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EL-08-2116Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 /96 Inspection Number: INSP- 146286 Permit Number: EL -12 -08 -2116 Scheduled Inspection Date: September 28, 2011 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HANNA - NEWBOLD, ASHERANN Work Classification: Addition /Alteration Job Address: 1154 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Phone Number (786)663 -2090 Parcel Number 1132050010440 Building Department Comments REPAIR BROKEN WIRES, REPLACE OUTLETS SWITCHES AND ADD OUTLETS FOR KITCHEN REMODEL Passed C.� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPE monoxide detecors FOR INSP- 101769. Need's smoke/carbon /-1 FrP ,6?P September 27, 2011 For Inspections please call: (305)762 -4949 Page 1 of 26 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 �' flip �Q�►nQ— BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholdp: Address: Permit No. Master Permit No. SE2,7201 Nbold #-7 e6 40 63 3090 City: m Tenant/Lessee Name: State: Phone#: Zip: Email: JOB ADDRESS: 1 t 1\ oh City: Miami Shores County: Miami Dade Zip: 33 (a% Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: Qualifier Name: 1-gre) alvoir Flood Zone: Phone#: State: Zip: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Suar Type of Work: DAddress ❑Alteration Description of Work: Q 1 Aoki OUR U ootage of Work: enlace DDemolition ******** **+ x+ x****a :•x** ******************* Fees**** ********** ****m ***** *********+x**+x*x:***** Submittal Fee $ Permit Fee $ X5'1 ("°°' Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ 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 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. Sig The fo day of who is per 2 -2O om Owner or Agent instrument was a led before , 20\ 1 , by n wn o me or who has produced A dentification and who did take an oath. NOTAR Sign: Print: My Commission Expires: this Signature Contractor Th or- oing instrument was acknowledged before me this , 20 _, by o is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: LIC: Sign: Print: My Commission Expires: ****mix**** ****+ *********+ x*+ x* ****** **+ a******+ x*********************** ** x************ ** * * ** x***************a * ** APPROVED BY P c469"1/ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk SEP 2. P= a Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR/ARCHITECT Permit N. Title Holder) Job Address (Of where work is being done): City: Miami Shores State :a Zip Code: III oil -ekr State: Florida Zip Code: Contractor's Company Name: bae-,) Phone #: Address: City: Qualifier's Name : State: Zip Code: Lic. Number: Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: OA- 64; I hereby certify that the work has been abandoned andlor the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless fir aJI legal involvement. Signature ignature owner or Agent Contractor or Architect The foregoing i trum nt was akno I: • ged be - me The foregoing instrument was aknowledged before me s 1 day of 201) ,b f t i� day of , 20 by o i personally known o a roduced J who is personally known to me or who has produced ' �—� li s indentificafion. as indentification. Notary'Pu l Sign: Seal: 4 11* IA V. cUe1�IoS°`td cue�c ay Co to. Mi State of 23 10 Se • omm 1208 MY �odThrou hNationa Notary Pssn. ;m♦ .:• pp'r % Through Bonded tary Public: Miami Shores Village 2 W Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ,�G l� OWNER BUILDER DISCLOSURE STAT MENT r NAME: a rl () no ---A3Q"\"") D T : Q ADDRESS: 1150 NY. E M i t frl, sal % L �3i3 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. -� o l/ 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. 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. 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. Initial 5. I understand that, as the owner- builder, I must provide direct, onsiteisupervision of the construction. 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 munic atordinance. 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. 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 govern 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 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.mvfloridalicense.com/dbor/oro/cilb/index.html 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 construction activity at the following address: l 1 i 3• E .