Loading...
RC-13-1772Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210994 Permit Number: RC -8 -13 -1772 Scheduled Inspection Date: May 06, 2014 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: AJAMI, KAMRAM Work Classification: Alteration Job Address: 171 NE 102 Street Miami Shores, FL 33138 - Phone Number Parcel Number 1132060131840 Project: <NONE> Contractor: B&B CONSTRUCTION GROUP Phone: (305)335 -4224 comments KITCHEN CABINETS REMODEL INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 210777. CREATED AS REINSPECTION FOR INSP- 210736. Must pass framing. Show permit for aluminum roof Failed ❑ CANCEL AS PER INSPECTOR JORGE AND HOME OWNER AGREEMENT NEEDS TO BE REVIEW BY B.O IN REGARDS TO LETTER Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 05, 2014 For Inspections please call: (305)762 -4949 Page 15 of 37 April 26, 2014 Amtiaz Ahrnbd Atlantic Engineering Services Inc. 2822 Waters Edge Circle Green Acres FI 33413 Phone 561 -368 4140 State of Florida Lice # 46102 Building Department Miami Shores Village 10050 NE 2nd Avenue Miami Shores Village, FL 33138 Attn: Building Official RE: 171 NE 102nd Street Miami Shores Village, FL Permit M. DC13 -1772 Dear Sir: • • ••• • . • •f• •f• . • .• . . . •• •.• •• • • •• • ••• r : f :.f •.• : : •f s Please be advised that I have been retained to inspect the removal of an existing partition between the living room and the kitchen on the above captioned property. Due to the fact that the partition between the living room and -the kitchen does not provide any structural support to the existing structure, the removal does not impact the structural integrity and framing of the building. Therefore, it is safely removed. The walls are repaired to match the existing room finish as per Florida code. The Framing is intact and not altered. To the best of my knowledge and ability and per Florida Building Code 2010 Edition, I approve this repair. We trust that this meets your approval. If you have any questions, please feel free to contact me. Sincerely, Atlantic Engineering Services, Inc. Imtiaz Ahmed, P.E. Florida P.E. #46102 .4 1 ETA r .0 •: .0 p� • .•• .,���a top' ;',``��� Miami Shores Village Building Department APL92014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 INSPECTION LINE PHONE NUMBER: (305) 762 -4949 FBC 20 BUILDING Master Permit No. la-2 z PERMIT APPLICATION Sub Permit No. :KIBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL r-]PUBLICWORKS ❑ CHANGE CONTRACTOR [:]CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: I L I t) fz 10 2 S! T City: Miami Shores County: Miami Dade Zip: -:J Folio /Parcel #: tj '�'� Q Is the Building Historically Designated: Yes _.NO Occupancy Type: Load: Construction Type: Flood Zone: `*k® BFE: FFE: OWNER: Name (Fee Simple Titleholder): VV.- my\ / l S -I — Address: I - E L0 T City: State: _� Zip: I Tenant /Lessee Name: Email: CONTRACTOR: Company Name: Phone#: Address: Lo �'YZ Pt %,,a City: State: L Zip: I Qualifier Name: Phone#: State Certification or Registration #: k -1S Certificate of Competency #: DESIGNER: Architect /Engineer: Phone #: Address: City: State: Zip: Value of Work for this Permit: $ Square /Linear Footage of Work: Type of Work: ❑ Addition n Alteration ❑ New ❑ Repair /Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee Scanning Fee $ Permit Fee $ CCF $ CO /CC $ 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 M 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 reinfection fee will be charged. -7��Signature Signature - Owner or Agent " Con The foregoing instrument was acknowledged before me this day oforr 20 by /GCrmrgn. !;JCI�r►,, who is personally known to me or who has produced SDD =� r` As identification and who did take an oath. NOTARY PUBLIC: Sign: My Commis on * * * * * * * ** APPROVED BY NOWY Public State of Florida Joanna M Feliciano MY Commission FF 082753 Expires 01/12/201 F*-* 3k w *** * *e�x Plans Examiner The foregoing instrument was acknowledged before me this ';U, day of 20 L� by P 1AI-5P�W- 02E7-1 who is personally known to me or who has produced AL Y(c) Structural Review NOT Sign: Print; My C as identification and who did take an oath. (Revised02 /24 /2014) (Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Zoning Clerk Apnl 26, 2014 Amtiaz Ahmdd Atlantic Engineering Services Inc. 2822 Waters Edge Circle Green Acres FI 33413 Phone 561 -368 4140 State of Florida Lice # 46102 Building Department Miami Shores Village 10050 NE 2"d Avenue Miami Shores Village, FL 33138 Attn: Building Official RE: 171 NE 102nd Street Miami Shores Village, FL Permit#: DC13 -1772 Dear Sir: • • ••• • • • ••• • • • • • • • • • • • • ••• • • • • ••• .