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CC-14-1416Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222279 Permit Number: CC -7-14-1416 Scheduled Inspection Date: October 24, 2014 Permit Type: Commercial Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: MILITANA, JOHN AND ADRIENNE Work Classification: Alteration Job Address: 8801 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Contractor: DAVID A LANDY CONSTRUCTION COMPANY INC 13unaing Department comments DEMO DRYWALL, PEG BOUND AND GARBAGE MINOR DEMO AT GARBAGE AREA TO REPLACE PERMIT BP2005-819 Phone Number Parcel Number 1132060110160 INSPECTOR COMMENTS False Phone: (305)662-3888 October 23, 2014 For Inspections please call: (305)762-4949 Page 23 of 23 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 23, 2014 For Inspections please call: (305)762-4949 Page 23 of 23 Miami Shores Village Building Department. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Faa: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 � DING �r� ®BUILDING ❑ ELECTRIC p ROOFING JULA 2 2 14 BY: FBC 20 [U Master Permit No. CCsi'--A— 14 16 Sub Permit No. ❑ REVISION p EXTENSION pRENEWAL pPLUMBING ❑ MECHANICAL OPUBLIC WORKS ❑ CHANGE OF p CANCELLATION p SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 8900 BISCAYNE BLVD City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-011-0.160 is the Buitd'mg Historically Designated: Yes NO Occupancy Type: Load: Construction Type: flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JOHN MILITANA Phone#: Address: 8801 BISCAYNE BLVD City: MIAMI SHORES state: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company C6 G�"49�ru Lk y' - thone*: Name:�)qou . . 1 Address:- ms- 9LJ —4)t4- �1 ft City: s � /%A k State: _ V' Trp: Qualifier Name: Phone#• iii State Certification or Registration #: C�A<� �® ��Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: Zip: Value of {Mork for this Permit: $®� -State: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace emolition Description of Work: - k U'l ", / ,&, 03 P 2kso S9 9 . Specify color of color thru MO.- ile:Submittal SubmittalFee $ 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 Mortgage Lender's Name (if applicable) Mortgage Lender's Address _____ Zip 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 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 dune in compliance with ail 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 $25m, the applicant must promise in good faith that a copy of the notice of commencement and construction lien low 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 n (7)days aft 'the building permit is issued. In the absence of such posted notice, the inspection will not be approved a a rein pectipn fe it be charged Signature _-_ - Sianature 2 S, The foregoing instru s acknowledged !before me this 09 day of ., �, 2 k 1 by l ' 5%e�, who is personally known to me or who has produced as identification and 7 did take an oath. NOTARY PUFIL . /17 Print: Theforegoing instrument was acknowledged before me this e 1 l day of _ 20 by '�°J 10 p� l , who is personally krpown to me or who has produced .,� �Z as Identification and who NOTARY PUBLIC: Sign:_ Print: take an oath. ..�N\11111 U 1 MM Seal: ' ✓ Seal:. e ✓ �. Faun' RUTH A BYDASN +°. : �,% Notary Public -State of Florida /�r��L����t41H►1►�����\ � * »»»»»»»»»»»»»»»,tsa»»a.»�»»s»»»t»»ar+e»:»»*»+�»��»•x»yaw :J�• q.j COmmission # FF 097586 r • Bonded Thaw h National Wq APP 9 Assn 1 s aminer Zoning -��Structural Review Clerk (Revised0212412014) BUILDING PERMIT AP� FBC 2001 Permit Ty a (circ Owner's. Name (Fee Si Owner's Address city Tenant/Lessee Name Job Address (where the City Miami S: Is Building Historically Contractor's Company Contractor's Address _ City_ Qualifier Miami Shores Village g • Buildin De artment 10050 E1%e, o s, Florida 33138 T 1: (30-7 204 a 756.8972 JUN .0 8,M5 Permit No. 3P 0 5 CATION _ Master Permit No. ding Electrical Plumbing Mechanical v Roofing er) 6,0 ji M I L 1 1 �gh Q Phone # 3 6 Is State ( Zip -50 1 J is being done) __Y Village__ ,nated YES 0 -M -f– A– State Certificate or Regis tion No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit i Phone # County Miami -Dade Zip {' NO Phone # State Certificate of Competency No. Phone # Type of Work: ❑Ad ition__tt ❑Alteration ❑New Describe Work: L CO I! �. Square Footage Of Work: ❑ Repair/Replace ELIXmolition Submittal Fee $ Q0, Permit Fee $ f v CCF $ CO/CC Notary $ Kj Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) I Bonding Company's Name (if applicable) Bonding Company's Address city State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip 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 p�an mit with estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement nstruction lien law brochure will be delivered to the person whose property is subject to attachm A so, a certified copy recorded notice of commencement must be posted at the job site for the first inspection which oc rs sev (7) days aftthe building permit is issued. In the absence of such posted notice, the inspection will not be approve and a reMspectionfee_YKI be charged. The for ing instrumental ' r day o 209 j , who ' rsonally known to yr Ri IL -A,5:- •� A�dy NOTARY Print: Contractor me this The foregoing instrument was acknowledged before me this of , 20 _, by has produce P -4 --/> who is personally known to me or who has produced i and who did take an oath. - as identification and who did take an oath. NOTARY PUBLIC: Sign: - Print: My Commission Expires: f� My Commission Expires: �.-- APPLICATION APPROVED BY: � S Plans Examiner Engineer Zoning the 05/13/03 y • . VILLAGE OF MIAMI SHORES r P BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT A ^ • being the legal property owner,parr the A Located at: / I Ag00 0 Legally described'as I 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 to' work 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. J 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 Iicensed 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 Was owledged before me this day of , 20 By 5o -is personally known to m or who has t, Owner and who did take an oath.* Y Ginny.H Gonel Commission #DD323870 ExpirBa M�ay,� 2008 AdMWO BOAR Co., Ina. Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 6/9/2005 Applicant: JOHN Owner: MILITANA JOB ADDRESS: 8900 Contractor Local Phone: Parcel # 1132060110160 Building Permit Permit Number: BP2005-819 Page 1 of 1 MILITANA JOHN BISCAYNE BLVD Contractor's Address: Legal Description: ASBURY PARK PB 4-110 LOT 17 W OF FED HWY & S60FT OF LOT 16 W OF Fees: Description Amount FEE2005-7873 Building Fee $100.00 Total Fees: $106.30 FEE2005-7874 FEE2005-7875 CCF Training and Education Fee $0.60 $0.20 Total Receipts: $0.00 FEE2005-7876 Technology Fee $2.50 FEE2005-7877 Scanning Fee $3.00 Total Fees: $106.30 Permit Status: APPROVED Permit Expiration: 11/29/2005 Construction Value: $400.50 Work: DEMO DRYWALL, PEG BOUND AND GARBAGE Signed: (INSPECTOR) JUN 2 2 PAID 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 responisbility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: