RF-13-1711Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 196172 Permit Number: RF -7 -13 -1711
Inspection Date: March 25, 2014 Permit Type: Roof
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: RICHTER, CHRISTIE Work Classification: Gutters
Job Address: 9357 NE 9 Plar_p
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Phone Number
Parcel Number
1132050070090
GUTTER INSTALLATION
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
Failed El
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
For Inspections please call: (305)762 -4949
March 24, 2014 Page 1 of 1
6
Miami Shores
Village , 3
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Building Department -� IR 10050 N.EaW Avenue °°
Td: (305) 795.2204: (3�, 56 � 33138
INSPECTION'S PHONE NUMBER.: (30M 762.4949
BUILDING FBC ZO
PERMIT "PLIC Permit No.
ATION Master Permit No.
Permit Tne: BUII.DING ROOFING
JOB ADDRESS: -2 -
City: - Nami Shy County: NOW Dade
Is the BWMW9 M torfa ty Dedptated: Yes NO now zme:
OWNER: Name (Fee Simple Titleholdcr): Gtf�k
Address: S 7 1317 c� +-f1 b
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city: _V wo— �74_
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Tenant2essee Name: 23p:
Email:�"1�ti���
CONTRACTOR: Company Name:
Address:
atr State:
Qualifier. Name•
Phone
#:
State Certification Or IZC$i8[raiiOn #: Cert�ftCate Of Competency #:
Contact Phon*. Email Address:
DESIGNER: Ambitect/Enginea; JPhonet.
c
Value of Work for this Permit: $ J
Squre/Ltnear $'Dotage of Work:
Type of Work: DAddidon OAheration = -EIMFvv nn—:_M-11 - --
Description of Work:
******** * * * * * * * * * *** **** ***** * * * *** * *«* gees***** w* �*******► *** * *****«*******�t***+e*s+�* **
Submittal Fee $ Permit Fee $ CCF $ MCC $
Fee $ ` Radon Fee $ DBPR $ Bond $
Notary $ T=WnVVAu don Fee $ Tedw.d oW Fee $
Double Fee $ _• _! S&BetmW
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
zip
Mortgage Lender's Address
City State �p
Application is hereby made to obtain a permit to do the work and installations as indicated. I cVr* 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,
WEI . POOLS, FURNACES, BOILERS, HEATERS. TANKS and AIR CONDMONERS, 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 s en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approv and ei spection fee will be charged.
Si Signature
V 1P
Owner 0,014ent Contractor
TapIlmailn me yT ac I 's The foregoing instrument was acknowledged before we this
da20 by day of . 20 _, by
wown to me or who has produced who is personally known tome or who haaproduced
identification and who did take an oath. as identification and who did take an oath.
NOTAR LIC: - NOTARY PUBLIC:
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Sign: o Sign:
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My Commission My Commission Expires:
APPROVED BY plus Examiner'. Zoning
Structural Review Clerk
(Revised 3/12I2012XRevised 07/10107XRev19ed 0fin0aM){ vWwd 3115/09)
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
August 1, 2013
Permit No: RF13 -1711
Buildina Critique Review
1. 1) The plans are illegible. Provide legible dimensioned plans and details.
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
OWNER BUILDER DISCLOSURE STATEMENT
NAME�I' -iL l 5 t't L: �� �Ut�,fL DATE:
ADDRESS: ? '�� -- -L+ �LCR.�c.� y V� a4 -•-wi �� . J 1
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 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 or less (The new form states 75,00. The building must be for your own use and
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oupancy. 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. I 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 properly listed, may act as my own
contractor with certain restrictions even though I do not have a license.
Initial
2. 1 understand that building permits ere 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. ,
InitialC�
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit I understand that I protecd myself
from potential financial risk by hiring a licensed contractor and having the permit filed In his or her name d of my own
names. ,I also understand that the contractor Is required by law to be licensed In Florida and to list his or tics sie, numbers on
S q 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 bulk or substantially improved for sale or lease. If a building' or residence that I have bulk or substantially Improved
myself Is sold or leased within 1 year after the construction is complete, the law will presume that I or substaptially
Improved it for sale or lease, which violates the exemption.
. .I
5. 1 understand that as the owner- builder, I must provide direct, onshe 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.
Initial
7. 1 understand that it is frequent precticas 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 homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner - builder and am aware of the limn of my insurance coverage for injuries to workers on my property.
In(tial e�
I understand that I may not debate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done. Any person working on my building who is not licensed must work under my direst 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
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 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
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 Ucensing Board at 850.487.1395 or httoJl www. mvfio4daiicerise .comldbrn'foroldibfindwLtd l
Initial��
11. 1 am aware 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 acivity at the following address:
Initial�—
12. I agree to notify Miami Shores Village Immediately of any additions, deletions, or changes to any 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 Con*4uction Industry Ucersing 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 property licensed and the status of the contrectoes workers compensation coverage.
Before a building permit can be issued, this d'mdosure statement must be completed and signed by the properly ��wwrrttssr and
returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver ticerl�e, the
notarized signature of the property owner, or other type of verification acceptable to the local permitting agency k requirod when
s 4 the permit Is issued.
Was acknowledged before me this _3 day of 201�
B V I 4 YQJ fA CA who- was personally known to me or who has ,
Produced there License or
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OWN �, f+l(��`R' E plies Sep 23.2015
Commission ,w EE Florida 12881Assn.
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Seamless ®� a
Rain Guttel'S
Inc. Time: _
8040 NW 103 St. Bay #44 - Hialeah FL 33016
Ph: (305) 226 -3995 Customer #:
CUSTOMER:
Name
Address:
City, State
Phone
JOB SITE:
Address:
City, State
CC# 09BS00361
TOTAL FOOTAGE'S TOTAL DOWNSPOUT SALES REP
TOTAL $ �` r ❑CASH
❑ ALUMINUM
DEPOSIT $
BALANCE $
❑ CHECK
❑ CREDIT CARD
❑ COPPER
❑ GALVANIZED
❑ STAINLESS STEEL
5 YEAR GUARANTEE ON LABOR / 20 YEAR GUARANTEE ON MATERIAL
EXCEPT Damage resulting from accident, misuse. abuse, neglect, or from other than normal and ordinary use of the product.
TERMS OF PAYMENT Payment in full due upon completion. Contracts which state a draw cut off date and payment release date are the only exceptions
and must be signed by representatives of both parties. FINANCE CHARGE. Finance charge in amount of the lesser of 1.5 %6 per month (181/6 per annum),
or the maximum allowed by law. will be added to all invoices that are 30 days past due. APPROVAL. No alterations or additional work shall be performed
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in writing "d are not responsible for damage to roof tiles, shingles or fascia boards.
CLIENT SIGNATURE: DATE: f i' `� �i19 AUTHORIZED SIGNATURE:
E -mail: abcrainqutters @msn.com Seamless Rain Gutter