DS-08-1447 Miami Shores Village
Building Department
100,50 N.E 2nd Avenue,Miami Shores,.Florida 33138
Tel:(305L22 ax:(31697r2,,
0VBUILDING ermit No.9309PERMIT APPLICATION �4�j�■�y- ■Ap0�� Permit No.
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Permit Type(circle): wilding Roofing
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Owner's Name(Fee Simp le r anC�
Owner's Address I+L1 t4 W 10 g T;
City State - Zip
Tenant/Lessee Name Phone#
Job Address(where the work is being done) �"�' 0JA/
/
City Miami Shores Villagg County Miami-Dade Zip 3 ��
FOLIO/PARCEL#
Is Building historically Designated YES
W;E
A*
Contractor's Company Name Phone# 30.r ��T
Contractor's Address Al A-/L 74 S�
City / /� State )r-4 Zip f
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$ 1 0 0® Square/Linear Footage Of Work: aw
Type of Work: DAddition ElAlteration []New Repair/Replace ❑Demolition
Describe Work: P'
ev
Submittal Fee$ Permit Fee$_� CCF$.. CO/CC
Notary$ TraininglEdacation Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ W04114% Code Enforcement$ '® F $
Structural Review.$ d�' ow Due$
AUG 2 7 2o98 See Reverse side--
441AIW1 NGR �z s
EG VILLAGE
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Bonding mpany's Name(if applicable)
Bonding Company's Address
City State Zip
4& r's Name(if applicable) 71
_ _
City State
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 DWROVEMENTS 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 co the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will b
Signature Signature
Owner or gent Contractor /�,
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this-��-
day of kk ,200-P,by%.kCe-^CA[ day of .20—,by–
ho
20_,byho is personaltly known to me or who has produced !!!:� -s who is personally 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:
J.D.MAC(
Sign: Sign:
Print Q '
J=27,2010 Print:
My Commission Expires: My Commission Expires:
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APPLICATION APPROVED BY: l 0 Plans Examiner
Engineer
Zoning
(Revised 07AW7)
Q�I�
RECEIVED
VILLAGE OF MIAMI SHORES AU 0 4 2000
OWNER BUILDER DISCLOSURE STATEME
l'=J--- - ------
NAME: Te" /D 6_ ��x 7 _ DATE: 9 r Ll d e
ADDRESS: l q-y IJIAI l0 /�� j . (�- S3/ k,
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).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 violsttion 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. I hold title to the above property and I am planning on doing this construction
Myself.
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. Inactive
permits for a period of over 180 days will become null and void (expired)
and a new permit will be required. to be issued for reinstatement of the
permit.
Initial
_?3,-_
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
a
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 any 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 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 work on my property with out first obtaining
the proper permits by licensed contractors.
Initial
Was acknowledged before me this + day of AU u3T 20 0,�
By f&tt C11A AlMUN& who was personally known to me or who has
Produced there License or i 7Wd"S 1[ 5� �o as identification.
('f - OWNER N AR
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10050 NE 2^d Ave �������
Miami Shores,FI 33138
Phone 305.795.2204; Fax 305.756.8972
www.miamishoresvillage.com A
AFFIDAVIT
STATE OF FLORIDA)
"COUNTY OF DADE)
The undersigned Affiant,J �, ��£ , does hereby attest that
(property owner)
The attached survey,performed by
(name f surve or's company)
for address:__
performed on $� �f 0 9 (date of survey)is an accurate representation of the
existing conditions and locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a
building permit for the property without first providing a survey less than six (6) months
old. The Affiant, as property owner, further agrees to remove or obtain permits for any
structures which now may exist on the property which are not permitted or which may
violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other
permits.
Further,Affiant ayeth naught.
RE
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me' /this__ day of !
Affiant is personally known to me, � produced
V nim Lt(, 0 as identification.
M INCA
i�yf�.�. MISSION#DD 483995
MY G0 p 2609
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A'�Afn�o?. Bonded NN
Inspection Worksheet
Miami Shores Village
=' 10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
_... ., ;F•- w.- _ ,°s � Bim,� -
Inspection Date: February 05,2009 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Bruhn, Norman Inspection Type: Foundation
Owner: ALMNDRE,JEAN Work Classification: New
Job Address:174 NW 108 Street
Miami Shores,FL 33168-4313 Phone Number
Parcel Number 1121360090020
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
O
O
Inspector Comments
Passed ❑ CREATED AS REINSPECTION FOR INSP-91375. No plans No Permit
NB
cc
e�Z/o�� � �o//�cj7t
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
February 04,2009 Page 1 of 1
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, A 33138
Tel: (305)795-2204 9 Fax; (305)756-8972
2/11/2016
Current Owner
174 NW 108 Street
Miami Shores, FL 33168-4313
Permit: DS-8-08-1447
Address: 174 NW 108 Street Miami Shores FL 33168-4313
Date Expired:8/4/2009
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 ( BO)
Building Director