RC-16-2019 5"ter' Y 3 a r t
Miami Shores Villagee �7"j
0 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000SSttEJ1t aItiQ[� �t
6,
11 �"'777
hF- W rmwlPhone: (305)795-2204 X33 k y �NR?7 , 1t ;
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Expiration: 0712 17
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Project Address Parcel Number Applicant
1199 NE 92 Street 1132050270330
REY WHITEHORN
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
REY WHITEHORN 1199 NE 92 Street (954)612-8850
MIAMI SHORES FL 33138-
1199 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 4,000.00
HOME OWNER
_.. _..... .. _,,.,.. ,... Total Sq Feet: 70
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Final PE Certification
Date Denied: Drywall
Type of Construction:REMOVE AND ENLARGE CLOSET Occupancy:Single Family Miscellaneous
Stories: Exterior: Window Door Attachment
Front Setback:
Rear Setback: Tie Beam
9
Left Setback:
Right Setback: Final
Bedrooms:
Bathrooms: Framing
Plans Submitted:Yes Certificate Status: Insulation
Certificate Date: Additional Info: Truss InspFoundation
Bond Return: Classification:Residential Window and Door Buck
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns
CCF $2.40Wire Lathe
DBPR Fee $2.00 Invoice# RC-7-16-60654 Columns
DCA Fee $2.00 08/11/2016 Check#:136 $ 100.40 $50.00 Review Mechanical
Education Surcharge $0.80 07/19/2016 Check#:129 $50.00 $0.00 Declaration of Use
Notary Fee $5.00 Review Electrical
Permit Fee $120.00 Review Electrical
Scanning Fee $15.00 Review Building
Technology Fee $3.20 Review Plumbing
Total: $150.40 Review Plumbing
F.Termite Letter
F.Elevation Certificate
Review Planning
Review Structural
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 t at II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructionzoning. then ore, authorize the above-named contractor to do the work stated.
August 11,2016
Signature:Owner / nt / Contractor / Agent Date
Buildin epartment Copy
August 11,2016 1
b Miami Shores Village
jl�&A
Building Department JU 1 2
l 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 7E3t .
FBC 20 14 �l
BUILDING Master Permit No. c) (- ` j` bu
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL,; ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: k ic' hj F I
sTrcc
City: Miami Shores County: Miami Dade Zip: 3-S138
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: 1- Bop��FE: D FFE:
OWNER:Name(Fee Simple Titleholder): �ea (��,�e In r o l Phone#: q Sy-�,►Z-S8so
Address: ll`( N F 9p-
City:
p-City: dtika NA i 'S1,orcs State: \• Zip: 33138
Tenant/Lessee Name: Phone#:
Email: Ret4 W h"V"Or Al co M
CONTRACTOR:Company Name: 0wA e T 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:$ k -4/000— L)Square/Linear Footage of Work:
Type of Work: ❑ Addition E] Alteration ElNew Repair/Replace p El Demolition
Description of Work: { P2r.nOvt A- �,�\ 4 2 C1 u C t > c nom.-e- d- r��\a �jc
Specify color of color thru tile: 12-0
fJ �v
Submittal Fee$ Permit Fee$ 2-0 ' " CCF$ J- CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ - ® 6 Notary$ .
Technology Fee$ 2:,- AD 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
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 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
SignatureSignature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
(q+* day of \' v\ 20 (L by day of ,20 by
�'t%V� \ Vl who is personally known to ,who is personally known to
r
me or who has produced T)rV k✓ OQVA'�'`e as me or who has produced as
_ identification and who did take an identification and who did take an oath.
NOTARY NOTARY PUBLIC:
rr N 4$U
C�Rl
L6-2 Sign: � Sign:
W e p �
a Print: r�i Print:
X:1 e s w� YANAD':':�ifl,r;�
I Seal: MYCOMMISSI�:: Seal:
JL:'. --- °d= ��•yf " BondOThru•ana:R
APPROVED BY �'� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
e
5Hac° s y Miami Shores Village
ou�M Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: RPS DATE: 1 1 -tol�
ADDRESS: 1kc1 c� E a �'tc PQ�aM 51n eS P\. 331318
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 9"
2. 1 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.
Initial lQ J
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.l 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 contracts.
Initial 9--,
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
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,which violates the exemption.
Initial (LL,,)
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial IZ�
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons 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 county or municipal ordinance.
Initial P-�j
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 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.I understand that my failure to follow
these may subject to serious financial risk.
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_
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal 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.myforidalicense.com/dbpr/pro/cilb/index.htmI
Initial PA
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legallyandfinancially responsible for the proposed construction activity at the following address:
S4k, 5�cIc9 W
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information 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.
P
Was acknowledged before me this day of \(A4 20
Byy V���,�`f�®V who was personally known to me or who has
Produced there License or Y iV E'/ Cv\g as ident cation.
gygti � YANADYPRIErO
OWNER NOT MY COMMISSION#FF 214031
°. EXPIRES:March 25,2019
)A A L 1� ? Rf ��
Bonded Thru Notary Public underwriters
vIiami-Dade Official Records - Print Document Page 1 of 2
CFN:20160386842 BOOK 30138 PAGE 9
DATE:07/05/2016 11:32:40 AM
DEED DOC 3,450.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
Prepared by.
Abble R.Salt,Esq.
710 NE 126 Street
North Miami FL 33161
Tax Folio:
11-3205-027-0330
WARRANTY DEED
THIS WARRANTY DEED,made this 27th day of June,2016,BETWEEN
ESTHER A.BIENSTOCK,a single woman
whose post office address Is 7020 SW 14P Terrace,Palmetto Bay FL 33158
Grantor*and
LANA SRUR,a single woman AND REY WHITEHORN,a single man,as tenants In common
whose post office address Is 1199 NE 92nd Street,Miami Shores FL 33138,Grantee*;
*(Whenever used herein the terms'grantor"and'grantee"include all the parties to this Instrument and the heirs,legal representatives,
and assigns of Individuals,and the successors and assigns of corporations,trust and trustees)
WITNESSETH that said grantor,for and in consideration of the sum of Ten and no/100 Dollars($10.00),and
other good and valuable consideration to said grantor in hand paid by said grantee,the receipt whereof is
hereby acknowledged,has granted and sold to the said grantee,and grantee's heirs and assigns forever,the
following described land,situate,lying and being in MIAMI-DADE County,Florida,to wit:
Lot 21, Block 2, BAY LURE, according to the map or plat thereof as recorded In Plat Book 44.
Page(s)63,of the Public Records of Miami-Dade County,Florida.
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same In fee simpl forever.
And the Grantor hereby covenants with said grantee that the grantor Is lawfully seized of said land in fee simple,
that the grantor has good right and'lawful authority to sell and convey said land;that the grantor hereby fully
warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and
that said land Is free of all encumbrances,except taxes accruing subsequent to December 31,2015.
littps://www2.miarni-dadeclerk.com/Public-Records/PrintDocument.aspx?Q S=YaoUfOzxr... 7/19/2016
Miami-Dade Official Records - Print Document Page 2 of 2
CFN:20160386842 BOOK 30138 PAGE 10
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
W" U ( k) Cc ESTHER A.BIE STO K
411.
Wyss - t,,e 12.S /�
STATE OF FLORIDA
COUNTY OF
The foregoing Instrument was acknowledged before me on this A',±1y of June,2016 by
ESTHER A.BIENSTOCK,a single woman,who produced Driver's License as identification and who did not
take an oath.
S41-
NO Y PU C
ABBIE R.8ALT
* *IN COMMISSION 8 FF 138428
EXPIRES:Julie 25,2018
�'*���,ow°~ BoedadiMiBudgelNa�ryServlea
https://www2.miami-dadeclerk.com/Public-Records/PrintDocument.aspx?QS=YaoUfOzxr... 7/19/2016
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL _
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-271662 Permit Number: RC-7-16-2019
Scheduled Inspection Date: November 28,2016 Permit Type: Residential Construction
Inspector: Naranjo, Ismael Inspection Type: Framing
Owner: WHITEHORN,REY Work Classification: Addition/Alteration
Job Address:1199 NE 92 Street
Miami Shores, FL Phone Number (954)612-8850
Parcel Number 1132050270330
Project: <NONE>
Contractor: HOMEOWNER
Building Department Comments
REMOVE AND ENLARGE CLOSET, BATHROOM Infractio Passed Comments
REMODELING INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed zel/�
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 23,2016 For Inspections please call: (305)762-4949 Page 14 of 23
SPEATH ENGINEERING
Civil Engineers
November 21,2016
Miami Shores Building&Zoning
10050 NE 2nd Ave
Miami Shores,FL 33138
RE: Rafter connections for beam replacing load-bearing wall for 1199 NE 92nd Street,Miami
Shores,Florida.
To whom it may concern,
This letter is to clarify the applicable loads, load path, and connections related to the beam and
columns as depicted in the design drawing for 1199 NE 92nd Street, Miami Shores, Florida,
prepared by Speath Engineering,dated August 16,2016.
The beam was designed to replace the loads carried by the load-bearing wall between the kitchen
and family room area. This wall was responsible for carrying approximately the mid-span of the
attic joists of a non-occupyable attic space. No roof loads are supported by the wall in the pre-
construction condition, and no roof loads are supported by the beam in the post-construction
condition. Therefore, this assembly is subject only to non-occupyable attic space live and dead
loads(not subject to uplift loads).
Since the assembly is not subject to uplift loads,only connections necessary for gravity loads and
bracing are required. In the as-built condition, each of the columns is anchored to the footer,and
the beam sits within the saddle at the top of the metal column. Since the beam is braced along its
length by the rafters and ceiling, and is not subject to uplift loads,the saddle alone is sufficient.
However, bolting of the saddle to the beam would provide a more cohesive assembly and
additional redundant bracing.
Each of the ceiling joists is connected to the beam by means of a joist hanger. The joist hangers
utilized in the as-built condition include a USP Connectors THD28 (HTU28) and THD28-2
(HTU28-2)(For double-wide joist connection). Per manufacturer's specifications, 2x8 rafter
hangers shall be connected with a minimum of(8) l Od nails from each hanger to the header,and
(4) 1 Od nails from each hanger to the joist.
```Ntuluuuulgi�i
Sincerely, �%`````` .EW S•
A
�gr-- %GENSF•�y�':
't; No. 67675
Matthew S. Speath,P.E. z O: STATE OF
FL PE#67675
�s91O t num
1722 Sheridan Street,Unit 400,Hollywood,Florida 33020
941 NE 19th Avenue, Suite 203,Fort Lauderdale,Florida 33304
(305)780-2194