RC-11-1975Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 171480 Permit Number: RC -10 -11 -1975
Scheduled Inspection Date: March 28, 2012
Inspector: Rodriguez, Jorge
Owner: P OWENS TRS, WILLIAM
Job Address: 164 NW 92 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1131010000230
Building Department Comments
INSTALLWROUGHT IRON GRILLS ON ALL SIDE
WINDOWS AND WROUGHT IRON PANELS ON 4
FRENCH DOORS. ESCAPE EXISTS ON THREE SIDE
WINDOWS ALL WHITE GRILL WORK
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 170582. CREATED AS
REINSPECTION FOR INSP- 165842. Provide plans and permit for
inspection. NB
March 27, 2012
For Inspections please call: (305)762 -4949
Page 14 of 21
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
BUILDING
PERMIT APPLICATION
FBC 20
RECEIVED
NOV 08 2011
Permit No. gC,1 °15
Master Permit No.
Permit Type: BUILDING ROOFING �� f T /
OWNER: N e Fee Simple Titleholder): hT - 1fj'Ia� ? � ?I I ; re r Phone #: _3 ta%'(�574 (C-51--4
Address: /104r /Y 9> /i -1-
City: /4/9I /n) State: R.— Zip: - /S
Tenant/Lessee Name: /� Phone #:
Email: A �LZ ,
JOB ADDRESS:
City: Miami Shores County:
Fo1io/Parcel #:
Miami Dade
Zip: 3 f O
11-* ?/0/"-- 601-) — (9,317
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
/CONTRACTOR: Company Name: &PO «I i-J gie Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work forlhis Permit: $ 4c ®J Square/Linear Footage of Work:
Type of Work: dAddition DAlteration DNew URepair/Replace DDemolition
Description of Work: J% 7'J /OOU %' / O4/ i O- e i/ /
!✓ /A(.130), D »1V7 l derma/ f6 -D( ¢--S ow 171. FiS ' —
c 'A -ins)
******** * * *** * * * * * * * * * * ** ******** ****** Fees *** * * * * * ** x****: xx:** ** *** * *********** *** * ****
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
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 einspection fee will be charged.
Signa
Owner or Agent
The fore oing instrument was acknowledged before me this
day of , 20 IA , by (JO U-1 Pan & r• ,
who is personally known to me or who ;4,
As identific i ndwho•ddd tat' an oath.
NOTARY PUBLIC: ' ®•' v;'. �
Sign:
Print:
®
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Sign:
Print:
My Conunission Expires:
Zoning
Clerk
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: \\I I Ll1 Ai-I ?. ow if5N3 DATE: d 1 J 1 t`
„ADDRESS: 16`1 ST
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. 1 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 1 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.
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.
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial
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 licenseto
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
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 G0i°
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.myforidalicense.com /dbpdpro /cilb /index.html
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understan
legally and financially responsible for the proposed construction activity at the following address:
/�f,f e%/ f".>
nitial
at I am the party
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. 1
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 contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and
returned 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 ® day of
By d U_ > 1 OJjiMJS;:
,201/
who was personally known to me or who has
\1111111
Produced there License or < + as identifca,\4 1180%
OWNER
eI 0,
/1"1111111111111\
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1 (f ' {Z L(� INSPECTION'S PHONE NUMBER: (305) 762.4949 �1 f I PIT l UILD NG Permit No. rCt
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING / ROOFING
OWNER: Name (Fee Simple Titleholder): 14 / eA/ws , 11.T Phone #: 3t8 407— 4 i,4
Address: /4q / ' %y S' 7'
City: /kA,,l SW-OW Er-- State:
Tenant/Lessee Name:
Email: W PO -PA °oL. a A-OL, �O/►�'
JOB ADDRESS: T 444 /1//V 9
Zip: 33 / sv
Phone#:
City: Miami Shores County: ! Miami Dade
Folio/Parcel #: // — 3 /0/--. 0 00 , ,�'% 3 d
Is the Building Historically Designated: Yes NO
,q$1fEU Pi/TER/0R S /NO--
CONTRACTOR: Company Name: PADROd JR I i 17IV h/i9g ''S
Address: / Ogl W 41-
City: (WA-- itv state: F-1-- (4-
Qualifier Name: S.€i= AT7r r D sL /C s ES
Zip: _33 /r
Flood Zone:
DBA»
Phone#: .2-.55.--2 "i
Zip: .730s'�
Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ ®® ' Squaree/Linear Footage of Work:
ODemolition
Type of Work: teiddition OAlteration ❑New L]Repair/Replace
Description of Work: //✓STfi-`4 ti/2o L/ 6-- 1:14- '.. 0-/✓
/ PO!?/ i ) f /ffOJ/ *
Ff1)6- A✓Gi -f 1)49122 c CI f>51-iv m -t--S) i Y 04 /3
0
55 .0 a G1/ r _s 444 7t Crie, rL L$. Yi/OF
:x********** ***+ + x******************** *** Fees*** ****+x******** *****,44 i 4******+x*+r **+x*****
d
Submittal Fee $ Permit Fee $ /1C2 Da CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 FT.BCTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S At Fll)AVIT: 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
promise in good faith that a copy of the notice of commencement and construction lien law bro•r
whose property is subject to attachment. Also, a certified copy of the recorded notice of comme.
