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RC-07-651 r Penn No. RC-�4-07-65 �s�!ORtis y� Miami Shores Village ' POO*Type:Rftldentfal Colatru lti!'t 10050 N.E.2nd Avenue ». s Wo*C&ss fronE""Repair Miami Shores,FL 33138-0000 flt ' t `FiS;;APPROVED Phone: (305)795-2204 �LORiDP' M12W, Expiration: 11/05/2007 Project Addressant 9314 N W 2 Applicant Parcel Number ic _. .. ._......._ _._._ .�_...... .� _ r Avenue 1131010150260 Miami Shores Village, FL 33138- Block: Lot: JEAN CLAUDE REMY .._..Owner Information Address Phone Cell MONIQUE REMY . 9314 NW 2 AVE _..._. ..�................._...,.,__.._.. _�.--.. ...__,...,.. MIAMI SHORES FL 33150-2209 ........�.,___.�................. Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER Total Sq Feet: 0 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final Date Denied: Type of Construction: Occupancy:Single Family Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted:Yes Certificate Status: Certificate Date: Additional Info: Bond Return : Classification:Residential Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $0.00 $0.00 AID Notary Fee $5.00 Permit Fee-Additions/Alterations $100.00 Payment Type: Scanning Fee $6.00 Technology Fee $2.50 ; '® �IA`I J PA Total: $114.30 1140 1^0 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. May 09, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday, May 9, 2007 1 — 41 .♦ •• ; � • • • _ �� � I�.-1.-I%.­�,1 I��.�.I,',,''1-_I:.�11�,1"1-:I.-',:-�"'"-I�—�I,",F7.1'I II I-- I�,�.. .—I I� I I I II I;.'� ..-. 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SNORES COPY Bit Building Dept. 6, RIDP' Miami Shores Village Building Department 10050 N.E.2"'Avenue Miami Shores. 171 33138 Tel: 305-795-2204 Fax:305-756-8972 NOTICE OF VIOLATION UNSAFE STRUCTURES Date: March 04, 2007 Certified Return Receipt# 7005 0500 0005 5013 1637 Miguel Velez 9314 N.W. 2"d Ave Miami Shores, Fl 33138 Case Number: RC-4-07-651 Legal: ODELL MANORS PB 41-57 LOT 2 BLK 3 LOT SIZE 75.000 X 100 OR 14663-114 0790 1 COC 24951-0836 08 2006 1 Folio Number: 11-3101-01a-0200 Building Official's Order: Unsafe Structure due to Fire Damage The above described structure has been inspected by this department and found to be unsafe as defined in the provisions of Chapter Eight of the Miami-Dade County Ordinance and Village of Miami Shores, Code of Ordinances Section 12-257.(2). In accordance with the provisions of Chapter Eight of the Miami-Dade County Ordinance, you are directed to correct the violations as ordered by the Building Official. Unless there is compliance with the Building Officials order, or an appeal is filed, a public hearing before the Unsafe Structure Board will be initiated by the Building Official after the time of compliance has expired, or the Building Official order will be enforced in accordance with the provisions of Chapter Eight of the Miami-Dade County Ordinance without further notice to you. Appeals based on personal or economic hardship will not be considered proper unless the appellant also states wherein the Building Official is believed to be in error. The appeal must be received by the Building Official no later than(15) days from the date of mailing this notice. 1 r r SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONL)ELIVERY ■ Complete items 1,2,and 3.Also complete Signat item 4 if Restricted Deliveryis desired. ❑ ant ■ Print your name and addres on the reverse X ti >f ❑ ddressee so that we can return the card to you. . eceived by(Printed N —4C Date f Deli ery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 ❑I Yds 1. Article Addressed to: If YES,enter delivery address below: ❑ o Miguel Velez 9314 N.W. 2nd Ave 3. Service Type Miami Shores, FI 33138Pied Mail C:Aggress Mail ❑Registered E3 Return Receipt for erchandise Number: RC-4-07-651 ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) Yes 2. Article Number 7003 0500 0005 5013 1637 (Transfer from service iabeq PS Form 3811,February 2004 Domestic Return Receipt 5-02-M-1540 Postal 17- CERTIFIED MAILT. RECEIPTM Pomestic-MAH Only;No Insurance Coverage Provided) ..D For delivery information visit our website at www.usps.come LJ a C3 rn Postage $ u'! Certified Fee C3 � dome Reciept !