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DEMO-14-1897 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222543 Permit Number: DEMO -8-14-1897 Scheduled Inspection Date: December 12, 2014 Permit Type: Demolition Inspector: Rodriguez, Jorge Inspection Type: Final Owner: ATASH, KARIM & METIS CORINA Work Classification: Building Job Address: 1195 NE 100 Street Miami Shores, FL Phone Number (305)790-5551 Parcel Number 1132050190360 Project: <NONE> Contractor: HOME OWNER Ituuamg uepanment comments REMOVAL OF FLOORS, CLOSETS, KITCHEN CABINETS,I Infractio Passed Comments BATHROOMS CLOSETS AND WOOD PANELS. INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-218826. Remove all plywood from floors Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 11, 2014 For Inspections please call: (305)762-4949 Page 5 of 30 Miami Shores Village Building Department Au 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 By INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 L® BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. E04BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: J ! /V ©�' 5 7R G r City: Miami Shores County: Miami Dade Zip: 3 3 139 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): I /A 13 j, /:'t ?�7Ar Phone#: 3D 5 — If L L---5 5-5/ Address: li ct /y (�' ) D o s—r. City: /0 t .I Ms 5 140 PCtf S State: FC. Zip:'3 3/ X37 Tenant/Lessee Name: Phone#: 3,2 7 Ira — 5557/ Email: /f4A.-rA 40' CONTRACTOR: Company Name: // Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: a� Zip: Value of Work for this Permit: $__ �/ Square/Linear Footage of Work: 9- 2 toy Type of Work: ❑ Addition ❑ Alteration- EJNew ElRepair/Replace CKDemolition Description of Work: Specify color of color thru tile: Submittal Fee ® ° ®Qj Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $, (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $O , 40 s-. 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 r * � 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 sabject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the flrst.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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this _ day of 20 by �.5��// who is personally known to me or who has produced d4Vt 6106v-7'6 as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was day of me or who has Droduced% identification and NOTARY PU Wedged ore me this 20 , by o is personally known to as did take an oath. Sig Si int qn ` Print• S Seal: �pµr Notary Public State of Flon a Joanna M Feliciano MY Commission FF 082753 Expires 01112!2018 APPROVED BY Plans Examiner Zoning X! , Structural Review Clerk (Revised02/24/2014) CFN: 20140586650 BOOK 29279 PAGE 2352 DATE:08/21/2014 03:19:09 PM DEED DOC 3,090.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Rmpmd by and return to: Liana Martinez, Esq. Liana Martinez, P.A. 326 NE 29th Street Miami, FL 33137 305-573-9070 File Number: 14-0068 Will Call No.: Consideration: $ 515,000.00 --[Spam Above This Line For Recording Data] Doc. Stamps: $ 3090.00 Warranty Deed This Warranty Deed made this day of August, 2014 between Gloria Levin, a single person whose post office address is Route 2, Bog 63, Marlinton, WV 24954, grantor, and Karim Atash and Metals Corina Atash, husband and wife whose post office address is 1195 NE 100 Street, Miami Shores, FL 33138, grantee: (whenever used herein the tun "grantor" ad "grautee' include all the parties to ties instrument and the heirs, legal representatives, and assigns of Individuals, and the successors and assigns of corporations, trusts and bustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO1100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby aelmowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 15, less the East 5 feet, Block 177, MIAMI SHORES SECTION 8 REVISED, according to the Plat thereof, as recorded in Plat Book 43 at Page 67, of the Public Records of Miami -Dade County, Florida. Property Address: 1195 NE 100 Street, Miami Shores, Florida 33138-2601 Parcel Identification Number: 11-3205-019-0360 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land m fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby folly warrants the We to said land and will defend 'the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2013. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimeo CFN: 20140586650 BOOK 29279 PAGE 2353 State ofFlorida V County of Miami -Dade The foregoing instrument was acknowledged before me this ;:�Q day of August, 2014 by Gloria Levin, who U is personally known or [X] has produced a driver's license as identification. [Notary Seal] blie �//� Printed Name: b0 tm '� & M kI ez- My Commission Expires: I e;) 1 020 ! V LIANAfAARTM * My00WWj0M0EE224401 EXPIRES: September8, 2W i0�r� BaadadTleuB�tlQatl�Y�'+� WarraruyDwd - Page 2 Doubl®Times 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 sso/ L NAME:���/Z/ � E% 6ATE: ° E9 Z� Zole, ADDRESS: � 70 ¢re'e-lam ory�i cJ h ®,ecf SJ 1.3 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 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. 1 understand that state law requires construction to,Oe 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 erg 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 S. I 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 codes, and zoning regulations. Initial' 7 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 http://www.myfloridalicense.com/dbpr/pro%ilbAndex.html 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 activity at the following address: • r� Initial 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 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. Was acknowledged before me this day of 20 ��. By who was personally known to me or who has Produced there License or �� ®®�� as identification. 0W R _ �� Notar"Ol Rt of Florida Joanne M Feliciano ,` My Commission FF 082783 9j�oc ttio Expirs, 01112!2018 Miami Shores Village Building Department , 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Ad03 Permit No: P4e7Ii 0 Al't —t$�A113 l�' Structural Critique Sheet Page 1 of 1 Ilf- 6 PY",&W—f -W Al Z) tJ � �� to STOPPED REVIEW 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. Mehdi Asraf