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RC-11-1108Miami 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 No. —' l ®I l Ot Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: ROOFING 1 201 Phone #:D Zf3 .9 /9 City: 11/1, Aziti a S A e'Y State: FL Tenant/Lessee Name: / Phone #: Email: f0 , C o ®5 /lAl a t JOB ADDRESS: 73 2 As' E / 2 f7V .19 °P City: Mi mi Shores Folio/Parcel #: County: Miami Dade Zip: 31 t2/ Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: NO �..- Flood Zone: dl City: _ State: e - Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: boJ'l /�,[/o/j .¢w /"1 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 000 � Square/Linear Foota of Work: Type of Work: ❑Addition ❑Alteration O � New �Repair/Replace Description of Work: jr 4.ep /,&.7 ��;' ,,,�,� e 441 ❑Demolition **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Fees************* * * * * * * * * * * * * * * * * * * *** * * * * * * * * ** Submittal Fee $ Permit Fee $ dq) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Technology Fee $ `%{ 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 o ors seven (7) days afier the building permit is issued. In the absence of such posted notice, the inspection will not be approv'.. -d a reinspect' •.- ' e 11 be charged. The foy day o Ai w o is ersonally known to me or who has produce 3 IIft i ho is personally known to me or who has produced Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by entification and who did take an oath. My Commission Expires: as identification and who did take an oath. NOTARY PUBLIC: `ts9 413 te:" �a't A. , ico Sign: Print: e° My Commission Expires: ®o'�v ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Plans Examiner Zoning Structural Review Clerk 1 111111 11111 11111 11111 11111 11111 11111 11111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO." - \1— 111` 7 TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE OF THE UNDERSIGNED hereby gives notice that improvements will be made to cdrlOgIC property, and in accordance with Chapter 713, Florida Statutes, the following infaatito in is provided in this Notice of Commencement. IMTIVESS ray HARVEY BY CFN 2011R0441054 OR .k 7745 Ps X497 "r (1us) RECORDED 07/06/2011 10:20:02 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE ORIDA, COUNTY OF DADE T7FY that is ca trey of the deY AD20 / SCR vane! Cask A.C. Space above reserved for use of recording office 1. Legal description of property and street/address: �� jam( / / i L-- ? Y / 7/ 2. Description of improvement: 3. Owner(s) name and address: ,�, Interest in property: 23 ? ■d/„C" j' / i :i ' -- .0,7— AI/ rqin ". f' Name and address of fee simple titleholder: 4. Contractor's name, address and phone number e:),,,,„ .1.)e e-- e,,, /12, .1".' 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number ..7` z 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, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO O-+ N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO 0:0" OF C 100, CEMENT. ss' .. • Signature(s) of Ow Prepared By ) .. ,v Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The fo i ins#i�imen By �/� or ed Officer/Director/Partner /Manager Prepared By Print Name Title /Office A 1 ,11 i d before me this 1 day of ��'`�""1 . A0t) VI ❑Individually, or as V for la Personally known, or ❑ produced the following type of identificatio,a. Signature of Notary Public: A► Print Name: (SEAL) �'• VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury - eclare that I have read the foregoing and that the facts stated i ` ar- true, to of my knowledge and belief. Signature(s) o By r.,��i��i�lyri �i %' /.I icer/Director/Partner /Manager who signed a'2 ,1 \6s3 nti N7" By 1 Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Protect Address Parcel Number Applicant 333 NE 92 Street Miami Shores, FL 33138- 1132060136370 Block: Lot: JOHN LONGMAN Owner Information Address Phone Cell JOHN LONGMAN 333 NE 92 Street MIAMI SHORES FL 33138 -3133 Contractor(s) HOME OWNER Phone CeII Phone Valuation: Total Sq Feet: $ 20,000.00 0 1 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: KITCHEN REMODEL Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: , Amount $12.00 $9.00 $9.00 $4.00 $5.00 $600.00 $6.00 $16.00 $661.00 Pay Date Pay Type Invoice # RC -6 -11 -41242 07/01/2011 Check #: 2187 $ 661.00 $ 0.00 Amt Paid Amt Due Available Inspections: 1 Inspection Type: Final PE Certification Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Truss Insp Columns Foundation Window and Door Buck Fill Cells Columns Wire Lathe Declaration of Use F. Termite Letter F. Elevation Certificate 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy July 01, 2011 Date July 01, 2011 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. A C l /-=° //e Job Name ���-� CRITIQUE SHEET AliAWSINIF 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 DATE: ,� NAME: �- .J�%... a.,., /j,t,0,J �L6e�/.G l Z Z®jI ADDRESS: 333 NE gvC N(2- 3 7V'e e. 3 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. 