * * ** Fees************* ** * ** **** ****************** * * ** Permit Fee -$ /©Q ora 0 Notary $ 5 %00 Training/Education Fee $ Scanning $ �� Radon $ CCF $ Q'4 Technology Fee $ Q'SO DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ 1 10 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Io Lee 's Name (' plicable) rider's. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the rst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the insp taon wt ,.o .• ved and a reinspection fee will be charged. Own The foregoing instrument was a day of 7l1 s.e., , Mat, by who is personally known to me or who has produced '84 1.001' dentification and who did take an oath. NOT Sign: Print: My Commission Expires: Signature Contractor e foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: cp.$ Sign: 1 S��*�'� �o� Print: ,CQg4 G 4,0 `� oQ'G My Commission Expires: *ik*******8: *****N= ****ik*******aksk:k%**** -- LL+ :tk e***ri: l: skek*# **+# ***+k**********:k3: k**:k***+k+k k**daek**%k:k*:k:k=k**#**** r�OSe. APPLICATION APPROVED BY: 4:449% Plans Examiner Engineer Zoning (Revised 07/10/07) Imo ECEOVE %/OO9 1577'0q 554. VILLAGE OF MIAMI SHORES -OWNER BUILDER DISCLOSURE STATEMENT NAME: . ( if 1 °AA t�b01-°(\ DATE: 6'010/ ADDRESS: 12.4r5 E 6> 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. Initia 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 reiame�.f the permit. Initia 3. I have an understanding of the 2004 FBC & FRC and understand that this depaituuent 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 desdgn;'4 • alter or give advice on how to meet code — only if the struetueeF refs the minimum code. Initial 5. 1 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 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. 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 Was acknowledged before me this 10 day of Le) 2009 , 2 �O ByVal iaa Swas who was personally known to me or who has Produced there License or � i.: M9-40 R01 CD ' 1 . C s identification. NOTARY NOTARY PUBLIC-STATE OF FLORIDA ��.4, Claudia V. ?9S • 10)1211 /D71 2011 23 • En'2rss ' BONDED TURD ATLANII Csottom!aCO,,>NC. FOR POOL LOCATION ONLY ■S• m SHORELAND 4111111E31:11/ l BLVD. m 1 1 I I I I I I LOCATION MAP H SCALE: C. =200' 'OR POD, ' SKETCH OF SURVEY SURVEY OF LOTS 5 THRU 7, BLOCK 83 OF THE PLAT OF "MIAMI SHORES SECTION NO. 3," RECORDED IN PLAT BOOK 10 AT PAGE 37, OF THE PUBLIC RECORDS OF MIAMI /DADE COUNTY, FLORIDA; BEING SITUATED IN THE VILLAGE OF MIAMI SHORES, FLORIDA. ORDER NO. 11924 DATE: May 12, 1998 F.B. 458, P. 52 -53 SCALE: As shown WE HEREBY CERTIFY: TEAT THIS SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA, CHAPTER 472 OF THE FLORIDA STATUTES. A. R. TOUSSAINT & ASSOCIATES, INC. LAND SURVEYORS 620 N.E. 126th STREET; NORTH MAAMI, FLORIDA 33161 BY: 1 C. s.3 a HOWARD C. GAMBLE, REGISTERED LAND SURVEYOR NO. 1683 STATE OF FLORIDA V. Pres. FOR POOL LOCATION ONLY SKETCH OF SURVEY SCALE; I" 25' �+ el" Up` GL.7��Irlc�, SO--F L, E:4411.4C? ASPHALT A L L E Y FD LP. —/ la PAVEMENT ON LINE LO' ON LINT. 'AREA.. 7' G 8.s. WALL ON LINE to 27.80' FOUNTAIN 87.30' ti IA POLE FO. I.A. SET t.P. Q4 ASPHALT -L4 SHOR -ELAND 150;.44.: 's` CoNC..ssvK.•. GRASS AREA PAVEMENT oI 8 LV "9* a nuN_. SKETC 199-2Ss, URVEY a4 SLF o64 6 LATe.:44. vekags 44(714 47 re,- Iv •■■• ••■•■•• ONIMMIMIP 01•••01. •■■•■•■••• 41•1•11•■• ■••■•■• 01■1■1 ■1••■■■■ -1°! V4OLE • ta- FD. LP_ -*CONt. • • • • 0 (0 .11 SET LP, . • z to .. 1 . o u • . r./..- ..- .-: . ASPHALT . r50.4t 1..CQNC•• .SWK--. • • GRAS S AREA l. ' 0 SHOR-ELAND PAVEMENT LAC—filUIN4 . ORIOA ti4LA