�Fee R PDP09 2007 (Endoement Required) fl O Restricted Delivery Fee C3 (Endorsement Required) Lr) E3 Total Postage&Fees M Sent T It Stieet�t 1No.,IJ�tC l or PO Box No. � City,State,ZIP+4e M I PS Form :00 June 2002 No work or demolition can be performed without obtaining the correct permit(s) through the Miami Shores Building Department. Such time not to exceed ten (10) days to secure an open structure to the reasonable satisfaction of the Building Official, ninety (90) days to obtain permits to repair the structure and one hundred and twenty (120) days to bring it into compliance with the Building Code. By the provisions of Chapter Eight of the Miami-Dade County Ordinance, you are responsible for all enforcement costs, including appellate processing costs incurred by Miami Shores. The property wil be subject to a lien for those costs if payment is not 4mad on reque e d ent. dio Grande CBuilding Official 2 OFFENSE-INCIDENT REPORT JuvenileJuveni'a ).Original in Report Wern/Dbmi 2.Supplement r 1 Date of Supplement Agency Report Number a MIAMI SHORES POLICE DEPARTMENT 07000670 Original Day Date Time(mill Time Dispatched(mit) Time Arrived fmil) Tim.Completed(mill Reported MON 104/02/2007 10602 0603 0606 064.0 Incident Type 3,Misdorsaaarar 5 Ordinance .incident:Day Date Time heli) Day Date Time(mil) a 'frafi: 9.Otitar ?..Trariir.F'olany Misdemeanor From MON 104/02 2007 0600 1 To IMON [04/02/2007 10600 OFFiINC Type Dwcriptlon A-Atw ptad Statute Violation Number NCICIUCR Code # 1 6 HOUSE FIRE C-Cammitt.d C 777 1-17777 Id 7777 0000 OFF/INC #2 i H In.1depipcation(Street,Apt.Number) City Zip DeItrctCiro Awe Zona a 93 NW 2 AVE MIAMI SHORES 33138 09 Business NamelAres Identifier Forced Entry Occupancy C.N!A 2 No.: 0.NIA 2.Unnrrz:pid.>< 1.Yes 1.Occu>zia:j 3.Abunrir,nnd U,cahon Type OI Baa rnr,.'""ronin, 06 {s;13 Station st_ Sp,,-Uty St-^.m 18,. S rfage 21. Airport 26. NighwayrRcadway 09.Othe; _. .all.r:. nUCceda O7. _iqum . Seles 1 . Dn;g S srs/t naE,ital 17. Gov'tlPnblie Bldg, 2.. tiustRa?i Terminal 27. PwkiWondlandsri.id 03.. R0313. A,mklFinanciai lirV. la. $ahcol/UrtiyeNs itY 23. Construction Site 2E. LakeNJa43rway 09-. H.daliA4nte 04 Superm.rket 14.. Commarc;all{)ifi::e?31d{i- 19 3ailipiisan 24.: Other SUucture 29. Motor Vehicle f.;5. Conveniar:r.o.Store 10. OepVDscouni bier. t5. Irniustrip%Mfg. 20. Rclig;oua Bfdg. 25.. PaIitllg LOUGarage 30. On.,Menii. 01. #DFFIINC. #Victims #Offenders #Prem.Ent I#Veh.Stolen Type of Weapon 02,Rifla 05,Kr:ifa'futrny C7.Fitind.:Fitt/Feer 10 -troilncond:any '3.O,ugs 09.NIA Q3,5hdtgun ca.Poison IL'fhrea:/Enbmida6en BB-Uncia-, 01 00 00 00 00_, 01-Fandguo 04,Firearm 06.3 ,<.n cs Explosives 12.simulatedwastm, gi?.,tither Q0 :V!W C.de Violin.'Type ....Race Sox Residence Type R.sidence Status ......Extent of.injury- . .,.... P-Cwodd,>tor 0.N!A 4.Saaerees 14 NIA I-Ame Loan Indian N-:;'A U.h/A 3.ell,is 0.NSA 0..Slone W-Wiznese Z-Otho: i.Jw.nile 5,Gt>Vernme'It W-Vvhki f}.CiriamaL='Asian 'v'-tvt.t. 1.CbV a<Ow.1 Stam 1.Fuif Year 1:'10mor -Papa d...p?arson 2 L._,.Officer 6,"I'tach 5-Hlaak U-U.^.kn^.wn f.-i eana'e 2..Coon'>V 2 P t Year 2.Seriuus Ct 3..Adult Orae I.i-Unknown s<Non flys:dent 3,feta; U njury Type :.a;:motion 07 as of Tarern Victim Relationship To Offender 06-.Parard 10 Step-ch%ld 14.'faachar 17 Friend... 2.1 Frrpi,'ryer 00,N-A O:d-.S'pouae 07.Bromw Sistei 11_in-Law .5.Child)I Bsy!G.I, 18.Neighbor 22.Landlordil event 4'. 0unshot (15.F sv.8:nken Renes 09.AbtaruorsfB uisa.c L` d r.et.-a ned 04..F:.x-$pause 08.Chiid 12..Other Family Friarid 19.SitterrDay Care 23.Ac.quant3^p 02.StabSed eG.Foss.tntemai Injury SB..Other 02.SVangcr 05,Co-fiabitrmt 00..Ste::Parent 13,Student 16..Boy!Gir Ft anrf 20.Employee 99,Other Known OFF!INC Indicamr V1W Code # V.Type Name(Last,First,Middle or Business) AOaidonce Phone t.