RC-07-1519I
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nsethi
Inspection Date: 10/22/2007
Inspector: Grande, Claudio
Owner: MACLELLAN, FRANCOIS
Job Address: 1209 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Block:
Phone Number
Parcel Number 1132060143820
Lot:
Building Department Comments
REMOVE ALL EXISTING KITCHEN CABINETS
REPLACE NEW REMOVE AND REPLACE
TILE
AND
THE FLOOR
cr 4. c- 11
Passed
'
Inspector Comments
CC
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Thursday, October 18, 2007
Page 2 of 2
Miami Shores Village
p Building Department
Itt JUL 2 NW 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUIIID Gtr-,
C�Z -- ' G t
Permit No. m
PERMIT APPLICATION 11421 Master Permit No.
FBC 2004
1511
Permit Type (circle): Building ) IIIINENNegr lRlr Roofing
Owner's Name (Fee Simple Titleholder) tgied cal 61i -C .e (l vat A. Phone # 3oS °4S9- 3'-to'
Owner's Address I DOq (• t ci, ( 4m
City M amt S` 1+C k State f to V i i e Zip 33 (3 &
Tenant/Lessee Name W hi- Phone #
Job Address (where the work is being done) 1 t:Dq. Al E 9 6 • j (2E'E 1
City Miami Shores Village County Miami -Dade Zip 33 j 38
FOLIO / PARCEL # 1 /— 3c2C* oiq -3800
Is Building Historically Designated YES NO L
Contractor's Company Name
Contractor's Address
City
Qualifier Name
D W dv e.a.
Phone #
State
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) N
cp 412
Value of Work For this Permit $ 1 S
Phone #
Square / Linear Footage Of Work:
Type of Work: [(Addition Al ation DNew
Describe Work: ' S" ! �'
"I 5
Repair/Replace ❑ Demolition
eT ca c.? ()•Cw
Submittal Fee $ Permit Fee $ srd 0� CCF $ ' CO /CC
Notary $ Training/Education Fee $ 5.00 Technology Fee $ 11.25
Scanning $ '3 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ r-
Structural Review. $ Total Fee Now Due $ 41(o (o •25 . 6 P' D
See Reverse side -a
.) fh )FuJ.
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 shat 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 a proved and a reinspection fee will be charged
Signature .�i-+ _ Signature
Contractor
The foregoing instrument was acknowledged before me this WI/ The foregoing instrument was acknowledged before me this
day of ` JO J , 2001 , by j 'Q n Q5?S I QCLe Heil , day 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: NOTARY PUBLIC:
Owner or A
nt
My Commission Expires:Ai 6 XV()
** *** * * ** * * * ** * ** ter, * * * *, *** * *, *** * ** *, * * * * *, * *, * * * *, * * * * ** * *, * * ** * * ** ** * ** *** *** ** * * ** * * * * * * * * ** *** ** ***
APPLICATION APPROVED BY: 7 2. sin Plans Examiner
Engineer
Zoning
Sign:
Print
My Commission Expires:
(Revised 02108106)
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: - -E141COIS tiazdz&l►,., DATE: 1. 4- 2v4
ADDRESS: ('PO N- E cia
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 cons ction
Initial
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
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 mitigat&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.
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.
Was acknowledged before me this /6 day of J /CJ% , 200?
By 7Yr3/9 CD MGCLd f v who was personally known to me or who has
Produced there License or as identification.
7(Clrcal&c)(2c:10,
NOTARY
430 MARIA E GONZALEZ
s MY COMMISSION # DD581882
-1.01* O`� EXPIRES: Aug. 6, 2010
(407) 398-0153 Florida Notary Servlcacom
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MIAMI -CAGE
This In trument Pre ared By:
Name L(% i'VielgAALLX.
Address i1141-1L lJ b, 2 yt.A;1- *ti, i-L.
Permit No. RC. 01519
STATE OF - toridQ ,
COUNTY OF j-"Ki
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of property, and street address If available)
eSid Ct /2c1 e ? s4 -ee,4 / ficZtK,rsh0yrS 'CL 33138+
2. General description of improvement
e�
eekAUCCfiba
3. er informa d a. Name and add ress: ^C'y Cio15 fl aCLdICt r 12 01 A t
b. Interest in property: °
c. Name and address of fee simple titleholder (if other than owner): jam(/
4. Contractor.° �ai(��%
a. Name and address: (rQ'')CC7S 1 dI. %!
b. Phone number. 3O5'i5'y . 34/
Alma r=.
ig JUL 2 )5 MI J ;
BY __L P2 / -3i� O�y 32i
Tax Folio No.
NOTICE OF COMMENCEMENT
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
6. Lender
a. Name and address: Af 4
b. Phone number
`1(94" S1 i1 , M la lw vc S,
i Shoves,
So
l�I 1(9 ' Sfret4-
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes: Af(x
a. Name and address:
b. Phone number.
t
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section
713.13(1)(b), Florida Statutes:
a. Name and address:
b. Phone number.
A
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
S = ature of Owfer or O
artner/Manager
s Authorized Officer /Director
Signatory's Title/Office O IA) 4L Y'
The foregoing instrument was acknowledged before me this pfd day of Uv19 ,2(. V?(year) by IYOf)CR)7 S
MdcGeir (-) (name of person) as W&air (type of
authority, ...e.g. officer, trustee, attomey in fact) for SQIf (name of party on
behalf of whom instrument was executed).