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 army own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she or 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 y(rr y protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her no- instead my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or licen tubers 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 ma so 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 ��'yy' %roved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or o4. ' tantially improved it 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 Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons woCffig on my bu residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and b 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 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 a 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 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 t nd social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers comp -lion 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 abi 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 - evenue Se ice, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I m • '•n - , the Florida Construction Industry Licensing Board at 850.487.1395 or htt .a/www.m oridalicense.com/dbIr /.ro /cilbfi Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands 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 the in , ati have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who d n, have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulatiof ay 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 contractor's 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. 7- Was acknowledged before me this ) 5 day of Oy� , 20) g 9 Y v ' U�..� , I By who was personally known to me or who has Produced there ion. I iTt NOTA • SYED MEHDI ASHRAF Phone: (954) — 918 — 0781 E -mail: mehdiashraf @msn.com SUMMARY OF QUALIFICATIONS More than 24 years of increasingly responsible experience in the United States, Dubai & India. Fully conversant with all aspects of building code implementation, design, construction, inspections, coordination, condition surveys, renovations /restorations, bidding process, project management, value engineering & flood plain management of a wide variety of engineering projects. Master's degree in engineering from USC. Several licenses, awards and professional affiliations. Worked with Cities of Miami Beach, North Miami Beach, North Miami, Sunny Isles & Town of Golden Beach CERTIFICATIONS Florida Professional Engineer (Structural I & II) Florida Special Inspector Florida Certified General Contractor Florida Building Code Administrator Florida Standard Plans Examiner Building Security Certified Professional (1s` in Florida) LEED Accredited Professional Certified Floodplain Manager Certified Structural Engineer Project Management Professional Oracle Certified Professional Accessibility Inspector /Plans Examiner (ICC) Building Inspector (ICC) Building Plans Examiner (ICC) Certified Building Official (ICC) Certified Building Code Official (ICC) Certified Mechanical Code Official (ICC) Commercial Building Inspector (ICC) Commercial Mechanical Inspector (ICC) Fuel Gas Inspector (ICC) Mechanical Inspector (ICC) Mechanical Plans Examiner (ICC) Residential Building Inspector (ICC) Residential Combination Inspector (ICC) Residential Electrical Inspector (ICC) Residential Plumbing Inspector (ICC) Residential Mechanical Inspector (ICC) Certifications from Miami -Dade BCC Office (Building Plans Examiner, Structural Plans Examiner, Building Inspector) AFFILIATIONS American Society of Civil Engineers American Concrete Institute American Institute of Steel Construction International Code Council Building Officials Association of Florida Association of State Floodplain Managers International Concrete Repair Institute Florida Structural Engineers Association Structural Engineers Certification Board Project Management Institute Pre - stressed Concrete Institute HONORS & RECOGNITION Fellow of the American Society of Civil Engineers Florida Government Engineer of the Year Miami -Dade Engineer of the Year Broward Engineer of the Year (Twice) Plans Examiner of the Year, SFBOA Honored by the Temple Emanu -El, City of Miami Beach, University of Miami and Florida International University MAJOR CLIENTS WORKED WITH (Through employment) Florida Board of Professional Engineers Trump Dezer United States Postal Services Miami -Dade Building Code Compliance Office Miami International Airport William Brice Stadium, University of South Carolina Sharjah Cricket Stadium World Bank University of North Carolina Department of Environmental Resource Management Holiday Inn Montenay Garbage Treatment Plant Related Group Several renowned architects, attorneys & developers EXPERTISE Structural Engineering Threshold Inspections Construction Building Code Review & Implementation Concrete Restoration Expert Witness Condition Assessments Project Management Historic Preservations Floodplain Management - CRS Building Security Design LEED certification Building Code Effectiveness Grading System (BCGES) TYPES OF BUILDINGS Hospitals Airport terminals Cargo buildings Residential structures Commercial structures Hotels Educational facilities Sports stadium Holiday resorts Industrial structures Reverse Osmosis desalination plants High capacity water tanks Hi -rise, mid -rise & low -rise buildings & Single family housing ADD SMOKE/CARBON MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. 57/9/4 951/3 36 29 52 1/4 471 /2 63/6 __._.2395/2 - 793/4 ... -»P'' - -- - -.._ Y73/4 2 92 - 2 _ y —.... 14 —_v.. _....___.... 36 6321 Miami Shores Village lin APPROVED BY D., [MI ZONING DEPT •iiii 1MU BLDG DEPT SUBJECT T©COMPUANCI= WITH ALL FEDERAL STATE AND COUNTY Rl II I S AND REGULATIONS 6 60 31 10 20 19 JU,• 2011 B Y: 3/4 1122 161/3 22 #4 123 a PA 1►' 1Fj NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.F.! PROTECTED RECEPTACLE. PUT DM RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. Wolf In The Woods G5- LONGMAN ORIGINAL Floorplan Room 1. Current Date: Jun 11, 2011