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RC-08-2126WNW Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: April 22, 2009 Inspector: Bruhn, Norman Owner: AUVERT, DIANA Job Address: 1223 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132050250140 Building Department Comments Passed Ildejl,jj.c, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments GV April 21, 2009 Page 1 of 23 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): Building Roofing Owner's Name (Fee Simple Titleholder) b 6 k �f' 0 Phone # 309 - 45-3C4 2 Owner's Address ( 3 • c-71717-3 cm7.4 Le Ca: 1 21,98 BY: Permit No. OS--919(0 Master Permit No. city tA aki 'RO state L, Zip 33 1 Tenant/Lessee Name — Phone # Job Address (where the work is being done) 1 2. a 3 )J .E 10 57- City Miami Shores Village County Miami -Dade Zip 3 3 ( 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name O co Phone # 0 - - �Q Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) 1.) f A Phone # Value of Work For this Permit $ ( 1000 O P 00 Square / Linear Footage Of Work: Type of Work: ['Addition Describe Work: ['Alteration ['New 1 ' epair/Replace [' Demolition * * * ** **** * * ** ***** ** * *** **** **** Fees *** ********* * ** *** ** * *** *** * ** ** ** * *** ** *** fro Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 CCF $ ct77Ct Technology Fee $ 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 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 Owner or Agent The for oing i strument was ac.. •wledged befor- m- is 10 day of'����,' . ; 200Y, by !!/l.i� / r who 1 personally known to me or who has produced I`/_ tO. 4- Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by 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. NOT Y PUBLIC: , •- 5 -A, � \$ 11, cfr * * * * * * * * * * * * * * * * ** ***** **** •9, **************************************** ** ** * *** ******** ** *** ****** ** ** Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 07/10/07) Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 1 10050 N.E. 2nd Avenue Miami Shores, FL 2.! lira .``assn,,.!.% •I , / Phone: (305)795 -2204 Fax: (305)756 -8972 , �' Scheduled Inspection Date: March 25, 2009 Inspector: Levrock, James Owner: AUVERT, DIANA Job Address: 1223 NE 102 Street Miami Shores, FL Project: <NONE> Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Contractor: ALADDIN PLUMBING & CONSTRUCTION CORP arcel Number 1132050250140 Building Department Comments Passed Failed 1,/ ■ !fl o A' Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 24, 2009 Page 3 of 29 B Y: BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village o,1)91d Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) b1 kW A klA) E. 1?..T Owner's Address i'a �'3 E[Oa sr, City ft (414 ( SHOP CS State FL.- Tenant /Lessee Name Permit No. Master Permit No. 9 Phone# 3o - 97S 3`02, Zip 331 38 Phone # E -MAIL: Job Address (where the work is being done) /2 2 Z A/6 /0,2 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO ✓� Contractor's Company Name ,61�//�/� �� .� j(/(� j � Phone # 3 0 &7-46 Contractor's Address �((9 0 / �' ('Z / S City A,/, / !/l /\ ( State f-- G- 4 ' Zip 3 / G Qualifier Name /2.C5 /r-15 4/04.7'0 E5 Phone # State Certificate or Registration No. Certificate of Competency No.__f FC E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 300 .. O 0 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration [New ❑ Repair /Replace El Demolition Describe Work: (gins, l s'f J �j,,��,� k Vii-1 t `C tr /'`"6�' ''t� /tom -� =' � �. GP ieethre, , %J?iadt a-� jam. i*************** max********************* F�eees s************* ** ***** * * ** * * *** * * * ** ***** ***** Submittal Fee $ Permit Fee $ /P CCF $ CO /CC Notary $. Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 Y.��t1i0 Owner or Agent The fo going instrument was acknowledged before me this/ a day of , 20di , by -Px I°vc, e ()5 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: � fiCrj n c fir 10 My Commission Expires!+ > UC,4TATE ?LOMA. CATHERINE qftliti Banded Thru Aria n APPLICATION APPROVED BY: (Revised 02/08/06) Signature Con tractor The for ing instrument was acknowledged before me this/6 day of , 20(3 , by Otes-/e, Met eS'ei' who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Exx`ir�es: RTNE A. DUFFIN cOMeSSIO;y • DD4O3798. Bonded Tara AdiadcMAR. 07, 2009 re4 purer /G5///C Engineer Zoning 110 Inspection Worksheet Miami Shores Village 10050 N.E. Avenue Miami Shores, FL J7' Phone: (3u5)795-2204 Fax: (305)756-8972 Scheduled Inspection Date: April 20, 2009 Inspector: Devaney, Michael Owner: AUVERT, DIANA Job Address: 1223 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: LS CURTIS INC $ Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050250140 Phone: 305-892-0115 Building Department Comments tgt Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Inspector Comrnents CREATED AS REINSPECTION FOR INSP-104751. RECEPTACLE TO LEFT OF SINK NOT GFI PROTECTED. MD 04/15/09 April 17, 2009 Page 23 of 30 BUILDING Miami Shores Village IIICL-Mg/;-; Building Department 2 3 as 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.89'72 121C9s 1I Permit No. � l 09 f f `O PERMIT APPLICATION °la"a Master Permit No. 420 as- oLQC FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) 1 L Q IJ ho V' j E ,1° Owner's Address I al 3 N (0a, S • Phone # 3o c- 94.51 34 la. City. e,1 State FL Zip 33t3 8 Tenant/Lessee Name •--u Phone # E -MAIL: Job Address (where the work is being done) /2,2,3 1,1 E L o .. 5r- City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Zip Is Building Historically Designated YES NO v'''. Contractor's Company an Z p Y Name � (cm. Phone #�d. %/ i , 'J `' % L—'U Contractor's Address J y/ zi/P 2.0 f c 4y City / L,772L 1i — State �� Zip r ,.....) Qualifier Name /C4d /. rt, � ,7.. Phone # 7 ( Y rd-- / 7c / State Certificate or Registration No. /^ CC)C.)4 f/7 f — Certificate of Competency No C U o ?/ 7,�- E -MAIL: njnj sTeG/Q 0/906 Ca AI Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ gr° Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New Describe Work: " ' �% �� 70 Repair /R�p;ace ❑ Demolition xx****** * * *xxxxx *xxxxxxx * * *xx**xxxrxxxx Feesx**x x* xxx xxxxx *x war xxxxxxx* *xxxxxx *xxx** *xxx* Submittal Fee $ Permit Fee $ /404>r ■=1"� Notary $ S-CO Scanning $ 3 .00 Radon $ DPBR $ Training /Education Fee $ O•2p CCF $ O-coc0 CO /CC Technology Fee $ a's Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ i (1.50 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 Owner or Agent The fo going instrument was ac nowledged befor dayo ),_ i2 byf ^,' who is er onal ly k own to me or who has produced 46 NOTARY Sign: Print: LIC: Signature ! �� Contractor this (90 The forgoing instrument was ack •wledged b 0 day o 0 ,20 b who is a ersonally kn t wn to me or who has produced O O4'e ntification and who did takeQ'path. 109 Off'& cN,, My Commission Expires: * x x xx x* x x*.* x*xxx xxr.* xx* xxx x r. APPLICATION APPROVED BY (Revised 02/08/06) OTAR t fication and who did take an oath. UBLIC: �1 ,ems• ��°� �V �hJ 'GO obey ���o� ®�° .l� My Commission Expires: ®��;p1 , co~ 4 �q 4 x ***was* x�+Jj' Zs� pxxxxrxxx xxxxxx x�:xxxxrxx9:xxxxd:xxxxx>:xrxx x:Fnk�cac****aF*** A. ��.