• • . .. . . . . . . .• . • . • • • . • 000 000 • .• . . . •• ••• .. • ••• • • • • •• • . . . . • • • .. .. . . ...... S 7 4' S' Please be advised that I have been retained to inspect the removal of an existing partition between the living room and the kitchen on the above captioned property. Due to the fact that the partition between the living room and 4he kitchen does not provide any structural support to the existing structure, the removal does not impact the structural integrity and framing of the building. Therefore, it is safely removed. The walls are repaired to match the existing room finish as per Florida axle. The Framing is intact and not akered. To the best of my knowledge and ability and per Florida Building Code 2010 Edition, I approve this repair. We trust that this meets your approval. If you have any questions, please feel free to contact me. Sincerely, Atlantic Engineering Services, Inc. Imtiaz Ahmed, P.E. Florida P.E. #46102 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT Permit N. 13 — e I Q— Owner's Name (Fee Simple Title Holder):` i���i -tip Phone #: P -� Owner's Address: k '?�-i e,4 L b 2- c' City: its `S State : ( Zip Code: P3 i '?'Q Job Address (Of where work is being done): I E l ®2 City: Miami Shores State:—Florida Zip Code: 3 3 Contractor's d Company Name: rt'P� � S z,� C­, Phone #: \ Address: ob S � �-�- �� City: Qualifier's Name: Architect/ Engineer of Record Name: Address: City: Describe Work: State: (t1 Zip Code: 1 Lic. Number: C C-CI s 13 Z`� State: V-1 ". -- as �, Phone #: Zip Code: I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Sjoyes harmless for all legal involvement. Signature - Signature owner or gent Contractor or Arclii The foregoing instrument was aknowledged before me The foregoing instrument twwas y' aknowledged before me this( &ay of 0 20)LAy , G:950TA J�yn/ this �f day of , 2P by 9 130VL1L ```' t �1 Who is personally known to me or who has produced who is personally known to me or who has produced & � - 5393-0 as indentification. as indentification. Notary Sign: , - e Notary Public State Of FI07q Joanna M Feliciano My cornmisalon FF 082753 Expires 0 1 11212018 + AAA Notary Pu rc: 0 0'", Sign: �': •. Seal: ®R STATE OF FLORIDA ti Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 6114763 BUSINESS NANIE/LOCATION RECEIPT NO. EXPIRES B & B CONSTRUCTION GROUP RENEWAL SEPTEMBER 30, 2014 3620 NW 7 ST 6377667 Must be displayed at place of business MIAMI, FL 33125 Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED OSHA COMPLIANCE ASSOCIATION CO 196 GENERAL BOLDING SY TAX COLLECTOR CONTRACTOR 49.50 10/02/2013 Wakens) 1 CGC1513286 CREDITCARD -14 231 This local Basisess Tax Receipt only cos5mm payment of the local Business Tax. The Receipt is not a l ON". permit, or a coacados of the holders gaaiigcadoas,to do business. Holder moat comply wilb any 90"IMR&O d or nongovernmental regaiatsty laws and regairemencswhich apply to the business. The RECEIPT 190 above must be displayed as a0 commercial vehicles - Miami -Bade Code See 8a -211L REDFormers hdorma&u.vw tat nddadogwdmc- ollsctor (I, . , JEFF ATWATER CHIEF FINANCIAL OFFICER r1 6`J STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1116/2013 PERSON: OREYZI FEIN: 260817970 BUSINESS NAME AND ADDRESS: OSHA COMPLIANCE ASSOCIATION LLC B&B CONSTRUCTION GROUP 3620 NW 7TH STREET MIAMI EXPIRATION DATE: 11/6/2015 BABAK FL 33125 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR- PROJECT CONTRACTOR MANAGER,CO Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade fisted on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to most the requirements of this section. DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (850)413 -1609 __11 ACCAROF CERTIFICATE OF LIABILITY INSURANCE °"E PM114 "' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder IS an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266-0493 Fax (305)262-0679 W a MARTA M ALONSO PHONE _ (305POS-6493 Af No): (305)262 -0679 41AIL ADDRESS, marts@Horidabankersinsurance.com INS s AFFORDING COVERAGE NAUC @ INSuRERA: FEDERATED NATIONAL INSURANCE COMPANY N INSURED OSHA COMPLIANCE ASSOCIATION LLC/DBA B & B CONSTRUCTION GR 90 SW 3 ST #310 MIAMI, FL 33130 (305) 503 -8527 INSURER B 01/11/2014 wsuRER c: EACH OCCURRENCE INSURER D : DAMAGE S( occurrence) INSURER E ' MED EXP (Arry one person) INSURER F PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. INTR TYPE OF INSURANCE AfJD POLCY NUMBER PO CY EFF PODGY EXP �rww LIMITS A GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ® OCCUR ❑ N N GL -0504010169 -01 01/11/2014 01!11/2015 EACH OCCURRENCE $ 1,000,000.00 DAMAGE S( occurrence) $ 100,000.00 MED EXP (Arry one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER RI POLICY El PRO- ❑ LOC PRODUCTS - COMP /OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANYAUTO ❑ ALLOOW NED ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ AUTOS NON-OWNED ❑ ❑ COMBINED SINGLE LIMIT accident BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ PRO =d d AMAGE $ $ ❑ UMBRELLA L IAB ❑ OCCUR ❑ EXCESS LIAR ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) El Dyyes describe under DESL'RIP710N OF OPERATIONS below N /A ❑ WCSTI% ❑ OTM E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY umrr I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Atlach ACORD 101, Additional Remarks Schedule, If more space Is required) CGC1513286 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES, FL 33138 305 - 5038527 ACORD 25 (2010105) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Dm NPRED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988 -2010 ACORD CORPORATION. A0 rights reserved. The ACORD name and logo are registered marks of ACORD April 26, 2014 Amtiaz Ahmed Atlantic Engineering Services Inc. 2822 Waters edge Circle Green Acres FI 33413 Phone 561 -368 4140 State of Florida Lice # 46102 Building Department Miami Shores Village 10050 NE 2nd Avenue Miami Shores Village, FL 33138 Attn: Building Official RE: 171 NE 102nd Street Miami Shores Village, FL Permit #: DC13 -1772 Dear Sir: Please be advised that I have been retained to inspect the removal of an existing partition between the living room and the kitchen on the above captioned property. Due to the fact that the partition between the living room and the kitchen does not provide any structural support to the existing structure, the removal does not impact the structural integrity and framing of the building. Therefore, it is safely removed. The walls are repaired to match the existing room finish as per Florida code. The Framing is intact and not altered. To the best of my knowledge and ability and per Florida Building Code 2010 Edition, I approve this repair. We trust that this meets your approval. If you have any questions, please feel free to contact me. Sincerely, Atlantic Engineering Services, Inc. Imtiaz Ahmed, P.E. Florida P.E. #46102 . ._° . a, 0�)jM I BUILDIN(A" Ly PERMIT AP 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 c+rnr°'l7` ATIONI Permit Type: BUILDING JOB ADDRESS: 171 NE 102 STREET AUG 0625iJ Fsc 20 Permit No. . Master Permit No. ROOFING City: Miami Shores County: Miami Dade gip; 33318 Folio/Parcel# :1132060131840 Is the Building Historically Designated: Yes NO X Flood Zone: NA OWNER ,Game (Fee Simple Titleholder): KAM RAN AJAMI Phone #:954 873 3999 Address:171 NE 102 STREET City: MIAMI SHORES State: FL zip: 33318 Tenant/Lessee Name: Phone#: Email: AJAMIK @GMAIL.COM CONTRACTOR: Company Name: SELF Phone #: Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: MR ENGEERING Phone #: 9543648355 Value of Work for this Permit: $ %00 1� � (IJ Square/Linear Footage of Work: Type of Work: DAddition ❑Alteration ew Description of Work: ;' �_ �t , 1 C�N d Color thru tile: ODemolition Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ I ( I ! ,t 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 will not be approved and a reinspection fee will be charged. Signature Owner or gent The foregoing instrument was acknowledged before me this day of 120 by h Signature Contractor The foregoing instrument was acknowledged before me this day of .20 _, by , w o is personally known to me or who has produced t 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 Sign: Print: .; My Commission NOTARY PUBLIC: ELIZABUM" NOLL Nmery Public - StIts of FWft l� Commission # FF 03Ml23 Sign: Print: My Commission Expires: f Plans Examiner APPROVED BY Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /o7)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Miami Shores Village Building Department 10,060 N.E.2nd.Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILbER DISCLOSURE STATEMENT NAME: ` LILL"—DATE:— - a ADDRESS: k �-1 cam, , sS Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 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 less (The new form states 75,000): The building must be for yourown use and occupancy. It may not be built for sale or leaser If you-sell or lease a building you' have built yourself within one, year after the construction incomplete; the law will presume that,you built for-sale or lease, which WA violation df this'exernption. 