��`YO� � MARIA E GONZALEZ
a�.(y;J -,� MY COMMISSION #01)381882
IE�p! EXPIRES: Aug. 6, 2010
(407) 398-0153 Florida Wary Serviceaom
4 awde
re of Notary Public - State of Florida
Print, ype, or Stamp Commissioned Name of Notary Public
Commission Number
Personally Known or Produced Identification
ursuant to Section 92.525. Florida Statutes
Under penalties of perjury, I declare that I have read the foregoing and that
knowledge and belief.
n � /46,
cts stated in it are true to the best of my
Signatu = of Na ' ral Person Signing Above
H 12 01125 Fir dmcois Mw c Le 11 vv. s
1 re' a 'V. 4 96 sTIIz i
iqt �i
JUL 2 0 2007
B Y:
Miami Shores
APPROVED
DATE
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ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIAN
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ITH A!
STATE AND COUNTY RUNES AND i
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 09/12/2007
Inspector: Devaney, Michael
Owner: MACLELLAN, FRANCOIS
Job Address: 1209 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ALL STAR ELECTRICAL SERVICES INC
Permit Type: Electrical - Residential
Inspection Type: Final
etonop
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060143820
Lot:
Phone: (305)345 -2823
Building Department Comments
REPAIR AND REPLACE ELECTRICAL PLATE OUTLETS
IN KITCHEN BACK SPLASH AND CHECK LIGHT
SEP 1 a sw
Passed
Inspector Comments
, 1
/ 4
/2 S Lc' �/›.'
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Tuesday, September 11, 2007
Page 2 of 2
Miami Shores Village 01126)1
Building Department -
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
RECEIVED
JUL 24 OR
Permit No. EL 1-1516
aster Permit No. k
soo-- , ")511— 3909
3 o '-IJ— 8051
Owner's Name (Fee Simple Titleholder) -fr CO(S 14401C, Lf /*tJ Phone # )5 - ')85-3585
Owner's Address /009 t3 9(9 Z.. tee._
City ( IPQ') t Shores State a_ Zip 33/35
Tenant/Lessee Name k) Phone #
E- MAIL: exC' lcAsi ue, success bet (5ootin. (')eL CRP Job Address (where the work is being done) /0409 & G (p V,..-1r ee6
City Miami Shores Village County Miami -Dade Zip 5J /3g
FOLIO / PARCEL # // 3,20(e- 38a0
Is Building Historically Designated YES NO /
Contractor's Company Name 1/.44- e. Phone # Jos = 5� 2 F23
Contractor's Address / /V/ Sa.) 207 s71
City State
/77 Zip 3 3 / 7 7
Qualifier Name ,4A AA ; o Nip
Phone # 305= ?? / -.Sr z p,2
State Certificate or Registration No. &"C /3o0 /rjs-p Certificate of Competency No.
E- MAIL: / /5i/u,- -cee�/>-i`e */ _Svc. a9 y�a,, Co 01
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $ 1)000
Phone #
Square/ Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
Describe Work: . —P'� 4tlyt ' . Iakr
t ov V 1 c-kc g.A. %rocii s p jmac,{° -H, i Ole Cie C t %kr'
vta 011
I Repair /Replace ❑ Demolition
3t'oY,irxnY &eYxxxxxxxoY de * aYx *x &xoYxxx Fees'' w, , *****Sc xxxxxxxxxxx xxxxx xx*x*** x*xx x*x
Submittal Fee $ io.e+ ceeac� Permit Fee $ ,_e9 '®e>
CCF $ ; COO CO /CC
Notary $ Training /Education Fee $ (SO Technology Fee $ `3.1 5—
Scanning $ 3 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ i JUL 2 a�
Structural Review. $ Total Fee Now Due $ 51, 55 lj!(!� ii"
See Reverse side -� CJ`'4
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 /YlCem.eCM.
Owner o{Agent
The foregoing instrument was acknowledged before me this
day of /U/y/ , 20O , by -Par)Ccj1.S fvfac Leo n,
who is personally known to me or who has produced
As identification and who did take an oath
NOTARY PUBLIC:
Sign-
Print:
(2ep.) (-)20
Maria E6cD
Of ra% MARIA E GONZALEZ
aP
MY COMMISSION # DD581882
l!'prpe EXPIRES: Aug.6,2010
(407) 398 -0153 Florida Notary :: caoom
My Commission Expires:
.6 9100
Signature
C . tractor
The foregoing instrument was acknowledged before me this /
�
day of 7 j g , 20 f47 by , wb."0 74.
who is personally knosacn to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
nrrru ntra
.1ORDAN De ARMAS
Sign: r4 om.7#D00804537
Print: 'infer AP ' �,J 14i "312010
01rO�'a� Inc
My Commission Expire run uurnusv'"+- zaaes¢zsanuaaue;
x rx vex x w x * * * * * * *xx * * ** * *xx9cx * * * * ** xxx * * * * *x * * *x *xxxxxxxxxxx 'ex xx xxxx**** xxxxxxxx * **x *xxxxxxxx•xx *xxxxxx * * * ** **
APPLICATION APPROVED BY:
(Revised 02/08/06)
ruguneatibANITelnuansinainuARMAS
Como* D00604537
PE1rfalt4812010
Fkrrida w■uupauunUf ,��1/As�w Inc
Zoning