°1 1 ( 'O4 iG�v✓1 S -S (PU 33k 3t 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 9; day of By1 ito(avinGprici Produced there License or ,201) o was personally known to me or who has R4�o -ALJoU OWNER id 'ffcatio 61 115472. E. 91 7oruce, 7t' e£'d e4 ieauda3313, August 10, 2011 Glenworth Walker Cassia Electrical Contractors, Inc. 8261 NW 48th Street, Lauderhill, Florida 33351 Re: Electrical Permit at 1154 N.E. 91 Terrace, Miami Shores Florida, 33138 Via Certified Mail #7005 1820 0000 2103 9895 Dear Mr. Walker, Please note that the electrical permit at the above referenced to renewing t he contract, a ced addres ed has expired. I have tried inspection. unsuccessfully to contact you with g �d subsequently requesting a final Unfortunately, I can wait no longer as Miami Shores Village, has given me only a short window of time to this letter notifying Please respond in writing within FIVE (5) days from the date of g me of your intent to renew the permit. If you do not respond the, date of this letter, then you f Y will be removed as the contractor of eepo d within Five (5) days Thank you for your prompt attention to this matter. elii ° - Asherann Hanna - Newbold Property Owner SENDER: COMPLETE THIS SECTION is Complete Items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can retum the card to you. • Attach this card to the back of the mallplece, or on the front if space permits. 1. Article Addressed to: CASSIA ELECTRICAL CONTACTORS 8261 NW 48TH STREET LAUDERHILL, FLORIDA 33351 3LLS COMPLETE THIS SECTION ON DELIVERY A. Slgna tire X Agent dd livery D. Is delivery address different from Item ? ❑ : es If YES, enter delivery address below. 3. Service Type ❑ Certified Mall ❑ Registered ❑ Insured Mail ❑ No ❑ Express Mail ❑ Retum Receipt for Merchandise ❑ C.O.D. 4. Restricted Delivery? /Extr A..1 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: Electrical r,Ec 2133 BY: Permit No . c-thD Master Permit NoV og- /6253 Owner's Name (Fee Simple Titleholder) /iE ant) 1I i - btli Ph I4 one # /8140—(0e3 - P..(0°1 Owner's Address 1154 NI 1 CityItiOnn,'J (!,C« State (-L. Zip 33 13g Tenant/Lessee Name U Phone # E- MAIL: Cer. Ca.-410-*CO Job Address (where the work is being done) 1154 �� 7 hack_ City Miami Shores Village County Miami -Dade Zip 33 (� FOLIO / PARCEL # I 1 `3 O 5co d O (4 4® Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address 'Z/ ,(4, ( 99 / 2 �v-z4 tJa /k cif State Certificate or Registration o. /30 13o (3 City- Qualifier Name Phone # �-i1 — --; / b State c e - Zip Z / / Phone #5 °�,y'7^� C�9" Certificate of Competency No. CC G 000 243' E -MAIL: s _ So •tee Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ �.2 ©(�' • ®� Type of Work: ❑Addition ['Alter Describe Work: Square / Linear Footage Of Work: ion ['New , Repai eplace • ❑ Demolition � l . xx ac* ac* xxxxxxxxxxx* xxxxxxxxxxxx*x* xxxxxxFees ****xiexxxxxxxxxxx***xxxxxxxx vex xx war xxx xtewwww Submittal Fee $ Permit Fee $ .2 49 4. 4,0 6 CCF $ 1. CO /CC Technology Fee $ S' Zoning $ Notary $ Training /Education Fee $ Scanning $ :MO Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ • 60 See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) AC$ City ( C� � 01 C o t � State Zip 33 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 COM MENCEMENT." Mortgage Lender's Address 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. Sig atur Owner or Agent The foregoing instrument was acknowledged before me this day of 1k2—to, 20O_, by kffrie who is personally known to me or who has produced As identification and who did take an oa Signature The fore " acknowledged before me this 04( by nown to me or who has produced e - as identification and who did take an oath. NOTARY PUBLIC: / , am Pus% RICHARD 1 SCHULTZ Sign: itZliZA `•►��.4 1154,, � � ►►549247 Print: t j � EXPIRES: May 9,2010 S• OFFS My Commission Expires: r20/0 My Commission Expires: - * * * * * * * *** * * * * * * * ** * * * * *** * *Y.Y) **.**) Y* xw acwe**% iCY.%] CY .K,:iCY.Y.X).'Y.,tY. Y.w *x*war** w**. * *Y.%Y.iC,l eiC**.*****Y.**?: 'lC, * ** ** -** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 101769 Permit Number: EL -12 -08 -2116 Scheduled Inspection Date: June 10, 2010 Inspector: Devaney, Michael Owner: HANNA - NEWBOLD, ASHERANN Job Address: 1154 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: CASSIA ELECTRICAL CONTRACTORS INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)663 -2090 Parcel Number 1132050010440 Phone: (954)650 -5840 Building Department Comments REPAIR BROKEN WIRES, REPLACE OUTLETS SWITCHES AND ADD OUTLETS FOR KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments P/(e))/Ke_/ 61)-A01,,/ p prkec T.9/1-c5 /67 retop June 09, 2010 For Inspections please call: (305)762 -4949 Page 1 of 17