Loading...
PT-06-862 Miami Shores Village p � << Building Department ' 0 p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 BUILDING Permit No. ?r 4Y._511 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle)• Buildin Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) G.P. DELLA FERA Phone# 3 0 5.7 51.2 3 8 7 Owner's Address 651 N.E. 10 5th STREET City MIAMI SHORES State FL Zip 33138 Tenant/Lessee Name Phone# Job Address(where the work is being done) 651 N.E. 105th STREET City Miami Shores Village County . Miami-Dade Zip 33138 FOLIO/PARCEL# 11-2231-012-0080 Is Building Historically Designated YES NO X Contractor's Company Name Phone# Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) A vne# Value of Work For this Permit$ 9 0 0 0.0 0 Square/Linear Footage Of Work: Type of Work: ❑Addition []Alteration Xew ❑ Repair/Replace ❑Demolition Describe Work: PAINTING Submittal Fee$ Permit Fee$ 0 CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ (=>S -_7 CD See Reverse side-� Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State 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'll of be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor G.P. DELLA FERA The foregoing instrument was acknowledged before me this 3rd The foregoing instrument was acknowledged before me this da of APRIL 20 06 b G.P. DELLA FERA day of ,20 by Y Y ' r who has produced = wb is personally known to me or who has produced who is verso ally nown to me o As identification and who did take an oath. '_ as identification.and who did take an oath. NOTA LIC: NOTARY PUBLIC: ZSign: Sign: P ' t• e-ro Print: j9rom Hu tak M Commission Expires: My Commission Expires: 41,00 NNmte CoDD273729 Y p MF APPLICATION APPROVED BY: Plans Examiner ( t Engineer Zoning (Revised 02/08/06) . �. Miami Shores Village Paint Color Approval and Agreement Date APRIL 3, 2006 G.P. DELLA FERA Phone# 305 .751. 2387 Owner's Name E. 0 5th STREET Owner's Address City MIAMI SHORES State FL Zip 33138 651 N.E. 105th STREET Job Address(where the work is being done) City Miami Shores Village _ County Miami-Dade Zip 33138 Is Building Historically Designated YES NO X Contractor's Company Name(if applicable) Phone# All elements on the site must be listed and indicate the color to be painted Walls white Fascia white Drip Cap/drip Edge white Soffit BENJAMIN MOOR F® HC Roof n/a COLOR PREVIEW® Flower bins n/a Shutters x1makk:k white Awnings n/a I white Chimney \ ' white Doors and door jams Garage doors white white _ Railings n n a o putnomivory Fences Decorative metal white All brick(simulated or regular) n/a n/a Stucco banding Any other stucco features n/a Accessory Buildings n/a Other n/a ************************************************************************************************************ 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 re lating construction and zoning. Date a�urr � �nn6 Signature -" Owner or Age L G.P. DELLA FE7�_ % q I q ( OG APPLICATION APPROVED BY: Date P&Z Official chc 6/18/03 VILLAGE OF MIAMI SHORES M OWNER BUILDER DISCLOSURE STATEMENT NAME: P �4C� DATE: " ADDRESS: bS I 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 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 ofthis 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 thatyou 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. I. I hold title to the above property and I am planning on doing this cQASLLuction Initiali 2. I understand that as an owner-builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 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 QS 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial f - . 5. I understand that as an owner-builder, that any contractor disputes with sub- contractors and myself must be handled 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 reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial i 1 7. I understand that if any person gets injured on my construction project-they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial —Q 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this CA -b�- Qt��Wkl 20 V6 By who was personally known to me or who has Produced there License or (0 ZSsO - �� ^©�4(-C7 as identification. OWNER OTA " z MONICA USSEfH GUIZ MY COMMISSION#DD 4835 EXPIRES-October 20,2009 I Bonded Thru Notary public Unde nrRem .J