DS-09-1780Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 128066
Scheduled Inspection Date: January 07, 2010
Inspector: Bruhn, Norman
Owner: MEYER, NICOLA & GUNTHER
Job Address: 860 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Number: DS -10 -09 -1780
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number (305)981 -0540
Parcel Number 1132060142550
Building Department Comments
pavers
Inspector Comments
Passe
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 06, 2010
For Inspections please call: (305)762 -4949
Page 7 of 26
\\ 13
11/10 aiagrer
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER. _ 62.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING G
//
ner's Name (Fee Simple Titleholder) Cult) Pfa �t 1t Phone #
Owner's Address 660. E
City Pt i(49.4 PALS State Zip 331 3D
Tenant/Lessee Name
Email
s-926-72"1 11
Phone #
• rd 114
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
�(DO N�gf3s��•
County Miami -Dade
1132.0 GO 14 2550
Is Building Historically Designated YES NO
/knr 4
Contractor's Company Name
Contractor's Address
City State
Qualifier Name
Zip
Flood Zone
Phone #
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 5 660 . co
T of Work: ['Addition ['Alteration Describe Work: bi'UfiC.
E -mail
Phone #
Square / Linear Footage Of Work: / Pg
'New ❑ Repair/Replace ❑ Demolition
Submittal Fee $ S 0,
Notary $6.---.°°
Scanning $ ad Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $
Permit Fee $ y CCF $ / C.0
Training/Education Fee $
Technology Fee $ 44
Bond $
I 4
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
ins ction will not be approved and a reinspection fee will be charged..
Signature
Owner or Agent '( )4-k) Contractor
The for oing trument was ac wledged before me thi
day of � , 20 by U e
i r T
who is personally known to me or who has produced FLO s'._.
M em 0 As identification and who did take an oath.
foregoing instrument was acknowledged before me this
l.cJ of , 20 , by
who is personally known to me or-who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: ���� ► . .. ,, ..�r����, Sign:
Print: / �' R . .
Print:
My Commission Expires ab / .04, 0.15 • My Commission Expires:
Vc9e0 -9
APPROVED BY
1, "aldf • Plans Examiner
Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
VILLAGE OF MIAMI SITO ZES
OWNER BUILDER DISCLOSURE TATEMENT
NAME: ‘
DATE:
ADDRESS: b /Ut, iR 8
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 kioense. You must supervise the
construction yourself. You may build or improve a one - family or two- family rettidbnce. 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 ass contractor. It is your responsibility to make sure the people employed
by you have licenses roquirod by stato law.atid by county 0r mwiielpal 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.L•C.A and with - holdings tax and
provide workers' compensation fbr 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. 1 hold. title to the above property and I am planning on doing this construction
Myself.
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. 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 reinstatement of the
permit,
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
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. 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 i
attorney. The department will not mitigate any contract disputes.
Initial ollidt
6. I understand that if I compensate any person or company for work performed
they are required to hive 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 undeistaid'that if any person gets injured on my contraction 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
toss of wages during recovery from injury.
Initial ,Jv .
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 _]I�
Was acknowledged before me this 16 day of l w , . , 20 0°1
By &CV - xi( cL,P-Q �p ,,� who was personally known to me or who has
��1v' p Y
-F\Produced there License of
21l D
CIO 11 ZOl identification.
NOTARY
NOTARY PUBLIC -SATE OF FLORIDA
1." Claudia V Cubillos
E Co tioa #bD71323
aar, ,, ,• &per' SEP. 23, 2011
. MAUM �AN7lC€OI ilCO, In
P n Zo n• 11 Sri
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1132060142550
Owner's Name: NICOLA & GUNTHER MEYER
Job Address: 860 98 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
(305)981 -0540
1778
$ 5,000.00
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 11/2/2009
Comments: IS THE PERMIT JUST FOR THE PAVERS AROUND THE POOL? PLEASE HIGHLIGHT CONSTRUCTION
AREA ON PLANS
PAVERS CAN NOT BE LOCATED WITHIN 10 FEET OF THE SIDE LOT LINE.
Permit No: 09 -07,6
Job Name:
/AT
, 2009
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Build gg Critique Shee
4liyzbncya-f ///e0 ethif
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Miani Shores Viiiage
B ilding Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: O l,--) w DATE: 11 D
1, -'7 x "IC
Contractor
—osOwner
❑ Architect y�/'
icked up 2 sets of plans an � other) 1 y ct P (
Co° Nit
Address:
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to a brought back to Miami
Shores Village Building Department to continue permitting procss.
I1
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE: t
PERMIT CLERK INITIA
� VI Z 2�
P rm a 7oniri
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1132060142550
Owner's Name: NICOLA & GUNTHER MEYER
Job Address: 860 98 Street
Miami Shores, FL 33138-
Contractor(s)
Phone
Owner's Phone: (305)981 -0540
Total Square Feet: 1778
Total Job Valuation: $ 5,000.00
Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/4/2009 : Yes
Comments: IS THE PERMIT JUST FOR THE PAVERS AROUND THE POOL? PLEASE HIGHLIGHT CONSTRUCTION
AREA ON PLANS
PAVERS CAN NOT BE LOCATED WITHIN 10 FEET OF THE SIDE LOT LINE.
11/4/09
CORRECTED PLANS OK