Loading...
REV-16-3483 I� -� -- 7F ` 'DEC 29 2016 m hlMiami Shores Village Building Department 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 19" BUILDING Master Permit No. `�- ��" 57 PER IT APPLICATION Sub Permit No. �fV BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION EJRENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP y� p, CONTRACTOR DRAWINGS JOB ADDRESS:—w �!� �o6rT City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ) I t♦©� � Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BF�E: FFE: OWNER:Name(Fee Simple Titleholder): — 1� �� Phone#: /7gy,-7—. 5'4-o-.�'-i Address: -.700 1`4W��112:2' City: t✓<< 10N.,K % s 1 �.�� State: �� Zip: Tenant/Lessee Name: y 1 Phone#: Email: �Ic�l►C7���L �� lJ�- o�-�`e F _ 1J .�_ CONTRACTOR:Company Name: /4• 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:$ 1 i®®®• .co Square/Linear Footage of Work: `5,p Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: —1m. JE:!K+-zrT,.Si (Z- v— WZ-ftp Specify color of color thru tile: Submittal Fee$ 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 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 rein .on fee will be charged. Signature Sig re OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoin instrument was acknowledged before me this p2�1+h day of �0'e(4M bk k 20 VQ by day\Of 0 20 by t--a_ who is personally known to who is personally known to me or who has produced ��V`Q 1�Q Y1�`Q as me or who has produced� as identification and who did take an oath. identification and who did take oath. NOTARY PU NOTARY PUBLIC: i Sign: Sign: Print: Print: Seal: Seal: .�'�'r•n'y' YAWY PRIETO MY COMMISSION 4 FF 214031 *' EXPIRES:March 25.2019 nd Thru Notary Public Underwriters APPROVED BY 0 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ,gt1 Miami Shores Village Building Department — 10050 N.E.2nd Avenue �.p Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: Z�"A L-C*cpL-era 4��Z DATE: I 7-Z9. - ADDRESS: -70 a 0 fl& -srr-sec� 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 r'L • 2. I 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 F—L- 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I 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 �O-L- 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 S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial �'�• 6. 1 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 iZ, L_, t 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 a L 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. 1 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.myfloridalicense.com/dbnr/pro/cilb/index,html Initial 1.L, 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 legally and financially responsible for rtthe,proposed construction activity at the following address: V iV W ( q , `Sl_ Initial P-"Lt 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 1Z.L" 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. Was acknowledged before me this "-++ day of Jet"124)Per, 20 lb By. �`eAi►�1��� W who was personally known to me or who has Produced there License or �'C V�v tification. YANADY PRIETO MY COMMISSION#FF 2'14031 :A N ER N ARY as EXPIRES:March 25,2019 �.'�,�;�q.• Bonded Thru Notary Publ!c Ur.;:ruriters ` RECEI tdoRrH DE 2 9 2016ION face Nr w CONC. 57-1�p �Xl�NSION P(9or L-Ale 4. 4 I • •••• • •• ••••• Miami ShcrQs Village • • • • • • • •..•.. • • • • 7.ONING DEPT Ny - • BLDG DEPT �� NO>;'THIN�ST 98 OIIAIIAAD , ST,4TE-ANJ Cc-UN) (r{l,L_S AI`1D :�EGULAT!n�-;S .E 46014a i REILEH 1 LOCATION 70 NORTHWEST98 STREET, MIAMI ENGINEERING CORP. QSCALE: 1/8"= 12' SHORES, FLORIDA "M yourkwm 1i3 AvDwf.W'^no"" Ph:305423-a= Fac 9058233380 ENGINEERING EVALUATIONS NtFW 30001'5/ CONC, NORTH G� 5T�1P eXl'15N510N OVeP 951--Z COMB. F11-L 1 pOVIM 112" THICK i �Xl��1N5/ON JOINT ` � eX1517N6 CMU WALL•TO.P-eAjV4 0000.. . . 