BP-05-374Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: February 17, 2009
Inspector: Bruhn, Norman
Owner: MOWERS, KATHERINE
Job Address: 1175 NE 101 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1132050190230
Building Department Comments
Inspector Comments
Passed bildpa79s
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 13, 2009
Page 18 of 22
Miami Shores Village
2 Building Department
a 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
-PER IT *PPLIC
FBC 2001
Permit Type (circle):
r la"
Electrical
Permit No. 13 P 615 3 7
Mas er ermit No.
d
Plumbing
Mechanical Roofing
Y
Owner's Name (Fee Simple Titleholder) 1h "�/eZ, Phone #
Owner's Address 1/ �a�+ /j / / .
City M 1; to /GC.
Zip . ? J$ V y E
Tenant/Lessee Name Phone # - j 5—R4f 4"
Job Address (where the work is being done) S
City Miami Shores Vill. • e County Miami -Dade Zip
Is Building Historically Designated YES NO,..._-
Contractor's Company Name
Contractor's Address
City State Zip
Phone #
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit c2 e5V Of
teration ['New
Type of Work: ['Addition
Describe Work:
,I GVGL i d
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
e) t-
o
Submittal Fee $ .' Permit Fee $ l ' CCF $ 1' c0 CO /CC
r C
Notary $ Training/Education Fee $ G O° Technology Fee $ 2,5O
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ (..OS ` rD
(Continued on opposite 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 char ed.
icYel
Signature
Signature
Owne 'r Agent
The foregoing instrtri ent was ackn
day o 20® by
ledged before me this
OY%
who is personally known to a cr who has produc
//6j 2575 —C&/ s identification and who did take an oath. as identi `` ` n and who did take an oath.
,,,,.,‘,,, N � : J t
a ; �""�P`� 0n#IDD32(87t
Si_ �_`' *� Expire a2: „
t: 1 - -.' 4OF :
The forego
day of
,2
who is personally known to
produced
NOTARY
My Commission Expires:
My Commission Expires:
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *- * * * * * * ** * ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Cite 05/13/03
z 074?-0?
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
Anti - ACAL■-.4:
Located at: 7� N5, (�l s-9- 'd S R ° 3 ��r
being the legal property owner, for the property
Legally described as -
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),-;nd I have read and understand the following disclosure.
Statement, which entitles me to' aivork as my own contractor, 1 further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out-building. You may also build or improve a
commercial building at a cost of 525,000.00 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( )
initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this S d
By
Produced
who is personally known to
Owner
Owner
ca ion and who did take an oath.'
No
tiP,pY PUe .� Ginny A . Gonell
Commission Assion #DD323870
Expires: May 26, 2008
rOF F1•.` Bonded Thru
Atlantic Bonding Co., Inc.
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
BUILDING CRITIQUE SHEET
%4f
"A.1 /6_;-/c
Miami Shores Village
Building Department
8/1/2007
Owner:
1175 NE 101 Street
Miami Shores Village FL 33138
RE: Process No.BP2005 -374
Address: 1175 NE 101 Street
Miami Shores, F133138
10050 N.E. 2"d Avenue
Miami Shores, F133138
Tel: 305- 795 -2204
Fax: 305-756-8972
Dear Owner,
In reviewing our files, we have found that there is an open permit submittal dated back to
March 16, 2005.
The file has been inactive for over 2 years and 5 months (880 days) without any response
from you or your representative.
As per the requirements of the 2004 Florida Building Code, section 105.3.2,
"An application for a permit for any proposed work shall be deemed to have been
abandoned 180 days after the date of filling, unless such application has been pursued
in good faith or a permit has been issued"
Please be advised that if no attempt is made to this Department in writing and justifiable
cause demonstrated within 15 days of receipt of this letter, the plans and related
paperwork submitted for permit will be considered abandoned, and will be destroyed.
Please do not hesitate to call me, if you have any questions related to the above
mentioned matter or any other issues related to our Department.
Sincerely,
Mabel Vargas
Building Department Supervisor
305- 795 -2204
Miami Shores Village
Building Department
10050 N.E.2ntA_v_enue, Miami Shores, Florida 33138
Tel: (3p5, P `1"- • _ $ 5 756.8972
R#J.i.,ft
‘ti 4L7
BUILDING
YERMIT APPLICATION La
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder
Owner's Address
City
Tenant/Les ° ee Name
Permit No. 7L-e990,5-
' .
Mechanical Roofing
4 hone # 3 b � 758 n 7 7
/0/
Zip .3
Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Address. 9 I / /
City Mail,/. �i State 77• Zip 36/6E1
E1
Qualifier /)D�.5 Awe
County Miami -Dade
NO r
Zip
State Certificate or Registration No..6 l /O 5 Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this'Permit
a01
Type of Wor « ',Addition
Describe Wo
Phone #
DAlteration ° :New
Square Footage Of Work:
ace ❑ Demolition
Submittal Fee $ , Permit Fee $ /46 CCF $
Notary $ Training/Education Fee $
Scanning $ Radon $
Zoning
Technology Fee $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
CO /CC
Bond $
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
Signatur
Owner or Agent
The oregoing instrument was ackn ledged before me qs The foregoing ins
day of etc-, by day of
or who has produced
As identification and who did take an oath.
NOT
Sign:
My Commission Expires:
who is personally
Contractor
ent was acknowledged before me this / --
, 2005, by
own to me or who has produced
A .0"4"1, %, Ginny H. GtifiaRY P
, *_ Commission #DD323870 Sign
, 2008
Bonded Urn Print:
My Co
as identificatio
e an oath.
/ • / / 4; 1m i
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED B
chc 05/13/03
„.„6---/-r,--"C 37-7-Ea
* * * * **
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: PL2005 -93
Printed: 3/29/2005
Applicant: JEFFREY MOWERS
Owner: MOWERS JEFFREY
JOB ADDRESS: 1175 NE 101 ST
Plumbing Permit
Contractor THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST
Local Phone: 786- 553 -5424
Parcel # 1132050190230
Page 1 of 1
Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 13 BLK 176 LOT SIZE
Fees: Description Amount
FEE2005 -3886 Building Fee $120.00
FEE2005 -3887 CCF $0.60
FEE2005 -3888 Notary Fee $5.00
FEE2005 -3889 Training and Education Fee $0.20
FEE2005 -3890 Technology Fee $3.00
FEE2005 -3891 Scanning Fee $3.00
FEE2005 -3892 Submittal Fee ($50.00)
Total Fees: $81.80
Total Fees: $81.80
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/14/2005 Construction Value: $2,500.00
Work: REPLACE SHOWER PAN
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Permit No.
Master Permit No
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) /(a fi jje ijVVeiS Phone # ., 7 9 7 % 1
Owner's Address 1/ 7 S ^ JO, r
City / ' J fjYe.s State Ft— 33 `$ V 5 p 9771,
Tenant/Lessee Name Phone # Ole 5 cS
Job Address (where the work is being done) �5 / / 75A/'G / Q/ S /
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Ho Phone # S it —e0®
Ha x� �'
Contractor's Address 6‘., Alec) /� 7-
City AoVz.e.o • State = Zip
Qualifier
State Certificate or Registration No. � 4/99 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition ['Alteration ['New
Describe Work:
Square Foots j f Work: 5e6;
❑ Repair/Replace ❑ Demolition
cj 1 V t (J���,
Submittal Fee $ Permit Fee $ /drat CCF $ CO d CO /CC
Notary $ -o Training/Education Fee $ ( Technology Fee $ rcSC1
Scanning $ 5 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address /6/
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 toy 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.
