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DGT-09-190Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 23, 2009 Inspector: Bruhn, Norman Owner: DAVIS, WILLIAM Job Address: 405 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Decks/Gazebos/Trellises Inspection Type: Final Work Classification: Deck - Wood Phone Number Parcel Number 1132060170390 Building Department Comments '1 24,MID Passed `04 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. • Inspector Comments l ,Eli rX eticialsk /Aid le tele‘ June 22, 2009 Page 1 of 17 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 01, 2999 Inspector: Inspector, Default Owner: DAVIS, WILLIAM Job Address: 405 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Decks/Gazebos/Trellises Inspection Type: Foundation Work Classification: Deck - Wood Phone Number Parcel Number 1132060170390 Building Department Comments February 18, 2009 Page 1 of 1 6 Passed gerC Inspector Comments �r37l,8 % Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 18, 2009 Page 1 of 1 Inspection Date: January 01, 2999 Inspector: Inspector, Default Owner: DAVIS, WILLIAM Job Address: 405 NE 99 Street Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Project: <NONE> Contractor: HOME OWNER Permit Type: Decks/Gazebos/Trellises Inspection Type: Framing in Progress Work Classification: Deck - Wood Phone Number Parcel Number 1132060170390 Building Department Comments February 18, 2009 Page 1 of 1 Passed ' 7-6-(>77,erif) , Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 18, 2009 Page 1 of 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 405 99 Street Miami Shores, FL Owner Information Parcel Number Expiration: 08/11/2009 Applicant Address WILLIAM DAVIS 1132060170390 Block: Lot: 405 NE 99 ST MIAMI SHORES FL 33138 -2461 WILLIAM DAVIS Phone CeII Valuation: Total Sq Feet: Approved: Yes Comments: Date Approved: 2/9 /2009 : Yes Date Denied: Type Const: Wood Deck Classification: Residential Additional Info: Fees Due CCF Education Surcharge Permit Fee - Deck (wood) Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $2.40 $0.80 $100.00 $9.00 $50.00 ($50.00) $2.81 $115.01 Invoice # Total Amt Paid Amt Due DGT -2 -09 -33893 $ 115.01 $ 50.00 DGT -2 -09 -33893 $ 115.01 $ 115.01 $ 0.00 $ 4,000.00 Available Inspections: Inspection Type: Final Foundation Framing in Progress 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. February 13, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date February 13. 2009 1 r 2.111114 A. BUILDING PERMIT APPLICATION F : I 2 h ` I Master Permit No. FBC 2004 I" _, Ire' OS Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) + //pi M `' �y D4vi r Phone # 0 5 ' 75"g- l 7 3s Owner's Address 4L 0 $ o't- City /414,7 / J 4104.e4 State Zip S -3 15% Tenant/Lessee Name Phone # Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED ] Permit No.QC\ CA -R0 Job Address (where the work is being done) ...54/10 gs Jac d°` City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name to i`i //""'7 A` Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 5- Of" a 0 0 Tye , of Work: ❑Addition ['Alteration Describe Work: e Square / Linear Footage Of Work: ❑New Repair/Replace ❑ Demolition Ltirr4 0 : x**** ************** **** * ********** * ** * *Fees******* ******** ** * ****** ** * **** : * ******* ** ** Sub itittal Fee $ Permit Fee $ /d 5 CCF $ 0 ' CO /Cc!-- Training/Education Fee $ 0 • Technology Fee $ 00 Radon $ DPBR $ Zoning $ Bond --$ Code Enforcement $ Double Fee $ Total Fee Now Due $ 15 401 Noy $ Scanning $ u.no Structural Review. $ 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 no be approved and a reinspection fee will be charged. Signature i! Owner or Agent The foregoing instrument was acknowledged before me this Q4" , by UUtilICVA iS day of who is ersonally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: etairloara Om. E My Commission Expires: 3laql aCAO ^l D05/0504 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: ********* * ***•x**** *+x**** ** ******* x44 ** :** ** * *:x*** * *** *** * * * * *** ****** **** *** ** x******* ***** * * ** *axe *** * *** APPLICATION APPROVED BY: V. It 1 c /C.