Loading...
RC-09-281Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NSP- 129724 Permit Number: RC -2 -09 -281 Inspection Date: November 19, 2009 Inspector: Bruhn, Norman Owner: PALMER, ANN Job Address: 920 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060143401 Building Department Comments REPAIR LEAK IN INT. OVERHEAD AND RETILE LOWER SHOER IN THE BATHROOM DOWNSTAIRS. Passed �'�9, y Inspector Comments CREATED AS REINSPECTION FOR INSP - 107343. No Access NB Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 November 19, 2009 Page 1 of 1 311,,AcA Miami Shores Village IIMEETIE1 Building Department It FEB 2 6 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: ° ° ° ° ° ° °°°ee °eeeeeeem BUILDING PERMIT APPLICATION FBC 2004 Permit No.F.C/( 9 Master Permit No. Permit Type (circle): Building_,,, Roofing Owner's Name (Fee Simple Titleholder) pk ".4& .. Phone # 3 5 'N3 - -Cl2 (#' Owner's Address i , X4 2 ‘i'''i .5 —ra City ki i ii`Ali ,S' ! )8'�,2S State p--1...A— Zip ;.. Tenant/Lessee Name Phone # Job Address (where the work is being done) 'Ja "'` AAA rm —C`�T City Miami Shores Village County Miami -Dade Zip 3 313 FOLIO / PARCEL # Is Building Historically Designated YES NO IQ Contractor's Company Name 6U (AL -- Phone # `_�L%,S 7ci 3 Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New • ❑ Repair/Replace ❑ Demolition Describe Work: ` d�� :` kZ� Cz // (4-11-117/2--t- FEB2 6 p ** * * * *** ** ** * *** *>i *** ** ****** * * * * **/ Flees************* * *** * ***** * * **** * * * * *** *** * * * ** Submittal Fee $ 5'0. O Permit Fee $ AVO' CCF $ 1 '(r F F0fCC Notary $ ' (D Training/Education Fee $ 0'irC) Technology Fee $ Scanning $ 6 ' OL) Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $'l •5a, See Reverse side -* Zoning $ 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 CONDmONERS, 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 The foreg day of Owner or Agent 'ng instrument was ackn lee ged be VI) re 2Q()9, b t ALLA own to me or who has produced identification and who did take an oath. Sign: Print: My Commission Expires: $'1* t�.24k, naee�� e6a 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: Print My Commission Expires: ******* ********************** k sae�a� pi-*************************************** **** *************************** -/or4� APPLICATION APPROVED BY: (Revised 07/10/07) Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: b 1 P L7 � 61-L. DATE: X 01 ADDRESS: Asa:: 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 exoeption.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 sate or lease, which is a violrition 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.LC.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 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 p ermit. 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) 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 '1"P 6. I understand that if I compensate any person or company for work performed they are requited 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 `f 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 440 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 go day of Initial , cog Bydle'Vad PaJ Paiber who was p Y ersonall known to me or who has Produced there License or -0 a 516 -6 ("17Az6C) OWNER identification. Feb 25 09 09:52a Mary Ann Cole / r1 =ab- 13.1 DURABLE POWER OF ATTORNEY Known all men by these presents that 4-NW �- A �-- (patiekit) dons appoint KEG k6_ 6. t'Nt,- LerL (appointee) , true and lavf l attorney for him /h and in his/her name, place and. stead, giving and granting unto V'c4A_ 15, t M (appointee) , full power and authority to do and perform any and all acts as are necessary in- managing his /her personal life and business matters, as he /she might or could do if pe son�all n presseat, hereby ratifying and confirming all that ` tt elv„ (patient) shall lawfully do or cause to be done by virtue hereof. THIS POWER INCLUDES THE AUTHORITY TO MAKE HEALTH CARE TREATMENT DECISIONS, INCLUDING 'THE POWER TO REUSE TREATON'r, OR BEHALF OF THE PRINCIPAL AND THE POWER TO OBTAIN OR DIRECT'DELXVERY OF MEDICAL RECORDS. This durable poorer of attorney is nondelegable and shall not be affected by disability of the principal except as provided by statute. It is valid until the principal. dies, revokes the power or is adjudged by a court as being incompetent. In the event a petition to determine competency or appoint a guardian for the principal has bean filed, the durable power of attorney shall be suspended until the petition is dismissed cr withdrawn or the principal adjudged competent, at which time the power is reinstated. If the principal is adjudged- incompetent, the power is automatically revoked and a guardian is appointed for the principal. of flIN WITNESS WHEREOF, I have hereunto set my hand and seal the (9,Q, day eg , 39o2ail fL e 1' cpg E ATURE Signed, sealed and delivered in the presence of the undersigned witnesses_ We further attest that the named principal, being unable to.sign his/her name, affixed his /her mark hereto stating that he /she intended the same to serve as his /her signature, /37gc1 68RJ1nth iri RAW 11- 1 k.V4 ir1 i, FL. 33011 JiggSINES. SIGN$TURE j' r cN ���� ! of SWORN TO, SUBSCRIBED, AND ACKNOWLEDGED A*� C. Pjjrsier' and sworn to by J . Uttar WITNESS ADDRESS 12419 V1ek C�^1Pr.T�`1PA l'ivatoN WITNESS ADDRESS and witnesses, this tulcil. day of flGi49f F.S. ?09.0$ as amended Ch. 90.232 1183 CON before me by the declarant, and subscribed before me not t ...,, J /- NO CLIC M Commission Expires: ./4,0501 C.NC i NG T EPrt toJtJ Sild 116 90 erri-f- • • • • • d • • • • • • • • • 4 s r, /tilt Sh4-0e,e_5 ;•., A 0,4141Nri (Wcu"-gratlas bent) Ibe401. OT • • • • • • • • • • • • • • • • • • • • • • Ph • • • • • 1S • • • • -• • • • • • • • • • • • • ...•■••••• rb ) 01 OARAO CP: 7. LAO E APKOVED STRUCT; BLDG. DATE SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS •••• • • • •• • • •• • • • • • • • •••• • • • • • • •••• • • • •• • • •••• • • •••• • • •• • • • • •••• • •• • • • •• • • • • • • • • • • • • •• • • • •• • •• • • • • • • • •••• • • •••• • • • c.) 4 km En k-gzout Neer- paz Azx or- (Dixo"Sritlizs bail) sr-flia5. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 9-7-01Z8I Inspection Number: INSP- 107353 Permit Number: PL -2 -09 -282 Scheduled Inspection Date: November 10, 2009 Inspector: Levrock, James Owner: PALMER, ANN Job Address: 920 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060143401 Building Department Comments REPAIR LEAK IN TUB OVERHEAD AND RE TILE SHOWER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 09, 2009 For Inspections please call: (305)762 -4949 Page 1 of 29 Miami Shores Village FECIEUVR Building Department 2 s 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY v� Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Owner's Address qa &f' /G sr- City ll'iA rt, .'t Z- State Tenant/Lessee Name E -MAIL: Permit No. 01 0(71— Master Permit No.120 n9 -2rs Phone # Zip Phone # in,pa( wn R.,6to w ®- . Cam, • Job Address (where the work is being done) q)-6 /q- Sr City Miami Shores Village S ---tq 3 --� ,1,1 ,,, 3-3/3V FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address City Qualifier Name YES County Miami -Dade - -CttP 3to1 NO K1 NY-0 eViL„ Zip . (3 /3 y Phone # 'N3L-q4 State Zip Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ b Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ��� / ['New ► Repair /Replace El �J Describe Work: x4rerir********** r************************ Fees *****u**nY***************** ************ **** Submittal Fee $ Notary $ 5' Scanning ADO Permit Fee $ Training /Education Fee $ ®• Radon $ Bond $ Code Enforcement $ Structural Review. $ DPBR $ CCF $ 040 CO /CC Technology Fee $ 4'SO Zoning $ Double Fee $ Total Fee Now Due $ � �w 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. l 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: 1 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 Owner or Agent The for-.: Ling instrument was ackn p 1- i ged be ys re day of ti At, 20 ?, b 11 Ai Itlk r who is personally k own to me or who has produced 10. Signature Contractor The foregoing instrument was acknowledged before me this day of 20 b , Y who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: xxxxxnYzxxx*4zst***wxxxxxww* Sign: Print: My Commission Expires: X*xxx xxx xx xx*x xxlCxx xxx*wwwww.xxxx* x xxxxx Y.xxxxxx*'Y.xxxx x x *xxxxx APPLICATION APPROVED BY: (Revised 02/08/06) /Plans Examiner Engineer Zoning