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PT-10-15-2690Inspection Works,heet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 Project: <NONE> Contractor: HOME OWNER Building Department Comments ITII =11 Parcel Number 1132060140280 INSPECTOR COMMENTS False omments November 03, 2015 For Inspections please call: (305)762-49491 Pecs 20 of 39 Inspector Comments Passed Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 03, 2015 For Inspections please call: (305)762-49491 Pecs 20 of 39 Opt Miami Shores Village . . . . . . . 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-000 0 Phone: (305)795-2204 Project Address 485 NE 92 Street Miami Shores, FL 33138-3154 Owner JORDANA HART Permit NO,PT-1 0-16-26,90 Permit Tyiw Paint Permit Work Classfflcafion Now Permit Status.- APPROVSD issue 111012212015 Expiration: PI 9 /20 Parcel Number Applicant 1132060140280 Block: Lot: JORDANA HART Address 485 NE 92 Street MIAMI SHORES FL 33138 Contractors) Phone Cell Phone HOME OWNER Type of Work: Exterior Color NEW HOUSE WHITE Additional Info: PAINT EXTERIOR OF PROPERTY Classification: Residential Color: NEW HOUSE WHITE — Approved Color: NEW HOUSE WHITE—Api Fees Due Amoun t CCF $1,80 Education Surcharge $0.60 Notary Fee 00 $5.00 Permit Fee $60.00 Technology Fee $240 Total: $69.80 8 0 Code Comments: Color NEW HOUSE WHITE Denied Phone Coll 305 577-9977 Valuation: $2,400.010 Total Sq Feet: 1825 I Pay Date Pay Type Amt Paid Amt Due I Invoice# PT-10-15-57513 10/22/2015 Check #: 1324 $69.80 $ 0.00 Available Inspectionsi.-- 7 Inspection Type: [ In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and reguiations 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 ak the foregoing information is accurate and that all work will be done in compliance with all applicable Taws regulating construction and zoning. Fut rmore, I uthorize the above-named contractor to do the work stated. October 22, 2015 Authorized 4 nall Owner / Applicant / Contractor / Agent Date Building Depalftment Gill October 22, 2015 1 1"V .l allll o1lulu�) 'V nlagu Building . t ..w 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ~- Tel: (305) 795.2204 Fax: (305) 756 8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 City 'Tenant /Lessee Name: Email: JOB ADDRESS: d� t s -� State: .. P, i / -Cc.) 13.1 i Zip: 2 3 n , City: Miami Shores County: Miami lade Zip: IEolio/Parcel##: Is the Building historically Designated: Yes NO )1(f Flood Zone: t COIw+i"I'It .: Company Name: Phone #: Address: - City: Qualifier Name: State Certification or Registration 4: Certificate of Competency #: Contact Phone #: Email Address: 911,111 __. "Value-of Work for this Permit $ 2, . , S utareJl anear Footage of .. Description of Work: - .. ', fm: ..,A. "� 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 WORD, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC...... "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ENT AY 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 COM ENC,E E T.'9 Notice to Applicant: As a condition to the issuance of a building permit with an estimated valve exceeding $2580, the applicant roust 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 penntt is issued. In the absence of such posted notice, the inspection will not be approved and an inspection fee will be charged, *�:��gsk'�k�� :k , L- :;e:f:.>k�:k:f:.'�'�'�k��:kak:k .e ; �of���:' �k> k* ���: k�kYel•'' 0e5' E�: k�ky�c�aY= k�k: k: Psg��o-k��� :'�:k�sk:;; ?g�%kr ^,.� * *�* f ":k��k>ksk:k���� Permit. Fee $ CCF $i Notary $ I..:, ° Training/Education Fee $ Technology Fee $ Double Fee TOTAL FEE NOW DUE $ . °"�, �d° . � �' All elements on the site must be listed and indicate the color to be ainted DIRECTIONS: Please circle corresponding number to a +- Walls: 9 2 3 4 Fascia: 2 3 4 Drip edges 1 1 2 3 4 Soffits 1 2 3 4 Roofs 1 2 3 4 Flower [tins 1 2 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 Chimney: 1 2 3 4 ]Boors & Jambs:1 2 3 4 Garage Doors: 1 2 3 4 d Railings: 1 2 3 4 Fences: 1 2 3 4 All Pricks 1 2 3 4 Stucco Band's.: 1 2 3 4 Other Stucco Features 1 2 3 4 Accessory Bldg: 1 2 3 4 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. Signature:_ Signature: Owner or Agent Contractor The foregoing instrument was acknowledged before me this N clay of 0 c^� ti' , 26 1 �-, by , who is ersonally known to me o who has produced As identification and who did take an oath. ■ Sign:. —, Print: Af"N"'M N— 1 C,t My Commission Expires: The foregoing instrument was acknowledged before me this day of 120 , by who jc personally 'known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: >ltc - State c,, Sign: Itxp4es May 28.71 FF OZdt)D8 Print: ilonded Through National Notary Assn Poly Commission Expires: .a, e? ^.? $c 3kak��Y�k% k��* �: ��k% s��➢ r.: Y•» k�k�= k= k*% k% kek�okrk: k��a8�k�kaK�* ���k�ktkekkx: k�' c#' �# ok�sK�? k%' ��' x�H��- k������kaK�Y' ��k�k�% k�= ����k% Y• Y��> k% ��F�. �'��;�:�;�K3s�= ����k��;;�:st:. APPROVED BY: Code Official Preservation Board OWNER BUILDER DISCLOSURE STATEMENT NAME: DATE: ���� ADDRESS: | �v� Manni Shores Village 51 ~f��,� IL � nn hereby petitionthem|lageofxxiam/Sh*,e u, act a,mv own contractor pursuant to the laws "f the State of Florida, ES4oe.z03(/),4nd|have read and understood the following disclosure statement, whichcmuiesm,»owookesmvmwncnnmcmr/furthe/undemtanathnt/astheuwner must appear io person tu 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 voumcf. You may build or improve a one-family nrmvv4am|Iy residence. You may also build nr improve a commercial building mta cost ^f$25.000,0Onr less (The new form states 75,n00), TheWkdimg must befor your own use and occupancy, Ut may not bebmfltfor saXear lease. if you sell or lease a building you have bu ilt yourself within one year after the construction is complete, the law wiII presume that you buHt for sale or lease, which isa violation *f this exemption. You may not hire anunlicensed person mma contractor, Ytis your respmmoNNitytomake :sure the people enmpUovedby you have Ncemseorequired by state law and byumtimmVor municipal UUuemmimg ordinances. Any person working nn your building who vs 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 bv law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations, Please read and initial each, paragraph, 1. | understand that state law requires construction mbr done bva licensed contractor and have applied for an owner-builder permit under an exemption from the law, The exemption specifies that 1, as the owner of the property fisted, may act esmv own contractor with certain restrictions ever though /mo not have alicense. mitia z. / 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 tv assume responsibility. mma 1 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 /` required bvlaw to be licensed in Florida and to list his or license numbers on permits and contracts, hitia| 4. |=demmnd that | may build o, improve a one family u,two-family residence me farm outbviIding.| may also build u, improve acommercial building i[ the costs a" not exceed $7s'nom. The building o, residence must bn for mv use o/ occupancy. |t may not hc built v,substantially improved for sale or lease, If a building or residence that I have built or substantially improved myself is sold or leased within I year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, whigh violates the exemption. Initial— s 1 understand that, as the owner-builder, I must provide direct, onsite supervision of the construction Initial c 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 ismy responsibility m ensure mat the persons whom | employ have the license required bv law and uy mv or municipal ordinance. Initial 7, 1 understand that lt is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permlt that erroneously implies that the property owner is providing his m, her own labor and materials. 1, as an owner-builder, may be hem |labhanu subjected to serious financial risk for any injuries sustained byan unlicensed person "r his nr employees while working o^mvproperty. My homeowner's insurance may not provide coverage for those injuries. I am willfuRy acting as an owner-builder and am aware of the limits of my insurance coverage for injuries ou workers unmvproperty. Initial u |understaod that r may not delegate the responsibility for supervising work to bea licensed contractor who * 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 he employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributlons under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the empfoyee, I understand that my failure to follow these may subject to serious financial risk. miuvL_--��L�_ 9, 1 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 a, well es employers. | also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regu|ai mitie| "'vd zo 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue aemlcc the United States sm"N Business Administration, and the Florida Department uf Revenues. /also understand that / may contact the Florida Construction Industry Licensing Board oto5o.*a/.13es,, Initial zz, 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: Iriltial m./ agree tnnotify Miami Shores Village immediately nf any additions, deletions, vr changes of n that / have provided un this disclosure. I mitia Licensed contractors are regulated uv laws designed uoprotect the public. /f you contract with a person who does not have a license, the constp*uminn industry Licensing Board and Department of Business and Professional xcsulauoomavbeunab|ctuaaistvvvwithanynnaociu| loss that you sustain as a result of contractor may be in civil court, It is also important for you to understand that, ifan 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 ^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. x copy of the property owner's driver license, the notarized signature nf 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 thi PIL T' By (VI *41 (), Ak who was perso,nally known to me or who has Produced there License D[ | ate- OWNER as identification.