Loading...
FW-13-698Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188892 Permit Number: FW -4 -13 -698 Scheduled Inspection Date: April 17, 2013 Inspector: Bruhn, Norman Owner: FAIRWEATHER, STEPHEN Job Address: 355 NW 111 Terrace Miami Shores, FL 33168- Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360010420 Building Department Comments INSTALL 22' WIDE CHAINLINK GATE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed % 5? Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 16, 2013 For Inspections please call: (305)762 -4949 Page 17 of 32 PE .M. Fl,) 3C' CONTRACTOR: SUB MITTAL DATE: )cphr% Th;rwP REss: 3 55 � �.u� J 11 `rV- NA1E: S4cper' �- a�rt,k..cnl-1p,er- I AD RESUBMITAL DATES: PROJECT TY E: FIRE STRUCTURAL ELECTRICAL PLUMBING MECH ICAL IMPACT FEES HRS/DERM NOC 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 10 Permit No. Master Permit No. ) 3 Permit Type: BUILDING ROOFING }JOB ADDRESS: 35S al* * Vii , I '1..1.;, h11 E City: Miami Shores County: Miami Dade Zip: 33 tG a Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder )S liv.�,.�1. ?s1A—n+L Phone #: SOS 116 Address: 35 .S f13 " %LI a 1i t "E0170• .%4- t..tS City: ���l� f State: �,,,, • Zip: - 6-3 %(s�i' Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: LX <<•'c' C 11., 1"604 t'4��'� ) 141411Sone Address: ® 1� . • �t V t 101.41. ✓ire - City: 114 rte State: 1,'' Lio. Zip: '3 Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 113 d • Square/Linear Footage of Work: 9 � t Type of Work: Addition ❑Alteration New ir/Replace °Demolition Description of Work: 1104.`rittiCAATI t; 1.4.— Pi"? ..-'1414..1.-z.-A,S Ovi-r.": ..a, re.m.t.. i Q-o4 tcu L AS tc •-#tr Color thru tile: ******** * *** * * * * * ** * * ** * * * * * * *** * *** ** *Fees *�y *** ** ******* * * * * * * * * * * * * ** ** * * ** * * * * * * ** * ** Submittal Fee $ Permit Fee $ ( ©C.% CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ SKI (.90 4 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 c rtify that all the foregoing information is accurate and plat all work will be done in compliance with all applicable laws regulating cons ction and zoning. * , , "WARNING fO WNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN1 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 RtCORDING 'YOUI1 NOTICE ' {CC MMENCEV ENT:v, Notice' td Applicant: As a con ition to the issuance of a building permit with an estimated value exceeding.,$2.1ll9 ihel applicant must promise in good faith that a c y of the notice of commencement and construction lien law brochure wilt be delivered to the person whose property' is subject to att chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection hich ccurs seven (7) da . # . he building permit is issued. In the absence of such post tice, the inspection will no, e app ' ved' n ection fee will be charged. Signature Owner o Agent Contractor The foregoing instrument was a knowledged before me this The foregoing instrument was acknowl'edgea before me this day office L,- , 20 13, by who is personally known to me •r who has produced \6who is personally known to me or who has produced As ident cation and who did take an oath. as identification and who did take an oath. r e-pfjQ- 4Nay`o'f , 20 _, by NOTARY PUBLIC: Sign: Print: My Commission Expires: ``\`o 'uu%,'!' • , .,mid, • .��. * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** , ** GYM -********************************** * * * * * ** * ** * *** * * **** * * * ,, * * * * *** NOTARY PUBLIC: Sign: Print: My Con mission Expires: . u APPROVED BY Plans Examiner 67joning Structural Review Clerk (Revised 5/2 /2012)(Revised 3/12/2012) (Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007) NAME: 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 L.: + tfiti4 4QATE: ct ADDRESS: "3 6 .� 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 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. 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 contractor with certain restrictions even though I do not have a license. ' Initial own 2. I understand that building permits are not required to be signed by a property owner unless he or she is r:1�" or the construction and is not hiring a licensed contractor to assume responsibility. Initial I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that from potential financial risk by hiring a licensed contractor and having the permit filed in his or her nam name. I also understand that the contractor is required by law to be licensed in Florida and to list his or permits and contracts. myself y own rs on Initia 4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may a a commercial building if the costs do, not exceed $75,000. The building or residence must be for my use or not be built or substantially improved for sale or lease. If a building or residence that I have built or subst myself is sold or leased within 1 year