for the first inspection which occurs seven (7) days after the building permit `s ed./
inspection will not be a roved and a re pection fee will be chaaged.
e eeding $2500, the applicant must
ure will be delivered to the person
ent must be posted at the job site
absence of such posted notice, the
Signat
The f
day o
who is
NOT
ir ;oi i i.tru'
ii 1
ersonal
Owner or Agent
nt was
edged be
�e s
thi
•
0 , by VII V I
_ to me or who has produced
PUBLIC:
ratification d who did take an oath.
Signature
a or
The foregoing instrument was acknowledged before me giis 2S
day of 0 0-1-0 be, 20 , by MarCe 1 B riO 4, ro Vt.
who is personally known to me or who has produced d i B k P3
l) Le,r ,Sei as identification and who did take an oath.
NOTARY P I.LIC:
Sign:
Print:
My Commission Expires:
Sign:
'rint:
My Commission Expir
* 000 ********************* *** * **** Hark*********** ****** ******* * **** **** *********
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revis /15/09)
Zoning
Clerk
ABREU INTERIOR DBA PADRON IRON WORK
13081 NW 43 AVENUE BAY B -10
OPALOCKA, FL 33054
990000909
PLEASE DETACH AT PERFORATION
City of Opa -looka
Department of Matinees and Licensing
Occupational License
ABREU INTERIOR DOA FAORON IRON WORK
13031 NW 43 AVENUE BAY 840
OPALOCKA, FI. 30054
LICENSE FEE 975.00
IS H,F.REBY LICENSED TO ENGAGE IN THE BUSINESS. PROFESSION OR OCCUPATION OF
MANUFACTURE
IN THE CITY OF OPA- LOCKA. WITH THE FOLLOWING RESTRICTIONS;
2012
ISSUED ON 02/18/2010
UNTIL SEPTEMBER 30.2012 SUBJECT TO THE PROVI810N8.F 114S CITY OP OPA.6OCKA ORDINANCES ANO STATE AND COUNTY REGULATIONS NOW IN
FORCE. NOTE: THIS LICENSE COES NOT CONSTITUTE A'CERTIF1CA71ON THAT THE LICENSEE IS OUALIFIED TO ENGAGE IN THE BUSINESS OR
OCCUPATION SPECIFIED HEREIN. '
CITY OF OPA•LDCKA
CITY MANAGER
DISPLAY AS REQUIRED SY LAW
264231 -3
BUSINESS NAME / LOCATION
PADRON JR IRON WORKS
13061 NW 43 AVE
33054 OPA LOCKA
• $011 L
•• MiAAM I.DADE
MUOT ash ,• P
pumatrAN„ �T,..9.
1 'f IL %ilriiL ;4•
(Q‘lead1424475D
BY,
LICENSE CLERK
l'I-IIC IF.; MOT A 11111
OWNER
ABREU INTERIORS INC
Sec. Type of ovalness
71115 15 ONLY A LOCAL
eUSINES$ TAX RECEIPT. IY
DOES NOT PERAET T,{R
NOLOER TO VIOLATE ANY
EN1971N0 REGULATORY OR
ZONING LAWS •0F 7N8
COUNTY OR CITIES. NOR
HOLDER PROM ANY OTHEER
PERWT OR UCENBE
REQUIRED ST LAW. T111515
NOT A CERTIFICATION OF
711E MILDER'S OUALIPICA.
TION5.
2 6 MFG /RECYCLINS /PROCESSING
PAYMENT AECEIVEO
MIA*E-OADE COUNTY TAX
COLLECTOR:
09/13/2011
60020000063
W•
I SEE OTHER SIDE
FIRST-CLASS
U.S. POSTAGE
PAID
i MIAMI. FL
PERMIT NO 231
r:)r NC,t 1'A
RENEWAL
RECEIPT NO. 277099-9
EMPLOYEE /5
1
DO NOT FORWARD
PADRON JR IRON WORKS
ILIANA ABREU PRES
13081 NW 43 AVE B10
OPALOCKA FL 33054
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Mar 20 2012 15:51 William P. Owens CPA, PA 3058958804 page 1
William P. Owens, CPA, PA
Certified Public Accountants
888 NE 126th Street, Suite 202
North Miami, FL 33161 -4964
Telephone: (305)895 -8802
Facsimile: (305)895 -8804
E -mail Address: WPOCPA2 @AOL.COM
FACSIMI COMMUNICATION
TO: � fjf!024001.
: t7!! '
G
DATE
y y,,
FACSIMILE NO.: 3os0- 7a- t97 -
SUBJECT: av
TOTAL PAGES: