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DS-17-1340Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. DS -5-17-1340 Prn. . Permt Type: Driveways/Sidewalks/Slabs Work Classification: New Permit Status: APPROVED Issue Date: 6/27/2017 J Expiration: 12124/2017 Parcel Number Applicant 218 NW 92 Street Miami Shores, FL 33150- 1131010331230 Block: Lot: SERGIO TORRES Owner Information Address Phone Cell SERGIO TORRES 218 NW 92 Street MIAMI FL 33150- 218 NW 92 Street MIAMI FL 33150- Contractor(s) HOME OWNER Phone CeII Phone Valuation: Total Sq Feet: $ 3,800.00 919 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: REPLACE DRIVEWAY FOR NEW U SHAPE Bond Return : Scanning: 3 Additional Info: REPLACE DRIVEWAY FOR NEW U Classification: Residential Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Amount $500.00 $2.40 $2.00 $2.00 $0.80 $5.00 $125.00 $9.00 $3.20 Total: $649.40 Pay Date Invoice # 05/16/2017 06/27/2017 Bond #: 3441 Pay Type DS -5-17-64032 Cash Credit Card Amt Paid Amt Due $ 50.00 $ 599.40 $ 599.40 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Planning Review Building Review Building 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 zonin•. Futhermore, I authorize the above-named contractor to do the work stated. June 27, 2017 utbofize. nature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 27, 2017 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-282724 Scheduled Inspection Date: December 18, 2017 Inspector: Riveron, Alexis Owner TORRES, SERGIO Job Address: 218 NW 92 Street Miami Shores, FL 33150 - Project <NONE> Contractor: HOME OWNER Permit Number: DS -5-17-1340 Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010331230 Building Department Comments REPLACE DRIVEWAY FOR NEW U SHAPED DRIVEWAY. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid Inspector Comments December 18, 2017 For Inspections please call: (305)762-4949 Page 5 of 42 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: Miami 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 RECEIVED M 1Y 1 6 2017 FBC 20 t'-4 Master Permit No. -DS (► - 13 0 Sub Permit No. 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 2i8 thj q2 Spree i City: Miami Shores Folio/Parcel#: (I "- 3I01 -033 -) '0 Occupancy Type: Load: Construction Type: ❑ CANCELLATION ❑ SHOP DRAWINGS County: Miami Dade Zip: 33 / Is the Building Historically Designated: Yes Flood Zone: OWNER: Name (Fee Simple Titleholder): SCC1/ D YOQQ S Address: 2-1- Z ijW q2 51 City: Mia M Shorts State: Ft_ Tenant/Lessee Name: Email: BFE: NO i<- FFE: Phone#: 30,E-30/- qq 13 Zip: 33/0 Phone#: ..3f95"-30/ - 9013 CONTRACTOR: Company Name: N Ilk Phone#: Address: City: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: 6`)PicP7.10 C :5 C'Ikt) Phone#:30c- 33 r '113 q Address: &,303 5106 jeoe) City: lug z$ J State: FL. Zip: 331 Z% , R � 3 600 s8 Square/Linear Footage of Work: icj - q I�i State: Zip: Value of Work for this Permit: $ L i %0 Type of Work: ❑ Addition Alteration ❑ New Repair/Replace n Demolition Description of Work: "?ti Vg -106 %t%�ilri -RA- /(ie,l �� (j 11 51laped �i�/CL)I&/. Specify color of color thru tile: Submittal Fee $ 53'0o Scanning Fee $ C• Technology Fee $' &^ • 2-0 Permit Fee $ 1 2-S CCF $ ! - T CO/CC $ Radon Fee $ 2. GO DBPR $ 2 - Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ • Notary $ • c Double Fee $ Bond $ S(3 • CO TOTAL FEE NOW DUE $ ' '4 0 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. Signature Signature AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 b day of Miel , 20 11- , by day of , 20 , by te%iA —V6 ( re,s , who is personally known to , who is personally known to me or who has produced \ ; ( encC 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: M ckr.A I\-` Q0b 0 n Print: Seal: fV`11.6., Ismael A. Pabon Seal: Commission # GG082163 :21c :4— Exires.13, 2021 WI * ,, Bonded thrur ron Notary APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review S"(3o 1 I i Zoning Clerk M OWNER BUILDER DISCLOSURE STATEMENT Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 • NAME: ....X.6/16 T> j©tte j DATE: SYl �J � ?- ADDRESS: Z) 6 'UIJ q2_ 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 nothire 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. I 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 `5"-- 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 S/ 3. I 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 J 4. I 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 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. S-1 Initial �i 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 r 7. I 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 S / 8. I 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 1 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 5/ 9. I 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.