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BP2005-1588Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -474 Permit Number: BP2005 -1588 Scheduled Inspection Date: December 04, 2015 Permit Type: Paint Inspector: Rodriguez, Jorge Inspection Type: Final Owner: HOERBER, MARK Work Classification: Miscellaneous Job Address: 990 NE 92 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT EXTERIOR OF PROPERTY Phone Number Parcel Number f n,,, pector Comments Passed I Failed C ASR Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. 1132060060140 December 03, 2015 For Inspections please call: (305)762 -4949 Page 39 of 39 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 12/2/2005 Expires: 11/1412006 Permit Number: BP2005 -1588 Owner's Name: MARK HOERBER one: 305/751 -1271 Permit Type: Paint Work Classification: Miscellaneous Job Address: 990 92 Street NE Miami Shores Village, FL 33138 - Contractor(s) Phone HOME OWNER Additional Information Primary Contractor Yes 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. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: Final 1132060060140 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village :wilding Department 10050 N.E.2nd Avenue, MWrui Shores Florida 33138 Tel: (304 — �A72�' BU L ING Nov I" Permit No. IV ��- 1,_S55 PERMIT APPLICATION ter Permit No. FBC 2001' Permit Type (circle) il Electrical din, Plumbing _ Mechanical Roofing Owners Name (Fee Sian Ze °i'i11eh� lder) .1�ltatte # � `JS _ .5 . � .. 6J��,j�..... Owner's Address State C Zi �..... _.. _ . __. p Tenant /Lessee Name. /' Phone #�µ� Job Address (where the work is being done) City , iarra Slo�cs'Nle County lrCiawi-Dde Zip �y'�� Is Buildin g Historicall y Desi g nated YES, NO �' Contractor's Company Name Phone # Contractor's Address" i��.n ._� State W �.� tta � ....._�...�... ..� ........_: Qualifier r State Certificate or Registration No._ " Certificate of Competency No;, .�. Architect /Engineer's Name (if applicable) Phone # - $ Value of Work For this Permit / Square Footage Of Work: Type of Work: ®Addition �l(ez°atio ONew " Repair/Replace , f El Demolition Describe Work: qrVt " �° � s L " Submittal Fee $ Permit Fee $ CCF $w CO /CC, Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Job Address (where the work is being done), -&V . . . . . ....... City — —Mimni SlLqT "" 41�!ge, County Nliaini-Dade Zip Is Building Historically Designated YES — 0 Contractor's Company Name if applicable) Phone * * * * * * * * * * * * * * * * *x ll olenlents on tile site must be listed and indicate the color to he L Drip Cap/drip Edge Flower bins log` y Shutter L s C, All brick (simulated or regular) Any other stucco features Accessory Build,419S Other -� �41 OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating construction and zoning. .4 Si Owner or A, cut, !0p—'j--A.TlCW APPROVED BY Officia. Date Date c 6119/0: Miami Shores Villacre 13P,0-5,- 1 .r-, n, T) 'nt al al Color Approval and Agre Date Owner's Phone Owner's Address State zip C i tv Job Address (where the work is being done), -&V . . . . . ....... City — —Mimni SlLqT "" 41�!ge, County Nliaini-Dade Zip Is Building Historically Designated YES — 0 Contractor's Company Name if applicable) Phone * * * * * * * * * * * * * * * * *x ll olenlents on tile site must be listed and indicate the color to he L Drip Cap/drip Edge Flower bins log` y Shutter L s C, All brick (simulated or regular) Any other stucco features Accessory Build,419S Other -� �41 OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating construction and zoning. .4 Si Owner or A, cut, !0p—'j--A.TlCW APPROVED BY Officia. Date Date c 6119/0: VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT 0W`NER BUILDER DISCLOSURE STATEMENT I �1: eing the legal property owner, for the property Located at: g qo Legally described as _ > 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), end I have read and understand the following disclosure Statement, which entitles me to cork 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 cxcmption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have Iicenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Iicensed must work under your supervision 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, The foregoing instrument has ackrto ri dged efiure rr e tihgs 2 clay of- 2 () 0 .By !1(j { CIA who is personally known to me or who has Produced as identification and who did take an oath. Owner Owner J �'" Ndl MCA 'tlSS DIAZ MY t dtNNlsslo : # DD 46305 EXPIRE& O ber 20 �tY` �prvjj Thro Nori I�7 �'lG$7�AMdW��k9'