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RC-07-1639Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 06/04/2008 Inspector: Grande, Claudio Owner: ASHCRAFT, SHERI Job Address: 307 99 Street NE Miami Shores, FL 33138 -2436 Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number Parcel Number 1132060135480 Lot: Building Department Comments Remodeling kitchen new cabinets appliance take down part of wall to open up space move iii -��- tri Passed 11 , Inspector Comments CC 01 ar, gpq ® ' �/' O"1 CL0 CA,...) Failed Correction N eeded Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, June 3, 2008 Page 2 of 2 Miami Shores Village 611- Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING p 71 PERMIT APPLICATIO AU6 FBC 2004 Permit Type (circle): Buildin Electrical Owner's Name (Fee Simple Titleholder) St t°_ Owner's Address 3 D-7 9 LSi- City f i ol/1M. kit S State PL-- Tenant/Lessee Name Permit No. — ION Master Permit No. Plumbing Mechanical Roofing P� —'h Zip 3'3/32 Phone # Job Address (where the work is being done) SC ( L_ City Miami Shores Village • County Miami -Dade Zip FOLIO / PARCEL # 1 1 — 3.a 0 Co- (7 (? - S Ll 8 C'J Is Building Historically Designated YES NO L— Contractor's Company Name Contractor's Address Phone # City State Qualifier Name Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ /g Type of Work: ['Addition Describe Work: 00 lterati 0 itfit''tfiear ,Ftootag ,� Rt F"YagAii NllifInrate;"' F ° °1"8:111414(11:1 Titif:311:1&'311,-takl f Work: R'pair/Repiace ❑ Demolition ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ * Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Notary $ p Training/Education Fee $ 2 Scanning $ Radon $ DPBR $ CCF $ ZO CO /CC Technology Fee $ Gl — Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ i� 4 _au See Reverse side —* C aL 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 tkp, Owner or Agent The foregoing instrument was acknowledged before me this e �-! day of J , 200'7 , by Si g rl Ask who is person ly known to me or who has produced FL J-- As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Li d-6 /?zto 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. My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** *qtr** ter** * * *** *** *aY*** **** !r ** * *** * * **** ** sir** *, r** ** ********** *fir * *** ** APPLICATION APPROVED BY: (Revised 02/08/06) e9770 (5/9 7 Plans Examiner Engineer Zoning >zao FttfSn1 A. . • Inspection Date: 05/07/2008 Inspector: Devaney, Michael Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: ASHCRAFT, SHERI Job Address: 307 99 Street NE Miami Shores, FL 33138 -2436 Project: <NONE> Contractor: JC ELECTRIC INC ..:....,,,.,...... ,,,,,.._a ii► *:::;tii::::r Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060135480 Lot: Phone: (305)754 -6949 Building Department Comments T Passed Inspector Comments :">- 4/61°;)17-1C9r Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Tuesday, May 6, 2008 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33 138 Tel: (305) 795.2204 Fax: (305) 756.8972 681 10(01 BUILDING �G PERMIT APPLICATION FBC 2004 AUG 0 6 200/ BY: �'\(( Permit No. E 10-3— 1 C4 1 Master Permit No. RC C.f (954 Permit Type: Electrical (� Owner's Name (Fee Simple Titleholder) 'Qr P_ (L IAc1(c Phone # Owner's Address %(Y1 N City OAA 5143(e-5 State Tenant/Lessee Name rr// ff-- II ff'' E -MAIL: C Gt Skc C� c- i e YJ � 1 l ss,rKt ... 4-61— Job Address (where the work is being done) Zip X3(3 V Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # ll -- 3 - - 0(3 - .s`l8 Is Building Historically Designated YES NO 1 - Contractor's Company Name JC, v( eci e )G tin 100 d Contractor's Address City Qualifier Name State Zip Phone # 565 •154 - G61 zip 33/5V Phone # 30" 1 5 • Qq /Gt State Certificate or Registration No.frj4,5 Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 4- Type of Work: ['Addition Describe W i rk: Phone # ❑Alterati rSSgraarerLinear FootagOf Work: CN3S ac t v mii tl i� ,-?Imf31163 .. w4Pt 41.t. 7` • pair /Replace olition xxxaYx�YU�'cxxotx &xxde do aY vFxxxx xx4 .-eYxa°*******""*reeS4;xxx ** aYY:xxxxoYxx &xxxxxd: aYxx�kx�: xaYxxxo4xx9e 4; �txok eF 4e Submittal Fee $ Notary $00'00 Scanning $ 3-00 Permit Fee $ e2> Training /Education Fee $ 0.80 Radon $ DPBR $ CCF$ a -40 CO /CC Technology Fee $3:15 Zoning $ Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due $ /Co415 Structural Review. $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is iA- ,,, d the absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged. Owner or Agent The foregoing instrument was acknowledged before a this day of �I , 20 01 by S nerl e f4s k who is personally to me or who y o has produced Fi-. C- As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature The foregoing day of / Contractor g rument was acknowledged before me this �U ,2001 ,by who is personally known to me or who has produced —_ - -,_ l�it7.T My Commission Expires: 4 ) 7-p t-b SHUMINTRATA D. BUZZANELL Notary Public . State of Florida —: • Commission Expires Apr no Boded By National Note YP as identification and who did tat a.oa:th. � UBLIC: %g$ Oa�p���e +5 � My Commission Expires. x xxxx xxxxxx xxx xxxxxxxx xxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxrxxx xxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx APPLICATION APPROVED BY: (Revised 02/08/06) tans Examiner Engineer Zoning • • ••• • • • ••• •• •• • • • •• •• • NOTICE OF C' M�'n • •��,�'�-' ' CFN 2007R1-181170-2.., 4 I�I dGIVIENT ... OR B I72DE57�iPs13225�; r1psi :1= A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUVIN CLERK. OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 111E111111111 1111111111111111111111111111 PERMIT NO. I\C•0 -7— 1. 63q :•:T�4'FOLIq NO•. • ' • '.: 6 � 613 •••• • •• • • ... • • ••• • • • 5 Lj • STATE OF FLORIDA COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice tnat jr rpv8mtr>iswilt6e male to certain real property, and in accordance with Chapter 71. ,•FIQriOa atAde$, * e foldewing information is provided in this Notice of Commencement. 1. Legal description of property and street / address: L. . K £ . c 4/0 arFJ41 14rntn .f /. et 21 AUG 1 5 2007 "'Am 1St* (-CS /0 't4 7. .�� 41 2. Description of improve' ent: Rev, a a. er cctn.. b'br' -) Ft-7r 4.7 p 3. Owner(s) name and address: `' , r, 4. 5. 6. P, c,.ra E - - b 7 EA' a S-1 �L33 r3F Interest in property: Name and address of fee simple titleholder: Contractor's name and address: P ..� f Owner Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ Lender's name and address: 5 4.e (i `f . C s krz,-C r'—) A M Tr,. i JI-ts r, - ( 044 33122' 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. Name and Address: Ske r ? ‘PSbI" c 3 c\'? AI $ 9c S'r "C- 3313It 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) ignature of Owner Print Owner's Name e (t es klcCa-C-k- Sworn to and subscribed before me this 155--fl day of Notary Public: Print Notary's Name: My commission expires: Prepared by t ,20 © . Address: ‘;11(9e1 AIt grid $fie P Ashcx STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY thet this Is aim copy of the edin this offl • on / day of A D 20 W1TNE al Shat HARV VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT Sil• NAME: e �' 1 rc - + DATE: -42167 L ADDRESS: 3a--r N q� s�'" /14 S, FL 33 (3Q 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 J ,h 2. I understand that as an owner - builder 1 must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial Sk- 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 adv . , . fCne; 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 posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial S,'' 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 Sik- 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 `' - Was acknowledged before me this 040 day of J , 20 �J P. �S ��� t By j�►eri who was personally known to me or who has Produced there License or P L U C_ as identification. BHUM!NTRATA 0. BUZYANELL Notary Public - ale of Florida Commission Wins Apr 28.2 10 Cottunksion # 529448 Bonded 8 Netl01110 he. Kitchen Project • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • •• • ••• • • • • • • • • • • • • • • • ••••• •• • • • •••• • • • • • • • •••. •••• • •• • • • • • • •• • • •• ••• •• • . • •:. .... • • • • ' • Or' • 1. • f 4 • •• • •- • 1r • •v• •• Bv. • • �ns�• • t'bnV . . • • • • • • • • • • • • • • • • • •• • • • • !„• . . • • . . . • • • • • .•• • • • • • • • • • • • • • • • • . • ••• • •• • • • ••• • •• • • • • • D t PC) Rc) A5L‘c_r. (30-7 , q`11 s4- Cicti-ex\—\\-- • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • •• • ••• • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • •• • • • •• ••• •• • • • • • • • •• • • • • • ••• •• • • • ••• • • • •• •• • • •• •• • •• • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • •• • ••• •• • • ••• • • • • • i•• • • • •• ••• • • • • • • • • • • • • • • • • 00 • • • •• ••• •• • • • • • • •• • • • • • ••• •• 3‘" - - 1 e an Kitchen • • • • • ••• • • •••• • • •••• • • • • • • • •• • • • • • • a• •• • • • • •••• •••s • • • • • a •••• •••• • • • • • •• • • • • • • •• • •• • • • • 1% c) `� I h Kitchen • • • • •••• • • • • •••• • • • • • • • • • • •• •• •• • • • • • •••• e••• (buss • • • • • •••• • •••• • • • • • • •• • • • • i • •• • •• A Maffei s 614 Voitaittsteat 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com HOLD HARMLESS DATE: S /(? PROPERTY LOCATED AT: As license contractor of subject property, Permit number G 0 -7 -1 3 I Issued to ck-e‘c-,' I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the correction, if required, of work performed under the above permit. Type of inspection missed �� w (Prime Contractor - qualifier) State of Florida County of Dade: (Print Name) `yt.'WS LK 6.4S1:� Cu - d1/ 3%y7_ The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Arh day of A / ZCV Notary Public, Sate of Florida at Large