��j�' Plans Examiner Engineer Zoning C'�44 r Sign: Print: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 07, 2009 Inspector: Devaney, Michael Owner: AUVERT, DIANA Job Address: 1223 NE 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: LS CURTIS INC 2,1ZCP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration hone Number Parcel Number 1132050250140 Phone: 305 -892 -0115 Building Department Comments Tuesday, January 6, 2009 Page 1 of 1 JAN 0 7 ENT's Passed Inspector Comments CC yJP C Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, January 6, 2009 Page 1 of 1 BUILDING Miami Shores Village o� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 7 PERMIT APPLICATION, FBC 2004 DE's 0 4.7f5 • Permit No. tLU p -Loqi Master Permit No. PC/ pi Its Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Jl niu /4 4IJ4T Phone # 305-- q 7- s- Owner's Address // 2 2. 3 �e /(2 2 S'7 City,4 /44,, • s/7 0/+e f State /42/ Zip 2 (7/ 3 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) /2. 2 3 ,C ,/d 2 s City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name $ (C.)/-1•77 Phone # 7 - c(f (_ / P‘ Contractor's Address g O3t// /fe G /9) # / 0 City Veil TJIZ State Zip 32/ U Qualifier Name ,�(�e,,,i J S rv/t T!I Phone # 7 /G• t40136' Pr/ State Certificate or Registration No. t%Q dc..) 7/ 7 5-- Certificate of Competency No. / c 0d 02/7 E -MAIL: AA e 404. Cdpi Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ lio Gv Square / Linear Footage Of Work: Type of Work: ['Addition OAlteration ONew • Repair /Replace • O Demolition Describe Work: A904Ce /heZGL ('/4 rin* /, ft4 l 4-.44 SFr xx* **xx* * * * * *xxx *xxxxxxxx Fees. . * r.*** xrx xxxxxxx * *x * *x *xxxxxxxxxx * * * * * ** Submittal Fee $ Permit Fee $ ,Z 40' .:" otary $ F =•= N Pt.e c-Scanning $ Radon $ DPBR $ Ft— =fond $ Code Enforcement $ Double Fee $ Training /Education Fee $ CCF $ CO /CC Technology Fee $ Zoning $ Structural Review. $ 4A. Total Fee Now Due $ 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: 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 foregoing instrument was acknowledged before me this 4 day of vet.. , 2001 , by �4utt4 1( 41 �N(j� who is personally known to me or who has produced �% na�slG its itpt As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir rrxxxxxx * *rxxxrxxxx *xxxxxx,xx x x *xxxx * * * * *xxxrx APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor y� The foregoing instrument was acknowledged before me this T day of Vat , 20 _, by Leux H CUl+r'JS , who is personally known to me or who has produced f%. 0 >C GI ago as identification and who did take an oath. NOTARY PUBLIC uss1�D�� Sri %' :.,,o MONt SION # DD `995 09 Sign: %1 �6 ,• My CO ,OctobetcU teas c 0 i Print: Sri'- My Commission Ex res: *xxxxxxxr.XXxxY. xxxxrr . *xxxxrx *xxxxxxx *x * * *x * * * * ** * ** HOC Plans Examiner Engineer Zoning BY• 2707 - 2c IV LOAD CALCULATION & RISER DIAGRAM E" `" ��� 41 (200 AMP SERVICE) For the Property: 1223 NE 102 St Miami Shores, Fl L S Curtis Electrical Contractor 305- 892 -0115 786 -486 -1961 Relocate weather head above roof / 2" Rigid W/ 3 # 2/0 C.0 200 AMP W/P Meter Can With Main PERMIT #: 04- Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH AU.. FEDERAL STATE AND COUNTY RULES AND REGULATIONS 2" Nipple W/ 3# 2/0 200 AMP 40 Circuits Panel 1,800 sq. ft. at 3 VA 2) s/a circuits Laundry Refrigerator Range Water Heater Dishwasher Dry 1st 10,000 @ 100% Remainder @ .40 x 20,700 Heat Strip 10 kw x .65 25,300/240 = 105.41 am . s Lewis Steven Curtis EC # 0003175 Total 4 # CU Grounding Electrode 41-/- Conductor Connected to 5/8" X 8' Grounding Electrodes and metal cold Water piping system. • • • • • • • • 5,4.00 ••71.,•\ • • • • 3,000 •. •. • , • v • • s « •• • • 1,500 • •...• ••••• • 1,500 •• • • •• 1 •••• 12,000 4,500 1,200 '' •••• • • 5,000 • • • 30,700 • • • • 10,000 VA 8,280 VA 6,500 VA Total 25,300 VA NOTARY PUBLIC -STATE OF FLORID , Claudia V. Cubillos =Commission #DD717923 = SEP. 23, 2011 BONDED THRU ATLAIVIC BONDING CO,, tNO, E1:M00 M H N 0 J FIN repo t•SN 14 hu_ twit y ew9ET N Eb h00 AISDReS5 : (2. 3 0)E Eva. ST, �IRt�► SHORCS PhKE ; 011110A hOVIEker 14 Pi f.f ( ( t' f ( f 6 f. C t C tot f f t f e t t f f t &f eftf 6( f e f t f e e 6 6 G to Ltt f r 6 t' t' t' ,, f f f t Vg0Nrift 4Mmew,qvo, go0.tzfigip, grgigkp_w - &ktszto.6,,aeT ifkAlva4w.G:: 51 15 30 T 29,0 18 12' E. * m 0 a 00 M 90 O 0 • 0 9090 m 4 0 0009 * 0 O 0 0 .4' 094000 . 04ow 0in Se 0 9 4 !eisti• 0. 4040 041400 .00 . 4 0400 :.. 0:010: 0 0 . • 0000 O 04140* 0. 00 n MAnnme O 00 (I 00 0. 00 • 0 0 O 4 0 :000000 • * 0 75 30 4? V • 55 30 39 N e-- CU CO CD e. 1 Q 1 t o G c r 1 f oat (.( ( 33 55 32 VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: b t Rok Ao k) F R.T ADDRESS: 120. /OE (Da ST. DATE: io2. 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 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. 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. 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„gg 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 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 10 day of Initial By0oniui1 6e)I O who was personally known to me or who has Produced there License or 10-14- aO9 as identification. OWNER RN Aoki Et i- _ iNS).efetiti ° �\ NOTARY � �'1 3'a4 IMMO MINMPOt sassy worms sus seat' NMI WWI Hass .m eseieea IMION w.+..u. This Ins rument Prepared .� �� Name �� A 1�FLLoso Address vZS 9 J S'11' . j @++ lK l 6140kES, FL 5313 Permit No. STATE OF FL COUNTY OF QRDE- 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) OE I ®o!. 5 r, ,t44 50 -olk Es 1 Fi. 35( 3 8 2. General description of improvement: R.'Lke,e Kt.i-.1r..) CfA13*INETs 3. Owner information AO a. Name and address: �jtiRrJt\ VF=RT�+ y3r�r7 b. Interest in property: (2 , F 101 vr, f i %tali ( �riu'C ' F 3 1 jf c. Name and address of fee si ple Mkt-Told er (if other than owner): 4. Contractor: ()LopEk - kGsA r EAfJN t i3ELt..OS a a. Name and address: - s•• , R. 93 5'T" IA ,N 1 5tt0i .€.S IL 33t3 8 b. Phone number: (_365) 1 S _ 34 + sL. r 5. Surety a. Name and address: b. Amount of bond $ c. Phone number: 6. Lender a. Name and address: b. Phone number: 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 7.13.13(1)(h), 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 1, 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. The ent was acknowledged before me this d (name of person) as authority, ...e.g. officer, trustee, attorney in fact) for behalf of whom instrument was executed). Signature of Owner or Owner's Authorized Officer /Director Partner /Manager Signatory's Title /Office KIT k (type of (name of party on NOTARY PUBLICSTATE OF FLORIDA Claudia V. Cubillos >= r Commission # DD717923 Expires: SEP. 23, 2011 1401 ∎1 th c BONDING co„ lain aerle$u't�t,a nitinn'� Si:7rure of Notary " ub– State of Florida Prin , Type, or Stamp Commissioned Name of Notary Public Commission Number • Personally Known _ or Produced Identification 1 1 OU ` ` Q Verification Pursuant to Section 92.525, Florida Statutes Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above • • • • i C 0.R. GAk RG E •• • • .•••• • • •• • • • • •• •. • • • • bu3 & RooK QE)tzov K * 3 L'tv►LJG ooK BM' N • •• • • • • • • • • . • • • `'6EpR0r,W E IARA►3CE PERMIT #: Ctc APPROVED Miami Shores Villa .e ZONING DEPT BLDG DEPT 00 Pd 46b/P0 SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS A bblzEs S: 17.7:6 N E 102 Sr. RlM%t St4© *E5 1 0 1 123 32 >3 43 214 • . • • • .. • • • ... ••• ••• • • • • .. • • • . • .. • • . • • • .... • • •••• • • • • IL N 3P 24 30 30 424'4130 36 75 30 01 (yi • • 0) • • • •• • • • • 14 • • .•. • • • • • • • •• . • ...... • • • • • • • • • • •• • •• • • • ••.. 4 .. ••. • • • • •• • • • • . ...... • • • • • • • • • • • • • • •• ••• • • • • •• • •• ••• • • • ••• • • 75 oo A 39 30 x 30 k 30 X I 4— T 0 M ... M cir) i— CD CO UM / 0 0 O n CO 0 ttIP FEB 00 00 I CO Cil ...... • • • • • . 1 • • • •• • • 1 •• . a • • s •�=• •• ••• •• 36 24 * 3 '< • 39;'; ;'; '�'; • 5 55 < .•.• • • 130 A. 0) • • • •• • • • • 14 • • .•. • • • • • • • •• . • ...... • • • • • • • • • • •• • •• • • • ••.. 4 .. ••. • • • • •• • • • • . ...... • • • • • • • • • • • • • • •• ••• • • • • •• • •• ••• • • • ••• • • A �--- - 33 55 32 --� 4141,. 48 120 60 ..... • • •• • • • • • • • •. .• ••. 0 CO • • • • • • • •• • • • ... ••• • • • • • • ••• • ••• • ••• 3e• •• • • • • • • • • • • • • • • • • • •.. • • .. ••• • • . • • •.• • • • • ••• • • • • • • • • • • • • • •.• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••■ • • 14 * 36 1 V7 36 1 1 • • • • • • • • • • • • • • •• • • ••• ••• ••• • • • • • • • • • • • • • • • • •• • • •• • • • • •••• ••••••• • • • • • • • • • • • • • • • •• • • • • • • •. • • • • • • • • •• • •• • • • • • •• •• ••• • • • ••• • • ° . 0 J , - L i / 84/511 /VAr � Tr 1. r I fP I _....1 2 38 (- 13*( 3 II12 * 48 < 2 43 123 < 1 1 • • • • • • • • • • • • • • •• • • ••• ••• ••• • • • • • • • • • • • • • • • • •• • • •• • • • • •••• ••••••• • • • • • • • • • • • • • • • •• • • • • • • •. • • • • • • • • •• • •• • • • • • •• •• ••• • • • ••• • • 51 ► } 66 15 - -- 30 --�{ • •• •• • • • • • •• • •• •• • • • •••• • • • • •••• • • • • • • • • • • •••• •• •• •••• • • • • • • • • •••• • • • • • •••• • • • • •• • • • • • • • • •• • • • • • • • • • • • • 96 18 12 > CA.) 0 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS That DIANA AUVERT, has/have made, constituted and appointed, and by these presents do make, constitute(s) and appoint(s) DEANNABELLOSO as hertrue and lawful attorney for her and inhername, place and stead for the specific purpose of representing her in the remodeling of the property legally described as: Lot 6, Block 186, of BAY BREEZE SECTION, according to the Plat thereof, as recorded in Plat Book 42, at Page 25, of the Public Records of Miami-Dade County, Florida. with specific authority to execute any and all documents, including but not limited to, contracts with contractors, building permits, utility services and any other documents which may need approval and signature. She is further empowered have any and all communications with the Miami Shores Village Hall on my behalf; giving and granting unto the said Attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as they might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that the said attorney or her substitute shall lawfully do or cause to be done by virtue hereof. DATED, this //ftl6 day of NOV , 2008. Wi ess/Print: 044/312,4 becte-WO,',Y,e STATE OF FLORIDA COUNTY OF MIAMI -DADE )SS: The forego" g instrument was acknowledged before me this 1 day � Y of fV` , 2008, by MARIA AUVERT who (i) is personally known to me or ( ) who has produced as ide s i s ca`: n. My Commission Expires. Print Name: "PS Notary Public, State of Florida 6