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RC-11-941Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 174288 Permit Number: RC -5 -11 -941 Scheduled Inspection Date: June 27, 2012 Inspector: Bruhn, Norman Owner: ALCIDA, JOSEPH Job Address: 18 NW 110 Street Miami Shores, FL 33168- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Roof Work Classification: Alteration Phone Number Parcel Number 1121360030020 Building Department Comments FRONT PORCH ROOF REPAIR 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- 160106. Complete ceiling for final. NB Ov June 26, 2012 For Inspections please call: (305)762 -4949 Page 14 of 36 z 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 No. RC . t g I PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING �1OOFING OWNER: Nam (Fee Simple Titleholder): — 4101,.# )6 / Phone #: i .4-04 6 Address: / Midi i /1/6 Sr City: / r %AM / SAOZer State: Zip: 3 f Tenant/lessee Name: Phone #: Email: JOB ADDRESS: / S A /40 sir- City: ^ J � Miami Shores County: Miami Dade Zip: 2 / 4 Folio/Parcel #: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: Address: City: Flood Zone: Phone #: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: I Value of Work for this Permit: $ / Square/Linear F000tagp of Work: X Type of Work: DAddition DAlteration // ONew Description of Work: epair/Replace ❑Demolition *+ x**+ x********* ************ ******* ****** Fees**** **+ x*m *+ x*+ n*** ***** * ********+x***** *** * **** Submittal Fee $ $ 5© c OV Permit Fee $ 0) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ :a Qt n TOTAL FEE NOW DUE $ :54 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 CONDMONERS, ETC OWNER'S AN'N'IDAVIT: 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 foregoing instrument was acknowledged before me this. 2-..3 day of ir t L , 20 1 , , by \,l ,S,a C1d Q who is personally known to me or who has produced 1i (traiSp 842. 3 -266 5-k 12i-bAs identification and who did take an oath. NOTARY PUBLIC: t Sign: Print: \I Ol\ it VAIRRWMil. 1 ^ \> My Commission '.. 'oary + r - , ; . _ My Comm. Expires Dec 6, 2014 ,i c.` s ".qT ∎� j Commission # EE 41686 ,,,; ,,, Bonded Through National Notary Assn. 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: Sign: Print: My Commission Expires: * * ** *+s **** :******* ************** **+ ss: ***x: **x: ******** ****+x** *********:x***** APPROVED BY ✓ 7 ‘2/-/ Plans Examiner /4' 3/24./,1 (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Structural Review ** ** * *** * **** : * * * ** * * * * **** ** ** Zoning Clerk Miami Shores Village Building Department 0050 N E 2nd Aver ue- Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: 0S /-i DATE: s775/.0201// ADDRESS: / f /d 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 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. 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 al §o 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 ft 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 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons workirig 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 eerQneously irnpltes that the property owner is providing his ocher own labor and materials: ;1,:.as an.owner buiider ntay be held. 1t01 Ind sufijected ' senous f ianciai ris1 fbr arry rsunes sustained by an unl sesf pens o as 4t employ s v working'on m property 'My;honteowher'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. 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 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. 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 htip : / /www.myforidalicense.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 construction 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 do 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 returned to the local permitting agency responsible for issuing the permit. A copy of the property owners 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 ofV , 20 who was personally known to me or who has Produced there License or T\ D62--O I®-- ,2llQidentification. X/04-' OWNER NOTARY NOTARY PUBLIC-EAU OF FLORIDA ffeNk, Claudia V. Cubit],os cr> ou D713 BONDOTEMEt Meet BOOM ea, mg di 111 Taij ♦ S�oR�s y as Permit No: 11 -941 Job Name: May 27, 2011 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide a completed application with the owner builder disclosure. 2) This is shown as a level 3 alteration on A-1 but appears to be only a repair. Please confirm level of work. 3) J bolts are specified for an existing foundation. That is notpossible; provide an attachment for the base of the columns that will work with an existing foundation. 4) Provide a detail of the attachment of the beam at the east side to the existing structure. 5) Provide the fastener requirements for joist connections. Plan review is not complete, when all items above are corrected, we will doa complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Folio Number:1121360030020 Owner's Name: JOSEPH ALCIDA Job Address: 18 110 Street Miami Shores, FL 33168- Owner's Phone: Total Square Feet: Total Job Valuation: 64 $ 2,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/12/2011: Yes Comments: Miami Shores Viage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: ` l v" �41 DATE: • 1 I, l /S1ee . f //12714 ❑ Contractor Nil Owner o Architect icked up 2 sets of plans and (othe Mt-e.> Address: 1 g NW 110 *11 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. e v Acknowledged by: PERMIT CLERK INITIAL: e-,414-\ RESUBMITTED DAT . PERMIT CLERK INITIAL: Miami Shores Village 9E 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 12- FiL51% BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: I S IN lib 4. FBC 20 Permit No: Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3 I ‘ 8 FQlio/Parcel #: Is the Building Historically Designated: Yes i\ O Flood Zone: OWNER: Name (Fee Simple Titleholder): c 1' C'J uEp1` . Si to, ) \ C %G\a Phone #: D -33e2. -( stip Address: V( 1\0-0 i t© 5+ City: \Ma m 1 3 nv S State: Fl- Zip: 331 l Tenant/Lessee Name: N I A- Phone #: 1 \t,A Email: CONTRACTOR: Company Name: Ovine(' Address: • •. City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: ' t rtt `5 cle Phone #: Value of Work for thi Type of Work: Descripth Square/Linea l Footage of Work: ONew -epair/Replace ODemolition *, *, * * * * * * * * * *** * * *** * * *** * * * * * * * ** * Fees * * * ** u **** * * *** * * * * * ****** * * *** * * * ** * * * * * ** Submittal Fee $ Permit Fee $ 34C-5-4) CCF $ CO /CC $ DBPR $ Bond $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ 0 FEE NOW DUE $ 1513,0 Bonding Company's Name (if applicable) %i,b}- Ccrpl i Cri (o Bonding Company's Address St)} G rl i ecx J IP. City N/Pc State N Mortgage Lender's Name (if applicable) Nerk" Cq' �A ■ (rte tole, Mortgage Lender's Address C1t1l j CR bit, I 14 I A- s Iltate N/A- City Zip 4 Zip NIA- 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 474A-d&-J Signature Owner or Agent Contractor The foregoing instrument was acknowledged before x this The foregoing instrument was acknowledged before me this day of i4, , 20 j by 11� L_.; '►11 . day of , 20 , by to me or who has produced jl' oho 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: NOTARY PUBLIC: 05 as 1 .0.- st - 9,? Sign: Sign: Print: .10 QS. `c.0 Atr�°� o\ * Print: •y P° �•,, a`,: o°` oto, My Commission Expires:; My Commission Expires: o �,� '4. as �, oe .m kIIi����• : Y�Yir�Y�Ynk*nY�Y�YFrde9r�Y9e &ir�iroYir9r*nY9r4 *** 1Y1YoF -- 3rd **** rTr3e9eksk9ede ** ***sY9:**** &aY*** YticFr**** tktFArdMede*dc*& sFrJrsFdr9r9r9 :*derkaFZ@iY *de4r***Jeae3e*** "� /'�- Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)