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RC-08-123Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/27/2008 Inspector: Grande, Claudio Owner: SANDUSKY, VINCENT Job Address: 1025 98 Street NE Miami Shores, FL 33138 -2505 Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number (305)986 -4309 Parcel Number 1132050320040 Lot: Building Department Comme REPLACE EXISITNG KITCHEN CABINETS AND COUNTERTOP. REPLACE EXISITING WEST BATHROOM FIXTURES AND PARTIAL TILE EXISTING WALLS v 2 8 ��tlq Passed ` Inspector Comments cc ® /. , �� C ®i v. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, February 27, 2008 Page 1 of 2 Miami Shores Village m c imw g' Buildin g Department p artment' jj,, 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 B Y: (! 756.8972 Permit .No. CO t(9-3 Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Roofing Owner's Name (Fee Simple Titleholder) Of) G e,vi% Phone # 3 05 9 cf - ¥3 0? Owner's Address J 2 93 N 93 Th JTNeer City Villcimj' Shore State FL Zip 3 3 )3c? Phone # Tenant/Lessee Name JV/i9 Job Address (where the work is being done) /0 25 Ni 9 Th '.fTr7 e e'7 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1%"32 - 0S- 032 -00' Is Building Historically Designated YES NO X Zip 33-J3? Contractor's Company Name V l Yl G en T T, f d dud hTL✓ Phone # 3 OS Gi cRe - )13 D� Contractor's Address 12 93 N 95 7-3, 1 Tr e'er City h? itl m i .f h 0re' State %L. Zip 33 13 e Qualifier Name Phone # 30:r 9 e& 3 O r% State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) . Phone # r50 Value of Work For this Permit $ / 2) .5®O Square / Linear Footage Of Work: Type of Work: ['Addition DAlteration ['New Repair/Replace ❑ Demolition Describe Work: Ai— Rep ) d d e ex/. rixt? 1rl T A 69,1- ' e- L7)n e. z7 9)- &( T Ti'p ********* * ****** * * ** * * * ** * * * * ** * * * * * * * *F es * * *** * ** Submittal Fee $ Permit Fee $ 3 7er) Notary $ Scanning $CQ Radon $Bl a Training/Education Fee 'Gi *** * * * * * ******** * * *** * ** ***** *** ** CCF $ 1' CO /CC Technology Fee $ 61:575" Zoning $ Bond $ Code Enfo keme�t�ouble Fee $ d(� Structural Review. $ ���� Total Fee Now Due $ l00 • S 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 approved and a reinspection fee will be charged. Signature a1/ Owner or Agent The foregoing instrument was acknowledged before me this day of La , 2002 by AV P/n / `eL CAA kit who is personally known to me or who has produced As identification and who did take an oath. �1,,,,,,,,, FERNANDO PEREZ ,��r P4�o Notary Public - State of Florida t ; • ply Commission Expires Feb 19, 2009 Commission # DD 397229 My Commission Expires:„ Cl- ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 07/10/07) Signature /-7,1 Contractor The foregoing instrument was acknowledged before me this day of 0 ' , 20 OS, by '°7mu r 1 d d 4f ky who is personally known to me or who has produced as identification and who did take an oath. 61 NOTARY PURL - a • ,,,,, FERNANDO PEREZ 't .Notary Public -State of Florida • +1y Commission Expires Feb 19, 2009 : Commission # DD 397229 //,/ m Sign:; w� `�', ,IT Print: 1--1- r, ti , , My Commission Expires: • 19 - 0 Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: �d 'weer? r J e d G DATE: 12-2. % 7 ADDRESS: ; 2 N 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 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 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. 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 4-1/ 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 V,/-cil 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 Initial 1 day of \I bIg U 5pr , 20 BY 14ieeiii Sd Silky who was personally known to me or who has Produced there License or rig60i1b 11 wYl as identification. ,,,, P •I,, FERNANDD PEREZ r c s Notary Pubic - State of Fluids ,•� • M►Commission Expires Feb 19, 2009 � CommIssbn # DD 397229 '•••° `" Bonded By Natbnal _Notary_ Assn. This Ins�tr�yment Prepared By: Name VJa�e Ti �i'(j►(�L f; Address //2. 3 %i% ' 9 h Permit No. Rt (247—i2 3 STATE OF Flew 1:49 COUNTY OF 171 / k4�.Ajp pe 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 propert al descri lion of property, and street address if available) j� e�'.,ri� 1�a�rh- I'L3 6,7 7� �-or� 1111111 11111 11111 11111 i111111 1111111 1111 CFI') 2008R0056460 OR BY. 26172 F's 2282; (1 13 s ) RECORDED 01/22/2008 15;05 =22 HARVEY RUVIN, CLERK OF COURT; MIAMI -DACE CODUT'i r FLORIDA 1T PP d/MI hare' a PAGE 33 /3 NOTICE OF COMMENCEMENT Tax Folio No. i/ =. ZO.5.1,320©, 3 S3 L IfI e p - 2. , ;feral lTescntio f improvemett: lLep1 exits K,y'cAr ce bJpeac - el"PAdr�r /'nfra / /y�,(ecegic/ . 3.Ov+Mcf�fsrmcti'�r, e di 1/ %elm reo-n, /�C/r//yw �l q-171-€ a. Name and address: V /i? Ce7'TTI 4 ata r h'y � 12 3 AI 9� h f ml /'.`hey& 1 L 3))j b. Interest in property: l 7 c. Name and address of fee simple titleholder (if other than owner): 4. Contractor. 2- /� p L a. Name and address: V'/fl ,/! 