BP-03-1416BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
01)12)N Fax: (305) 756.8972
Permit No. 699-ea - 1 (
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) " 4 (9,', Phone #
Owner's Address 9SZCO /L y5'/V
City /4i/tirf1 S4?4 S State / Zip •
Tenant/Lessee Name
Phone #
Roofing
(300 75P- ?v? P
Job Address (where the work is being done) 5474 15 � 4
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
State
Phone #
Zip
$ Value of Work For this Permit Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ❑Additii ❑Altera ' :New ❑ Repair/Replace ❑ Demolition
Describe Work: r y H/ /�'_ / ��/��i Q' �fL�' "" �Q %� �� (0d5 - ;;
B
****** *********************F er k *, , *, *, * * *r *,r,r,�*** * **** * * ****
County Escrow Fee $ ' 1 U' Permit Fee $ 1. Notary $ 00
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ i Stru ' $
Minus Plans Check Fee $ Total Fee Now Due $ . � D (Continued on opposite side)
to sf I 4-Wed
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
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 insp - = s n which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection wi � proved and a reinspection fee will be charged.
Owner or Agent Contractor
The fore • oin inst was acknowledged before me this aq The foregoing instrument was acknowledged before me this
d a y of , 26) b y . ( ' c e 0,01aLL . , day of , 20 , b
Y by
who is personally known to who 6s produced_) ., ..k.Q— 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 • LIC: 1
Sign:
Print: \ ILA • 1 ^'
My Commission Expires:; Bonded Thru My Commission Expires:
Atlantic Bonding Co., Inc.
stir *,ter*** * *** * ** *, **** **** * ** * ** ** ** ** *, ** * * * * *** * * *** ** * ****** ** *** ** ** * * * * * **** * * ****** * ***** ****** *,r****
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************* * ********** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
•t
APPLICATION APPROVED BY: / SEP - 3 2003 Plans Examiner
Engineer
Zoning
chc7n /o3
a 4
Sign:
mmission #DD231984
7
Print:
3/6/2008
To: Current Owner
9550 N BAYSHORE Drive
Miami Shores Village, FL 33138
Dear Sir or Madam,
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, F133138
Tel: (305)795 -2204 • Fax; (305)756 -8972
Permit: BP2003 -1416
Address: 9550 N BAYSHORE Drive, Miami Shores Village FL 33138
Date Expired: 2/25/2004 FINAL NOTICE
Type: Removal of planter on South side of house
Date of Last Inspection: 6/19/2006 (DENIED)
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,
%udocrr CBO)
Building Director
6113/06
To: Current Owner
9550 N BAYSHORE Drive
Miami Shores Village, FL 33138-
Permit: BP2003 -1416
Address: 9550 N BAYSHORE Drive Miami Shores Village FL33138-
Date Expired: 425/00
Dear Sir or Madam
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
Mabel Vargas
Administrative Assistant
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
REMOVE PLANTER ON FRONT SOUTH SIDE OF
HOUSE
Passed
At
%Inspector Comments
-- )/L0 /
4-60/1,
C9-Ycid /di
--
��
Failed G
,
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
.
until
Inspection Date: 06/19/2006
Inspector: Grande, Claudio
Owner: CABRERA, JORGE
Job Address: 9550 BAYSHORE Drive N
Project: <NONE>
Thursday, June 15, 2006
Miami Shores Village, FL 33138-
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 1132060143860
Lot:
Page 1 of 2
Bill To
JORGE CABRERA
9550 BAYSHORE Drive N
Miami Shores Village, FL 33138-
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Date Fee Name
06/15/2006 Renewal /Extension Fee
Thursday, June 15, 2006
Permit Invoice Report
Permit Type: Imported Permit
Invoice Number: imp -6 -06-25247
Invoice Date: June 15, 2006
Permit Number: BP2003 -1416
Fee Type
Calculated
Total Fees Due:
Fee Amount
$100.00
$100.00
,
Payments
Date Pay Type Check Number Amount Paid Change
06/15/2006 Cash $100.00 $0.00
Total Paid: $100.00
Affiant is
�1 Miami Sh,oNeJ 1 1A/tag
L '1..
PtoFUVA
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
Further, Affiant sayeth naught.
« ' K' does h ereby attest that the
(property owner)
r --
04 /4C . /4 5'// s'i' crisS
/f
(name of surveyor's company)
performed ono *i � � / 91-79 , is an accurate representation of the existing conditions and
(date of survey)
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 appli a to is or other permits..
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this a day of PI US1
personally known to me, produced „SuY • as identification.
at A •
Mabel Vargas
J :� pP Y P ;
:R. • • : Commission #DD231984
=•: •_
Expires: Jur 13, 2007
"';''ep a � °Q Bonded Thru
'H � /1' ass Atlantic Bonding Co., Inc.
ARE € EL i IVE TO THE 1973 NOMA BE CONFIRMED BY ARCHITECT AND(OI'
OWNER BASED UPON DESIGN USAGE.
GEODETIC VERTICAL DATUM.
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C.S.71- 1-1
Was acknowledged before me this
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
I 0. 6/
6 , 7S 44 4' be the legal property owner, for the property
Located at: 9 &D s .e/e
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),,;nd I have read and understand the following disclosure
Statement, which entitles me td Arork 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 licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out-building. t 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. Tlie foregoing instrument
day of
20 11
By r WIC K C ar A who is personally known to me or who has
as identifi and who did take an oath.
., Yp Mabel Vargas
• :.. _ as
Commissi
e e� Expires: Je � 200i
D2319;
o "`o `' • ` Bonded Thn,
Atlantic Bonding Co., Inc