„ a- 1305-7579923 O 01 VELEZ MIG Addr ,beet,Apt.Number) city State Zip Business Phone 9 NW 2 AVE MIAMI SHORES FL 33138 .�Other Contact]lite.!Time Ava ir,fc,tntorpreter,ecY-? Synopsis of Involvement F U > H V!W Code Race Sex Date of Birth or Age Res.Type Rw.Status Extern of Injury Injrey Typets} Relationship Ethnicity Will Victim prefer char e7 V.Ware B M 1 1 00 0 Yaa No OFFANC indicator V/W Code # V.Type Name,(Last,First,Middle or Business) Rasidenc.Phone 1.#1 3.Bam p1' 2.#2 _Address - iS t,A.0 Numbi City State Zip Swineos Phone H .Other Contact info.(Tim.Avweble,inter,retm,etc 7 S4neP54 of Involvement F jif V1W code Race Sox Date of Birth or Age Res.Type Rea.Status Extant of InjuryIn ury Typels) Relationship Ethnicity Will Victim prefer ones .? V,W or Yea No OFF/INC indicator Suspect Code Coda # Juvenile Nama?Last,First,Middle) 1.#t 3.Both &Suapaet E•Escapee 2..n2. A-Azrestee Z-09- Maiden Name Nicknamrri Street Name Place of Birth Residence Phone Last known Address IStrea_.Apt.Numbe,t City State Zip Business Phone F Occupation Employer!School Address V Social'Securfly Nwnber Driver's Uc...a State/Number Immigration and Naturalization Number Other IIID,Number OBTS Number(Arrested) FCICiNCIC rn Clothing fo-ft.', Scare!Marks/Tattoos;t..^,catiaNDe<:crihaj �I Race Sex Date of Sint or Age Hai<IhY Weight Eye Color Hair Color Heir Longih Hafr Style Complexion Bulld Facial Hair Teeth Spaech!V0100 Special Identifiers SEE ATTACHED NARRATIVE ib a- W'I Al CLQ w s d wl't t l ; z Persan!Unit Notified Time R.lated Repott Numbers) W OffiowfM Reporting > I.D.Numberis}!Locator Code Unit LEE 0109 N Officer Reviewing 0f Applicable) I.D,Number Routed To Refereed Assigned To By Date i SGT SOLI Case Status ClearanceType A-Adult Date Cleared Jail Number Niot At asted D 1.Arrest 3.Unfounded J-Juvoni)a a = 2.Exceptional 4.0 an Pcntl. Exraptwn T`pa 2.A dt r'-.ry 3.1 mh,f...Off-i., ti,P cr i 0. lined OBIS Number Page..... P itIv y}!rt 4Naed to S, cna.Las:oSy i C' rt'e t4't`I t ..,.,P.,:Yran C v�-28tx ;31 I y:•. 4/2/07 FIRE 07000670 9300 NW 2 AVE VELEZ I WAS DISPATCHED TO THE ABOVE LOCATION IN REFERENCE TO A HOUSE FIRE. THE FIRE STARTED IN THE FRONT BEDROOM AND THE HOMEOWNER, MR. VELEZ, BROKE THE FRONT WINDOW PANE AND TRIED TO PUT OUT THE FIRE. MR. VELEZ INJURED HIS ARM IN THE PROCESS AND WAS TRANSPORTED TO NORTH SHORE HOSPITAL VIA MDFR 30. THE FIRE WAS PUT OUT BY THE MIAMI DADE FIRE DEPARTMENT, ENGINE 30, CT. HERRERO, THE MIAMI DADE FIRE ALARM NUMBER IS 7066115. OFFICER LEE 11/0109 MS-292 LT-14 F 3 F V 2 �y,< _�fe<�...96>�5.. "`:xwa�`� ���� �.n�'Kkr ����. .`�.,,avx, �,,. �''.•sa.�. a,��.,kb„,, ;x�', 2 :F pro,•,., ,...„__ „, , 417-10-r 3 �d WF m 2!71FW ........... ............ t OWN?',- "Rush 3 4 rte: i fi' .. Claudio Grande From: Kevin Lystad [Kevin.Lystad@mspd.org] Sent: Tuesday, April 03, 2007 11:03 AM To: Claudio Grande Subject: RE: House Fire Thanks Claudio. will verify our location information. Sincerely, Kevin Lystad Chief of Police Miami Shores Police Department Kevin.Lystad@mspd.org >>> "Claudio Grande" <grandec@miamishoresvillage.com> 4/2/2007 5:43 PM Chief, Thanks for the information on the Fire, the actual address of the Fire was 9314 instead of 9300 as per your report. In case you want to update your report. Claudio Grande CBO Building Director Miami Shores Village Phone: 305-795-2204 E-mail: <grandec@miamishoresvillage.com> -----Original Message----- From: Kevin Lystad [mailto:Kevin.Lystad@mspd.org] Sent: Monday, April 02, 2007 9:59 AM To: Claudio Grande Subject: House Fire FYI Sincerely, Kevin Lystad Chief of Police Miami Shores Police Department Kevin.Lystad@mspd.org This email message and any attachments are for the sole use of the intended recipients and may contain proprietary and/or confidential information which may be privileged or otherwise protected from disclosure. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipients, please contact the sender by reply email and destroy the original message and any copies of the message as well as any attachments to the original message. This email message and any attachments are for the sole use of the intended recipients and may contain proprietary and/or confidential information which may be privileged or otherwise protected from disclosure. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipients, please contact the sender by reply email and destroy the original message and any copies of the message as well as any attachments to the original message. 1 Miami-Dade My Home Page 1 of 1 My Home i MIAMI DADE Show Me: Property Information aa.v �,.�, Legend Search By: •, sly Property jv Select Item . e Boundary ek AV` Selected ❑ 'mer 1 �. r « Sr Property s (frx'"t th a x1 Street C `. hLt a r ; V l, 1 Highway Summary Details: k r.. Miami-Dade Folio No.: :k24 Property: 314 NW 2 AVE t` � County Mailing IGUEL VELEZ&W "' a !rte �' Water Address: ALEXANDRAM """"`" 314 NW 2 AVE MIAMI FL N 33150-2209ig Property Information: ` � � � w E pFloors: 800 SINGLE FAMILY " y �« "Y t r d { t RESIDENCE " S 001 RESIDENTIAL-SINGLE �� s' FAMILY s m. waww a . r 3/2 11 < Ar. ..Adi $ ootage: 1.741 a:. Lot Size: 7,500 SQ FT ,"' a^ w Year Built: 1940 DELL MANORS PB 41-57 Legal LOT 2 BLK 3 LOT SIZE Digital Orthophotography-2006 0 111 fl Description: 5.000 X 100 OR 14663-114 790 1 COC 24951-0836 08 10061 - We appreciate your feedback,please take a minute to complete our s�;v=y. Sale Information: Sale O/RR: 4951-0836 Sale Date: /2006 ��y Nome I i"'rope#1y In1'ortttator�I Property Taxes My Neighborhood I Property Appraiser Sale Amount: 24,000 Assessment Information: Home I Using Ou site I About I Phone Directory I Privacy I Oiaciai{Y,er hLandValue 2006 2005 : $143,775 110,86 lue: $154,992 $61,929 ue: $298,767 172,79 If you experience technical difficulties with the Property Information application, alue: $298,767 172,79 please(.(ick fere to let us know. tions: $0 $0 lue: $298,767 $172,79 E-mail your comments,questions and suggestions to L'uerE}€; a tarr Web Site ©2002 Miami-Dade County. All rights reserved. http://gisims2.miamidade.gov/myhome/propmap.asp 4/3/2007 lre` r � Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 . .: :<.. ........................:..:.....:...:...:......................................................................................................................................................................................................................................... Inspection Date: 01/08/2008 Permit Type: Residential Construction Inspector: Grande, Claudio 0 8 Inspection Type: Final Owner: REMY, MONIQUE Work Classification: Repair Job Address: 9314 2 Avenue NW Miami Shores Village, FL 33138- Phone Number Parcel Number 1131010150260 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments Repair damadge drywall for fire 1 Inspector Comments Passed mld Failed E]_ Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, January 7, 2008 Page 1 of 2 Miami Shores Village � skx+lo� g 4s . Building p 0 J,: Department 1 `" 4 `J 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAY U 8 20 7 Tel:(305)795.2204 Fax:(305)756.8972 BY --W- .-- BUILDING Permit No. QW1—6„ PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building V Electrical \ l Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) Z Phone# Q44-7— �� l Owner's Address "13 City State Zip k Tenant/Lessee Name Phone# Job Address(where the work is being done) a 31 T 1V W ? P-Q1 ky-e_ City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name Ocuo-eie Phone# Contractor's Address City State Zip Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ } Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration //�� [-]New > Repair/Replace ElDemolition Describe Work: �i r, l..�ry�� t'�i t-oi? FI l2& /*rr*��**************�******* Submittal Fee$ Permit Fee$� CCF$ V CO/CC Notary$ �� Training/Education Fee$ V Technology Fee$ og Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ 11.4-00 See Reverse side k 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 tht.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the stardards 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 b done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE. OF COMMENCEMENT." Notice to Applicant: s condition to the issuance of a building permit with an estimated value exceed g$2500, the applicant must promise in goo ait that copy oft notice of commencement and construction lien law brochure ll be delivered to the person whose proper ' s b F ct t attachment. lso, a certified copy of the recorded notice of commencement ust be posted at the job site for the first ' ct n wh ch hoc rs seve ffafter the building permit is issued. In the absena of such posted notice, the inspection wi. n t b app oved a a reinspwill be charged. Signature Signature Owner or Agent Contre ctor The fo ing instrum t was acknowledged before me this The foregoing instrument was acknc wledged before me this day of 20'by Ako"ra . TJZ , day of ,20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identificatioi i and who did take an oath. NOTARY P BLI No?agrQ; NOTARY PUBLIC: oa; ! Sign: ,� Sign: Print: !�' ✓ #� fib"I Print: My Com ion Expires: f y�ar� �0�" My Commission Expires: r APPLICATION APPROVED BY: Plans Examiner tl Engineer Zoning (Revised 02/08/06) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: Z DATE: e ADDRESS: T\,PC ot At" i �VW✓�� Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,.FS 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 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 emplgyee, 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 hold title to the above property and I am planning on doing this construction Initial 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 —j/d 3. .1 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 M (/ 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 /�� 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.1 contract disputes. Initial (L 6. I 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 w1I be responsible and liable for any wrong doing from this unlicensed company r person. Initial Ay 7. I understand that if any person gets ijured 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 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof wok on my property with out first obtaining the proper permits by licensed contractors. Initial �/ a Was acknowledged before me this day of 20 By_M OUS i V 1{� who was personally known to me or who has Produced there License or as identification. .O NOTA, ivtanei \1 arg. mmissio D23!° Expt : u! 13,201' Bonded'Ch ru AtkmticFsnndinvG� In( ' PERMIT APPLICATION ORES • • ••• • i � • ••• . J_ .: •V^er Permit:jo. y•NrEe 1 st ; • MWilrx4mut No. • �ORIDp ••• ••• ••' • • • • INSTRUCTIONS The following steps must be taken to obtain Shores Step 1. Complete the attached permit application which must be sicaded h2v•tBe ffrooerry•'owrbei and oualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing ypur.'ap2liq'tij_iL�-If 400fing�york will be done,a roofing application must be submit- ted along with this permit application. ' ' • • • • ••• •.' Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. APPLICATION )�ob Address: 7,3 S 6/«'-J'0 C_B.Jcb cIR.S C Address Apt.vv City State���� "" Zip Folio Number Description of Work�/f!/✓T q"# ✓sem ��'��`�''c'/Q!� Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Xlue are Feet Units Floors Proposed Use of Property of Work Z`3 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ( ✓ ) PERMIT CHANGE (✓) TYPE OF MANAGEMENT ( ✓ ) Building Chg. Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'1 Attachment Roofing Reinspection Other Add'1 Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR Name Name Ad res G��C�✓�� License No. Address � 1141-f,44( S t�fO A-7S ?T 3 Home Telephone Business Telephone Telephone Fax Fax Qualifier Name Page 2 : • ; ;': : • • • •• FERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HANYV i Ot CiIVEL-mul7P'CALIEWD PERMIT AND PERMIT CARD. pplying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6: p.m.,and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINVAINIP"-IM tL1 XW,WEA T AND SANITARY CONDITION free f om construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHAILL BE•I.EP'r&E:i*(M LIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING 4AMAGBD*YV 1 VPMtNt(;R-VEHICLES,AND MAY NOT BE SED FOR STORAGE. A bond is required for work in or near the street/sidewalk. so 000 • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. O her construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,P rating and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Dep ent of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications i olving sewers. AFl`IDAN'rr - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property rformed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my hor ie or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the ej itire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of N rork to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, t ien the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commenc ment must be recorded at: 22 N.W. 1st Street, P'Floor,(305)679-1078. Once recorded,the Notice of Commencement must be PO TED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on qonstruction Lien Law and Choosing a Contractor. STqi RIDA,COUNTY OF�MII-DADE STATE OF FLORIDA,COUNT OF MIAMI-DADE 4ignat�ure of Owner Signature of Contractor/Qualifier Print Name Print Name Swo and subscribed before me this day of Sworn to and subscribed before me this day of Si ure of NotaPublic-Siate of Florida Signature of Notary Public-State of Flo da SEAL: SEAL: ys*P&, Angela M Beeker ag :c+n DOISOM Personally known OR,Produced Identification ( / Personally known OR,Pr uced Identification / _S -/ c q Type of Identification Produced: ������ � 0 �� OV�aJ 1�'Pe of Identification Produced: i r i Page 3 : ; ;• •' ' ' ' PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work dieing jxfw pied a d;gvantity(ies) in the space provided below. ELEcTRICAL TYPE Q'IN. TYPE Minimum Fee Dryer ' • • •Ou a A,pp;iap�e Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p/PH) Temp Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL TYPE QTY. TYPE Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE QTY. TYPE QTY. TYPE Q'IN. T)PE TY. A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap-Fixture Fountain Pump and Abandon Sprinkler System Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal k Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater j Drainfield,4"Tile/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: I • •.• • 0 Page 4 ; ' :0: 0:0 ••• ' PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER-BUILDER FORM D PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) • • . .. (Attach) ••• •1• ••• . • • • • .: • • • ••• ❑ BPR APPROVAL(Restaurants) ❑ FIRE DEPARTMENT ❑ LI�2S/DI�lOI'.APP�C�Vtt,L� APPROVAL(Commercial/ •ftptit'/Sewer)• •• multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) PERMIT FEESI i $3.00 per page(Scanning Fee) $ i Miami Shores Village $ i Bond $ 1 Metropolitan Dade County (C.C.F.) $ (sq.ft.=x/1000 x 4.60) Inspector State Educational Fund $ (4.005/sq.ft.) i State DCA(Radon) $ (4.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ TOTAL $ D I REVIEWED AND PREPARED BY: DATE: { SECTION BY DTE CONDITION OF , , ONAL Zoning </ Electrical Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2"°AVE., MIAMI SHORES, FL• (305) 795-2207 • FAX (305) 756-8972 • http://wwv -miamishoresvillage.com � 1