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 bylaw. Your construction must comply with all applicable laws, ' ordinances, buildings codes and zoning regulations. Please read and inldal each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have.appiied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the properly listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. t understand that building permits are not requires to be stned by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume resporwibli ty. lnitlel,_ 3. 1 understand that as an owner builder, I am the responsible party of record on a permit, I understand that 1 may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his, or her name instead of my own name. I also understand that the contractor Is 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 two - family residence or a farm outbuilding. I also build oP improve a commercial building lf 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 (eased within 1 year after the construction Is complete, the law will presume that I built or substantially improved it for sale or lease, which yioletes 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 urdy or municipal ordinance. intlel I understand that it Is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erronedcsly implies that the property owner Is providing his or her own labor and materials. 1, as an owner- bullderr.mey 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 provid"ejooverage for those Injuries. I am willfully acting as an ownet- builder and am aware of the limits of my insurance coverage for.injuries to workers on my property. Initial I understand that I may not delegate the responsiblifty for supervising work to be a licensed oantractor who Is not Ooenses to perform the work:being done. Any person working on my building who Is not lic ersed must work under my direct supervision and must be employed by me, which rneacs that I must comply with laws *u ldh6 the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers corn on 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 laws and requirement that govem owner - builders es weq es employers. I also understand thetbe Construction must comply with all applicable laws, ordinances, building cam, , and zoning regulations. Initial 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 l may contact the Florida Construction industry UcershV Board at 850 .487.1395 or httolA%w w. mvfloridalicense .com/dbprtaroldlbAndex.hbn IOWL 11. 1 am were of, and consent to; an owner - builder building permit applied for in my name and understands that I am 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 arty of the Information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Corstr4uction 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 veritying e+hather 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 permHOng agency responsible for issuing the permit A copy of the property ownbei driver license, the notarized signature of the property owner, or other type of verification aceeptabte to the local permitting agency Is required when the permit Is Issued. Was acknowledged before me this day of At 24 Produced there License or OWNER who was personally known to me or who has W tL P'J�i1MTARYZ3 Sep Gu EE z8aI0 Mr +o Assn• Coll m +Isis t �ayonalNota Y TM OUP Bonded Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 August 19, 2013 Permit No: RC -8 -13 -1772 Building Critique — MEHDI 1. Provide scaled and dimensioned overall plans with hatches and legend (to show existing, to be demolished etc) along with the proposed details per the scope of application. Plumbinq Critique — Osvaldo Diaz 1. FBC 107.1 Provide plumbing sub permit Electrical Critique — Mike Devaney 1. Show receptacles switches and light fixtures with circuit numbers. 2. Floor plan of existing residence with smoke/ carbon monoxide detectors. 3. Need electrical permit tied to kitchen. replace 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 sheets and include one set of voided sheets in the re-submittal drawings. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 September 10, 2013 Permit No: RC13 -1772 Electrical Critigue Review 1. Show receptacles switches and light fixtures with circuit numbers. 2. Floor plan of existing residence with smoke/ carbon monoxide detectors. 