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RC-18-519 = � • �. . a ! . � . � , ,. y | � . � , ! • r . � ! � ) , ] H , � • , , 2 . q . � . ] � . � � . , , a Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:,(305)796-2204 Fax:(305)756-8972 inspection,Number: INSP-299652 Permit Number: FSC-2-18-519, Inspection mate: March 20,2018 Permit Type: Residential Construction 3 Inspector: Naranjo,3aeeE Inspection Type: Final Building Owner: FINKELSTEIN,MICHAEL. Work Classification: Alteration Job Address:565 GRAND Concourse Miami Shares,FL 33138-2454 Phone Number r Parcel Number 1132060171360 i Project: <NONE�> i Contractor: HOME C W14ER Building Department Comments INSTALL f2AlLiN AS PER SKETCH fintrsotio, Passed Comments INSPECTOR COMMENTS-False Inspector Comments Passed Ef CREATED AS REINSPEC11ONFOR INS -9530.cancelled by maze fnklesteirt 8:36 Failed Correction Needed A Re-Inspection Fee NoAJJfzrWftz-.4eaions can be scheduled until re4r-specteq re is paid For Inspections please call: {306}762-4849 March 1�,�t}�'8 Page 1 of 1 y Permit NO. RC-2-18-51'9 `yKoreEs of Miami Shores Village Petmit TYP ,Residential Construction �c 10050 N.E.2nd Avenue Work Cjasgfjcation'Alteration Miami Shores,FL 33138-0000 Per It a Phone: (305)795-2204 ._ Pemlit Status:APPROVED fi— cORtvA Expiration: 08129/2018 Issue Gate:3t2t201� Project Address Parcel Number Applicant 565 GRAND Concourse 1132060171360 Miami Shores, FL 33138-2464 Block: Lot: MICHAEL FINKELSTEIN Owner Information Address Phone Cell MICHAEL FINKELSTEIN 565 GRAND CONCOURSE MIAMI FL 33138-2464 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER M. ... Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Window Door Attachment Date Denied: Framing Type of Construction: INSTALL RAILING AS PER SKETCH Occupancy:Single Family Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Certificate Status: Review Building Plans Submitted:Yes Certificate Date: Additional Info: Review Planning Review Electrical Bond Return: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $0.60 Review Mechanical Invoice# RC-2-18-66612 DBPR Fee $2.00 02/28/2018 Credit Card $50.00 $69.60 DCA Fee $2.00 Education Surcharge $0.20 03/02/2018 Credit Card $69.60 $0.00 f Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 r In consideration of the issuance to me of this permit, I agree to perform a work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict onformity with the plans,drawings, ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assu a responsibility for all work do y either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTR CAL,P U BING,MECHANICAL, DOWS,DOORS,ROOFING and SWIMMING POOL work. OWNE AFFI A T: I c ify th all the for oing information is accurate and that all work will be done in compliance with all applicable laws regulating construc'o n zoni the ore,I aut i the above-named contractor to do the work stated. .i March 02, 2018 1 h rized rgn ture: er / Applicant / Contractor / Agent Date Buil 'ng D rtment Copy March 02,.2018 1 Miami Shores e Villag Building Department artment - , 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 i Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 L+f1 t FBC 2001'7 BUILDING Master Permit No. o Sic, PERMIT APPLICATION Sub Permit No. a ❑BUILDING ❑ ELECTRIC ❑ ROOFI.NG ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION F-] 'SHOP CONTRACTOR DRAWINGS JOB ADDRESS: y� H �' (, t7 In G oy Y S G Q City: Miami Shores r County: Miami Dade Zip: l o Folio/Parcel#: t 132 In ld V (-i o J Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �V-L-el FI✓y ` 6( �� Phone#�Q�: s-2 S Address: -v yS City LA_IJA L 4 V;4 State: 7-- (l Zip: Tenant/Lessee.Name: Phone#: Email: r , i .� ' CONTRACTOR:Company Name: ���— Phone#: , Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New <:_ ,Repair/Replace ❑ Demolition Description of Work: J W 1�� 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$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address i . 11 City a 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 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. I I "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 days after the building permit is issued. .In the absence of such posted notice, the inspection will not be approved and a r ' spect' n fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before ee this The foregoing instrument was acknowledged before me this day of 20 O by day of 20 by ht1 IGH ma- I M UTWo is p onall now o who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ``\\\��o�111••MY llll��l //i Sign: Print: Print: ,p n: Seal: ��� �;.n,;�' Seal: 0 lilt APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5�0R„� Miami Shores Village Building Department 10050 N.E.2nd Avenue Rapp* Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER B LDER DI CLOSURE STATEMENT NAME: -_.. �C DATE: '5 /Z- ADDRESS: VGc VI 60 r ' 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 dr 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.f.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. i , Please read and initial each paragraph. 1. I 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. r Initi&IT 2. I 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. Initia r 3. 1 understand that,as an owner builder,I 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 filed 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 and contr t 1 Initial 1 i 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 z 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 or lease,w ' violates the exemption. Initial t� S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the constructi yni I 6.,;1 understand that I may-not hire an'unlicensed person to act as my contractor or to supervise person o in y building or residence. It is my responsibilityto ensure that the persons whom I employ have the license required by law and b or unicipal ordinance. b Initial i 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 amawar of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that 1 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.1 under nd that my failure to follow these may subject to serious financial risk. i 9 � 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 v�o- 10. 1 understand that 1 may obtain more information regarding my obligations as an employer from the Internal Reve.Que Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I ma conta t e lorida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Init- I -Aft 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I the party legally and financially responsible for the proposed construction activity at the following address: �c?-''2-J'1L InitalVV 12. I agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any 4i �"" m ion that I have provided on this disclosure. ' Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing 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 day of 20 BYAJ J \ who s personally k wn to a or who has \��gr,uuubrr�� �0 31y1S 5,1 Produce t ere Licens as identificat .4� enc a� A `; , 041P ;di -JK;: 091b96�j :o� Cl) ►.� •z= OWNER NOTARY ',�'•�'o�sslww°�' II I Illilal . ... • :. .. • . . a Pu 1 4 t o . ... • • Ono _ �fv�,ami Shores Village �O i nnp1n�i�.n I ❑v . . • .. . . • r7�Ni�<u DEP • • • :.. •. ... • IE 3' DG DEPT R-EC.i To COMPLIANCE •• ••• • : :•• •• '• N/i H ALL FEDERAL . . • • • rim r-TM i r y :f w w r-r+( f(, -Fa <oh5 Cver�/ l d Sha e Save to List - Print` F-fl: