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FW-10-1497• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 150259 Permit Number: FW -8 -10 -1497 Scheduled Inspection Date: July 18, 2011 Inspector: Bruhn, Norman Owner: PIANELLI, FELIPE Job Address: 250 NE 91 Street Miami Shores, FL 33150- Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number (305)490 -3592 Parcel Number 1132060190420 Building Department Comments DEMOLITION OF CHAIN LINK FENCE ON THE SIDE OF THE HOUSE Passe i7--/AT(Z1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 15, 2011 For Inspections please call: (305)762 -4949 Page 3 of 35 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel; (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Not"` Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROO FING Q Owner's Name (Fee Simple Titleholder) t4c /2 c/ i f4 r //// . Owner's Address /2 'U '4 9 / City ' , � sou � CAS State F / Tenant/Lessee Name Email T 2 e:�� gAUG 2 0 2(116 11) B xi ^ Y9 Phone # 3 G v 7,i 06 3 o Zip 33/32 Job Address (where the work is being done) .5/4 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Phone # Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Flood Zone Contractor's Address City State Zip . Qualifier Name Phone # .. State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ I 004)0 • Square / Linear Footage Of Work: Type of Work: :Addition :Alteration :New Repair/Replace 0 Demolition Describe Work: 44ac c "A mac : ***** * * * * * * * * * *** * * * * * * * * * ** * * * ** *4c* Fees * * * * * * * * * * * * * ** ** * ** * * * * * * ** ** x*: * ** ** **** Submittal Fee $ Permit Fee $ /� Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 104 • CCF $ CO /CC $ Technology Fee $ Bond $ • 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 ommenced 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 CONDITIOI TERS, ETC.... : OAR'S Ar. 'IDAVIT: I certify that all the foregoing inforrnatio: applicable laws regulating construction and zoning. s accurate and that all work will be done in compliance with all. 'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTO TO OBTAIN FINANCING, CONSULT WITII YOUR, LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." of ce to 4ppl& &ant As a condition to the issuance ofa building permit with an estirna;ed value exceeding $2500, the applicant atst 4 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 sever; (7) days after the building permit is issued. In the absence of such posted ;notice,: the inspection win not be approved and a reinspection fee will be charged. Signature Owner or agent The foregoin: :trument was c wled erl b °re me 1 1 day of , 20 I by 1 I' � l i t,,i, identification and who did take an oath as identification and who did take an oa# NOTARY PUBLIC; Contractor The foregoing instrument was acknowledged before me day of , 20 _._7 by ho is personally known to me or who has produced Pape: Sign: Print: My Comt ssion Expires: ** * * ** * **** * * * * ** *3r ** k** k Y * * ***** APPROVED Plans Examiner Engineer (Revised 67710/07XRevised 06/16/2009) ** ** ** **a0** onin Clerk ;cltecked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: FGc- 6' / Q , -A✓vE =/1 i DATE: ADDRESS: a O N [_- / /0 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 new form states 75,000). 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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial ,�/" 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Off/ Initial 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial ` �' 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial F/9. 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial / •r 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http : / /www.myfloridalicense.com /dbpr /pro /cilb /index.html Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed const ion activity at the following address: ' " Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this a ° day of 4 7 Vs , 201 G B -Y51 Yin who was personally known to me or who has Produced there License � OWNER NOTARY Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132060190420 Owner's Name: FELIPE PIANELLI Job Address: 250 91 Street Miami Shores, FL 33150- Owner's Phone: Total Square Feet: Total Job Valuation: (305)490 -3592 0 $ 1,000.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/20/2010 : Yes Comments: SURVEY ITY epy SUBJECT 1 r CCMP,I_IANCE'WITH ALL FEDERAL ti STATE AND UN ■Y RULES AND RECUL,4T O?. S 249a0 23.9 DE ed./9Z LEGAL DESCRIPTION: 6 53 42 EL PORTAL PB 9 -101 LOTS 6 147 BLK 3 LOY S1ZE 100.000 X 135 OR 17189 -1363- 0596 -1 FELIPE PIANELLI 250 NE. 91 ST MIAMI, FLORIDA 33138-3128. LOT SIZE 13,5000 SQ FT