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RC-13-1468Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210333 Scheduled Inspection Date: April 07, 2014 Inspector: Rodriguez, Jorge Owner: ABRANTE, JOSE Job Address: 323 NE 91 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Iiunaing uepanment comments REMOVE AND REPLACE TILE IN MASTER AND HALL WAY BATH 7/16/13 PENDING NOC 7/18/13 NOC RECEIVED Permit Number: RC -6 -13 -1468 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)323 -1718 Parcel Number 1132060136500 INSPECTOR COMMENTS False April 04, 2014 For Inspections please call: (305)762 -4949 Page 9 of 17 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 04, 2014 For Inspections please call: (305)762 -4949 Page 9 of 17 Miami Shores Village �1 Buildin g Department artment L01 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 INSPECTION LINE PHONE NUMBER: (305) 762 -4949 71133Y 20 BUILDING Master Permit No. PERMIT APPLICATION sub Permit No. 9/' /3 G�6 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [—]CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio /Parcel #: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder):, Ad Construction Type: Is the Building Historically Designated: Yes NO Flood Zone: BF FFE: 3 Phone#: City: :_ "i -I' 1 � r►� � State: (� , Zip: J Tenant /Lessee Name: Phone#: Email: CONTRACTOR: Company Name: LLLmo E i ° Phone#: Address: City: State: Qualifier Name: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect / gin er: Phone#: Addres Citv: State: _ Zip: Value of Work for this Permit: $ Square /Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair /Replace ❑ Demolition Description of Work: A t an..*�' ecA., 9�4:,aa Specific color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ !_ mo(I . CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ S D �� 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 sev 7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appiwed and i4lbsptction fee will be charged. Signatu V OtNner or Agent The foregoing instrument was acknowledged before me this this day of 20 by who is personally known to me or has producedlq- ' �` As identification and who did take an oath. NOTARY PUBLIC: Sign My Commission x % Notary Public State of Florida Joanna M Feliciano My Commission FF 082753 ofta0 Expires0U12i2018 APPROVED BY o G Signature Contractor The foregoing instrument was acknowledged before me 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: Plans Examiner Zoning Structural Review Clerk (Revised02 /24 /2014)(Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Miami Shores Village Building Department UN 918150 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 y»g FBC ZO 1 `� BUILDING 1,�4 �eo Permit No. PERMIT APPLICATION Master Permit Permit Type: $UII.DING \ ROOFING JOB ADDRESS: _ 3 �- 3 k S 9 I SA re eA City: Miami Shores County: Miami Dade zip: FolioMarcel#: &5'Q 0 Is the Building Historically Designated: Yes NO ',I," Flood zone: 10 OWNER: Name (Fee Simple Titleholder):1Qhe h'"Ae 4 ; uw stit z ch Address: ` - , I,)1= 91 SAvexi City: 6 ft %'j PafYbCee, State: Pt_ Zip: 3�13� Tenant Email: CONTRACTOR: Company Name: Phone#• Address: City: Ste• Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: A Phone#: Value of Work for this Permit: $ SgaarelLineat Foo of Work: - Type of Work: OAddition DAlteration ONew air/Replace ODemolition Descs'iptionofWork: fM1Ke& e_NjfY4 t�� - �-�IeA -�-�o r •c��ape® Color thru tile: ---- - -------- - --- -- - Submittal Fee $ Permit Fee $ ��d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $, Notary $ Training/Education Fee $ Technology Fa $ Double Fee $ Structural Review $ g TOTAL FEE NOW DUE $ I &' 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 IWROVEMENTS 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the , first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspe ' fee will be charged. Of Signature Signature er or Agent Contractor The foregoing instrument was acknowledged before me this '' day of 'S U%t-° 2013, by 'YObi' A3 PE who is personally known to me or who has produced The foregoing instrument was acknowledged before me this day of . 20.--..--, by who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: l Print: My Commission Expires: `� :..3 '_' �'K Co 4A APPROVED BY Z- Plans Examiner Structural Review (Revised 3 /1212012)(Revised 07 /10/07)(Revised 06/10009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission Expires: Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: '3'6 Se CC, 6 DATE: �$ ADDRESS: e 9 / -6+. Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 489.103(7). And I have read and understood the following disclosure statement, which entities 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.CA 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. 