DEMO-09-1802Miami 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
Permit No.
toLomawup
Ov° 0 2 2009 jj
B Y:
Master Permit No.
Permit Type: BUILDING ROOFING. <z va"8 1 („-- C09 vS
Owner's Name (Fee Sim p le Titleholder ) J R t fV1 P r� C h
Acme #
Owner's Address ,� i /// 5,
City T State
Tenant/Lessee Name
Email
Zip
Job Address (where the work is being clone)
City Miami Shores Village
FOLIO / PARCEL #
Phone #
.5"2 A''hi /tit 5i
County Miami- Dade Zip
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
YES
NO
Flood Zone
Phone #
-Contact Phone
E -mail
Architect/Engineer's Name (if applicable) Phone #
C®P
Value of Work For this Permit $
Square / Linear Footage Of Work:
d
Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace
Describe Work: ,A2eAve. 5 Z-1/4 // ( 71/ 4
Demolition
ii0V02�:
Submittal Fee $ •�
* * * ** * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * ** *** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
Notary $ 5'00 Training/Education Fee $ ®•
Scanning $ OD
Double Fee $ Violation date:
Radon $
DPBR $
CCF $ O'W,rLJ Q e $- -
Technology Fee $
Bond $
Structural Review. $ Total Fee Now Due $
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 Ls issued. In the absence of such posted notice, the
inspection will not be approved and a re• ,_ion fee will be charged.
Owner or Agent
Signature
Contractor
The fore oing instrument was a owledged ,, . e me this •� The foregoing instrument was acknowledged before me this
day of , 20 , by / / L� i 1O.° r day of , 20 , by
who is p rsonally known to me or who has produced T►� yr.
who is personally known to me or-who has produced
D312. tit. n ' gq ��
ull3As identification and who did take an oath: as identification and who did take an oath.
NOTAR PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
�p2P'.'- " 5� c�° " ;c.
42, /440e97
Sign:
Print:
My Commission Expires:
Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
52 111 Street
Miami Shores, FL 33168 -4322
Owner Information
REO PROPERTIES CORP
Address
Parcel Number
1121360030370
Block: Lot:
3476 STATEVIEW Boulevard
FT MILL SC 29715-
40' ArgeN
Phone
Applicant
REO PROPERTIES CORP
Cell
Contractor(s)
HOME OWNER
Phone
Cell Phone
Type of Demo: Building
Additional Info: BATHROOM IN UTILITY ROOM
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$3.00
$50.00
($50.00)
$0.80
$109.60
Invoice # Total Amt Paid Amt Due
DEMO -11 -09 -36280 $ 109.60 $ 59.60
DEMO -11 -09 -36280 $ 109.60 $ 109.60
$ 0.00
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
1
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
December 01, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 01, 2009 1
- 040:01
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201EIIIWEVI
MAY 072010 Lui
May 7, 2010 Miami, Fl
To: Building Dpt. Official
*fl-14ilei
S'Ikb
My name is Jaime Fernandez, I live at 52 NW 111 St. I have a permit open for
�„
demolition of aJ teherrin a garage. My permit number is DEMO 09 -1802. I'm
requesting an extension of the permit for 60 days. I have been out of town and
unfortunately my permit is about to expire.
Thanks for your help and cooperation.
Jaime Fernandez
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
Permit Type: PLUMBING )kiic. Owner's Name (Fee Simple Titleholder) �
h ne #
Lai NOV 0 2 2009
B Y:
Permit No. f1 Oct _103
Master Permit No. E D_ ) ?5O
Owner's Address ' OV
City if /4 %rre State
Tenant/Lessee Name
Email
SQs'- 03 - 0S -4
Zip
Phone #
7
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
City
County Miami -Dade
Zip
YES
NO
Flood Zone
State
Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration
Describe Work: ('Q,P ® I k'4
E -mail
Phone #
Square / Linear Footage Of Work:
[New El Repair/Replace
?f / 17P 5
Demolition
/ PYl ./ r,o F
0 2 f;;e
ubmittal Fee $ "O Permit Fee $ ` , / 7 04o0 CO /CC $
Notary $
Scanning $
Double Fee $
Training/Education Fee $
a- 20
Technology Fee $ 0 .K)
Radon $ DPBR $ Bond $
Violation date:
Structural Review. $ Total Fee Now Due $ (5�' ( fl
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
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing in
day of ,20,by , day of
who is personally known to me or who has produced who isrpersonally known to me or who has produced
Signature
Contractor
was ackno / edged befor
20
by
As identification and who did take an oath. 1)
NOTARY PUBLIC:
l
Sign: /z,i-i 1 Sign:
Print: Print:
My Commission Expires:
s identification and who did take an oath.
