RC-13-2356Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 201384 Permit Number: RC -10 -13 -2356
Scheduled Inspection Date: December 02, 2013 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Owner: SUERO, RICHARD
Job Address: 1235 NE 93 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
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comments
SOFFIT AROUND PERIMETER OF HOUSE HAS FALLEN
AND NEEDS TO BE REPLACED IMMEDIATELY SEE
ATTACHED DESCRIPTION OF SOFFIT REPLACEMENT
AREA
Inspection Type. Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050270040
INSPECTOR COMMENTS False
Inspector Comments
Passed CANCELLED BY RICHARD 954 - 559 -6177 BY FAX 11/4/13
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 27, 2013 For Inspections please call: (305)762-4949 Page 6 of 24
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 No.
PERMIT APPLICATION
Permit Type: BUILDING
,OCT 17 2013
FBC 20
Master Permit No. 52
ROOFING
JOB ADDRESS: S NF q3 S+
City: Miami Shores County: Miami Dade Zip:
Foli cel #;i t\ 3�Q®S" 0 `9 D oOq o
Is the Building Historically Designated: Yes
Flood Zone: r-
OWNER: Name (Fee Simple Titleholder): �l`� �� Phone #:
Addressl��
City: State: r u
Tenant/Lessee Name: Phone #: S�
Email: 5' U e `®,„ C' r vV_ca I-o (°, �1ir, , M 4 Co r--\
CONTRACTOR: Company Name: t) rnr 0 !o "� r:� Q-1 c _-� S-V'e_m� Phone #:
Address:
City:
Qualifier Name:
State Certification or Registration #: 0/ A
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: P4 /A
Certificate of Competency #:
Value of Work for this Permit: $ goo Square/Linear Footage of Work:
Type of Work: ❑Addition OAlteration
ONew
Wepair/Replace
c64Ssci G"Ir7
ODemolition
Color thru tile:
Submittal Fee $ _ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $_
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Revi6w $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) I-J I-Q
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signa Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of��% , 2013, byg/►h�°
who is personally known to me or who has produced
As identification an$) take an oath.
NOTARY PUBLIC: \���g silve •oii����i ///
\�o e\ies J
Sign:
Print:
My Commission Expires:
APPROVED BY
N'
SP4 T p�
IIIIX1 \0
c11
,O
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
G
Plans Examiner
Structural Review
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007)
zoning
Clerk
Miami Shores Village
WWI fig Department
10050- N.E.2nd.Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCL .SURE STATEMENT
NAME. e �'v WE: t ®) l 3
ADDRESS: �^' t & Q ?,
Do hereby petition the Village of his Shores to acq as my own smn4gpr pursuant to dre taws of the State.of Florida, F.S 489.103(7).
And. I have read and under��d the. folio , ing d0. [gsym statement, which entitles to work as my own contactor, 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 buildiq must be for your own use and
occupancy: it n*not Wbuilt for sale or lease: If you�sell or a building you' have bulk yourself wfthdnt one year after the
construction is°coifiplete twill will! pftu rie th*you b7WIt for sale or Wbe, which We vloldon bf thW6k6fttion. 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 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 FICA and with - holdings tax and provide workers'
compensatidn for that emplgyee� sit" asp,_ bed byfaw. Your construction must comply with all applicable laws, "ordinances,
buildings odes and zoning regulations.
Please read and initial each paragraph.
1. d understand that state law requires construction to be done by a licensed contractor and have.applfei for en owner- builder
permit under an exemption from the taw. The exemption sped that I, as the owner of tiro properly listen, may act as my own
contractor with certain restriction even though I do not have a license.
Intel1
2. 1 understand that building permits are not required to be s red by a property owner unless he or she s responsible for the
consfirucniori and Is n0 hiring a licensed contractor to easume responsibility.
tnitim
3. 1 understand that as an owner builder, l am the respopible party of record on a permit I understand that I may protect myself
from peter m financial risk ,by inning a Qoansed contractor and having the permit filed in his, or ter name Instead of my own
name I else understand that the s�traotor s required by law to be licensed in Florida and to list his or license numbers on
permits and contracts.
