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DS-09-144Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: March 03, 2009 Inspector: Bruhn, Norman Owner: WATT, JOHN Job Address: 426 NE 102 Street Miami Shores, FL 33138 -2453 Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number 305 - 758 -1959 Parcel Number 1132060170600 Building Department Comments March 03, 2009 Page 1 of 1 amosil Passed /,...]5: J Inspector Comments C.,1---• Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 03, 2009 Page 1 of 1 ec��G� 2(619 11*1 MAN)k. BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Horida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT AI}PLICATI Fsc 2004 Permit Type (circle): 1 r' v G£ Owner's Name (Fee Simple Titleholder) " (J4 �,C/ /ITT ��* Phone # 3'-M _ 7S'B WV- Roofing Permit NoS)S 0 t 416' Master Permit No. Owner's Address t. ) a 5 T2i4 E City M l 41-w1,c. �f -r5 State 4-%/.-- Tenant/Lessee Name Zip 3313 Phone # Job Address (where th ii work is being done) .SAM, f.— City Miami hores Village County Miami -Dade Zip FOLIO / PARCEL # `l " 3a6,6 / 17 - ©f> Is Building Historically Designated YES NO )( Contractor's Company Contractor's Address City Qualifier Name Name Phone # State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ea c Square /Linear Footage Of Work: l 1 L1.7 Type of Work: ❑A,ddition ❑Alteration New I- Describe Work: 4 Lc" ❑ Repair/Replace ❑ Demolition IC( ' vLj.S /V6 r. j7 D I iir Fees Submittal Fee Permit Fee $ /00 ✓ CCF $ 060 33/CC Notary $ ) e W Training/Education Fee $ 0'90 Technology Fee $ g Scanning $ (0'00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (4 5 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 11111„ rovam Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this -.6° The foregoing instrument was acknowledged before me this day of tV. , 20 , by Jai 4(64441 Wall (II., day of , 20 _, by who ho is personally known to me or who has produced if, 7)v'tL`�i:3 who is personally known to me or who has produced L.-1 5-,1183 0 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: Print: My Commission Expires:. *** ** * * ** *** ** * * **** * ***t ************************************************** * * * * * * * * * * * ** * * * * * * * ** * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) „i/(ei/ a 7 RECEIVED JAN 3 0 �/t�(Q ���/ . s.. VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT DATE: i /c34 ME: JO 6-kM 6..)A-- 7rar"' ADDRESS: 'ia� i 5 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 mush 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 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 permit. 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 J_s/fr) 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 [nitial 1 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. PA/ 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 SW 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. 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 30 day of Initial 4A/f) iov , 20 c›9 By c`Okvi AlovivJpr �!i/'�ei? ( who was personally known to me or who has Produced there License or l 14c. 5"3 a--j as identification. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date STRUCTURAL CRITIQUE SHEET 0,117®c4 c% le -4 11,11-2_ 2176t 44 2 / Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: 30 756 -8972 ( s� Permit No. DS-1-09-144 Issue Date: Not Issued s > SW.:::::: Expires:Not issued Folio Number:1132060170600 Owner's Name: JOHN WATT Owner's Phone: 305 - 758 -1959 Job Address: 426 102 Street Total Square Feet: 115 Miami Shores, FL 33138 -2453 Total Job Valuation: $ 400.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: No Comments: WHAT KIND OF PAVERS? NO CONSTRUCTION DETAILS. Date Denied: 2/2 /2009 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. DS-1-09-144 gon: "Atated:' Issue Date: Not Issued Folio Number:1132060170600 Owners Name: JOHN WATT Owners Phone: 305-758-1959 Ili; Job Address: 426 102 Street Total Square Feet: 115 Miami Shores, FL 33138-2453 ...:.: Total Job Valuation: $ 400.00 Contractor(s) Phone Primary Contractor .. .. .. :.:. .....• HOME OWNER Yes .. .....• Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/10/2009 : Yes Comments: WHAT KIND OF PAVERS? NO CONSTRUCTION DETAILS. 2/10/09 PAVERS APPROVED FOR ZONING, IT CAN NOT BE USED AS A BASE FOR ANY STRUCTURE DUE TO ITS PROXIMITY TO THE RESIDENCE. Block Comer Centerline Mad STREET 20' Pavement , aveit parkway. %..-:: f'' '''* Grass N Record .: - - • . - 175' APPROVED ZONING DEPT' BLDG DEPT 0 r. 0 CNI 0 z "0 S 1.60' 761 Lk) -0 ?, 0 3 all I -0 L. L.. -5 0143 tu ct 5._ 0 — 0 -0 c 1.60' 0 11.40' A/C Overhead Power Lines LEC SH1 of SUF 42E MIA X 0 L-Fn o I HI wos X0 ThI I 0 of 1 472 1 _le g X 1-3 c Ce 2 DEL 130: X (-) 0_ MIA) c▪ ■I 1. 1.70' 0 305 z FAX: X 'a 0 0 F Ell X • PROLE 0 DI LIE:* BENCH LOCR RIFA cE MORTG, ATTORP nap 5. DRAWN Wood Pole X-X-X-X---X :11' Pavem •