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RC-07-1737Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/12/2008 Inspector: Grande, Claudio Owner: GROSSWALD, DANIEL Job Address: 301 98 Street NE Miami Shores, FL 33138- Project: <NONE> 21READ Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number Parcel Number 1132060135610 Lot: Building Department Comments REPLACE EXISTING KITCHEN CABINETS Passed Inspector Comments cc AFTER 4:00 P.M PLEASE Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, February 8, 2008 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)7 5.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building k AUG 1.5 OR F BY;tiem__o_o Permit No. O1– 1 153 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 110 et. S4ee .e e Phone # 3bS — 502— (a 24 c, Owner's Address 301 )J E 1 S T City 1-1 I fit-t I ' 4 01ES State p i-o IS A- Zip —55 1 g Tenant/Lessee Name Phone # Job Address (where the work is being done) - X361 11/41 g 8 5 T City Miami Shores Village County Miami -Dade Zip °3 313 FOLIO /PARCEL# 1132_0401'35410 Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address OwK Phone # City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: DAddition Phone # 1 ['Alteration Describe Work: PL Q — X 51-5 T1 Square / Linear Footage Of Work: / Repair/Replace 0 Demolition C{-! LIE TS N 4#I Frk-r ['New *********** * ** * *** *** * ** ** ** * ** * * * * **** ** Fees************* * * * * * * ** *** ** * * * * * *** * ** * ** ** ** Submittal Fee $ Permit Fee $ /00 6-2— , CCF $ (. • CO /CC Notary $ 00 Training/Education Fee $ '' a 0 Technology Fee $ 2 ' 50 Scanning $ , 00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 16117° C,' eza 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be, delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ' 1 n Q' . • p roved . a reinspection fee will be charged. Signature The fore 0 ing 'r day of, ; 4`0 _ , 21 who F personally known ^ me or who has produced Owner or Agent trument was acknowledged before me thi /3 As identification and who did take an oath. NOTARY P LIC: ill Sign: Print: k. am: �4 My )mmission Expires: 3 Melissa C. Wolin Expires: NOV 29, 2009 Bonded Urn. -u Atlantic .bonding Co., Inc. APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: NOTARY P$tC STATE OF FLORIDA Ii,ioljres: Atlantic Boding Co, (Revised 02/08/06) Bonded Plans Plans Examiner Engineer Zoning Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 301 NE 98 Street Miami Shores, FL 33138- Owner Information DANIEL GROSSWALD Permit Permit NO. RC -8 -07 -1737 Permit Type: Residential Construction Work Classification: Kitchen Cabinets Permit Status: APPROVED Issue Date: 8/27/2007 Expiration: 02/23/2008 Parcel Number 1132060135610 Block: Lot: Address 301 NE 98 Street MIAMI SHORES FL 33138 -2409 Contractor(s) HOME OWNER Phone CeII Phone Phone Applicant DANIEL GROSSWALD Cell Valuation: Total Sq Feet: Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: KITCHEN CABINETS Stories: 1 Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior: NA Rear Setback: NA Right Setback: NA Bathrooms: NA Certificate Status: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $100.00 $3.00 $2.50 $107.90 Total Amt Paid I Amt Due $ 0.00 Payment Type: $ 0.00 $ 0.00 t. $ 3,000.00 21 Available Inspections : Inspection Type: Framing Final Drywall Insulation 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. August 27, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Monday, August 27, 2007 1 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 2004 Permit Type: Electrical dd Owner's Name (Fee Simple Titleholder) E 1I7 t:. &v'i LL. T . S '1` e TOME Permit No. Master Permit No. g.007-* 07-* /13 7 Owner's Address j3 C. t 7) E. tj S T City 11K'd1AY 6(Itf State M Tenant /Lessee Name j E -MAIL: �t�i I Z Phone # `365- S-4, 6 z.6 Zip .31353 Phone # `.r d t'/t- Job Address (where the work is being done) -30 City Miami Shores Village County Miami -Dade Zip 5 31 3 3 FOLIO / PARCEL # 1 i 3;� 0C C i 35(,! 0 Is Building Historically Designated YES NO l Contractor's Company Name ARA:=v1 g, Y- cs,G'Tizt.e 114c-- Phone # 81) S `4'7 k g 0 0 Contractor's Address ...-1-Czz-ZCI S ,. 4.j4_. a 3\ City , Stated Zip 3w) Qualifier Name 0 . _s, c ,1—av Phone "# '18' G ' 493-9 O2 State Certificate or Registration No. EW boo 9 0f Certificate of Competency No. 40, 0'OO 14831 E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ' 000 Square / Linear Footage Of Work: 14 e= -4.1- Type of Work: ❑Addition ©Alteration ■ ew ❑ Repair /Replace El Demolition Describe Work: / • *****'*** * * * * * * ** * * * ** * ** * * * * * * * * * * * * * ** Fees************* * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ f f'r 0 ' CCF $ 6 Q'O CO /CC Technology Fee $ 3 1.5". Notary $ J 00 Training /Education Fee $ Scanning $ /5•0 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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 f o r the f i r s t inspection which occurs seven ( 7 ) d a y s a f t e r the building permit iIn the absence of such posted notice, the inspection will e e ''pro ed an.. reinspection, fee will be charged. " V Signature Owner or Agent The foregoing instrument was acknowledged before me this Signat The foregoing i day of , 20 by day of who is personally k n to me or who has produced who i As identification and who did take an„ th. 1 J p A :Zp1 Sign: Print: My Commissio Expires: pers Contractor trument was acknow edged b 20J, by fore e this 93 M,lt nally known to me or who had prced 9 0 � h�q� ° � identification and w�° ��� oath. ;mac 4' NOTARY LTC: Sign: Print: �•..�_ My Com on Expires s g E ss APPLICATION APPROVED BY: (Revised 02/08/06) 2fr 2 fans Examiner Engineer Zoning NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT DATE: a" I t s 07 ADDRESS: 3.b t 1 t `t t g,f 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 co ion 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 Initi 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. I understand that the building official and inspectors are not there to design, aft8r fpr give advice on how to ` meet code —. only if the structure eets 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 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. Initial 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. 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