0000.. . .. 0000.. A • A0000.. .. 0000.. 0000 0 0000 . .. 0000. . . 00000. . 00 ..... . . 00 .. 0000 000.0. 0000.. • . . 0000.0 13 • rX15TING 5I-Al AAJ12 � • L-AN12ING TO 1 MAIN EILEH 2 PLAN VIEW 70 NORTHWEST98 STREET, MIAMI ENGINEERING CORP. ASCALE: 1/2"= 12' SHORES, FLORIDA zno sow"mm,u ani rum rLo"m Ph:305-823-8008 Fox 305.823-3300 ENGINEERING EVALUATIONS TO MA4AA1 EX1517N6 57TP iWt2 _ L-ANVING 7`O MA4AIN i0000.. 00 0 .. . . 6 . 0 .00.00 . 09 000000 000000 0 0000 .. . 0000: . - ---- - . . 0000 .. 0000. 0000.. .. 00. • • • • • 00 .. .. 0000 00.00. 0000.. 00 0 . 0 0 000000 { 000000 T 0 .0690. . .. 0000 6 . 0 . 17- 0 EXISTING �0017NG M HAMAD S SALLEH,PX 48014 REILEH (13 )__DETAIL A - A 70 NORTHWEST98 STREET, MIAMI ENGINEERING CORP. SHORES, FLORIDA um sanr0® t2i mtKuL run naem SCALE: 1/2'= 12" Ph305482340M Far:305-823-3300 ENGINEERING EVALUATIONS -- �5 coNr. p.�/NF. G3Af' �xi5rlNG cMu wALL ' rop 511�p ;. INF. 1 l3Ap C 5t�� neTAL 5 A-) (CONC. COWP G 1-11211 MINW EXISTING CONCl�7� 'I 1113 so 00 00 "1 0000.. 0000.. . . 000000 . .. 000000 / *5 CJOVWZ- A-0.l2" 0.G . ePDXY 6" 1NZ"Q•e?C15-;• •• :.... I CMU, TILL Ci5tV.- l-H 1WIV, ••:••• , .0..0. . .. 0000. 5000 p5/ MIN, l2" THICK L IM�K'OCK G7';9117'/F r�1.GOViI..... A1\112 5AN12 LAYt�P' COMP. ` • TO 95/ ovep, tFX157 -- l#5 /26?V I- AT l�" �'sic �•••• SOIL VISUAL -2000 p5r �5pOXY 6" lN�'Q' CIS i 0 0 0 0 :••••• I�3rApI1\h5i CAPACITY CONC. roonNG •• CONC. COv7W - 3" N� 17 BAO S P.E 4 14 REILEH 4 DETAIL B-B 70 NORTHWEST98 STREET, MIAMI ENGINEERING CORP. A SCALE: 1/2'= 12" SHORES, FLORIDA 2370 30UnlWM,,,„VVWJL mAdLg nMA Ph:305,823-9008 Fac: 3300 ENGINEERING EVALUATIONS Pl:OVIIV� l/2" THICK EXPANSION JOINT NORTH #5 CONI TOP 57�PlN�. -- (CONC. COVtW — 1-11211 MINS J i --- --- - MIN. LAP /811 6 2#5 l20VI1l5L PeP, 57VP l �PO�CY 6" INTO tFXl5T: -- - - CONC, 57'1�P (CONC. COWP, — 1-11211 MIN) X157 CONCf 7 LANVINGe O ANt2 5TJ�P 1-0 MM4VN•• ••••;• ...... . .. 000000 906*60 ...... • . 000000 • 0• .... 000000 • . e . •Osseo • ••0a•O •• a. sees • • — • • • 7e • rX157-71\k5i CMU wA�-I- o S ,ME14 OEILEH 5 STEP REINF. 70 NORTHWEST98 STREET, MIAMI ENGINEERING CORP. SHORES, FLORIDA um mvnmm 1D Avam m,w nam" A SCALE: 1/2'= 12" Ph:� Fes 305-8233300 ENGINEERING EVALUATIONS •GENEa- NOTES ALL WORK TO M PCW(?PMlW IN ACCOWANCE W 17-t 17--FLORlC2A OUILt2ING C6M ANV 60VekNlNG LOCAL CKVINiWC- GENERAL CON1P,iICTOR IALL WOFYALL t71MEN510N5. 1F ANY05Ca�Fi'iWC1E5 FOUN17, NOTIFY ENGINE-I:BEFORE ANYACTION TAKEN. NO CHANGES TO THESE PLANS ARE PERMITT-12 WITHOUT ENGINE-R'S CONS-NT; CONCRETE ALL CONCR-TE SHALL Or IN CONFORMANCE WITH AC!5/8, 50/, 397 LAT-ST E121TION5 ANC2 ASTM C99. ALL CONCRETE 51-TALL ATTAIN A MINIMUM COMpr<r551VE 5T1U51V61H OF 5000 P5l AT 28 C2AY_5 UNLESS OTNERWlSE NOTEG�ON PLAN. SLUMP SHALL or ,5 PLACING OF CONCRETE SHALL CONFORM TO ACl3l8 ANIS 301 LATEST E12/TIONS. MINIMUM CONCRETE COVFP 51 ALL CSE 3" FOR FOOTING ANC2 I-l/2" FOR • • TIE/RAKE SEAM AN12 COLUMNS. •••••• • • • • •••••• • •• REINFORCING STEEL 000000 ••• ••••• • ••••• •••. •• •• • •••• • •• ••••• ALL �INFORCING 5TEEL SHALL t3E 17EFORMEt7 DApS, FREE Ftt.'OM LOOSE RUST •••••• • • •• 64:69 ANt2 SCALE ANG'CONFORMING TO ASTM A615 GRAM 60. • • • • • • 00*0*0 -XI5T7NG 5TR7lCnJa5 •••••• • ALL EXISTING 5MIE-TURE SHALL REMAIN. / l6 M 8 SALLEH,PX 49014 Z RI LSH ----"N 70 NORTHWEST 98 STREET, MIAMI ENGINEERING CORP. SHORES, FLORIDA "70 SMnWM t13 AVOKIC rwti naoa Ph:3058234008 Fax:305-823-3300 ENGINEERING EVALUATIONS