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DEMO-06-2280Inspection Worksheet Miami Shores Village L 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: February 03, 2009 Inspector. Bruhn, Norman Owner: RESPONDEK, CAROL Job Address: 1162 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Buildine Deaartment Comments Permit Type: Demolition Inspection Type: Final Work Classification: Building Ckwo-00 Phone Number Parcel Number 1122320280150 February 02, 2009 Page 1 of 1 Inspector Comments Passed /4 f Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 02, 2009 Page 1 of 1 BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SEP 0 6 2006 u J_. Permit No,t�: (..° PERMIT APPLICATION r "` Master Permit No. �',j>(� - - � � �, . FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) KE rXA-ACKPhone # CS En &- (:,F,74 Owner's Address j (� r,� ilk City -- �`,i '�►"'=- State Zip C 3y Tenant/Lessee Name_ N Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NOS%, Contractor's Company Name a'L+�� Phone # Contractor's Address City Qualifier State Zip State Certificate or Registration No. Certificate of Competency No. �toS, s cewfl Architect/Engineer's Name (if applicable) , Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration EjNew El Repair/Replace Demolition Describe Work: . . -� — _ _ -, —a _ _ ,— Submittal Fee $ Notary S. Permit Fee $ L5 n CC $ t CO/CC TrainingfEducation Fee $ . `L,V Technology Fee $ Scanning $ Code Enforcement $ Total Fee Now Due $ i (Continued on opposite side) Radon Zoning Bond $ Structural Plan Review. $ FEB n s aaio 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 caner or Age The foregoing instrument was as acknowledged before me this // Q � Signature -- Contractor The foregoing instrument was acknowledged before me this day of } 20 , by 011 On -,�. IU:!:) jnAQC-�i , day of , 20 _, by who is personally kn wn to me or who has producedg 213.010 —W o is personally known to me or who has produced ' i_ _CC- As identification and who did take an oath. as identification and who did take an oath. NOTA Y IC-, veronica Mayorga NOTARY PUBLIC: Sig • My Commission tm191394 w d xpi Sign: Print: Print: My Commission Expires: 4- Q'J--1- OCl r apC My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer chc 05/13/03 Zoning ` VILLAGE OF MIAMI SHORES OWNER BUILDER I)ISCLOSURE STATEMENT NAME: DATE:. P . ®, a ADDRESS: _ Ma. Do thherebY POtiO IT Of the 'Village. Of Miami. Shores. to act as my own contractor pursuant to the laws e State pf Florida, F.S 48§A;03(7). And[ have read and understood the following disclosure statement, which entitles irie to work as my own contractor; I further understand that I as the owner must appear in person to complete: all a'pplicationg. State Law requires construction to be done by a licensed- contractor. You have applied for a permit under an $xception 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 comrrierctal` building at a cost of $25,000.00 or less. The building must be fpr.yo it own use and. occupancy. It may -not be Guilt for sale or lease ...if you sell or lease a building you have built yourself within one year after the.constructlon 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 undcr:y4ur supert+ision and must be employed by you, which Means. that You mast deduct F.I.C.A and with - holdings tax and Provide workers' compensation for that em'ployee,.all;as prescribed by law. Your construction must comply with all applicable laws, drdinances, buildings codes and zbning*regulations. Please read and--initial each paragraph. I. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as art owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial M .3, .I have an understanding of the 2004 FBC & FRC and understand that this department 'and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. P understand that the building official and inspectors are ndt there two design, alter or give advice on how to meet code —% only if the structure meets the minimum code. Initial r, 5. 1 understand that as an owner- builder, that any contractor disputes with sub- contractors-.. and myself must be'haindled in a civil court with the advice of an attorney. The department will not mitigate'any contract disputes.. Initial 6. 1 understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any teason they do not .poses a business license I wit-1 be fesponsible and liable for any wrong doing from this unlicensed cornpany=or person. Initial 7:: I,uliderstaf:d that-if any.persori.gets injurird on my construction project—they are entitled to wdrkq* fi's compensation. And if they do not posses a workmen's policy I could be hcid liable for all doctor and related cost which could include loss cf wages duripg recovery from lnjury.' Initial aA 8. 1. understand that under *state and local laws I* can not do -any Electrical, Plurrtbing, Keating, Air &Roof work on my property with out first .obtaining the proper permits by licensed contractors. Initial Was acknowledged before �me this day of 20 G By 5 _2c 4ersoaally known to me or who has Produced there License or r as identification. Expi%J21-1�5, LU F oe; BondedTbru Atlantic Bonding Co , Inc a Miami Shores Village Building Department ` 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PERMIT #: I, ❑ Contractor XOwner ❑ Architect Picked up 2 sets of plans and (other) RECEIPT DATE: IlJ 106 Address: A �0 '2- 1') E /61 i 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 CLEARK INITIAL: /'��b SEP o 6 2006 RESUBMITTED DATE: BY:-v - - - - - - -- PERMIT CLEARK INITIAL: Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: DEMO -9 -06 -2280 Invoice Number: DEMO -2 -07 -27455 Applicant: CAROL RESPONDEK Company Name: Owner Address: 1162 NE 105 ST MIAMI SHORES, FL 33138• Job Address: 1162 105 Street NE Miami Shores Village, FL Date Payment Type Check Number Amount Change Friday, February 9, 2007 02/09/2007 Check 4665 $106.30 $0.00 Total Payment: $106.30 Page 1 of 1 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 2/8/2007 Expires: 08/07/2007 Permit Number: DEMO -9-06 -2280 Owner's Name: CAROL RESPONDEK one: Permit Type: Demolition Work Classification: Build Job Address: 1162 105 Street NE Miami Shores Village, FL Contractor(s) Phone Primary Contractor HOME OWNER Yes Additional Information Type of Demo: Building Additional Info: DEMO Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.30 Building Department File Copy Applicant Signature 'Parcel #: 1122320280150 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Invoice Number Amt Due Amt Paid DEMO -2 -07 -27455 $106.30 Total: o 9 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.