1 . C?Idjj( try t )2' 3 %j EI ri%(7, %n %a'h9/ v Al -c' �`.L3 7/ d' b. Phone number ',3 ©.J 9i' /_3oq 5. Surety !� a. Name and address: b. Amount of bond $ c. Phone number. 6. Lender a. Name and address: b. Phone number. 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: a. Name and address: b. Phone number. • 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 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 RECO- !LNG YOUR NOTICE OF COMMENCEMENT. a IATE OF FLORIDA, COUNTY CF D/,UE I HEREBY CERTIFY that this is a t py of the on r 1 filed in this f( dz of uu,c rce on �j i r v \ A D 20 QU Z ry� SigngtMf od "f Ou4 a •r Ow Authorized Officer/Director ' �'' '� Partner /Manager WITNESS my han a7m 1fffcial Seal. =; `4 ou aa IN o vn Wl �t `i ` L� I R, (ri:, r; L'_ RK. of Circuit and County Courts �p Signatory's Tftle /Office r5 t �j,�j iris men was a t ged before me this ri • ay of 'V t 4 Yb';� F"" ear) by $I97 aaatk° (name of erson) =s -' A" a t / authority, p sty, ...e.g. officer, trusts, attomey in fact) for f /.• ' (name behalf of whom instrument was executed). _ +0016416,416./ .a.. •. FERNANDO PEREZ ��`',�� 4/, ?, ` r - Naary Pubic- State of Florida • lily Commission Expkes Feb 19,2009 °' d � Commission National Assn ) a� n rsuant to Section 92.525. Florida Statutes IC u r r _ s h/f4r, ure of Notary Public — State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Commission Number (type of of party on Personally Known or Produced Identification Under penalties of perjury, I declare that I have read the foregoing and th pt the facts stated in it are true to the best of my knowledge and belief. Sig natyrtf of Natu son rig Above Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/25/2008 Inspector: Devaney, Michael Owner: SANDUSKY, VINCENT Job Address: 1025 98 Street NE Miami Shores, FL 33138 -2505 Project: <NONE> Contractor: GLEISY ELECTRIC INC v 14-1Th Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)986 -4309 Parcel Number 1132050320040 Lot: Phone: (305) 970 -2796 Building Department Comments REPLACE EXISTING KITCHEN CUOUNTERTOP WITH GFI RECEPTACLES. INSTALL NEW RECEPTACLES TO SATISFY CODE Passed Inspector Comments cc el; //� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Friday, February 22, 2008 Page 2of2 t(Z®(o$ ex's 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 Z1 Lti II al ;2 JAN 22C 6 Y: Permit No. EL qty 1 824 Master Permit No. 12CjOR -10 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) f C., en T J , dad hiy Phone # 303 9 to `` *3 09 Owner's Address P l 2 93 .1t/ E J Ty' eeT' City Pi I a yp h et State FL Tenant /Lessee Name N/19 E-MAIL:_o kre d be its 0 um , Y1er Job Address (where the work is being done) JO 2,5- g 7"h f 7 ' ee7° Zip 33 /3 cP Phone # City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # /J— 32, -05- -03 2. ^Oo4q :3 )3e Is Building Historically Designated YES NO Contractor's Company Name le /S y Phone # 305-- Contractor's Address 36'2— ( „� L / ? City C,c•'l 2A-y State EL Zip 33 (fl , / Phone # 3CS-� 474U - 2:?-qt Qualifier Name R4%2 C 4-r if State Certificate or'Registration No. EC Oc90 2 ((cJ E -MAIL: C) /etst� Q e2 bed/s...1 . of Architect/Engineer's Name (if applicable) Certificate of Competency No. Value of Work For this Permit $ SOD, Phone # Square / Linear Footage Of Work: Type of Work: ['Addition Alteration ['New " d: Repair /Replace ❑ Demolition Describe Work: 1 p /dew e /f TJ r-29 if T t'1 ell ea/lire P., l p rec ep h e /ei w /Th Yi 4, •- FI reel . ft, rreol new reee 72 .�..ecs Try ,rePTAIAT &de. ...**w***xxxxxnkd:***.xzxxx . .*.nYeY*******Fees***** *****o ***aY************ cra4ivaY** ***i ****** Submittal Fee $ Permit Fee $ / S , eis. CCF $ ® -(00 CO /CC Notary $ Training /Education Fee $ 0-t0 Technology Fee $ v 'IS Scanning $ `(�,) Radon $ DPBR $ Zoning $ Bond $ Structural Review.$ " Double Fee $ JAN 2 8 2008 afro Lll 1fi �m Total Fee Now Due $ 1S1 'ES 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. t 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 ,,,)//"3/ Owner or Agent The foregoing instrument was ackno wledged before me this 17 day of , 20 OS, by Amenraddelkif who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLI Si - - -- - - - -v °`� rir tti FERNANDO PEREZ • .�'�."a`% Notary Public - State of Florida • Iy Commission Expires Feb 19,2009 CommISf#on # DD 397229 Print: Signature ¢> 1 Contractor The foregoing instrument was acknowledged before me this 17 day ofJtAt 44.L( ,20CI9}by Peet, Corden%e( who is personally known to me or who has produced as identification and who did take an oath. NOTARY PU Sign Print: FERNANDO PEREZ Notary Public - State of Florida ly Commission Expires Feb 19, 2009 ,;�� °o• Commission # DD 397229 • °' "'"'" Bond iQDBL otaryAss My Commission Expires:,- [cj is di My Commission Expires: oZ • t°," 6°[ r**** t************ *******xaYac*****aYx********* Yxx xxxdcxxxxxxxx xxx xxx** vracxxxxxx xxxxd :xxxxxxxx***,exxar************* APPLICATION APPROVED BY: (Revised 02/08/06) 1:92-0.-26' Plans Examiner Engineer Zoning