after the construction is complete, the law will presume that I built improved it for sale or lease, which violates the exemption. Initial ► 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. sri nc :Ily im su rove may roved (ally 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons : king ' my . . ilding or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law nd "1v or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to Piave the property owner obtain erroneously implies that the property owner is providing his or her own labor and materials. I, as an liable and subjected to serious financial risk for any injuries sustained by an unlicensed person working on my property. My homeowner's insurance may not provide coverage for those injuries owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my prc 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contract perform the work being done. Any person working on my building who is not licensed must work unc and must be employed by me, which means that I must comply with laws requiring the withholding social security contributions under the Federal Insurance Contributions Act (RCA) and must provid the employee. I understand that My failure -to follow these may subject to serious finaneial risk. n owner - builder permit that owner- builder, may be held or his or employees while I am willfully acting as an Percy r who is not licenses to pr my direct supervision f federal income tax workers compens 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I 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 regulation ill abide by all : t icable 10. I understand that I may obtain more information regarding my obligations as an employer from the Inte United States Small Business Administration, and the Florida Department of Revenues. I also unders Florida Construction Industry Licensing Board at 850.487.1395 or h •: //www.m oridalicense.com/db Initial al Revenue Service, the and that I may ,pct the o /cilbliindex.h Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understa ds that I am the party legally and financially responsible for the proposed construction activity at the following address: 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public: If you contract with a person license, the Constr4uction Industry Licensing Board and Department of Business and Professional Reg assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also understand that, if an unlicensed contractor or employee of an individual or firm is injured while working be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, verifying whether the contractor is properly licensed and the status of the contractor's workers compens Before a building permit can be issued, this disclosure statement must be completed and signed by the returned to the local permitting agency responsible for issuing the permit. A copy of the property owner' notarized signature of the property owner, or other type of verification acceptable to the local permitting the permit is issued. Was acknowledged before me this day of Alfa— L 20 Initial e information Initial ho does not have a lation may be unable to rnportant for you to n your property, you may ou will be responsible for tion coverage. roperty owner and driver license, the gency is required when By S1( c+tal t' wwh was personally known to me or Produ nse or I. �7 1141.11f �-- OWNER' ho has as identi i' ation. \\ \ \ \\ ,O111111 V E—::-.5)173;:( 1/1/1/4/ t terests may 1EREOF, )ADE A 7 e it a' as Mlaml Shores Villa° APPROVED Vi. i I' . !. ZONING DEPT VW i oc. T!0 BLDG DEPT ,� � I I I SUBJECT 1.000MCI1fNCSA011-1A1' EUERAL ki STATE ANv Cr.,I�N i (rIUL ND REG. )LATIONS i4 2. D .0 1 ate• YLULT "Bvicx CAL.,.,, DOOR CF I N) 1..1%CAS � 1 �� 1/ (� o � 1J ' C ? 1.V: 1 C Ad �CO 100- J 0 iGp1SG QAT10 -41 3 32.2t> 0 r t* 2-1.55 Q' -N r ,Z5 00.06 ( )){M) 4. C'44 3 LANK re.s•e.EJ 4• c .t_. V. CC 0 GENERAL NOTES: EliVAACNts SHOWN 1AERELNI ARE REFERENCED 70 RN NATIONAL 6E INTIC 107/C 4L DA7744 192* MESS ODRER RNSE NOTED. UNDERGROUND FEATURES ARE NOT IWIFED NOR LOCATED EVC PPT AS MAY BE AMIAG7ED NEVEM DNS SUNNY SIAM PIA TIED EASEAl7VIS AAD AMaYT -OF N4Y.. DEAE MAY EDS7 ATEY71CiM AESBO C7xils N0,00R ovaiieRANCES IEIACI I AFFECT DRS PROPERTY LEGAL INSCRIPTION PROPW>tD BY Luort. ov cows REPNESfNTAD1£ CER17f7CAnaw: 7711S SlinEY MEETS TECHNICAL STAAOAROS AS SET reRvi BY DE FLORIDA C r PROFESS/01W stew-rats AV CHAPTER 01017 -4 IL • .:,A AOMMMS7RAT1iE �ANAi ANT 70 SECTION 4 7 FL •.• •A STA7U BASELINE ENGINEERING joURI E y LAND SURVE)ING, INC 1400 N.W. 1st COURT BOCA RATON, FLORIDA 33432 EB -6510 (561) 417 -0700 1,6- -6439 .Xe Na:OZ•D5•(1(41 SHEET •Na 1 OF *VIM L HAZLETT PL/ DA4E PROFESSIONAL LAND SUR • ' No. 4716 M1R M IT BEARS DES WAN ARID DE L1019M4L RACED SEAL OF A ROOM VOWED SWIM* AAfi MAWR WS DRANK RAT C11 MAP IS MR AEdiAA7N7N ItOO= PET AD S NOT i41LQ