WS-09-1151coNck
At*
V0)(di
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circl
Owner's Name (Fee Simple Title oh lder) - 4,4 i'414'27( Phone # 2, I 7 1
Owner's Address Y *ilk 4r
City 0 (, fifix47 State
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 75/1
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
Contractor's Company Name C/�� Phone #
Contractor's Address
City
State Zip
�J
Qualifier Na Phone #
State Certi1i at v e istration No. Certificate of Competency No.
s Name (if applicable) Phone #
biyVrk: ❑Addition ❑Alteration :New
`Tip Work: , zove 7 9 4c6 Q41. Cc. /4•�c. 4 %a''.
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * eel ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $
Notary $ p ' rr Training/Education Fee $
Scanning $ !p(' Radon $
Bond $ Code Enforcement $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Roofing
�
_; 3
BY:
Permit r o.
Master Permit No.
Square / Linear Footage Of Work:
Repair/Replace ❑ Demolition
jr ,F
CCF $ (5 CQLGC
• O0 Technology Fee '$ • ap
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $ Ul QI • 5 D •
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
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 after the building permit is issued. In the absence of such posted notice, the
inspection will not roved and a reinspection fee will be charged.
Signat
NOTARY
gong instrument was ac
20n by .
PUBLIC:
e
r R� s�' ,
_ao' 1 r r.,,, �Q�d. %: .7 M1 , k pV
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Sign:
Print:
My Commission Expires:
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 07/10/07)
Signature
Owner or Agent Contractor
owled ed before me this 10 The foregoing instrument was acknowledged before me this
S C OYsvv ' day of , 20 _, by
me or who has pr • • uced 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.
.�o
NOTARY PUBLIC:
,i'77of -07
Sign:
Print:
My Commission Expires:
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
m :y
Zoning
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Project Address
408 GRAND CONCOURSE
Miami Shores, FL
Parcel Number
Expiration: 01/06/2010
Applicant
Owner Information
Address
1132060170090
Block: Lot:
Phone
CRAIG STEVENS
Cell
Valuation:
Total Sq Feet:
$ 5,000.00
0
CRAIG STEVENS
Contractor(s)
HOME OWNER
Phone
Cell Phone
Type of Work: WINDOWS & DOORS
No of Openings: 24
Additional Info: IMPACT
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$3.00
$1.00
$5.00
$340.00
$12.00
$8.50
$369.50
408 GRAND CONCOURSE
MIAMI SHORES FL 33138
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
305/758 -2542
WS - 7 - 09 - 35350 $ 369.50 $ 369.50 $ 0.00
Invoice #
Total Amt Paid Amt Due
Date
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Window Door Attachment
Final Shutters
Final
Shutter Attachment
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.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
July 10, 2009
July 10, 2009 1
PERMIT NO.
NOTICE OF COMMENCEMENT 11111 111111111 11111 11111 11111 1011 1111 1111
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
STATE OF FLORIDA:
COUNTY OF MIAMI -DADS
CFP4 2009R0496675
OR Bk 26934 Ps 0241; (ivs)
TAX FOLIO NO. RECORDED 07/09/2009 15:46:3
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement
1. Legal description of property and street/address:
o y2 ifi'd /f /Y' .1ifV "L fir /141,..; j 4 j fee V T r>� d cle Ala
Zv/.9 - �y�'14> z e 00 / Co/' " 2 ye 5/os/f° Pr- zoo& /
2. Description of improvement: of -ee. -. e v.eia/J Aaei
3. Owner(s) name and address: .-4S p*i9 - 6,-e afeft e
/iff,1-, Slave), 7,1/J P
Interest in property: 4 3 eao. uv '
Name and address of fee simple titleholder.
4. Contractor's name and address: _CA„ fG44-s2.0 Lee -- $ - 6 2 1„..00-c,
//J/ //�. -, JAc -e1, Ie 71/1/ /
5. Surety: (Payment bond required by owner from contractor :if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiratio date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
different t= s specified)
Signatur of Owner
Print Owner's Name r1a,S4 S I Ct. p (h aS 0
Sworn to and subscribed before me this q 414 day of 0 U , 20C E.
Notary Public >/? a.
Print Notary's Name ',/. r t-NV
My commission expires: 3 dq /17 y
/4 -P� !17 41 y .1'404/61-
113_01 -39 8104 PAGE 3
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY CERTIFY That this rs a true copy of the
original Ned rn t rs off ce on 9--fn da of
�11� , A D 20
WITNESS my hand an Masi Seal.
HAIR ` RUVIN, CLERK, or Circuit . Count Cowls
8y -! _:� •• 8 O.C.
