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PL-13-2307Inspection Worksheet Miami Shores Village 10050 N,Ei 2nd Avenue Miami Shores, FL Phone.- (305)796.2-204 Fax: (306)1756,072 Inspeotion Number: IN P- 203776 . Permit Number: PL-10-13-2307 Scheduled Inspection Date: December 03, 2013 Peffrilt Type., Plumbing - Residential Inspector: Wax., Osvaldo Inspection Type.* Final OW00r: DIAZ., CARLOS; AND. ASHLEY Job Address; 9230 NE 2 Avenue Miami Shores, FL 33138-2805 Project <NONE;* Contractor., HOME OWNER Work Classification: Sprinkler System Phone Number* Parcel Number 21320,0I0133{W50 Inspector comments CREATED AS REINSPECTION FOR IN - 203340. PasSed ly RAIN SENSOR REQUIRED Re-llrio�tlon Fee No Additional Inspections can be scheduled unfit re-ir4eictlori-fee is paid. For Inspections please call: (306)762-0.49 Vecember02,201[3 Page 23 of 40 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 Permit Type: PLUMBING JOB ADDRESS: C—) W, FBC 20 Permit No. OCT 10 2013 Master Permit No City: Miami Shores County: Miami Dade Zip: k Folio/Parcel#: ° of '-:7> - . Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): WOOS NO �® Flood Zone: City: ayt od'--e s State: P ° Zip: Tenant2essee Name: Phone #: Email: CONTRACTOR: Company Name: Phone #: Address: City: Qualifier Name: State Certification or Registration Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer. Phone #: Value of Work for this Permit: $ s Square/Linear : uare/Linear Footage of Work Type of Work: !]Address ❑Alterati�oBn UNew ua ❑Repair/Replace ❑Demolition Description of Work: _ rl C�V-e. �k-tef ) It LIP Submittal Fee $ Permit Fee $ / SJ " CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 wi4,rtetbv,,approved and a reinspection fee will be charged. Signature Signature Owner or Agent The fore oing instrument was acknowledged before me this day of -`O =� 20 Lb, by C-04 JOS 00,2- -' who i en!�Ikmnown o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 1°` `N4ry Public Stela of Fb tde Helsel Alvarez MY p wort ExPirees 0628/2078 198011 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: APPROVED BY %Q- /r, —I :) - Plans Examiner Zoning Structural Review Clerk (RMsed3 /12/2012)(Revised 07 /10 /07)(RMsed 06 /10/2009)(Revised 3/15/09) Miami Shores Village 8011 ing Department 10056 N.E.2nd. Avenue Miami Shor6s, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NAME: 0, V A 0; ?, DOE: 9 Z� ADDRESS: 9,Z D A o;2 Do hereby pelitior the Yutage of Miami Shores to act as my own contractor pursuant to the taws of the State.of Florida, F.S 489.103(7). And I have read and undo cod the. following dis�osure .statement, which entitles n.* to work as my own contractor. I further understand that I as the owner must appear to person to complete all applications. State Law requires construction to be dome 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 cog of $25,000.00 or less (The new Porn states -75, 000): The bulding,mustbe for yourown use and oc cupency, It may'not be buil for sale orlease If you7seli or -le `'s building you' have built yourself withhnrich6 jr ar after the construction is °06WOie, ftlkw- willtpIsttrrie #*you bull for kW of e; which We violatiob'df'thWWi 1ption. 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 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'errtptojree, alias pi> ribed byAW. Your ionstruction must complywith all 8011 u�b10 laws "ordinances, buildings codes and zoning regulations. Please read and inNal each paragraph. 1. t understand that state law requires construction to be done by a licensed contractor and have.appled for an owner-builder permit under an exemption from the law. The exemption specifies that I, as the owner of the properly .list, may act as my own mnbactor with certain restrictions even though I do not have a license. i 2. 1 understand that building permits are not requkW to be signed by 's property owner unless he or she is responsible for the construction and Is riot Nng a licensed contractor to awns responsibility. t 3. 1 understand that, as an owner builder, I em the respuibie party of record on a permit. I understand that I may protect myself from potendel financial risk by hft a licensed contractor end tuniirig tiro permit filed In h� or tier name of my own name. C also unoelstand that the contractor Is required by law to be licensed in Floride and to let his or terse on permits ana contracts. 4. 1 understand that I may build or improve a one fancily or two - family resid�nce or a farm oudbudlding. I may also build or improve a commercial building N the cc* do not exceed $15,000. The building or residence must be for my use or occupancy. it may not be built or substantially Improved for sale or Imo. If a budidtng or residence that I have Will or substa improved myself Is sold or lei within 1 year after the construction is complete, the law will presume that I or su ally improved it for sale or lease, which violates the exemption. . I 5. 1 urclerstand that as the owner - builder, I must provide direct, onstle.supervision of the construction. - Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. it Is my responsibility to ensure that the persons whom I employ have the license required by low and btcountv or municipal ordinauke. Initial I understand that it is frequent practices of unlicensed persons to have the property owner obtain an ownertbuilder pe* that - erronedds h*W that the property owner Is providing his or her own labor and materials. t, as an owner- builder, m' A9 Mid We and subjected to serious financial risk for any Injuries sustained by an unlicensed person or his of ent He working •on my property. My homeowner's insurance may not provide coverage for those Injuries. I am witifully, aCti as On owneP Mder and am aware of the limits of my insurance coverage for injuries to workers on my property. Irma) 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 perrson working on my building who Is not licensed must work under my direct supervision and must be emjilbyed by me, whb rile &that I must com* with laws iequiµring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers cc on for the employee. I. understand that my failure to follow these may subject to serious financal risk in' I agree that, as the party legally and financially responsible for this proposed Construction activity, i will abide by all applicable taws and requirement that'- govern ownai- builders as well as employers. I also understated thi to Construction rTW comply with all applicable laws, ordinate, building codes, � and zoning regul'ati'ons. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internai Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that l�u contact the Florida Construction Industry Licensing Bard at 850.407.139,5 or �Jhaww.mvNoridalicense.com /d rl icil hdex I 11. 1 am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am arty regally and 6andatiy responsible for the proposed construction activity at the foirowing address. '9c93D 35/3 �. tnitiel 12. 1 some to notify Miami shores Village immediately of any additions, deletions, or changes to any of "e"" n I have provided on the disclosure ini0 Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a liar, the Constr4uction Industry Ucensing Board and Department of Business and Professional Regulation may be unable to mist you with airy financial loss that you sustele as a resulf of contractor may be In civil court. it Is also Important for you to understand that, tf an unlicensed contractor or amployse of en individual or firm Is injured while working nn 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 verifyhV Whether the contractor Is properly licensed and the status of the contractor's workers compensation coverage. Before a building pemit can be issued, this disclosure dwyerd must be crompletel and sorted by the property owner and returned to the Imel permitting agency responsible for Issuing the permit. A cropyof the property' owrmr's`drIver licerse, the notarized signature of the property owner, or outer type of vbftzdon acceptable to trig local pbrn)itiing agency Is required when the permit Is Issued. Was acknowledged before me this 2 day of • 20 / t . who was personally known to me or who has Prod License or as identificatio A1 0 ` OWJE2, -- I NOTARY i Public State of Flori da Alvarez mission EE 186011 416!2812016 Miami Shores Village Building Department RECEIPT PERMIT #: "?L DATE: ofil P e A V 9 o Contactor o Owner o Architect Picked up 2 sets of plans and (other) Address: -36 '( jr 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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. Acknowledged by: PERMIT CLERK INITIAL IZ)-- RESUBMITTED DATE: e i® t I '3 PERMIT CLERK INITIAL: — -jP (A Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: d -lrJ_ f3 Permit No: f L_ l 3_ Z3 C5 Plumbin-g Critique C- lob Ql?c�"J I L) f cS' ® V � �� ►z 6� w1�--LI-) ? Q , NE %L s Z90a.Y 2.cl o,F wyz,,,t� t C� A� Osvaldo "Ozzie" Diaz Chief Plumbing Inspector Plan review is not complete, when all items above are corrected, we will do a 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. 07/2$/13 18:47 FAX NOVA y0� 5882 N.W. 7th STREUT=Tff '202 JVUAr;t1• FLORIDA 33128' TELEPHONE: (3a 268.2880 CC" Rm ") ""228 LAND SURVEYORS DRAWN SY: L_%_ wl* -2(r OCT 10 2013 • ! 1 wpm F.I.P 112• �'3• NO CAP CrP t64ir o sv 43.15 ONE STORY LOT- RES #10 BLOCK -219 Lor- r BLOCK-219 � W .. mod. 4720 m V AI C.S IN ISM Q003 S1lRYEYNa 13 OOD086� -f r1t.r S FMT No. 2 OF z C I.P 112' NO CAP I.P it CAP r ®rte 4a 9 80' *75 FL 4' F. .. c) d. a 4 C.L.R. F LP t/7 108 32 E U P. F.I P V�" NO CAP /� ! NO CAP !S`ALLBY(NJCR) LOT-31 Lor -32 SLOCK -2'19 �K•'8 pp d vA StIRYEYOH'SNOT� Theta may be $asamente recuded in the PoblicRe=do wt Aawn an tide Survey. The purpmeofthieSWMYisfor use ino> ainiag7 iaeasa�uaandkSna andaLontduatiwuaed Conabxctim�D+�P RL Miami Shores Village eFPP0VE0 BY DATA �- °° 1F 7 EFF CUP BLDG DEFT SUBJECT f0 CC'MPL_ PNCE WTrH ALL FEDERAL STATE ANL) c(-l�fV i °f r�UL S A11D REGULATIONS ZONE /� 311 Gm 17 ti" POP Lxf 0 3A 6PM i o,*^6'r J 4" Pop ZONC I= 0% x ON6, :a Ne 0 I