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FW-07-90Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -53705 Permit Number: FW- 1 -07 -90 Scheduled Inspection Date: May 07, 2012 Inspector: &Linde, r'aaudio,1 4 ,,, diLv ffir Owner: MALMSTEEN, YNGWIE & APRIL Job Address: 1009 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PINES TOTAL CONSTRUCTION CORP Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1132050150011 Phone: (954)432 -3132 Building Department Comments NEW IRON GALVANIZED GATE Passe 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- 37511. Fence is 6' +, it exceeds the allowable height of 5' maximum as shown on the approved plans. 6/25/07 CG. GV May 04, 2012 For Inspections please call: (305)762 -4949 Page 50 of 50 1 ti' BUI D 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 APPLICATION FBC 20 RECEIVED NOV 14 011 Permit No. " CID Master Permit No. Permit ype: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): i % J1CQ 1 e C lIX &tee IAA Address: I A NC- Q S #a J City: off■ SS Phone #: <154- -LI 45'� State: Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: l 4 City: Miami Shores County: Miami Dade Folio/Parcel #: (i 3 2-050t 5 001 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: -Pt( 5 70.1v46..� CONS -tr. Phone #: S51,4 57. 3132 - Address: t ratO ( N u.)- i ) SM City: OM b t'D Er k--)1711 65 State: o . Zip: 3.502-6- 3313 Qualifier Name: M U AL Phone #: State Certification or Registration #: 1512-5/ Certificate Certificate of Competency) #: Contact Phone #: 1 05-009- Email Address: f l n 3C.) loQ SO1)- Ift i nl�+ DESIGNER: Architect/Engineer: J Phone #: Value of Work for this Permit: $ Type of Work: ❑Addition Description of Work: Square/Linear Footage of Work: ❑Alteration ❑New 4Repair/Replace DDemolition ).16u eiotcrZ ****************************F es******************************************** Submittal Fee $ Permit Fee $ 1 06 . CCF $ CO /CC $ Scanning Fee $ 3.00 Radon Fee $ DBPR $ Bond $ Notary $ 5103 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOTT.RRS, 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 A The foregoing i strument was acknowl day of e99 ,20 /,by �° . f ,20 1 ,by 1 LL who i ersonally known t me or who has produced As identification and who did take all m o a. $q 1 t7 O Z E E Sign: /' `'� 1� I ac e. y Er- Su °,� "E C, Sig n: z m p 'o n Print: = ,oanup,, 4:::. o ' � ` SPrint: � \\ ♦�1,�. 4 `MyCommissionExpires: ''ii,ir,innui■O�\ - * * * * *m**** ******** ***+ a********* ***** *******+ x***+ x+ p****** *********** ********* **+ x***** ********* * ***********x *** Signature Contractor ed before me thisladY44664toregoing instrument was acknowledged before me this bkl NOTARY PUBLIC: is personally known to me or who has produced (poi t7 as identification 1$1'who did ttWe jin oath. UBLI 0,c1°. : ' . ®�� , 't as _ • o. NOTARY P My Commission Expires: APPROVED BY /7-4 - Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Permit N. :RECEIVED NOV 142011 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Owner's Name (Fee Simple Title Holder): �'�� l € `' 1-4 ,&-I-sl-e j Phone #: 54 -445- �' Z Owner's ddress: k()`-A 5+ City: �` \ State : \. - Zip Code: 5.5 (3 4 Job Address (Of where work is being done): 10E-)9 e•'e q City: Miami Shores State: Florida Zip Code: ' Contractor's Company Name: ,.r, i kl �'A,t.* J Phone #: Q154---q-'s 2-3(5 Z Address: ((ca-O \ Aida 2 t City: 4km State: cl s Zip Code:CY Qualifier's Name : .s �2-L �.&L�c_ =� Lic. Number: (- L S t Z5 1 i�--I, l Llc um -�, i g' Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: I hereby certify that the work has been abandoned and/or the contractorlarchitect is unable or unwilling to complete the contract. I hold the Building Official and the ta. Miami Shores harmless for all legal inv Signature owner or Agent The foregoin instrument w akr�n A dged before me 491,91340 y this � day of 2� /,by Who finally known to me or who has produced as indentification. Sign: Seal: eo � <''•., CHARLOTTE ANN FFI14O '1 `¢' Notary Public - S °Morals 1 My Comm. Expires Feb 28, 2014 •` , Commission DD 888271 `° Bonded Through National Notary Assn. Signature Contractor or Architect The foregoing in trument was aknowledged before me this I `t day of , 20 by NNW— 'V— who is personally known to me or who has produced Notary Public: Sign: Seal: as indent cation. �,e\enis ,'` t!: rL O ra ")�'�,'o`. / -4111 1111519\ \. April & Yngwie Malmsteen 1009 NE 94th ST Miami Shores 33138 Nov /14/2011 CEIVED NOV 14 2011 • Q �i I Yngwie Malmsteen wish to have Pines Total Construction take over responsibility for permit FW- 1 -07 -90 If you have any questions in regards to this matter please call me at 305 -542 -2151 Sincerely, WinIVAPPIMINVFMR BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: PINES TOTAL CONSTRUCTION CORP Owner Name: MARK S WALLACE Business Location: 11801 NW 23 ST PEMBROKE PINES Business Phone: 954-445-6302 Rooms Seats Employees ,3 Receipt #:180 -7714 Business'Type:GENERAL CONTRACTOR (CERT GENERAL CONTRACTOR) Business Opened:lo /01/2006 State /County /Cert/Reg: CGC1512 518 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Tvoe: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: MARK S WALLACE 11801 NW 23 ST' PEMBROKE PINES, FL 33026 This tax is levied for the privilege of doing business within Broward County and is non- regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business- is sold, business n me has changed or you have moved the business location. This receipt doe.4 not indicate -that the business is legal or that it is in compliance with State or local laws and regulations. 2011 - 2012 Receipt #05A -11- 00000291 Paid 10/05/2011 29.70 03 -07 -2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 03/07/2011 EXPIRATION DATE: 03/06/2013 WALLACE MARK 204542979 BUSINESS NAME AND ADDRESS: PINES TOTAL CONSTRUCTION CORP 11801 NW 23 ST PEMBROKE PINES FL 33026 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the tiling of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall, revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? 1850) 413 -1609 1.021 2791 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 111511 TEAT ts'to the Knight Risk m Lie ? Tt Sit Pembroke Pines, •FL ° 'a.4 i 436.1 Pni.( ins Piro Total Construction 11801 NW 23rd St Pembroke Pines, FL 1FitttoTocERTIFf 15 TO TO commaitomENERAL D 0 eLMOVAIVE 0 .. ... 0 GENI-A TE AFC t 1.000.000.00 100,000.00 5,00040 jj_yygg�y .. ,000, N L CANT OfR A AY FAX. . ...ORES. PL fAX. Miami Shores Village � g of 17) 7 ' Building Department IA 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION JAN FBC 2004 BY. Permit No. FLU -j ' v10 . Master Permit No. Permit Type (circle). Electrical Plumbing Owner's Name (Fee Simp - e ar l P6 I4 jt Owner's Address 01 Building City i_i State Tenant/Lessee Name Mechanical Roofing Phone # ° k-lc'1GC) Zip 31 g Phone # Job Address (where the work is being done) too9 61(s-i City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Zip oLut\L--/a--- Contractor's Company Name Phone # Contractor's Address ��►�� r�:�U_y'i City Qualifier Name ---'71/v7 0 o'C S 4 AJTOS, Phone # • State Certificate or Registration No. Architect/Engineer's Name (if applicable) e 1 icate of Competency No. Value of Work For this Permit $ 3, oc% 00 • Phone # Square /Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration QNew Repair/Replace ❑ Demolition Describe Work: c /�/ovt � r%� i.n �9 Gc -o C j7?4,t' rE %,oaf , .- =,i0S%. a AicC.e ,Z ?Ck CAC v1ArsZ 1 ilk vC/,j,eJV iv 7--Z1 A'C )>oaZ-- .54.1 -s744G 'o Low! \%u/_T 617. /1% 7v S iv 6)?c7.2kC- / 7 7 `.6L (-0_t2ES.: 9 * * * * * * * * * * * * *** * * * * * * * * * * ** * * ** ***** FFeees*************** * * ** * * ** ** * * ** * * * * * * * * * * * * * * * ** /0 V CCF $ 6Ci CO /CC Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $? .00 Radon $ DPBR $ cm04 Bond $ Code Enforcement $ Technology Fee $ 2 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ III . Qc 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 ignature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoin_ nstrument was acknowledged before me this__ day of'J4 , 20 4'' 7, by ak 'u- /d 2a4cz a--? >i~.' , day of , 20 , by who is Isonally known to me or who has produced who is personally known • me or who has produced As identification and who did take an oath. as identi i on and who did take an oath. NOTARY PUBLIC: �� y �� '•� ��C+ RUTH RODRI(it1 MY COMMISSION A. # DD 5EZ 18876 > 11 EXPIRES: March 25, 2010 gCL -z 7 j 5`�lftNota�yServices Sin: C1) r � Print: My Commission Expires: _ % v APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME. r t I rip I►ik4c—k DATE: ) � _ Q) — 06 ADDRESS: 1001 K 4T +( ST 1—i W WN( c (c 'R S F( 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 Initial _A H 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 Initial A H 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 I 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 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 mitigat&any contract disputes. Initial 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 41k1 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. Initial 41 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. Initial Was acknowledged before me this '02 rday of , 20 By a z,J/7-1,d4,,+ wit who was personally known to me or who has Produced there License or 72.84.0 ))1-()Le.-6,--)1___} as identification. ro���P�,BGo *; • * *MY RUTH A. �ISON DD 518876 EXPIRES: March 25, 2010 % OFFWi Bled Thru Budget Nary Beit ces NOTICE OF COMMENCEMENT A RECORDED COPY , MUST BE POSTED ON THE JOB SITE AT TIME OFFIRST INSPECTION PERMIT NO. , w 1— .6 v TAX FOLIO NO. 1132.c6 O 1 SO 1 1 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements 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. I hIIIIIillhllll.11 llllllllllllll II C FN 00 RC) 13()OS 7.5 OR Sk 25343 Ps 02776 (1cs) RECORDED 02/06/2007 15:03:59 HARVEY RUVIN, CLERK OF COURT 11IAI1I —DADE COUWTYe FLORIDA LAST PAGE 1. Legal description of roperty and street/address: 1009 KJC 94744 S7 (\i I I 2. Description of improvement: . Owner(s) name and address: m/i4)111/ �L 9/8- Interest in property: Name and address of fee simple titleholder: y 4. Contractor's-name and address: f t MAY /%Y ms i' 19 ,ruE /4f7-( YO/f31/)/ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the•Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement:. (the expiration date is 1 year from the date of recording unless a ignature "of Owner Print Owner's Name Sworn to and subscribed before me this Notary Public Print Notary's Name My commission expires: day of reb cc�� Prepared by ,20fLT.. acv. Re tII Mot4 Address: 1009 t)E. 19-n4 rY) ?elm) 5 123.01 -52 PAGE 4 5(02 WIII SS ;irk' ildri. 3hi, _"it- HARVEY RUVlN ��rh D.C. Miami Shores Village Building Department Planning & Zoning Critique Sheet Permit No.: FW07 -90 Applicant: April Malmsteen Job Address: 1009 NE 94th St. Date Comments January , 2007 Gate can not exceed 5 feet in height. 10050 NE 2nd Avenue Tel: (305) 795 -2207 Miami Shores, Florida 33138 Fax: (305) 756 -8972 • • • • • ID ••• . • • • e.. • • • : • • • le ' -..1' • ' • • • • • • • • • • • • • 000440 '4' • • • • i • • • , , I • • : ,•••• a CO I I 1 I i ••••• • ; • • I 1 I • • • • •••• I I I I 1 1 1 • ; Deo • ..:411q.1 I • ! • . 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