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WS-07-445 (2) IIi kkol -K 4&-%0A � �� ''` vc �• e� Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BUILDING P'ECEIVI+ D Permit No. PERMIT APPLICATION MAR 0 7 2007 ter Pe•mit No. FBC 2004 BY, Permit Type(circle): Buildin Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) CAWyS EWP�yy� Z Phone# SoS' 7(o i 4 7?'`S Owner's Address --n mw tm City MYAiML SH09C5 State . zip 1153I1s-d Tenant/Lessee Name Phone# Job Address(where the work is being done) \ ST- city 'TCity Miami Shores YjUW County Miami-Dade zip 55156 FOLIO/PARCEL# l 1 2'15(0 0 0 Q90 19 Is.Building Historically Designated YES NO— X_ Contractor's Company Name Op 1 �s�� Phone# Contractor's Address City State zip Qualifier Name Phone# State Certificate or Registration No. f Competency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ ,t3a® Square/Linear Footage Of Work: Type of Work: ®Addition ❑Alteration QNew. Repair/Replace ❑Demolition Describe.Work: L A ,�iV ®�S • , Submittal Fee$ Permit Fee$ CCF$ 05.(00 CO/CC Notary$ Training/Education Fee$ .2Q Techinology Fee$ rte- Scanning$ S'• Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ .Z See Reverse side y Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's•Addressb 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 EWROVEMENTS 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 cerhJUd copy of the recorded notice of commencement must be posted at the job site for the fast inspection which occurs seven (7) days after the building permit is issued In the-absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature_( &Q'A.1 - SL!�An ignature Owner or Agent Contractor The forego' instrument was aclr I ed before me The foregoing instrument was acknowledged before me this day of 20v�by a y' 20 by , who is personally known to me or who has produced y known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ,��., -Sign: Print: _ 'I�g: � Print: My Commission Expires: My Commission Expires: s41rTraY&aY�elrrsr4rtr4,8,tiaYTrirlrTt�rsY�tteaYak&4rYlrriklririlC,raYaY�tr&1r1r�t1r4r�r4lr�rTrtraYaY,rTr*?t3ratraY9e�rs�iraYlrit�r�rsYlr,+e�rlr�rirTir�rlrsklraYfilr�r�Te�r�r*�ir�e,4,Y,xdesY,a�r*trtr�r4�rf APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/00 • RECEIVED y VILLAGE OF MIAMI SHORES MAR 0 7 2007 OWNER BUILDS DTSCLOSURE STATEME NAME: Ck("STXAQ GarU.►994;L DATE: O a 67 0'7 ADDRESS: 177 Nw 166 ST 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 owit contractor;I further understand1hat 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 thatyou must deduct F.LC.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. 1. I hold title to the above property and I wiv.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 _(k- 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 _UJ-- 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_ S. 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 mitigittdany contract disputes. Initial 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 will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial 7. - I.understand that if any person gets injured on my construction project-they are entitled to w(jrkmen'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 __L!�I_ 8. I understand than 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. Ioitial l Was acknowledged before me this_� day of 20 D By CJMgV Vl k011,Ytt who was personally known to me or who has Produced there License or 0z IT r -Y) as identification. OWNER NOTARY M�ppV o�crjoa�95 GUU�� pcto'ae� Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 2/11/2016 Current Owner 77 NW 106 Street Miami Shores, Fl.33150 Permit:WS-3-07-445 Address: 77 NW 106 Street Miami Shores FL33150 Date Expired: 9/19/2007 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, &� '/ � l Ismael Naranjo ( B Building Director