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RC-06-2185Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/22/2007 Inspector: Grande, Claudio Owner: BROWN, CONRAD Job Address: 117 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Contractor: HOME OWNER Phone Number Parcel Number 1132060132300 Lot: Building Department Comments KITCHEN REMODELING Passed Failed OCT 2 3 2007 Inspector Comments CC Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, October 19, 2007 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 °nisi/20k, ff iweAof BUILDING D MOMIVM Permit No. Rat l PERMIT APPLICATION AUG 2006 aster Permit No FBC 2004 ......... Permit Type (circle): uildin Owner's Name (Fee Simple Titleholder) Owner's Address City \Ak(9:_\N\ . S /.h'C0 State Tenant/Lessee Name Electrical Plumbing Mechanical Roofing Catli& . Oct V Phone # 3 ©S 0 `i f (j^(C( s Zip Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO V County Miami -Dade Contractor's Company Name Contractor's Address City Qualifier Name Zip -3 --sl3 eoa�3Rt�� State Phone # Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ p2 -C Type of Work: DAddition Describe Work: Phone # Square / Linear Footage Of Work: DAlteration ew El' Repair/Replace D Demolition giraite ecf- OPEIrCICQ, 0 4-3 ********* * ** **** * ******** * ** * ** * * * * * * * *F Submittal Fee $ Notary $ Scanning $ - Bond $ Permit Fee $ Training/Education Fee $ Radon $ ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Review. $ Code Enforcement $ DPBR $ CCF$ CO /CC Technology Fee $ ,; , Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side ---> 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 apiroved and a reins. e ,; fee will be charged ! Z A / ' ` Owner or A Contractor The foregoing instrument was acknowledged before me this 41 The foregoing instrument was acknowledged before me this day of luit 20 � , bye , day of , 20 , by who is personally known to me or who has produced Pi libtarisbec,who is personally known to me or who has produced W 66 2.02rt 5 a As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: l /3 g5 OS 0)60 Sign: Ow ot ..,,t gn 1. Print iff f__��i� �. ='.;.- .- -� ✓ Print: My Commission Expires: Pt's My Commission Expires: Signature APPLICATION APPROVED BY: 04A4° Plans Examiner Engineer Zoning (Revised 02/08/06) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: CO \ 04 -C O "\r\1 • DATE: ADDRESS: 1 1\3 E ( . -3 • Do hereby petition the Village.of Miami. Shores to act as my own contractor pursuant to the laws of the State of Florida, t 489.1,03(7). And [have read and understood the following disclosure statement, which entitles nie 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 fpr.yorir own. use and. oecupaitcy. It may not be built for sale or lease:.If you sell dr 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.thatyou must deduct F.LC.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 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 E 2. I understand that as ari owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 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 6 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 passes a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial (' 7. huiiderstand 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- `z,� 8: I. understand. that under state and tonal laws I can not do sally 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 Z ( day of AtigosT , 20 06/. By EVe, /BOWI. who was personally known to me or who has Produced there License or ¶G J U Z_WZ (, as identification. a•`a""ip : MONICA LISSENDIAZ 4.7 , , MY COMMISSION A DD 483995 SXPIRES: Oecbrr 90, 2009 &WMThru Navy Mb Wands" 5665iti• Gi oforboas 63 Hareem Habra W Vw 6160 peep A Wear 3- 8- Uro3442.• 14dat: Wader 16y61AF' L.tabe thsobIstek 23 bar Dad1Mo Egad 66amr *aaamr p6kpldandata t6adeidwlMwefM.Mp boor Wider pay3 lime 3.34/r x34? 334033 paws Welt lav Mirk. pm.gsi»aA. law torah" pays Myam 3- 3- 1/r034/2 141333 M6mm. 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