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that 1 am the party legally and financially responsible for the proposed construction activity at the following address: 21610c,) 672 Initial 51 12. I 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 J ' 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 / (D day of /IA -A , 20 1 By -E O W 2- I (O 2.2S - who was personally known to me or who has Produced there License or� �� v`'2_ 1"1�N ' as identification. NOTARY } ,fav Pue Notary Public State of Florida ° : °r: Sindia Alvarez "t! a My Commission FF 156750 of*'O Expires 0 910 312 01 8 DAVID A. DACQUISTO, AICP PANNING & ZONING ",REC-OR DEVELOPMENT ORDER File Number: Property Address: Owner/Applicant: Address: 7Yha,ni Shore 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138-2382 Telephcne: (305) 795-2207 Fax: (305) 756-8972 PZ -3-17-201713 218 NW 92 Street, Miami Shores, FL 33150 Sergio Torres 2I8 NW 92 Street, Miami Shores, FL 33150 Whereas, the applicant Sergio Torres (Owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Sec. 400 Schedule of Regulations and Sec. 600. Site plan review and approval required. Garage conversion. Whereas, a public hearing was held on April 27, 2017 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1, The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted as shown on the plans submitted and made a part of this approval. 2) Applicant to apply for and obtain all required building permits from the Building Department before beginning work. 3) Applicant to apply for and obtain all necessary permits and approvals from outside agencies before beginning work. 4) An erosion and sedimentation plan subject to review and approval by the building official is required and must be submitted to the building official with the building permit application. Properly installed soil erosion measures (silt fences, straw barriers, etc.) and anti -tracking area at alt construction entrances are required to be put in place and maintained if ground cover is removed or as required by the building official. Required erosion control measures must be in place prior to footings inspection. 5) The building official may require the applicant to provide an architect or engineer's drainage plan and report to certify to the building official that the site provides storm drainage that detains the first one inch in natural or filtered structural facilities prior to the issuance of a building permit by the Building Official. DO -019 PZ -3-17-20 1 713 Torres Page 1 of 2 6) The applicant is responsible for the installation and maintenance of drainage structures and any site modifications shown on the drainage plan that are necessary to provide storm drainage that detains the first one inch in natural or littered structural facilities. Minor modifications to the approved drainage plan shall require a new signed architect or engineer's drainage plan that shall be subject to review and approval of the Building Official and the Planning Director. Major changes to the approved drainage plan including the construction of drainage improvements such as but not limited to mounds and walls, shall require a new site plan review application and review and approval by the Planning and Zoning Board. 7) All drainage improvements shall be installed in accordance with the approved drainage plan before final inspection by the Building Official. 8) The applicant shall repair and maintain the onsite drainage system in accordance with the approved drainage plan except that major changes shall require Planning and Zoning Board approval as stated in Condition #6. 9) Applicant to obtain all required permits and approvals from the Miami -Dade Department of Regulatory and Economic Resources, Environmental Pian Review Division (DRER, EPRD) and the Miami -Dade Department of Health (DOH/HRS) as required. 10) Ground cover shall comply with the provisions Division 17 of Appendix A, Village of Miami Shores Code of Ordinances, artificial turf and rock of any kind is specifically prohibited. 11) Applicant to meet all applicable code provisions at the time of permitting. 12) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 27h day of April, 2017 by the Planning and Zoning Board as follows: Mr. Snow Yes Mr. Busta Yes Mr. Hegedus Yes Mr. Diaz Yes Chairman Fernandez Yes Date DO-019_PZ-3-17-201713 Torres Richard M. Fernandez ,Crhair, Planning Board Page 2 of 2 5D+orrGS D3 @.ra;i . Com