RC-07-1921 Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fag:(305)756.8972
'BUILDING Permit No. C.
PERMIT APPLICATIO SEP � � "���� Master Permit No.
FBC 2004 BY'
i
Permit Type(circle): Building '
Owner'sl Name(Fee Simple Titleholder) y/tW1.1-PA9 Phone#
Owner's;Address1 � m sr
City 1 � &� State Zip 196
Tenant/Lessee Name Phone#
Job Address(where the work is being done)
City Miami Shores ViUa&eCounty iami- ade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES
Contractor's Company Name '� ne
Contractor's Address
CityState Zip
Qualifier Name e#
State Certificate or Registration No. cafe of Compete o.
t—D� .
ArchiteeVE . eer's Name if applicable)ngm ( apQ cable) - Phone#
Value of Work For this Permit$ w v ' Square!Linear Footage Of Work:
Type of Work: ❑Ad 'tion �Aiteration ❑New ❑ Repair/Replace ❑Demolition
Describe Work:
n
Submittal'Fee$ Permit Fee$ Z CCF$
.Notary$ Training/Education Fee$'. , 1Techno
Scanning$ Radon$. DPBR$ *7.dg"-2 a 20 `!
Bond$ Code Enforcement$ Double Fee$
Strut and Review.$ Total Fee v ' �,
. - VI w
AGE
see Rev side
C, 7.
.�-- lei,�V —
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 worts or installation has
commenced prior to the issuance of a permit and that all work will be ,to meet the standards of all laws regulating
construction in this jurisdiction. 'iNi that a se rmit must be for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,1'OOLS,FURI ACI .$AI E",HEATERS,TANKS and�A�IR CONDPTPR&�,v TC.....
`s
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 ipfubject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the jab site
for.the jlrst n occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection e app a reinspection fee will be charged
Si Signature
Owner or Agent Contractor
The f o' instrument was acknowledged before me this Z The foregoing instrument was acknowledged before me this
day of 20®_,by � TC=tC uj �p of .20 by
who is;!!:Jy known to me or who has produced IQ1on to me or who has produced
M
As identification and who did take an oath.
4identification and who did take an oath.
NOTARYPUBLIC: a r0 DANIEL P.DOWER NOTARY PU_BR4�-
®# MY COMMISSION#DD4638g2
EXKRE4:Aug.21,2009
Sign: (407)398.0183 Flaw Sign:
Print: Print:
My Commission Expires: y�a (/�! My Commission Expires:
at+katfe�t4>t9ria�fi+alrAir,tirfr4,kiririririeir*+1rtr*iTr&*w*Pirie*,aa�rar�i�rilydr�rti4,ririr,riefe«aTrir4a4,r«i,ririr9edviritrirtirirtrYra,xTrdr,r�r�r,x�r�r Atriet�rirTrir�r*&+n*1r�r
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised OVOW
VILLAGE OF MIAMI SHORES
p OWNER 1 UILDER DISCLOSURE STATEMENT
NAME: /' ) w-07'-p7 . DATE : .
ADDRESS: Il�lo /r/L� 07� R 0 3 !3
Do hereby petition the Village of Miami.Shores to act.as my own contractor pursuant to the laws
of the State pf Florida, F.S 4$9.103(7).And I have read and understood the following disclosure
statement,which entitles me,to work as my own corltr4otor; 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 bne-family*or two-family residence. You may
also build or improve a comm6ret''4i'building at a cost of$25,000.00 or less.The building must be
for.yot r 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.constructlon 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 responsibilityto 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 riot licensed must work under your supprvision and must
be employed by you,which rneans.thatyou must deduct F.I.C.A and with-holdings tax and
provide workers' compensation for that emploype,.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
r. Initial
2. I understand that as an owner-builder I must abide by all zoninj0'rd nces and
building regulations in effect at the time of permit application �, I
V
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
4. 1,understand that the building official and inspectors are not there 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
�on
attorney. The department will not miti%a�►e�jy
��•.
!!h� y ;. c., •r. ,�;' ,Anitial
6. Y 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 feason they
do not.passes a business license I will be responsible and liable for any wrong
doing from this unlicensed company-or person.
Initial
. M
7. --1 understand thatif any person gets injured on my construction pro�ec—they are
entitled to wdrkmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which cou d include
loss of wages during recovery from injury.
Initial
8., I. understand that under state and local laws I can not do an Electrical,
Plumbing, Heating, Air & Roof work on my-property with out first obtaining
the proper permits by licensed contractors.
Initial
Was acknowledged before me thisday of , 20 0
o
By � 2 4441410 who was personally known to me or who has
Produced there License or as identification.
.OWNER ,
DAWIEL P.DOWER
` a MY COMMISSION#DD46M
1pF�O EXPIRES:Aug.21,2DO9
(4071388 1153 Ra wa NOMY SWAMOM
Pennit NO. RC-9-07-1921
�yv°R °ia Miami Shores VillageM Permit Type:Residential Construction
y 10050 N.E.2nd Avenue Per
work Ctassiftcation:Alteration
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Permit Status:APPROVED
xcorato�
issue;Date-911812007 Expiration: 03/1612008
Project Address Parcel Number Applicant
._ ..._.....
1146 NE 97 Street 1132050170160
Miami Shores, FL 33138- Block: Lot: J PATRICK VILLOLDO
Owner Information. Address_ Phone Cell
J PATRICK VILLOLDO 1146 NE 97 Street
MIAMI SHORES FL 33138-2558
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
HOME OWNER
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Ype:
Date Approved::In Review Drywall Screw
Date Denied: Final
Type of Construction:BATHROOM RENOVATION Occupancy:Single Family Framing
Stories:NA Exterior:NA
Front Setback:NA Rear Setback:NA
Left Setback:NA Right Setback:NA
Bedrooms: Bathrooms:
Plans Submitted:Yes Certificate Status:
Certificate Date: Additional Info:
Bond Retum: Classification:Residential
Fees Due Amount Total Amt Paid Amt Due
CCF $3.00
Education Surcharge $1.00 $0.00 $0.00 $ 0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00 Payment Type:
Technology Fee $3.75
Total: $160.75
Pr /—FtN L&
SEP2 0 2007
C L 70
MIAMI SHORES VILLAGE
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
September 18,2007
Authorized Signature,Owner / Applicant / Contractor / Agent Date
Building Department Copy
Tuesday,September 18,2007 1
I lit!!I ti1lt Itllt 11t#!lttll Iti#1#It##till!ti#
NOTICE OF COMMENCEMENT ORRECODEDE09/20/2007Ps 4662; f10941:2s
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY .RUVIN r CLERK OF COURT
MIAMI-DADE COUNTY► FLORIDA
PERMIT NO.�� `-�L\. TAX FOLIO NO. LAST PAGE
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE: REC� �
THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real SEP 2 0 2007
property,and In accordance with Chapter 713,Florida Statutes,the following Information
Is provided in this Notice of Commencement. BY.
1. Legal descriptio of pro etty and streettaddress: 1640,
S IBI
2. Description of improvement: d
3.O ner(s ame a_ndddress•
Nri W 4
Interest in property:
Name and address of fee simple titleholder.
4.Contractor's name and address: vw)%-e� 7 G o
m PL
5.Surety:(Payment bond required by owner from contractor, If any) _�3 tS q
Name and address:
Amount of bond $
6.Lender's name and address:
7.Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8.In addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of th' otice of Commencement:(the expiration date is 1 year from the date of recording unless a
Vd is �cifie )
na ure of Owner
Print Owner's Name Prepared by r""/f'►^'
ry ,
Sworn to and subscribed before 120
my COMMI dD N D114WOMn 4) AX
?pfyt0 EXPIRM Am&2J.XW Address:
Notary Public t((jj�//rr c °'53 " 1
Print Notary's Name
My commission expires: . 10
123.01-52 PAGE 4 W02
STATE OF FLORIDA,COUNTY OF DADE PNp COUNTY
i HEREBY CERTIFY that this is a tru py of the �J� c1coK C0G
igmal fiJ in this office on day of a v.
V u
"ITNESS my P and and Official Seal. ;;� m coy wE rusr Q
IARVEY RUVIN,C coups �'o�
D.C. aFCou '
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, A 33138
Tel: (305)795-2204• Fax;(305)756-8972
2/11/2016
Current Owner
1146 NE 97 Street
Miami Shores, FL 33138
Permit: RC-9-07-1921
Address: 1146 NE 97 Street Miami Shores FL 33138
Date Expired:4/27/2008
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better,we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become Invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance,or If the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed."
Please be advised that open permits will hinder your ability to refinance or sell this property
Please contact the Building Department,within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
(%2 / 7
Ismael Naranjo C
Building Director