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RC-14-878Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219003 Scheduled Inspection Date: September 10, 2014 Inspector: Rodriguez, Jorge Owner: RINEHARD, KEITH Job Address: 1700 NE 105 Street 517 Miami Shores, FL Project: <NONE> Permit Number: RC -5-14-878 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)968-0517 Parcel Number 1122300500930 Contractor: SCIENTIFIC CONSTRUCTION GROUP INC Phone: (786)587-9728 comments NEW KITCHEN CABINETS APPLIANCES AND INSTALLATION OF TILE FLOORS AND SOUND INSPECTOR COMMENTS False PROOFING THROUGHOUT September 09, 2014 For Inspections please call: (305)762-4949 Page 27 of 44 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 09, 2014 For Inspections please call: (305)762-4949 Page 27 of 44 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215672 Scheduled Inspection Date: July 14, 2014 Inspector: Rodriguez, Jorge Owner: RINEHARD, KEITH Job Address: 1700 NE 105 Street 517 Miami Shores, FL Project: <NONE> Permit Number: RC -5-14-878 Permit Type: Residential Construction Inspection Type: Framing Work Classification: Alteration Phone Number (305)968-0517 Parcel Number 1122300500930 Contractor: SCIENTIFIC CONSTRUCTION GROUP INC Phone: (786)587-9728 uomments NEW KITCHEN CABINETS APPLIANCES AND ------ INSTALLATION """""INSTALLATION OF TILE FLOORS AND SOUND INSPECTOR COMMENTS False PROOFING THROUGHOUT Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-215593. CREATED AS REINSPECTION FOR INSP-215373. CREATED AS REINSPECTION FOR INSP-213968. CREATED AS REINSPECTION FOR INSP-211627. The building is a type II construction, unrated wood is Failed ❑ not allowed in type II construction, replace framing members. No permit on site No access, no one home Correction ❑ Pending letter Needed Provide letter of certification from a license engineer certifying that the 4" cbs wall that was removed is not a load bearing wall. Re -inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 11, 2014 For Inspections please call: (305)762,4949 Page 20 of 26 gC ly_8-78 CTION ENGINEERING GROUPS LLC CGC: 1516472 1931 NW 150th Avenue, Suite 208 Pembroke Pines, FL 33028 PHONE: 954-961-5300 FAx: 954-961-3003 E-MAIL: PRESTIGECE@YAHOO.COM Date: June 24th, 2014 Property Owner: Keith Rinehard Property Address: 1700 NE 105th Street, Unit 517, Miami Shores, FL 33138 Folio Number: 11-2230-050-0930 This letter is to inform you that the non re-inforced concrete block walls to be removed are not bearing walls, they are going to be replaced with low 2x4 wd. Studs (at 24" o.c. max.) frame walls in order to have a more open area If you have any questions please don't hesitate to call me at 561 245.5228 Sincerely Diehl AR 0007424 1700 NE 105 Street,Unit 517, Miami Shores, FL 12 X 24 Conc. Col. Exist. 8-Ft.Curtain Wall to be Living Room be replaced with 3 -Ft. Wall. Kitchen V 32" Door Exist.8-Ft.Curtain Wall to be I I II be replaced with 3 -Ft. Wall. Common Hallway 32" Dining Room N.T.S. 36" Entry Door Miami Shores Village Building Department7--1 C-Et10050 N.E.2nd Avenue, Miami Shores, Florida 331384r �1XTel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20 BUILDING Master Permit No. & 1/1%Y01 PERMIT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [:]CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: 11-700 PL / 0r S: 6-1-7 :City: Miami Shores County: Miami Dade Zip:.VI-If Folio/Parcel#: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder) Address: !jr !7- City: MAN, 5/ �&"r, State: Zip: 33134E Tenant/Lessee Name: Phone#: 30r— D�%7 Is the Building Historically Designated: Yes NO Y_ Construction Type: Flood Zone: BFE: FFE: Email: CdA,'w v � � CONTRACTOR: Company Name: hone#: 7" Address: I/,?,'e;-/ ,�20 City: Ali C. - k 1� State: Zip: f _ Qualifier Name: � i�/ %� � �% V z( Phone#: � � �7 State Certification or Registration #: �� / S6 J % �r�3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Add City: State: Zip: Value of Work for this Permit: $ Z'2i 22 00 Square/Linear Footage of Work: /,X00 4 Aol-- Type of Work: ❑ Addition Alteration 1:1New Description of Work: &ew Lf & /.c, �'Le4o� Vv- Specific color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $, Repair/Replace ❑ Demolition oe 1.. .4- 11,9 r -A" ,. -4 CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 7�' • �/C� Bonding Company's Name (if applicable) s► - 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection w' not be approved nd a reinspection fee will be charged. LSignature _ Signature p� � lrv. r or Agent IL Contractor The foregoing i strument was acknowled ed before me this day of u ri U 20 u ' by 0Ufjtj FercB i$�+ who is ersonally known o me or who has produced 9� As identification and who did take an oath. NOTARY PUBLIC: zos°;:::°8�.� MARCILOWMAN W * MY COMMISSION # FF 034616 EXPIRES: Jury 9.2D17 ar �oP°e Bended Thru Budget Notary Services Sign: 9 Print: My Commission Expires: V i a01 � Th Q for going instrument was acknowledged before me this day of i"�c 20,�, by it. AcN who is personal) to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: f 30NIA M. DIAZ Notary Public. State of Florida No. FF84643 Bonded thru APPROVED BY Plans Examiner Arthur J. Gallagher & C 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) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02110/14 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 policy(les) must be endorsed. If SUBROGATION IS WANED, 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 endorsement(a). PRODUCER Briar Bey Insurance Agency 14229 S Dbda HwyE-MAIL Mlami, FL 33176 Phone 305 251-5546 Fax 305)251-9947 CONT CT IPPOUTO ROMANO PHONE (305)251-5546a o (3057251-9947 insurance(�briarwaylnsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: GRANADA INSURANCE COMPANY INSURED SCIENTIFIC CONSTRUCTION GROUP, INC. 1251 NE 209th Terrace MIAMI, FL 33179- (796) 587-9728 INSURER 8: INSURERC: INSURER D: INSURER E: INSURER F: 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 CONTRACT OR 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 CLAIMS. IL7R TYPE OF INSURANCE AMR DDL UBR POLICY NUMBER POLICY F M�INtID Y LIMITS A GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ ❑ 0185FL00033723 02/1012014 0211012015 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 MED MED EXP (Any one person) $ 5,000.00 & ADV INJURY $ 1,000,000.0(= GENERAL AGGREGATE $ 2,000,000.00 GEML AGGREGATE LIMIT APPLIES PER: ❑ POLICY El PRO- ❑ LOC PRODUCTS - COMP(OP AGO$ 1,000,000.00 $ J AUTOMOBILE LIABILITYCOM9�ND ❑ ANYAUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ ANUOTNO'OSWNED SINGLE LIMB $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P er aPER AMAGE $ $ ❑ UMBRELLA LIAB ❑ OCCUR El EXCESS UAB ❑ CLAIMS•MADE EACH OCCURRENCE $ AGGREGATE $ El DED El RETENTION $ WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY YIN ANY PROPRIE-TOR(PARTNERIEXECLITIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yyaas describe under DWIPTION OF OPERATIONS below NIA ❑ STATU- 11OTH - j E L EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) GENERAL CONTRACTOR FOR REMODELING ONLY CERTIFICATE HOLDER CONCEI I ATInN MIAMI SHORES VILLAGE 10050 NE 2nd AVE MIAMI SHORES FL 33138 FAX 305 756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IPPOLITO ROMAN 0 ®1 88-2010 ACORD CORPORATIAN_ All rinhf. —.—A .,vvnv iv tav rvrval vcr The ACORD name and logo are registered marks of ACORD Charles Perez & Keith Rinehard 489 NE 95th Street Miami Shores, FL 33138 (305) 968-0517 RE: 1700 NE 105th St., #517, Miami Shores Dear Ismael - Attached are plans and the permit application for work at our unit in the Shores Condominium. It is my understanding that we will need permits for the construction work and the electrical work as follows: -Opening the kitchen walls creating a counter space between the kitchen and dining/living area -Lowering the electrical (circuit breaker) box on the wall to allow for the open counter space. I'm working with Michael Longman who's already run the electrical work by your electrical permit guy (who seems to think it'll be okay). I'll follow this with an electric permit application asap. Please let me know if there's anything else you need. A'6- ®CS- 06LM t 24^ s� M• IJ 7'GF.asa �l�io✓ei� P Vic' l�t 6 , tip' -)P-Olt 43q � e ow 'n JAA,�, ®t- CEI (are MAY 2894 } �► BY: .. g y s f�1a$VIIIc3 e ' Niic'1f711 'f'Gr� E.sr=�� DATE m ®kilo Z NING I)EP m DG DEPT (P,1Q 1r'pICE Wf 1 %u1. FEDEWA- ECT , O G , "Oh15 STATE ANv l C,��iv'; f ,i1,L-S Ar1D REGu�` IR ArY pro DESCRIPTION: Flame Stop II is a water-based, post-treatment, interior/exterior fire retardant, and wood preservative that penetrates the material and bonds with the cellular structure. The penetrant protects the substrate by developing a self -extinguishing reaction when the treated material comes in contact with an open flame. When properly applied on certain untreated woods such as Douglas fir, the wood shall have a Class A rating. Flame Stop II contains polymers that maintain the fire retardation for up to five years for exterior applications. Flame Stop II is non-toxic, non-combustible, non -carcinogenic, easy to apply, and contains no PDBE's. BASIC USES: Flame Stop II protects exterior and interior woods such as: porous woods, cedar shake shingles, decking, and structural lumber. ADVANTAGES: Flame Stop II is a Class A, one -coat system with a Flame Spread of 25 and Smoke Developed of 25 on Douglas fir. Since Flame Stop II penetrates and forms a molecular bond with the substrate, the life of the flame retardation shall be indefinite for most interior applications. For exterior applications, it is recommended that the Flame Stop II be reapplied after five years. Flame Stop II will not alter the structural integrity of wood, such as pressure treatment does, and is preferred, because it is user-friendly, functions as a wood preservative, dries clear, and can be easily applied by spraying, immersing, brushing, or rolling. Flame Stop II contains mold and mildew inhibitors which are effective against black mold. Once cured for 48 hours, the treated material may be painted with most latex -based paints. LIMITATIONS: Storage Range: 45 -110 degrees Fahrenheit (7 — 43 Celsius) Shelf Life: One year, if kept within storage range. A compatibility test is strongly recommended. Moisture content should be 5 —15% before treatment. Do not dilute. 924 Blue Mound Rd. Ft. Worth, TX 76131 817-306-1222 FAX 817-306-1733 info@flamestoK).com APPLICABLE STANDARDS: Flame Stop II was tested to the following standards: ASTM E-84, NFPA 255, UL 723: U.S. Testing #LA 62466, Omega Point Laboratories #8746-108578 Class A Rating. Ensure that all materials are clean prior to application. Apply Flame Stop II as is by spraying, brushing, rolling, or immersing at the rate of 125 square feet per gallon. If spraying onto a vertical surface where runoff could occur, multiple applications may be necessary. When doing multiple coats, wait until the first coat has penetrated before beginning the next application. One coat will require a 48-hour curing period. For spray application, use a .012 tip size and a low-pressure airless sprayer. **** After treatment a 48-hour conditioning period is necessary before testing **** TESTING: A small-scale test can be preformed with the utilization of a sample of the treated material and a small flame (butane lighter or match). Hold a 4" x 12" piece of the treated material vertically and apply the flame to the lower portion for 10 seconds, and then remove the ignition source. The flame must self -extinguish within two (2) seconds. This test is similar to the small-scale NFPA 701 field test. FLAMESPREAD 25 AND SMOKE DEVELOPED 25 PER ASTM -E84 February, 2010 TESTED BY: U.S. TESTING COMPANY INC. (SGS NORTH AMERICA) OMEGA (INTERTEK) COMMERCIAL TESTING WARRANTY: NOTES: Seller's and manufacturer's only obligation shall be to replace such quantity of the product proved to be defective. Neither seller nor manufacturer shall be liable for any injury, loss or damage, direct or consequential, arising out of the use or the inability to use the product. Before using, user shall determine the suitability of the nrodurt for his intended use. and user assumes all risk and liahility whatsoever in ronnert-ion therewith. } Fire Retardant Spray for Wood I Flame Retardant for Wood I FlameStop.comTM TM K111111 A FUIVIEN '.> M: HOME TECH HEE RESEARCH i CONTACT US • C'i � 4I��C��'� • rC� ��'i` 19 1 FM M srQ 6/25/14, 6:18 PM Fire Retardant & Flame Retardants Products By Flame Stop@ Inc. PILO[, w„ '..w L IrK )r I E REQUEST NF RMATIC I I FAQ Flame Stop@ II is a water-based, post-treatment, interior/exterior fire retardant and wood preservative that penetrates the material and bonds with the cellular structure. The penetrant protects the substrate by creating a self -extinguishing reaction when the treated material comes into contact with an open flame. When properly applied on certain untreated woods, such as Douglas fir, the wood shall have a Class A rating. Flame Stop@ II contains polymers that maintain the fire retardation for up to five years for exterior applications. It is non-toxic, non-combustible, non -carcinogenic, easy to apply, and contains no PDBEs (polybrominated diphenyl ethers), which are toxic to humans and the environment. Flame Stop@ II protects exterior and interior woods such as porous woods, cedar shake shingles, decking, and structural lumber. Flame Stop@ II is a Class A, one -coat system with a flame spread of 25 and smoke developed of 25 on Douglas fir. Since this product penetrates and forms a molecular bond with the substrate, the life of the flame retardation is indefinite for most interior applications. For exterior applications, it is recommended that Flame Stop@ II be reapplied after five years. It does not alter the structural integrity of the wood the way pressure treatment does, and it is preferred because it is user-friendly, functions as a wood preservative, dries clear, and can be easily applied by spraying, immersing, brushing, or rolling. Once cured for 48 hours, the treated material may be painted with most latex -based paints. Some of the surfaces Flame Stop® II will protect: CHAT LIVE WITH A http://www.flamestop.com/flre-retardant-spray-for-wood.htmI Page 1 of 2 1 ` 1 r CONDOMINIUM APARTMENTS / QWORK REQ ST APPLICATION Owner's Name G/�y/ Pevv7- Unit I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor. ° Electrical work Plumbing work 7varit- Carpet installation N /�± "Windows Tile installatioj} Oi c�(a�'^ ; �� Other work v Gti► +''� G �u °� a S'v... rY�iov Descri tion of the work se< Before you decide to upgrade your apartment (other than paint or carpet) you most �- obtain'permission from the Board of Directors and/or Miami Shores Village. A copy \of the plans, specifications and permits, and a description of the licensed work to .be performed must be submitted for consideration and approval by the Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. "Window frames must be gray in color to look like aluminum. Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. I, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. ' its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported.) I fI llKers drstand and agree to he s atements made above. r2 22, nature Dat E Approved by: Date: 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: kZV't DATE: %Lt ADDRESS: 1T D C— 1�11�� `� 13 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 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.C.A 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 property 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 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. Initial 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 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 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 or 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. Initial 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 homeowner's 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 is 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 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 odes, and zoning regulations. Initial 1a` 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:/Avm.mvFloridalicense.com/dbor/aro/cilbfindex.html Initial I 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 activity at the following address: Om oc loc-sr S-) 7 Initial 0-- 12. 1 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 XAL Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not 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 required when the permit is issued. A Was acknowledged before me this cw-J day of A I , 20 Pli r gy Produced there License or who wa ersonally know o me or who has 0 identification. NOTARY MARCI LOWMAN # * MY COMMISSION # FF 034616 EXPIRES: July 9, 2017 BondedThruBudgetNotorySMIM Attn: Shores Condominium From: Charles Perez / Keith Rinehard Unit #517 Date: April 22, 2014 Re: Unit Upgrades Dear Association - This letter is for the purpose of communicating our intent to make some improvements to Unit 517 and make clear what we intend to do and what we do not intend to do at this time. First, it is our intention to make the following improvements: -Install tile and soundproofing throughout unit. -Lower electrical circuit box approximately 3 feet on the same wall. -Remove & install kitchen cabinets and appliances. -Remove & install bathroom vanities and toilets. -Open east and south kitchen walls into dining and living rooms. -Paint entire unit. It is not our intention, at this time, to do the following: -Scrape the ceilings. -Replace the windows. We are working with a licensed contractor and applying for all necessary permits with the Village of Miami Shores. -T Cno s t a So - g, eA.1, oopend cfictlli%�3 10 t6 -,/.a be -b&41 tvpr. borGI C.P-;htA5 is tows o vel E'(f C-1 '+`c boy Lje4-f*,p IZAO CeAA W4- Ir --tip. Ale4pl.