EL-08-2208 ----------- ------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------ ------- ---------------------
W." Inspection Worksheet
Miami Shores Village
10060 N.E. 2nd Avenue Miami Shores, FL
.V1
Phone: (305)795-2204 Fax: (306)756-8972
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Inspection Date: December 30, 2008 Permit Type: Electrical - Residential
Inspector: Devaney, Michael ;JAN 0
Inspection Type: W. W.
Owner: ZALDIVAR, ALEXANDER/GWENDOLYN. Work Classification: Addition/Alteration
Job Address: 1200 NE 94 Street
Miami Shores, FL Phone Number
Parcel Number 1132050100230
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Inspector Comments
Passed URGENT PLEASE WAS SUPPOSED TO BE DONE YESTERDAY.
Failed E:1 /F ;r ),('IV C'
Correction
Needed ❑
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Tuesday, December 30, 2008 Page 1 of 1
Miami Shores Village
Building Department artment [� aim
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972 BY--------
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: Electrical
Owner's Name(Fee Simple Titleholder�( (RV6V' Phone# Aaell�_ F�!;
Owner's Address 1-?m o -gy 5-r
City kual Gl ;4&e5 State FL Zip 35 13 C
Tenant/Lessee Name N ze' Phone#
E-MAIL: 1119 / V (
Job Address where the work is being done) IOM Nf, 14.QT
City Miami Shores Village County Miami-Dade Zip
POLIO/PARCEL# SD OD 2-Z D
Is Building Historically Designated YES NO X
Contractor's Company Name Phone#
Contractor's Address
City State Zip
Qualifier Name Phone#
State Certificate or Registration No. Certificate of Competency No.
E-MAIL:
Architect/Engineer's Name(if applicable) Phone# `~
Value of Work For this Permit$ 100.00 Square/Linear Footage Of Work:
Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace
E]-Demolition
Describe Work: DOI AA-f
xxYx9cxdcxxaY Yxtc aY 9:xxicxxxx�xxok YxxxxnF nYxzxxuxFeesar oY oY a:dexY dcxxxx4e do r.dxxr.4e�derzxx�c Yxxk aYxd:xY 9ex9t ie aYx xxot
Submittal Fee$ Permit Fee !P CCF$ CO/CC
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side->
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) (?
Mortgage Lender's Address IJ
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 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 occurs seven (7) days aTer 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 Signature
Owner or Agent �, �� ��� g Contractor g
The fore oing in trument was ac owledge b fore m. ChIe o m instrument was acknowledged before me this
day of�0 Vb,b day of ,20 by
wf o ersonally known to me or who has prod ed who is personally known to me or who has produced
_ identification and who did take an oath. as identification and who did take an oath.
NO A PUBLIC: _ 1� NOTARY PUBLIC:
Sign: - 4Sign:
Print: -- 044' Print:
My Commission Expires: `�aMy Commission Expires:
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APPLICATION APPROVED BY: 03 C4qz9 Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: d'i/a,_ DATE: ®�
ADDRESS:
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 reaidence.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 fot 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. I hold title to tho above property`and I am planning on doing this construction
Myself. ' g
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 requiredto be issued for reinstatement of the
permit.
Initial
3. I have an understanding of the 2004 FBC & FRC and understand that this
Vectors are there to help enforce and interpret the code.
ere is a copy of the code in this office for review.
Initial
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. 1 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 requited 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
nn
Was acknowledged before me this day of �1n , 20
By r UI who was personally known tome or who has
Produced there License or J as identification.
OW&ER NOTARYVvx tva 11 JO
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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
1200 NE 94 Street
Miami Shores, FL 33138
Permit: EL-12-08-2208
Address: 1200 NE 94 Street Miami Shores FL
Date Expired: 6/28/2009
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,
6v,9 i
Ismael Naranjo ( BO)
Building Director