1 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 as my own contractor with certain restrictions even though I do not have a license. Initi al 2. 1 understand that building pennits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. IntUal 3. 1 understand that as an owner builder, I am the responsible party of record on a permit I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name irstfad of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or lice numbers on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also 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 Improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built o substantially improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that as the owner - builder, I must provide direct, onsite 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 law and by county or municipal ordinance. Initi 7. 1 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 homeowners insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who 1s 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 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 9. 1 agree that as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial Ila V ' 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 Licensing Board at 850.487.1395 or htto:/Avww.mytoddalicense.com/dbDr/Dro/Cllbfindex.htmI Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the info ati;that have provided on this disclosure. Initial Licensed contractors are regulated bylaws designed to protect the public. If you contract with a person who does of have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may 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 returned 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 requirod when the permit is issued. Was acknowledged before me this day ofb1 ,, , 20_ r�F who. vg_ 'tom IIv;ixne or who has G� :J�o � vL", Produced there License or �'�— % ice' •. P �s identification. 0 RY jUt 3 2013 ADD SMOKEUROGN MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. ar-l's BAYMM KmKwA.E ON 20 Amp cu AND G.Fl PROTECTED_.. 4%c,op!A-- op- L000k-I.. e�e W ooreA! -nL- VS, P,GOATO � LAW%&- 4- .g23✓r 1p/ s-,, i -( -13 PX4 li sr_TnR* TAL DATE• � 1 � `� AL DATES: TYPE: ka --7--t- U FEES M t -^L joj� /% "Z L V ,nxL -* -V Q ". c-N-b,%# cw 141 Sm A70cr) -40 �daTS ,,'►. L 4/ wV2� it •s 0 NOTICE OF COMMENCEMENT A RECORDED CO" MUST BE POSTED ON THE, JOB SITE AT 11ME.OF FIRST IMPECTION PERMIT NO TAX FOLIO NO. STATE! OF FLORIDA, STATE OF -FLORN COUNTY OF MIAMI-DADE: I HEREBY CER77FY WOW Ned In WS THE UNDERSIGNED hereby gives notice.'t*t* Impr9vernents will be property, and In accordance with ChapteO'15, Flor=ida Statutes, the Is provided In this Notice of Commencement T, Legal description of property and streettaddress: Description of Improvement CF N 2013R0560778 OR Bk 28727 Ps 34211 Qps) RECORDED 07117/2013 11:48348 HARVEY RUVINY CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE Space aWwo reserved for use of recording of 3- name and sddreii: M4 X%.Vowye aa-u ✓s interest In property: ()_jUj3g= Name and address of fee simple titleholder 4. Cgntractor'snaroe, address and phone number QLjAwr-jh5e M, Nhr&A Ajp q F-1- 33la!9 Ce B 06-- 3 a3 -17 IS 5. Surety (Payment bond required by owner from contractor, If any) Name, address and phone number. Arriount of bond $ 6. Lendees 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. 1 i(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 713.19(1)((1), Florida Statutes. Name, address and phone number UPIration'date of this Notice of Commencement MwvoWon d4e1s1`yW from ilia 40i0r records uN ­ adifferefft date lsspedfleO WARNING TO OWNER: ANY PAYMENTS MADEBYTHE OWNER AFTER THE EXPIAAMON OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER t13, PART 1, SECTION 713.13.- FLORIDA' STATUTES; MD CAN RESULT k PAYING TWICE FOR • IMPROVEMENTS TO YOUR PROPERTY. A. NOTICE OF COMMENCEMENT MUST BE RtCOkRb_+AND` POSTED 09 T11E JQ13 SITE BEFORE THE FIRST IN* %P71O.N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,., Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared BY Prepared Y: Print Name Print Name TltlelOffice Title/offico 'STATE OF FLORIDA COU OF MIAMI E of The W'ed thl 1 day 0 By ❑ Individually, or for P eisonallyknown, or pproduced the .f wing type of 4dentificat Signature of Nqtary, Public: ILLS ' Print Name: 1-4w (SEAQ ko. t twy Comm Expire `;ep EE 128810 VERIFICATIO T. tc: I COMMISSIon _W"ahta�ff TO,SEQ1nO1M 92JW� FLORIDA STATUTES Under penalties of perjury, I declare that I have read the fqmgolng and Bonded ThPugh Na0011al that the facts'stated In It are true, to the best of r6y knowledge and belief. Signatures) o Owneqs)'s Authorized Officer/Director/Partner/Manager who signed above: BY By L/ 123.01-S2 PAWS