NOT ' Y PUBLIC:
My Commission Expires:
y`Faly N
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Ilpth5sYC ° X1)7 1i L3, 201
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* * * * * * ** * * * * * * * * * * * * * * * *************** ********k* ** ***k ****** **** * ***% rk'inFj 9 %nos° 110
Plans Examiner Zoning
APPROV
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk checked
NAME:
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
rifle; - ATE: /7— /
ADDRESS: /IAA/ ///' 5 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 1 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 reaidtnee. 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 fot sale or lease, whioh is a violation Of this exemption. You may not hire
an unlicensed person ass contractor. It is your responsibility to make sure the people employed
by you have lioenses required by state law.and by county or municipal licensing ordinances. Any
person working on your building who is not licensed zIlgst work under your snpervision and must
be employed by you, which means that you must deduct F..• C.A and with - holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction . •
must comply with all applioable laws, ordinances, .buildings codes and zoning regulations.
Please rend and initial each paragraph.
1. I hold. title to the above property and I am planning on doing this construction
Myself.
Initial L
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. Inactive
permits for a period of over 180 days- will become null and void (expired)
and a new permit will be required. to be Issued for reinstatement of the
permit.,
Initial 0
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.
4. L 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 mitigate any contract disputes.
Initial
6. I understand that if I compensate any person or company for work performed
they are requited to Wive a business license in the coitn'ty. 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.
7. I understand that if any person gets injured on my construction projcct 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
Ides of wages during recovery from injury.
Initial
8. I understand that under state and local laws .1 can not do . any Electrical,
Plumbing, Heating, Air & Roof work on my 'property with out first obtaining
the proper permits by licensed contractors.
Was .acknowledged before me this a day of
Initial c M
BY631\enri TUAGAlek k who was personally known to me or who has
Produced there License or (,4 obit 11`11 Q0 s identification.
OWNER
NOTARY
NOTARY PUBLIC -STS OF
Claudia V. Ctia1llos
e
''•••. t.<. °C Ma1011EP .2 , C0 83 2.,T11
Pk
BQNDD CHO�G
•
08- 05 -'10 06:17 FROM-
T -049 P006/006 F -580
Inspection Number: INSP - 128390
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Permit Number: PL -11 -09 -1803
Scheduled Inspection Date: August 04, 2010
Inspector: Hernandez, Rafael
Owner
Job Address: 52 NW 111 Street
Miami Shores, FL 33168.4322
Project: <NONE>
Contractor: LONGA CONSTRUCTION
Building Department Comments
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360030370
Phone: (954)254 -0491
CAP OFF WATER LINES AND DRAIN PIPES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
? cgs D �r3 +�tc51.sJ s
A jvO-� c dyp G l rte: `t2 e�.+Ll� .
ApeitJaw-
For Inspections please call: (305)762 -4949
17...... A ..f-h
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Parcel Number
Expiration: 05/09/2010
Applicant
52 111 Street
Miami Shores, FL 33168 -4322
1121360030370
Block: Lot:
REO PROPERTIES CORP
Owner Information
Address
Phone
Cell
REO PROPERTIES CORP
MEHEEMEEZEIM
3476 STATEVIEW Boulevard
FT MILL SC 29715-
Valuation:
Total Sq Feet:
$ 100.00
0
Type of Work: PLUMBING
Type of Piping: DEMOLITION
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Amount
$0.60
$0.20
$5.00
$100.00
$3.00
$50.00
($50.00)
$0.80
Total: $109.60
Invoice # Total Amt Paid Amt Due
PL -11 -09 -36281 $ 109.60 $ 59.60
PL -11 -09 -36281 $ 109.60 $ 109.60 $ 0.00
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Top Out
Re Pipe
Main Drain
Underground Rough
Heater
Water Service
Final
Water Main
Lavatory
iii I
In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated
December 01, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 01, 2009
1