Prepared by ear b t C4 E-51e9
Address:
-oi"? �� u,: es 03119/2010
NAME:
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
DATE: - ;i D 7
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 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 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 hold title to the above property and I am planning on doing this construction
Initial 5
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
Initial 545
3. .T 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 544
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 54c
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 mitigat&any contract disputes.
Initial 5/1/
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 S„
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 547
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.
Was acknowledged before me this i) day of c - Oly 20 67
By %O. 1 Nt ter who was personally known to me or who has
Produced there License or T T ritio -s L lc d fisO E OP as identification.
Initial 3 ///
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STATE OF F'I ORIDA. COWA QF DADS V e
1 HEREBY CERTIFY WSW e•Itt a(Apy
swat ixed this PMD>t on, (err tie of
This Instrume Prepare
Name d gy:
eA Pre re
Address Aeit_
X ' .L l'4�
/V _1 14mY 4
Permit No. -'1 �,J 3 Tax Folio No.
COUNTY OF r? i frx.. t6/1 A '
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of property, and street addres if av ilable)
qq z3 JE Q /fit+ -e.w,� t�ia � 1'td1 -Ps . 3?��3$'
2. General description of improvement: P,c2 r-004
STATE OF
3. Owner information A �
a. Name and address: t`�t'
b. Interest in property: ow h,o.i
c. Name and address of a. N N acto ame and address: e fee simple titleholder (if other than owner):
4. Ca r. 1 i� /►� 1 �c,o f1'd)G 106 L k6i Pfzen16 . G
b. Phone number.
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number.
6. Lender
a. Name and address:
b. Phone number.
a *sot $A-3 4-1.11,0231A/ 1 Ft 737 y/ 79
n1 a 536- Gh89
�1+at s.r= oa rc.� , 1.1 A
611.1. 1334 (H. KwepQlman)
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1 )(a)7., Florida Statutes:
a. Name and address: r 1 /i _
b. Phone number. '�l
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Liana's Notice as provided In
Section
7.13.13(1)(b), Florida Statutes:
a. Name and address:
b. Phone number
9. Expiration date of notice of commencement (the expiation data Is 1 year from the date of recording unless a different date Is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 719.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOU LENDER OR AN TTORN BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT'
� ;; er Ma15�ger
Signatory's Title/Office
The foregoing Instrument was acknowledged before me this ,
(name of person) as
authority, ...e.g. officer, trustee, attorney in fact) for t3
h °fiN' =.fur , nm InVrtarn ledl
"" LOIS E LINDLEY
ziet (407) 388-0153
MY OOMMISSION # DD838034
EXPIRES December 15, 2012
Pwndallotary$emoe.00m
NOTICE OF COMMENCEMENT
LO %2., °1i23Nb' +.F t! 'Ava �cl. uw $AFL
c
Signature of N Person Signing Above
day of , .L4 _ (year) by _ _ x _
(type of
name of party on
Signature of Notary Public — State of Flori
Print, Type, or Stamp Commissioned Naml! of Notary Public
Commission Number • ` s
Personally Known _ or Produced Identification 1�
Verifloation Pursuant to Section 92 525. Florida Statutes
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my
knowledge and belief.
Stanley Sumner
408 Grand Concourse, Miami Shores, FL 33138 305- 776 -2443
August 11, 2008
Miami Shores Village
Building Department
Re: NOC
Dear Sirs:
The cost of this project is less than $2500.00 due to the following.
• I am a General Contractor with a window and door business
o License # CGC 1510052
• I am able to purchase these products at cost
• I will be performing the installation myself
If you have any questions, please contact me at your convenience.
Inspection Number: INSP- 135947 Permit Number: WS -7 -09 -1151
Scheduled Inspection Date: February 24, 2010
Inspector: Bruhn, Norman
Owner: ESPINOSA, ANASTASIA
Job Address: 408 GRAND CONCOURSE
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
10 WINDOWS AND DOOR REPLACEMENT
Passed p`V/0
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 23, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 119085. Expose anchors. NB
For Inspections please call: (305)762 -4949
/
Permit Type: Windows /Shutters
Inspection Type: Final
Work Classification: Window /Door Replacement
Phone Number 305/758 -2542
Parcel Number 1132060170090
Page 19 of 34
Stanley Sumner
408 Grand Concourse, Miami Shores, FL 33138
January 6, 2009
RE: Permit# ('L/ ° ` T ! - /
Extension Request
Dear Norman:
Per your instructions I am submitting this letter for an extension to the above referred
window permit. I need approximately forty-five (45) days to complete the final
windows.
Please let me know if you need any further information.
Stanley
mrccmtwm1
la JAN 0 6 2010
BY:
o l-- WI sritryt