3. Need electrical permit tied to kitchen. 4 sep. 2013. Same as 6 aug. 2013. no corrections maid and no permit application. Michael Devaney Electrical Chief Inspector Building Critique Review 1. .Provide scaled and dimensioned overall plans with hatches and legend (to show existing, to be demolished etc) along with the proposed details per the scope of application. 09 -06 -13 PENDING ABOVE COMMENT. Ismael Naranjo Building Official 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT -i� PERMIT #: U , 1 , 1.1, 1�DATE: �� /q 't'/O Z,c (NAME) o Contractor 9wner o Architect Picked up 2 sets of plans and (other) Address: / f /� [C) 6S�� L`- 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 continrmitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL:_ RESUBMITTED DATE: PERMIT CLERK INITIAL: �•, Adv, r r7 Note # I Removal of a 1 I feet wade by 8 feet tall dry wall, wall separating the kitchen and dining room. Note # 2 Removal wood cabinet and replacing with the similar kind, anchors to CBS wall by 1/4 x 3 inches tap con every 18 inches to secure the metal brace de ' a d sold by Based cabinet legs are alten?ately anchors to porcelain floor with hot epoxy. Note # 3 Removal of the connecting U shape center cabinet and leaving the same foot print of the center island. M � n N z 0 Existing c 2 #3 0 U r % 4 M u `; Note # I Removal of a 1 I feet wade by 8 feet tall dry wall, wall separating the kitchen and dining room. Note # 2 Removal wood cabinet and replacing with the similar kind, anchors to CBS wall by 1/4 x 3 inches tap con every 18 inches to secure the metal brace de ' a d sold by Based cabinet legs are alten?ately anchors to porcelain floor with hot epoxy. Note # 3 Removal of the connecting U shape center cabinet and leaving the same foot print of the center island. \P� r as I b� j -ab et After removal the wall Existing and replaced the lower F) CITY [)is Island and upper cabinet." 0-71, pp Existing k Cook Oven Dining Room Living Room C 0 P Top N Existing 1 l ab net FLOOR PLAN Ref. Existing TO SCALE. 5 + = 4� Kitchen r SEP 2 4 2013 Cab et ee Exi ng Not I Dis . Island Exis 'ng xish ming oom in k v tche Living Room Existing Cab net ote FLOOR PLAN NOT Ref. = TO SCALE. GARAGE Existing FLOOR PLAN NOT TO SCALE. FLOOR PLAN NOT TO SCALE. Existing Living Room iI Entry FLOOR PLAN NOT TO SCALE. _________ _______ ______ = = = =�1 PORCH I Existing Existing Sliding Door Existing Bathroom Existing closet closet II FLOOR PLAN NOT TO SCALE. Existing Bedroom #2 Existing Master Bedroom FLOOR PLAN NOT TO SCALE. closet Existing M � n N z 0 Existing c 2 \P� r as I b� j -ab et After removal the wall Existing and replaced the lower F) CITY [)is Island and upper cabinet." 0-71, pp Existing k Cook Oven Dining Room Living Room C 0 P Top N Existing 1 l ab net FLOOR PLAN Ref. Existing TO SCALE. 5 + = 4� Kitchen r SEP 2 4 2013 Cab et ee Exi ng Not I Dis . Island Exis 'ng xish ming oom in k v tche Living Room Existing Cab net ote FLOOR PLAN NOT Ref. = TO SCALE. GARAGE Existing FLOOR PLAN NOT TO SCALE. FLOOR PLAN NOT TO SCALE. Existing Living Room iI Entry FLOOR PLAN NOT TO SCALE. _________ _______ ______ = = = =�1 PORCH I Existing Existing Sliding Door Existing Bathroom Existing closet closet II FLOOR PLAN NOT TO SCALE. Existing Bedroom #2 Existing Master Bedroom FLOOR PLAN NOT TO SCALE. closet Existing FLOOR PLAN NOT TO SCALE. 0 Existing Bedroom #3 0 U �`l► � E Ids C-33312 6 2M � ac uNrr W91 W- 1-1 X1.2 ELECTRICAL LEGENDS W SINGLE RECEPTACLE IJ EMERGENCYUGHT 6 DUPLEX RECEPTACLE W E2W RECEPTACLE EXIT LIGHT SWITCHED RECEPTACLE V SINGLE FLOOD - SOFFIT MOUNTED OUADRAPLEX RECEPTACLE 4VDOUBIE FLOOD - SOFFR MOUMED SINGLE FIODR RECEPTACLE y� ( ) INCANDESCEM FUTURE- CEIUNGMWNTED dy i DU— FLOOR RECEPTACLE !(- Y mil INCANDESCENT FIXTURE -WALL MOUNTED SWITCHED FLOOR RFCEPfACLE QUADRAPLEX FLOOR RECEPTACLE O RECESSED HIGH HAT ^ Lim SPECIAL PW G e RECESS WCAND. (EYEBALL) FIXTURE FM 12FTUNDER CABINET FLUOR. FIXTURE GFI GROUND iAULTINTERRUPTER P W WEATHERPROOF GROUND 3RVNDER CABINET 1� GFI FAULT INTERRUPTER EP esaM PAML LNG 4 FT UNDER CABINET RMO FD VP VAPOR PROOF C;== STRIP UGHT 24.48 FWO0. F... $ SINGLEPOLESWITCH O 12.48 FLUOR FIXTURE 3 WAY SWITCH 4WAY SWITCH EXHAUST FAN w/UCHT DIMMER SWITCH e EXHAUST FAN PUSHBUTTON DISCONNECT SWITCH CEILING FAN JUNCTI © JUNCTION BOX ®L TV JACK J EROVTIET CEUNG FAN �M (WI (LV /GENERAL Uff DVPLEX RECEPTICIE) - PHONE BACK - PREWIRE ONLY P" .6 ARC -FAULT PRCRECTION O SMOKE DETECTOR Icp 1� LWai PM T 1 1� SEP 2 4 2013 BY:4:!5� C no 'Ric, l PORCH I Existine ti