= =I. 7 (Revised 07/10/07) Plans Examiner Engineer Zoning • VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: .U1 ihwt �� �� i DATE: 2 - - ADDRESS: LI +% y iil . C' et q 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 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 i 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.LC.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 cp struction Myself. Initial , 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 reinstateuient of the permit. Initial 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. I understand that the building official and inspectors are not there to ddsj'gI, 3 alter or give advice on how to meet code - only if the structurel;in Bets the minimum code. a 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 L°- 6. I understand that if I compensate any person or company for work performed they are requited 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 fot any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my constractioi 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 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. s)— Was acknowledged before me this cl Initial day of 2009 By coitt M \ COS who w Produced there License or ersonally known o me or who has as identification. OWNER NOTARY Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Pennit NO. DGT-2-09-1 90 Issue Date: Not Issued Expires:Not issued Folio Number:1132060170390 Owners Name: WILLIAM DAVIS Owners Phone: Job Address: 405 99 Street Total Square Feet: 45 Miami Shores, FL Total Job Valuation: $ 4,000.00 ............ ................. ............................................ ................. Contractor(s) Phone Primary Contractor •• HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 2/9/2009 : Yes BOUNDARY SSURVFY LOCATION ST{Z 1Cn S -CALE: NTS ( 1 if S8P;rC. 7'A afY� awt!a J sbp'x aasti A0 ;'u.rp LurtUSa 448t130D .'. SURVEYOR'S SEAL • itti6 '0'4067 Pa .74 C/mg^ LEGEND : FIPs Found Iron PirnzF t-.•awa::at rrn s ctta S T PERMANENT � COMM NSW U84764 i•CWTERLWH PA. PROPERTY UNE OIL. EN UNE 6114, MANHOLE. tAM NEATER METER Ph POWER POLO 22,2tHCEsOirdR, R• EgCORq re. MEem= CHAO UNK OR W1RE FENCE WoOOPENE%•. MASOAM WALL∎ • c' CTS. • E :ev. Lneator irde.S NOTES UNLESS OTAERNR88SHONN. ENE FOLLOWING NOTES APP.( •=IX X Tar. a - a -v::.e _t O¢ s:axer 11 Record end' measw'ed calls an In subsiaMld ayteersent 2) &ear.+gs H sown am based at Plat dette ai Trte ienda ahOwn hereon .are not a Wlreeted for Easement% w other nettled ere mStetces no: sex*, cA :re On e'::e sates, .1 any may not be abeam on Orb .ketch. 41 Underground pOnton$ 01 PeelYy9. Penner'3ers or cry preTINNIT steel net iecatet 5) Eleanore ere based on Na0ena• Meanie Detum. 9) Ponce Ties ate to 1.4 Cef:et Ns 41 IRA !I tx. 7) W' i Neste the taceot the Walt $ IN.A.1 End secs sedi Let"IFu'Eit=t :'S Ae .L:rr.: t7.1: sA:C FF i % +L.___. c ETINEO Tel i1LL SAE A. 01:.3 k' SEZE2T DAOIS. 519CI5!...40S B.Y. 73Aw.I swats, r.cezDd 33170.. CSEI310P R P. TEL:41. P.A.• ATTREASTS. I3S:.ZMCC TRW. I!C.. CUSS 104004TI.W METC.t=S OC•R408A:IC9. TES sCOCCI ASSAIL ASSZCSS. A'IIEa. ,COAL 3$S::AtP:IC?Y LO-¢ 11 t1 ee s 4 <c. M •00 '44 C'( 50 or otm 7LY? 05 MAXI SWISS SPCTIC9 112. 4 Sl'83NIS OV =WIC NO: 2 T4SF_A' Tel 0RECFAS 0 00aa.00O.3.Y PLAT 390X..LL A'FFO9 OF Tt'E bosun FECCROs O• DILIE co:p 7,4 FLQWCA BLANCO, I NERE9Y CER:.FY TNI the amrey.eOreNnteO N'e0n n. eeX me nswrurn NtM.ca•rta40u4e01S 4,101M NS Cy Me STATE OF FLORrOAeot! et Lace Sur.even a..tcira to :ecu.a. 4!0.007 'IRMA Sutures T•004•4 ^a C•aaciAeIIS. enertns.eaa.Ygn:$ e1 VW ter et ...A :e I Itame4•s ctne. Iran as sr :.n •erw;n SINCE 19V & ASSOC. INC. Engineers • landStmeyors • Planters LS.d1.4789 355 NORTH SHORE O3ISE MIAMI SUCH FL. 33$41 (305) 865 -1200 Fan _(305 865 -781 FLOOD ZONE: SU'FFIXs J A7IS N. NM= ar;= 't•et' Ldn.Sneyort♦C 592 t;,edi F•C'tda D ?ZT 3/2/99 HASEt -wasp V m m m 0 1) - " At' C.' Y`-',.-q".• • 'rn? \ A tr t.".■ ap 1 s \ ' 1 i 1 , , -,-,-..c-,.. CI t ',.'‘,,, F.) 'e, ' ...,.-4".-,-,-. ‹. (----'",1-7.? ‘,•.-4,‘ 7.,-;)----; ,,, • t laVI.,.1 ,,\P"...,--16 t."--/ )c.Xsc., .-,..,, . Ci• 0-• &.4 I r" PERM ° %1 -0 /-1 Rw ° Miami Shores Village APPROVED ZONING DEP JI BLDG DEPT SUBJECT TO COMPLIANCE F M-I ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS