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FW-16-1428 16 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax:(305)7564972 Inspection Number. INSP-259604 Permit Number: FW-5-16-1428 Scheduled Inspection Date: May 25,2016 Permit Type: Fence/Wall Inspector. Mesa,Michael Inspection Type: Final Owner: COULTON,CRAIG AND ANDREA Work Classification: Wire Fence Job Address:10669 NE 10 Place Miami Shores,FL 33138-2103 Phone Number (30595-9027 Parcel Number 1122320280530 Project <NONE> Contractor: HOME OWNER BuffdhV Department Comments REPLACE FENCE CHAIN LINK Ildtactio Passed Comments INSPECTOR COMMENTS False TO REPLACE EXPIRED PERMIT#BP05-1155 Inspector Comments Passed ANDREA 786-367-1162 r \&a TOGWJ� '�Q,G NA.l� Failed F-1 Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 24,2016 For inspections please call: (305)76241949 Page 30 of 34 Miami Shores Village z '? 10050 N.E.2nd Avenue NE A F Miami Shores,FL 33138-0000 Phone: (305)795-2204 _.. E Expiration: 11/20/2016 Project Address Parcel Number Applicant 10669 NE 10 Place 1122320280530 CRAIG AND ANDREA COULTON Miami Shores, FL 33138-2103 Block: Lot: Owner Information Address Phone Cell CRAIG AND ANDREA COULTON 10669 NE 10 Place (305)895-9027 MIAMI SHORES FL 33138-2103 10669 NE 10 Place MIAMI SHORES FL 33138-2103 Contractor(s) Phone Cell Phone Valuation: $ 600.00 HOME OWNER �s - Total Sq Feet: 133 Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wire Fence Additional Info:REPLACE FENCE CHAIN LINK Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW-5-16-59905 DBPR Fee $2'00 05/24/2016 Cash $147.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee-Wire&Wood $133.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $147.60 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. O F IT: I certify t t 11 the for mg information is accurate and that all work will be done in compliance with all applicable laws regulating nstructio z ing. Futhe r ,I auth ' e the above-named contractor to do the work stated. May 24,2016 uthorized Signa r :Owner / Applicant / Contractor / Agent 5ate Building Department Copy May 24,2016 1 " V• Zoning b ove Appr d e I k. -fie nI ' 4 ` tl I, I' x } cAe(z, I ' v �� II II II I II I(�)Ck �a • 17 i-e-gal Z, �jj 'HOIRE S r,e L I t)l J % BIOCIZ 'C!, Of Lot 2 :I g ne Plat tb�crcolj as -re, Crlj.,d in Plat Boo t vi FST ATE S, ti i 'co-niS G I ti'l- -Mic pap j 4, 7 Z.0 P)7 C n, Ka�n and -ornev Sieg L. Couill*Ozi; Gzrat, An 2 I 'lens, Inc., a -la—va— :. T" all _n D Ti-le Insurance I und, Inc.; Impel'i I Flo' and/or as5--ig-Ins. ;r N"A A L 0 0-�,l KA2 not to sca J r; •'� i tti LOT X .4 ..r ri.ell 09/10/97 1,0T 1 ld V, G9/11/97 Z�"rvvv G-13648 0 Pla�: I i.h. L 3 -A 3 138 0,-Z:STORY RESIDENCE flioszl) J WICCO F7NC_ 1%�ZMpt VINS 2-FEmr. �7,jq y Lggj 7 B 4 0-1-1 C 7 r. 101, 1 LQ- MMIMNM.,a cc"; 0 priopER-11 CCA'Mll -%T I C-.7 f-10111MA AM, R RECORD :C: 4731-327 FILCIRMA S TA—t-M- FIELD XIE-Naulso C.M.L. U7ILI*ry C CALCULk_,E:) S� T 0 CL C4 E.-MI TX eiics -7:F 7� C CENTERLIW! N*013 ArjtfIL-Q% TE_. LAND SU,. f-YOR�IC,5S71 STATE 01 FLCRMA FCWT FI;-M. S" F`vB*!OM.;NC. -M. M ..A Ml 6337 ChCHO FCUMD ISON ROO CH Founo IsCN PIPE SAO RACIAL -VE-Y M.R. .1.03 A.401AL ,�7 R:,3HT OFWAY BOUNID _tD INALK 7700 Mirth Kendal" BUCICK 'o" tN SHGS S-O%,t AR=MTTM ASSLNM,PER PL-'Cl.CR,PER RE CO?DED V1*1 Suite 400 T .4. Flortda MEN1. F.I.P. iT INSTRUZ n; IOVIDED BY OrrMRS. 75.00'(P)74.60'(M) 2-THIS KCAL DESCRLMON; WAS P7 T ABSTRAC—S-0 FOR p�BIEON INE12 NO 3. THE L.%NDS SHOWN ;ng'.. rax 'OVYN OTHER RE ICES NOT SH , 0\1 PLAT. 'N.-WE n 1,".iv >_ T- CORDED ENcUmBRA\ . 3 ,- a , *T 10 t Liictv IS p 15'ASPHALT PARKING 4. Lj N;DERG ROUND PORTIONS OF FOOTING.FOUNDATIONS ORO Sm cc 4L :VERS NOT LOCATED. Maitland— 5. ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUNI. 7)375 FENCE OWNERSH110 NOT DErE. NED. 071 S75-�Il); 7.WALL TIES ARE TO FACE OF THE WALL Fax (4 SE. ='0'ASPHALT a. NOT VALID wrrtiouT*rzlz sl IGNATURE AND THE ORIGINAL RAISz D AL OFA FLOILDA LIMNSED SURVEYOR AND MA�IPEX I-800-227-_'$54 g,. ONLY VISIBLE ErlCRCACljNMN7`S N D AFFILIA LOCATED. A T'ED C�),MPANIES Fax: 10 PLACE 10.NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOT20. %0 RMI • � �� ,� ® '�� � �O � �y �� .� �� �, �� Miami Shores Village I$ -P� Building Department MAY 242016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $�� S� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-0949 S-N FBC 20(q BUILDING Master Permit No. -FIJ «— 4 42,'9 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING ❑MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP p n/ CONTRACTOR DRAWINGS JOB ADDRESS: 1 (`l((110 I CJ o ,/p� City: Miami Shores County: Miami Dade Zio• Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): AvAd (e!2 Phone#:���J -367 I� Address: City: tat PICLW Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: S( 1j� Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: nom,, City State Zip: , Value of Work for this Permit:$ Square/Linear Footage of Work: 1 3 Type of Work: ❑ Addition ❑ Alteration ❑ New B-Kepair/Replace ❑ Demolition \ Descripti n of Work: t 1 zve ( o L i n Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ • Ip (Revised02/24/2014) .1 Bonding Company's Name(if applicable) UV Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State✓i 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 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 is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occu n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be pproved a d a reinspection fee will be charged. Signa a %• Signature Ow or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 9(3 day of n� 20 (( C by day of .20 .by N'0P-� `-'r,)U� n 10 i pegs na'fly known to who is personally known to me or who has produced��1� �.I a me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PU Q NOTARY PUBLIC: Sign: Sign: Print: Print: 00°Ae Notary i�lrobc State of Florida Seal: ? �; Sindia Aivarez Seal: Ve My Commission FF 1567So o p� Expires()f; 8 ############################ ##### ##### ################################################################# C>< APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 /� OWNER BUILD�ER DISCLOSURE STATEMENT NAME: ldwa 1/ les DATE: '5420b. II ADDRESS: t' )w - W,10IM', shah Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,KS 489.103(7).And I have read and understood the following disclosure statement,which entitles me to work as my own contractor,l 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 new form states 75,000).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 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. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. InItial-41 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and Is not hiring a licensed contractor to assume responsibility. " Initial 3. 1 understand that,as an owner builder,l am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit flied in his or her name instead of my own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits an contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may not be built or substantially improved for sale or lease.If a building or residence that I have built or substantially Improved myself is sold or leased within 1 year after the construction is complete,the law will presume that I built or substantially Improved It for sale orlease,which violate the exemption. Initial S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial > 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It Is my responsibility to ensure that the persons whom i employ have the license required by law and by county or municipal ordinance. initiall A 7. 1 understand that It is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously Implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's Insurance may not provide coverage for those Injuries.I am willfully acting as an owner-builder and am aware of the limits of my Insurance coverage for injuries to workers on my property. initia 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. Initial# 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Ucensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbor/aro/cilbAndex.htmi In 11. 1 am aware of,and consent to,an owner-builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: IO(o(o In 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on this disclosure. Initial Ucensed contractors are regulated by laws designed to protect the public.If you contract with a person wh does not have a license,the Constr4uction Industry Ucensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.it is also important for you to understand that,If an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 2.6 day of MAY , 20 ( rO 13y � W V i'-MN who was personally known to me or who has Produced there License or rIL- _I>Z c\ as identification. .Or°vI Notary Public State of Florida Sindia Alvarez My Expires ommission FF 158750 res 9/0332018 NER NOTARY Bp VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I'A� being the legal property owner, for the property Located at: lryp � 6P/ate' t ,vt- 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),qnd I have read and understand 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. DISCLOSURE STATEMENT State law requires construction to be done by•liqused.contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner,o f your property, to act as your own contractor even though you do not have a license. You must supervise the,,.&Astruction 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 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-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 Tiie foregoing instrument Was acknowledged before me this day of ,20 By who is personally known to me or who has Produced as identification and who did take an oath.* er Notary Owner 4 4kAr 4 ,Y. lodr R oil .a. - a. •r a � Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL y Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 11/27/2006 NOV 2 8 20M Permit Type: Imported Permit Inspector: Grande,Claudio Inspection Type: Tie Beam Owner: VARONA, BELKIS Work Classification: Addition Job Address: 517 91 Street NE Miami Shores Village,FL 33138- Phone Number Parcel Number 1132060141220 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Wednesday,November 22,2006 Page 2 of 2 s� Inspection Worksheet Miami Shores Village L � 10050 N.E.2nd Avenue Miami Shores,FL x Phone: (305)795-2204 Fax: (305)756-8972 011 : mmw r , Inspection Date: 11/27/2006 Permit Type: Imported Permit Inspector. Grande,Claudio �fl 2 8 Inspection Type: Fill Cells Columns �®V Lu>�e Owner: VARONA, BELKIS Work Classification: Addition Job Address: 517 91 Street NE Miami Shores Village, FL 33138- Phone Number Parcel Number 1132060141220 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments Inspector Comments Passed � vll� Failed E]_ Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Wednesday, November 22,2006 Page 2 of 2 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel:(305)795-2204• Fax; (305)756-8972 12/10/2015 To: Current Owner 10669 NE 10 Place Miami Shores, FL 33138-2103 Permit: BP2005-1159 Address: 10669 NE 10 Place Miami Shores FL 33138-2103 Date Expired: 1/30/2006 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, < Ismael Naranjo (CBO) Building Director