BP-04-1255 Inspection Worksheet
Miami Shores Village
y � 10050 N.E. 2nd Avenue Miami Shores, FL
fLORlDP'
Phone: (305)795-2204 Fax: (305)756-8972
ti.
Inspection
D
ate:
March 24 2009
Permit Type: Imported Permit
P
Ins ector: Bruhn Norman
P
Inspection Type: Final
Owner: JIMENEZ,JESUS Work Classification: <NONE>
Job Address:41 NW 106 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1121360060210
Project: <NONE>
Contractor:
Building Department Comments
c
Inspecto e
Passed E]
�O
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 23, 2009 Page 1 of 1
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Miami Shores Villa
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10050 N.E.2nd Avenue
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Miami Shores, FL 33138-0000
Phone: (305)795-2204
:APPROVED
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isstte[#a€e 5�f22f d Expiration: 09'2012009
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Project Address Parcel Number Applicant
41 106 Street 1121360060210
JESUS JIMENEZ
Miami Shores, FL 33138- Block: Lot:
....................................... :::. ...:.:::::<: ;::::::<:.:: <:.;::::::::.: ;<:::.;:::.;::::<.:.:::.::.:;.:.:.:.;:::;:;:::<::<:>:««<:::>:<::::::<::>:<:::
Owner InformationAddress Phone Cell........................................... ..........o..
JESUS JIMENEZ 41 106 Street
MIAMI FL 33150-1245
Contractor(s) Phone Cell Phone : Valuation: $ 2,000.00
Total Sq Feet: 0
Perm Type: Building Available Inspections:
Alpha Two:Repair/Remodel SF Residential Inspection Type:
Alpha Four:CABINETS
Alpha Five: Residential
Alpha Six:SINGLE FAM Pay Date:9/23/2004
Pay Amount: 115.1 Pay Comments:paid c.c
Bond Return
Fees Due Amount Invoice# Total Amt Paid Amt Due
RENEWAL $100.00 Imp-3-09-34316 $100.00 $100.00 $ 0.00
Total: $100.00
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.
March 20, 2009
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 20, 2009 1
y�ORE'S
h�ENTEB Mlop
Fro Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 - Fax; (305)756-8972
811512006
To: Current Owner
41 NW 106 Street
Miami Shores Village, FL 33138-
Permit: BP2004-1255
Address:41 NW 106 Street Miami Shores Village FL33138-
Date Expired: 3/1712005
Dear Sir or Madam
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein,the Building Department
will file a complaint with Miami-Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8-5. (3)will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein. "
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely, .
Mabel Vargas
Administrative Assistant
• Miami Shores VillageP
Building Department
1TMaster
Shores,Florida 33138
• (305)756.8972
SEPBUILDING _ Permit No. PgD04-t:�fPERMIT APPLICATI - Permit No.
FBC 2001
Permit Type(circle): uilding Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) Phone#(-5a5)
Owner's Address
City ( Stat Zip (�
Tenant/Ussee Name /-t— Phone#
Job Address(where the work is being done) 41 A)W I Del/ c -6'e-+
City Miami Shores Villaae� County Miami-Dae Zip
b Building Historically Designated YES NO
Contractor's Company Name �, 1 � Phone#
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
v� ®c�
$Value of Work For this Permit d ' Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New El xepair/Replace ❑Demolition
Describe Work• t
Submittal Fee Permit Fee$ 1V CCF$ ga,0 CO/CC
Notary$ ~ Training/Education Fee$ ®r � Technology Fee$
Scanning$ Radon$ "'------- Zoning Bond$
Code Enforcement$ �^ Structural Plan Review.$ —'
Total Fee Now Due$
(Continued on opposite side)
J0
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
.I , r
Mortgage Lender's Name(if applicable) ,
Mortgage Lender's Address f
City State Zi
Application is hereby made to obtain a permit to do the work and installations as indicated. I ce r 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 ELECTRICA L 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 1 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 INTENI TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD G YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant. Asa condition to the issuance of a building permit with an estimated value exci teding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochur V will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencem nt must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab rence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
si Signature
Owner or Agent Coi itractor
The foregoing instrument was acknowledged before me this The foregoing instrument was ac cnowledged before me this
day of 20(A,by , day of .20 t y
who ilkrsonally known tom who ha ced who is personally known to me c r who has produced
As identification and who did take an oath. as identifica ion and who did take an oath.
NOTARY P C: NOTARY PUBLIC:
Sign:
Mabel Vargas sign:
Print:
Exmission#DD23198 rint:
-
13,200
�'., ,R,, Bonded Th,
My Commission Expir Aeandc BondingCo.•enc My Commission Expires:
************************************************************ ****************** ************************
APPLICATION APPROVED BY: 1 6 2 Plans Examiner
Engineer
Zoning
Chc 05/13/03
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
I � �M10-IT being the legal property owner, for the property
Located at: 41 ) "L -� i t c eL - '
Legally described as the law,
s of the
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to
State of Florida,F.S.489.103(7),gnd I have read and understand the following disclosure
Statement, which entitles me to'Mork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out-building. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption.You may not hire an unlicensed person as your contractor.It is your responsibility to make sure
that people employed by you have licenses required by state lav and by county or municipal lice ng
'n on our building who is not licensed must work under your supervision
ordinances. An person �vorlu b
YP g Y
and must be employed by you, which means that you must deduct F.I.C.A. and with-holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws,ordinances building codes and zoning regulations.
•
Proof of ownership provided( ) initial of reviewing clerk.Tlie foregoing instrument
Was acknowledged before me this. day of 20 _
y who is personally known to me or who has
Quced as identification and who did take an oath.
N
c, a 1 V drga�
�OpYP '_Comm ission#DD2)1984
wn
Oer = :
.,nQ=Expires;Jul 13,2007
o= Bonded Thru
6F iv ' Atlantic Bondin&Co-lnc.
Miami Shores Village Building Permit10050 NE 2nd Avenue ... ;
Phone: 305-795-2204 Permit Number: BP2004-1255 � *
FLORtt
Printed:9/22/2004 Page 1 of 1
Applicant: JESUS JIMENEZ 4R —
CEOVEDOwner: JIMENEZ JESUS 2004
JOB ADDRESS: 41 NW 106 ST
Contractor Contractor's Address:
Local Phone:
Parcel # 1121360060210 Legal Description: 36 52 41 PB 41-78 DUNNINGS MIAMI SHORES EXT NO 2 LOT 13
Fees: Description Amount
FEE2004-9474 Building Fee $100.00 Total Fees:$115.10
FEE2004-9475 CCF $1.20
FEE2004-9476 Notary Fee $5.00 Total Receipts:
FEE2004-9477 Training and Education Fee $0.40
FEE2004-9478 Technology Fee $2.50
FEE2004-9479 Scanning Fee $6.00
Total Fees: $115.10 U
Permit Status: APPLIED Permit Expiration: 3/14/2005 Construction Value: $2,000.00
Work: NEW KITCHEN CABINETS
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY: