Loading...
DS-16-1518 'D Miami Shores Village Tr � ��I�eW IaS 10050 N.E.2nd Avenue NE 7' yyyyA €4Wftb R 90 ii IazJfi�doTiir o Miami Shores,FL 33138-0000 �a Phone: (305)795-2204N O = ,� , � Expiration: 1211112016 Project Address Parcel Number Applicant 390 NE 105 Street 1121360130010 JOHN CURTIS COOK SR LE CU; Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell JOHN CURTIS COOK SR LE 390 NE 105 Street -- - --- - MIAMI SHORES FL 33138- 390 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 HOME OWNER _. ...., , Total Sq Feet: 800 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work: Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# DS-6-16-60008 CCF $1.20 DBPR Fee $2.00 06/14/2016 Check#:165 $646.20 $0.00 DCA Fee $2.00 Bond#:3110 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $646.20 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. Fu ermore,Ia ori a the above-named contractor to do the work stated. June 14, 2016 Authorized Signa re:Owner / A plicant / Contractor / Agent Date Building Department Copy June 14,2016 1 Miami Shores Village JUN Building Department � ® 2 zoos 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20�y BUILDING Master Permit No. �, PERMIT APPLICATION Sub Permit No. *UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _39® &)E, � -!-� 5 City: ! Miami Sh rrC��ounty Miami Dade Zip: Folio/Parcel#: L LR 136 —©)3 —001 y Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): of %V) coo K Phone#: '7�'j,� 55-4 SLl l Address: 3 C,® k)P— 105'4) S+ \ � 331.3 tj City: ��Owl � S'�1d✓'e S State• �— zip: Tenant/Lessee Name: N Phone#: Email: 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: D Value of Work for this Permit:$ a Square/Linear Footage of work: 500 Type of Work: ❑ Addition 4<Alteration ❑ New ❑ Repair/Replace 1 Re air Re lace Demolition Description of Work: CeQcLo 65ehol-� UrAw� iw; ,/ Rrn c K Q(' Vem g., Specify color of color thru tile: Submittal Fee$ Permit Fee$ !2S-Q CCF$ 1 . 2-0 CO/CC$ Scanning Fee$ `CXZ1 Radon Fee$ ° U0 DBPR$ 2 `off Notary$ 'S; Technology Fee$ •6® Training/Education Fee$ Cj Double Fee$MM� Structural Reviews$ Bond$ ;W . TOTAL FEE NOW DUE$ r. ° (Revised02/24/2014) i 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: 1 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 be approved and a reinspection fee will be charged. Signature �Lzl 0Signature rument WNER or AGENT CONTRACTOR The foregoing Inst was acknowledged before me this The foregoing instrument was acknowledged before me this _2,., day of 20by day of ,20 by who is personally known to 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. Sign: Print: Seal: tion'Dye Notary Public State of Florida Seal: Joanna M Feliciano uS r My Commission FF 092753 t�oPpo Expires 01!121201 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5t!O Miami Shores Village oma Building Department 10050 N.E.2nd Avenue R>i 'y Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT _A6_) NAME: DATE: ADDRESS: 3 6V NF_ -- — 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 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.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 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. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless her she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I under nd 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 permitZcn cts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuildio build or improve a commercial 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 is iolates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construct_ Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise pe ons working on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by u ty or municipal ordinance. Initial 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 am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contr ctor 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.I understand that my failure to follow these may subject to serious financial risk. Initial — 1AP 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,) ill abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply withal[applicable laws,ordinances,building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the I ernal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and unders ds that I am the party legally and financially responsible for the proposed construction activity at the following address: 3010 '� 10'a �+ Initial — 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any the inform tion that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a perKbe ho does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation manable 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 , • By 61 o a O12 L who was personally known to me or who has . g T �3 � 2 m �3,�c NN Tin Produced there License or FOL as identification. oro -n�� St N 'TI N Q W g d OWNER NO RY OR Miami Shores Village onn Building Department CFF 2CI16R 0343 813 10050 N.E.2nd Avenue QF: ea: 301116'9 2071 7116'95; 6'EtORC{EG 1:16,�1'r'^iJt� oRmp Miami Shores, Florida 33138 HARVEY R[JV_INy t � EK OF {:rluFT Tel: (305) 795.2204 rlHr�z-71610E +_OUNTYP FLORIDA Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) COOK, hereinafter referred to as the owner of the following described property (address): 3 qO k J�-- L05411 S+ Legal Description: Lot Block Subdivision Folio # 11 -)136 -013 00 JCD Requests permission to install (describe work): kir;cV, Dr;VP U)r4 ► Within the public right of way of(address) 1 STj_vy0wn, liar 33131 IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or-relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions-shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). STATE OF FLORIDA,COUNTY OF DADF Signature Ii eft� �� b�►RVEY R and caner or Agent � State of Florida County of Miami Dade JESSIE MERRITT#310229 The foregoing instrument was acknowledged before me this_Z day of , 20 _L& by who is personally known to me or who has produced as identification. NOTARY PU Sign- Print: SEAL: 0,11'Apo, Notary Public State of Florida a Y : Joanna M Feliciano a` My Commission FF 082753 NI: Expires 0 111 212 01 8 aN 14L16 BY: 5 Creenre (Bejo , -1c 1",07 e Cow en-c-4- L,,mc9,rO c y Sa A o ,, -i-of o- - vit ►ieroc-K � iok- re ec�ver5 0()4-sl' Ae Qer)' vp7e-4e r,5 to 1 0)-c --Poo+c r d 'A (Z CA"r n • •••s 6666•• •• • 6666 s • •666•• • • • 6666•• 6666 • • • • 6666 • o64se • 60.40• 0b•• w•4.6 • •60.0• • • 000 • 6• • .4.6•• • w • •• s 3 9 0 NE 105 S TREETCO2 I - 16FOOTGARAGE DOOR - -OAK TREE [., ---t til � 77- pRopojS ED 18 FT ' •...• tee..• • • • •08 • • oe 5 FT �S'IDE -WALKd03 SIDEWALg I I , � I 105 STREET a • • saw Sketch of Bou : :.: ;• .. ; ndary Survey . . . . . . . . : . �� G �4 Fp - -- _ • ... . ... Wt 105th Street Fnd I.P.rC. .w(P) 500.08' (M)— on fs—�— •� •� .Bloc y •• -— — ; all ; • ; ; E , NI 121.11 10 19 I.8 F 1 8*10 5 14 1 3 ": �� I �IZ 75'Right of Way JUN 022016 -r—r--r--�--r � r--�—r 4 t � I i i i i i•• i •��iri— , , , �QI I 1 N.E. 105th Street -,�.;. ••1• •: :. to -- - - ---- Stag t'=2a0' ' I t 1 �• •1 • + i�••i : i is i i i I d'i i •�• :i : i • i• •1 ••f •r i iW i W I 18' Asphalt Pavement J l� —J�.L-1—a—�l--1-1—L—L-1J01��z�zl L Z , ----------- - -th Stmt —-—-—-— 14' Gross Swale � I �------------------------� � r set I.P. Fnd I.P. -a 5' Skeralk 102- :r(p)&(C) ~7 LEM D OH' Hole 77.04 C arul s b Lots 1 and 2 of Block 117, Section 5, of MIAMI SHORES, a subdivision according to amended plat ��?s. a,, m �25•� thereof recorded in Plot Book 10 at Page 47 of the Public Records of Dade County, Florida. 1e : Set I.P. g ) I O w SURVEYOR'S NOM /CaP p I � i= �7B �� The client provided the legal description to this surveyor. 25 IV This survey is intended for the use of the parties to whom this survey is certified to and for. Any a � reproduction is not an original. This surveyor retains an original to verify these dated contents for LO > L v a ���` � validity. d c� G LU U) ' Differences are noted as compared to calculations from the record plat and are shown as Plat and/or U Measured. N 8 s Concrete The National Flood Insurance Rate Map 12086CO302L for Florida Community 120652, Panel 302, FIRM > A Revised Date 09/11/2009, with an effective date of 01/20/93, published by the United States o �- o q WpPg�n tC �+• �p Department of Housing and Urban Development, delineates the herein described land to be situated withinGO- C.) D c N o Cn v Zone °X°. W CD r n i✓ ( ® This sketch shown hereon in its graphic form, is the record depiction of the surveyed lands described LU LLJ a 4 ` za O C SS►1 l• @ I r- ! :' �` 24.8' *- �'" -4 �* Ot�1 may^■ herein and will in no circumstances be supplanted in authority by any other graphic or digital format of X C k Ll_ co cc 0 so Imo/ _ C� p - L T 3 , I g V) _ l� this Survey. This map is intended to be displayed at a scale of 1'=30' or smaller. At the maximum a r: I LOT 2 W z ® � Z intended displayed scale the survey and sketch's positional accuracy value occupies 1/20" on the display. LOT 1-9-, 1 9 9 - CA =r in CERTIFICATE: v o.rti I �s3 in A `gym• This is to certifyto the herein named firm and/or persons that the "BOUNDARY SURVEY" of the herein C Concrete w C 03 m �. I Fnd I.P. Noe`" BBo Concrete s' ) cD described property is true and correct to the best of our knowledge and belief as surveyed and platted •o' — a under our direction on March 11, 2010. 1 further certify that this survey meets the Minimum Technical 31: w/ -p ® t'TIi Standard Requirements as set forth in Rule 61G17-6 as adopted by the Florida Board of Professional j A���Y ua8 Surveyors and Mappers pursuant to Chapter 472.027 Florida Statutes. N Asphalt Pavement 15' Right of way I ® R PP P P — ( I= TRIANGLE SURVEYING & MAPPING, INC. v o Fire Hydrant ` Oo-hnLi tak SWB(X LEGEND ABRUATONSP -0- Wood Pole rVfessionol Surveyor and-Mapper #5664 Centerline I.P. Iron Pipe Fnd. Found � —� Guy Wire -_ State_ of Florida (P) Plat A/C Air Conditioner C1`1 0 Survey Point —off —Overhead Wires (C) Calculated Typ. Typical o (M) Measured - Q_ Wire pullbox — x —Chainlink Fence Not valid without the signature and original LB Licensed Business raised seal of a licensed State of Florida vAiis Water Meter Wooden Fence Professional Surveyor and Mapper a; C Date: 0311112010 Project Checked2390 N . E. 105th STREET G scale: ,•=30byy.JL TRIANGLE 01 F.B. 170/30 Dann by: DM -� Surveying&Mapping,.Inc. C Sheet: ,of, 5kett ,: 697 LOTS 1 & 2 M IAM H ORES SECTION 5 eeos 1vw66m sweet 2,S N.Florida street p 7 � aaena,Florida.33168 Bushnell.Florida 33513 i L7 ILRef SLB 738801 �5 1326