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RC-08-905Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 MT 0 7 2000 cL_ Inspection Date: 10/07/2008 Inspector: Bruhn, Norman Owner: STRONG, MICHAEL Job Address: 229 101 Street NE Miami Shores, FL 33138 -2422 Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Block: Phone Number Parcel Number 1132060134790 Lot: Building Department Comments KITCHEN REMODELING WITH EXISTING ELECTRICAL. Passed . Inspector Comments ° Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 7, 2008 Page 1 of 2 ql-OtOS K 1'�r • hiaol 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 (circle): Permit No. RC, 0 - los Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Tit e older) M , Git C Y_ Phone # 305- ° d `d 9 Owner's Address 1C I ij el tD lst S±, City Ai 1 cGIi1AA, 5114 tate ."l - Zip 3 / 3 Tenant/Lessee Name Phone # Job Address (where the Work is being done) 2 2, 5 Z / 0 1 City Miami Shores Village County Miami -Dade Zip 3 13 D FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name (yuu1rar- Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Nan1e (if applicable) Phone # Value of Work For this Permit $ 11 (- 00 Type of Work: OAddition tot eration Describe Work: K' -K t- Square / Linear Footage Of Work: 3 5' - [New Repair/Replace ❑ Demolition ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F e ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ S ¢ ° CCF $ G CO /CC Notary'$ Training/Education Fee $ Technology Fee $ .51 Scanning $ 'CO O Radon $ DPBR $ Zoning $ Double Fee $ �3 1 a 3 Bond $ fo ceiient $ — Structural Review. $ JUN 1 1 2008 Total Fee Now Die $ 1 0 0 L 1 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this gi The foregoing instrument was acknowledged before me this day of 20 a , by ffl tch J S+d Yl.. , day of , 20 , by who is pens known to me or who has produced who is personally known to me or who has produced �( � P P Y p As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: 01,111111 I rl%�� `® ® NAGY R. 44 Sign: oo�N • = Sign: Print: Akin ice/ l� ® ®� ' 7k! Print: ,17 , #DD417030 My Commission Expires: 49/0/61 99y : ?4, h �St ,�e�,;° �QO� My Commission Expires: • A �O ve ®47111 /III11111111° NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village gicd 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspe Inspection Date: 07/09/2008 Inspector: Devaney, Michael ion u Owner: STRONG, MICHAEL Job Address: 229 101 Street NE Miami Shores, FL 33138 -2422 Project: <NONE> Contractor: FIVE D CORP 13`, Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration cisiosue Phone Number Parcel Number 1132060134790 Block: Lot: Phone: 305 - 248 -2881 Building Department Comments ELECTRICAL REPAIR FOR KITCHEN J Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 85463. NO ONE HOME. 4.27 06/08/08 MD CC .--- ,..------, /4>e '' Failed` Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, July 7, 2008 Page 2 of 2 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Parcel Number Expiration: 12/07 /2008 Applicant 229 NE 101 Street Miami Shores, FL 33138 -2422 1132060134790 Block: Lot: MICHAEL STRONG Owner Information MICHAEL STRONG Address 229 NE 101 Street MIAMI SHORES FL 33138 -2422 Phone Cell Valuation: Total Sq Feet Type of Work: ELECTRICAL Additional Info: KITCHEN REPAIR Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $159.99 $3.00 $4.00 $173.59 Total I Amt Paid 1 Amt Due $ 0.00 $ 0.o0 Payment Type: 3 ;tCD6 6 $ 2,000.00 0 Available Inspections : Inspection Type: Final Service Change Relocation Alteration Fire Alarm Underground Rough Meter Box W. W. 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 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy June 10, 2008 Date Tuesday, June 10, 2008 1 Miami Shores Villag Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 331 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Arlie ate71�� Owner's Address j ,2, r / // City M -dni, fh -- State Tenant/Lessee Name E -MAIL: 8 v.. Permit No. EI O� 1(b Master Permit No $, ,1) - , Phone # - 7� cf( 19 Zip J Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # County Miami -Dade Ztlp / 3g Is Building Historically Designated YES NO Contractor's Company Name /4/ Phone # et= 2 ti (-26/ - 2 '1 Contractor's Address ` ews -(ej® _c city y /l !fl/ Oale State Zip Qualifier Name State Certificate or Regi ation No. k' . a cy 9/ J Certificate of Competen No. t2.' 0 O 1 Li 9 / Z E- MAIL:, /v6 l2 .r d 40 4 ®L''. efr a% Architect/Engineer's Name (if applicable) 2) Phone # Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: ❑Alteration Phone # Square / Linear Footage Of Work: ❑New l:Oair /Replace ❑ Demolition cw*x xxxx rxxxx *x * * * *xxxxxx * *xxxxrxxxxx* *Fees "' • Submittal Fee $ Permit Fee $ /16reVe;, Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ Bond $ CCF$ Technology Fee $ Zoning $ Code Enforcement $ Double Fee $ Structural Review. $ *w** CO /CC Total Fee Now ue $ 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. 1 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by ontractor The foregoing instrument was acknowledge l e day of `-./{ , 20V,1�, by jam- 1 befo e m this who is personally known to me or who has produced who is personably known to me or who h. s produced As identification and who did take an oath. llas identification and who did take an oath NOTARY PUBLIC: oaths ti9c 1^,3'c,o‘ �� NOT Y PUBLIC: Sign: Print: My Commission Expires: xxxxxxxrxxrxxdexxxxxxrxxxxx APPLICATION APPROVED BY- (Revised 02/08/06) Sign: Print: My Commission Expires: xxxxxxxxxxxxxxxxxxx xx x x xac r. xx x xx,,Ww ,cww x x xxxxx Q,0 #/ l ' Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL • ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES ,,,�� A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS dj PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP , UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT • NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE. SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE /RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING This Ins k�u (hc pared By: n Name VV �I � 1�1 tr� Address:;; I "t Permit No. kC -0g- r 3 STATE OF Ft-Or lda- COUNTY OF i'r %C,v) f ,2afe 111111111111111111111111111111111111111111111 CFN 2008R0474114 OR EK 26421 Ps 4549; (fps) RECORDED 06/10/2008 10:33:15 tWEY RUVINI CLERK OF COURT ► MIAMI -DADE CDUHTY► FLORIDA —SOAK PAGE NOTICE OF COMMENCEMENT Tax Folio No. 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 property: (legal description of property, and street address if available) Z..21 ,u / 0 $ * 5 `r. GfA444 `rf �1�°✓ L 2. General description of improvement: 3. Owner information II AA a. Name and address: K t [-v∎ 0-4.1 b. Interest in property: 0 LA-) +" t_Nr- c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: a. Name and address: i cL0-4.-4. 5 b. Phone number: 3 3 _ 4.9 -- O j t1 5. Surety a. Name and address: b. Amount of bond $ c. Phone number: 6. Lender a. Name and address: b. Phone number: Z L °I j / I1 ` SAO Pn 0C1-- Zzc we- tC) 3r (kkO L 33 13 r 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 713.13(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 RECORDING YOUR NOTICE OF COMMENCEMENT, Signature of Ow Partner /Manager r or Owner's Autho zed Officer /Director Signatory's Title /Office The fore oin Instrument was acknowledged before me this [ _ day of 1Ydk (name of person) as 610 ltep authority, ,.. .g. officer, trustee, attorney In fact) for behalf of w I tru k; iikV eves;. MONICA LISSETH DIAZ *A • MY COMMISSION # DD 483995 ' ° "0 EXPIRES: October 20, 2009 '4,Pr 4 ' Bonded Thru Notary Public Underwriters e- `Vxi{l— o7 (year) by hijiatz G Q G. (type of ( (name of party on Slgne Print, y Commlss . ' 1 ber - State of Florida ommissioned Name of Notary Public Personally Known _ or Produced Identification 7/ PAtAtirk, 7337Y6 Verification Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I declare that I have read the foregoing and th, th knowledge and belief. acts stated die true to the best of my Slgnatu a of atural Person Signing Above .4004, • Per) i 5'0 ••• • . • • • •• • • ••• • • • • • • -- • aa•_ • • • • • • "'-- -- • � •- - • .- .. --•,_• j • ' •• •• • • • • • • - J • • • ••.• • • • • • •• [ • . • • • II •• • • • • I • • • •• • • • Otet:occ 4 rGn4 0 • ,t) feti r)=- / (kirlet 11\_ • • • • • se • • e••• • • 4'000 1 'se* • • eolie • •1• '01 • • CO • • • Lc., • amo:••• • • • • • it • • • • ‘.14 •1 •• •••• 4...• • •• • • • • • • • • • • •••• • • • 1• 1 se • • o• f. • • • • • • 4 Sir fk,k • fi Itritiom OPf lioeftet05 VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: !U!�JJ�! Cki i z.Ji r DATE: y/P/Of i ADDRESS: i2' itU IT(st 5f 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 eV 4c 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 nos 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 lit.S 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. 4 Initial s 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 MS 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 a5 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 d5 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 / day of I ,la ,20 Di By m s n6 who was ersonally known)to me or who has Produced there License or as identificIt..,i,:oon:o.Dcouly41:110:1,0i.i:14;.00.400:.0,.."%: J` ®P a .zOS0�OWN N ARY ° i 9y�•a'4� has °: O� i • • ,8h lst... • IB TAT O� f ``````ee • ' 4 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - —Permit-No. ge- Job Name 5777k- et?‘"6--- ELECTRICAL CRITIQUE SHEET 5 2' tg6 Ccev-fr- rd—A& 4 .>-d 77, 7-Y-"d • "a?r, PROPERTY LOCATED AT: Weidai4 sf Vey V 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305. 795.2204; Fax 305-756-8972 www.miamishoresvillage.com HOLD HARMLESS 22? /UE (bI3tT 3+ As a/(( c Permit number Issued to oS-c® \.e.in, S1 DATE: 511ao8/ of subject property, M-� 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 (Prime Co ractor- qualifier) State of Florida County of Dade: 4415/7 (Print Name) 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 Notary Public, Sate of Florida at Large