Initial
4. 1 understand that I may build or improve a one family or lwro-family residence or a farm outbuilding. I may also build or Improve
a commercial building If the costs do not excel $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 Improved
myself Is sold or leased within 1 year after the construction Is complete, the law will presume that I built or substantially
improved it for sale or ease, which violates the exemption. Initial
5. 1 understand that, as the owner - builder, I must provide direct, onfte supervision of the construction,
mitial�.�
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 enure that the person whom I employ have the license required by law and by county or
municipal ordirof e.
Intm JE _s
I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner- buiider perr(d that
error ly implidi that the property owner is providing his or her own labor and materials. I, as an owner- buildir maptie:Fteld
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his & employees' itille
worldrg on my property. My homeowner's insurance may riot provide coverage for those Injuries. I am willfully, acting as an
ownet builder and am aware of the limb of my insurance coverage for injuries to workers on my property.
Inwa��
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.beirg donne. Any p zerson woridng on my buffing who nu�t,Irra most work under my direct supervis Ion
and must be empiaykl by me, whfr h r that I rrW comp fi whh lairs eijuir% the withholding of federal Income tax and
social security contributions under the Federal insurance Contributions Act (FICA) and must provide workers compensation for
the employee. I understand that my failure to follow these may subject to serious financial risk.
initial. �,
I agree that, as the party legally and financially responsible for this proposed Construction activity, i will abide by all applicable
thous and requirement that'' govern owri4ftllders as well as employers: I also understannd that`the
construction must comply with an applicable laws, ordinances, budding cam, ` end zonfrg regulatlbns.
Initw
10. 1 understand that I may obtain more Information regarding my obligations as an employer from the Internal Revenue Service, the
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the
Florida Construction Industry Liversing Board at 850. 487.1395 or htloJM ww. mvfioddalloersg .croMdbcdnroNWrKkmhtml
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i am aware of, and consent to, an owner - builder building permit applied for in my name and understands that I am tie party
legally and financially responsible for the proposed construction activity at the follaruing address:
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12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the Iftrmation that I
have provided bn this disclosure. initiai-9z:
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a,
license, the Corstriluction Industry Ucensing Board and Department of Business and Professional Regulation may be unable to
assist tyou with any financial loss that you suftht as a result of contractor may be in civil court. It Is also Important for you to
understand that, 9 an unlicensed contract or employee of an individual or firm Is Injuied while working -6h Out property, you may
be held liable for damages. If you obtain an owner4xdlder permit and wish to hire a licensed contractor, you will be responsible for
veffft whether the contractor is property licensed end the status of the contrecWs workers compensation coverage.
Before a building permit can be Issued, this disclosure statement must be completed and signal by the property owner and
rewmed 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 veribtion acceptable to the local permitting agency is required when
the permit Is Issued.
Was acknowledged before me this / day of 20-
8y„A % who was personally known to me or who has
Produced there License or 6x, ZL%� C, �L2 -tl) as
•
srATE
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From: Richard Sucro suero_ richard@yahoo.com
Subject: Mani shores village/building permit application for soffit repair /replacement
Date: October 16, 2013 at 8:43 PM
To: Richard Suorosuero-richard@yahoo.com
To whom it may concern:
Attached is the building permit application for the repair /replacement of existing
soffit of my house which has fallen due to age. This work need attention
immediately in order to avoid rodents ect.. to establish their home in the attic.
Below is the diagram of the roof and appropriate dimensions where the soffit will
be repaired. As a homeowner I will repair and replace the soffit in compliance
Richard Suero
p7 _
Cell 9545596177
tiliami S gores Village
1235 NE 93 street
APPROVED BY DATE
Miami shores, Fl 33138
ZONING DEFT
6
BLDG DEPT
SUBJECT TO C(-,N'1PLVI`ICE VVTM ALL FEDERAL
STATE ANv CrI-JN`i y BUDS AND REGULATIONS
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