Owner or Agent
The foregoing instrument was acknowledged before me this 3
day of ffi , 20t , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
y
Sign: e.�_ >-R-�
Vx esOFRcALNor y
NICOLE A ®EAGERS'
a
OF f`O dMYCOR� EXPIRES
JULY 2,2005
******************* * * * * * * * * * * * * * *** * * * * * * * * * * * * **
Print:
My Co
* * * * * **
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 S by 1,.s. TS • . ��� Y ,
who is personally known to me or who has produced r
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
(9-
cc}Lcz P tagac
My Commiss
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
Chc 05/13/03
* * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
*I APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B.
STAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
ELI
TH TLE
UNIT
•
FEE
ITEM UNIT
SNITCH OUTLETS
/
FEE
ITEM
SPACE HEATERS
UNIT
FEE
ET
LIGKT CURETS.
CENTRAL MATING
MASHER
RECEPTACLES
`
A/C (WINO)
S OSAL
SERVICE TEW2ARY
A/C (CENTRAL)
INKING FOUNTAIN
SERVICE SIZE IN A PS
DUCT WORK
COR DRAIN
SERVICE REPAIRA€TER CAME
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
TERCEPTOR
RAGE TOP
UNDERGROUND TANKS
VATORY
OVEN
ABOVE GROG TANKS
,UNORY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
OTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
AWER •
M7TCRS OVER 1- 3 HP
HOT WATER BOILERS
MK, POT/3 COkP.
MOTORS OVER 3- •5 FP
MECHANICAL VENTILATION
HK, RESIDENCE
M7TCRS OVER 5- 8 PP
TRANSPORTING ASSEM3LIES
INK, SLCP
MJTCRS OVER 8- 10 FP
ELEVATORS/ESCALATORS
:kPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
'
FIRE SPRINKLER SYSTEMS
dINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 FP
VIOLATION
•DIRECT WASTES
A/C WINDOW
REINSPECTION
ATER SLPPLY TO:
AIR CONDITIONERS .
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFC}€RS
_ _,;
HEATER -NEW INST.
GENERATORS TRANSFERS
HEATER - REPLACE
GENERATORS TRANSFCAYERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
S'MIMAING POOL
CUTLETS CCMiBRCIA1
WATER SERVICE
•
SIGN TUBES
:PIER CONNECTIONS
SIGN TRRNSFOR.rERS
'ILITY -SEWER
SIGN TIME CLOCK
"ILITY -WATER
FIXTURES
:PT IC TANK
ANTENNA
.LAY
TELEVISION CURETS
iAIHFIELD, 4' TILE/RES.
VIOLATION
W & ABANDON SEPTIC TANK
REINSPECTION
IAXAGE PIT CU. FT.
4TCH BASIN
S AC,'
;SCtURGE WELL
WESTIC WELL
j _ /
i
IA CRAIH
`
WRIT
ILAR WATER HEATER -
IRE STANDPIPE
a PIPING
kWH SPRINKLER SYSTEM
S RANGE
:TEA SET (GAS)
$ PIPING
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/9/2005
Applicant: JEFFREY
Owner: MOWERS
JOB ADDRESS: 1175 NE 101
Contractor MOODY ELECTRIC INC
Local Phone: (305)758 -2000
Parcel # 1132050190230
Electrical Permit
Permit Number: EL2005 -145
Page 1 of 1
MOWERS
JEFFREY
ST
Contractor's Address: 669 NW 90 ST
Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 13 BLK 176 LOT SIZE
Fees: Description Amount
FEE2005 -5568 Building Fee $100.00
FEE2005 -5574 CCF $0.60
FEE2005 -5605 Training and Education Fee $0.20
FEE2005 -5608 Technology Fee $2.50
FEE2005 -5609 Scanning Fee $3.00
Total Fees: $106.30
Total Fees: $106.30
Total Receipts: $106.30
Permit Status: APPROVED Permit Expiration: 10/30/2005 Construction Value: $550.00
Work: BATHROOM REMODELING
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: