DEMO-17-2505Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit No. DEMO -10-17-2505.
Permit Type: Demolition
WorKlassiflcation: Building
Pcrmit:Status: APPROVED
issue Date.- 11/14/2017
Expiration: 05/13/2018
Parcel Number
Applicant
9740 NE 13 Avenue
Miami Shores, FL
1132050090450
Block: Lot:
JANICE MOST
Owner Information
Address
Phone
Cell
JANICE MOST
9740 NE 13 AVE
MIAMI FL 33138-2546
Contractor(s)
ARCO CONSTRUCTION
Phone
305-892-6507
Cell Phone :
Valuation:
Total Sq Feet:
$ 2,200.00
200
Type of Demo: Building
Additional Info: DEMOLITION OF DECORATIVE FENCE PLAN
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.00
$2.00
$0.60
$5.00
$100.00
$9.00
$2.40
$122.80
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO -10-17-65418
10/20/2017 Check #: 566 $ 50.00 $ 72.80
11/14/2017 Credit Card $ 72.80 $ 0.00
Available Inspections:
Inspection Type:
Final
1
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. Futhermore, I authorize the above-named ; ntractor to do the work stated.
Authorized Signature: Owner / • Applicant
Building Department Copy
a tor / Agent
November 14, 2017
Date
November 14, 2017 1
Miami Shores Village
Building Department
0;,10050 N.E.2nd Avenue, Miami Shores, Florida 33138!
Tel': (305) 795-2204 Fax: (305) 756 8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 - i 1
;BUILDING -- -i'
'PE,RMIT APPLICATION,,.,
,...
BUILDINGi''Q'*ELECTRICI }fin'r 0 ROOFING
PLUMBING ❑ MECHANICAL
' ! rt
❑PUBLIC WORKS
at -'61 A, ( 1.,/ r31 1 .�+.. .a .. 4...
JOB ADDRESS:
- FBC2Gt.(,
Master Permit No `Et410
h, • s F Sub Permit No. r4+ :,; _iL Ut.41
g"+l;�i j^f
❑ REVISION ❑EXTENSION ❑RENEWAL
. )T3 •'9-0s:ii°`.v3);34. F/' ,,3,1viA4 4 di'0"CEt 2' i•,.1.1,
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
pi CONTRACTOR .0' 9! * ,F . •t.i at" DRAVVINGS"4rttC,
r ] on ri"'1: D i (3,+ -OD 4:1,1 14J° t 2 L la 1 Il w
u
City`, +r �+ t f fvliami'Sfio�es i ;)?Tel% Miami Dade FUO" 1 _ 11CfC. (% g15i !:i"
"Folio/Parcel#` Y 1 -, i.P gQ3q ` J O Or Z.1a'# "t Illi, . - r, � wiz _ s, Rr°r cli; *dr , LJ V tai
is the Budding'Historically Designated: Yes NO LS
OccuP ry YP an ilfile?$1 `'.a9 Load 10 �' on tr
icction Type .i U°. li Flo d Z I e':rt 1l (` ' 'BFE� FFE$ C 7
OWNER: Name (Fee Simple Titleholder): ANI ► Ch,- Maj( C.1kQ)) Phone#:
- •r ti:+L ,l'Art ri /, �t1 1 +'' � _ �k:k�" ', "_" � 7 " z.: . f:' S4 i ll 1. ,) Earp ,a. 'ci hl c x r' i ] ,( WA ;>3
Address: [.r \�
- City: VktkAA r 00:65- tet, 31.1 State: }c' •) � k !` r 2. # ^,<,1 111 Zip 1:,
, l L .9 *' �. i.r �. .�r <� 1 ;''iG)C:+ . it i ri-'t; "1 �.11- t l ��. iY. s 1` z '.tc "'..13 �'i 1 :1 lf•' ra,)}:v r j1 {
Tenant/Lessee Name: 11 Phone#' . . ,
i
Email:
.1 ^f' ' t:_ L
CONTRACTOR: Company Name: QL0 ('A to S 6 � �a )CT ! b i (Oak Phone#:
Address:�" ..,,.. e -a`.,+7
City: S'.` ) _ State: • .1. ,- k. •,s ,l ..,h>. , . >r Zip:, ','-;2'1i 1n' I
Qualifier Name: cee7 jgf e-nic7g-k) r lr Phone#: !7 =Y' cR-%6 O�
State Certification or Registration #: i .-. Certificate of Competency #:
DESIGNER: Architect/Engineer: jAn...., �. 4 Phone#: h4. ,ir, #1.,1 k,
Address:
City:
:+ State: ,lr, n , A Zip: ,n,t >?,jr r
Value of Work for this Permit: $ _Loa .r„0/P --,,A Square/Linear Footage of Work: ZOO ,, :t1 Jt YI.ATCPri
Type of Work: ❑ Addition ❑ Alteration ❑ New
TT� ❑ Repair/Replace `� Demolition
Description of Work: p 1....17-14C, N Cc (1Al. t t5 rim . e\ICA _ LA 'Ffi
r' 1 Jif •14
,
L "i:
Specify color � Cif color thrurtile:
SubmittaFFee $$ ”" ` - - _. 12ermieFee $'"6 1 4 "'' '
Scanning Fee $ Radon Fee $
Technology Fee $ --`1:.'(-A0- — Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
"CCF
f
DBPR$��L•-�•r.�Notary $"rv".;f-C.,,,::30,
• UCS
Double Fee $
Bond $
15$0TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) N
Bonding Company's Address `
City i 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 - t be approved and a reinspection fgewill be charged.
Signature [ ` 'L-� ✓� ���r
g
OWNER or GENT
The foreg ing i strument was acknowledged before me this
2�/
.� 20 / D , by
e e re Lov- , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
The foregoing instrument was acknowledged beforele this
,- dayo 1'� �� ,20 ,by
, who is personally known to
me or who has produced
identificat on and who did take an oath.
NOTARY ' U : LIC:
Si
n
Print:
N1D Lt/
as
YY :Timsm.
,,r'r .eSeal::.�vd- ...,`otPR�PU� CATHERINE A. DUFFIN} ;y Ctd rlty sionzt Notary Public - State of Florida;} 9 c- o-'Ei eS 09s 3/2018156750 �*i oEpires 0910312018********s* f>,;i; .res*sGWtlp�#i>t<a1?4@SiG6rss******ss*ss*sss**s**s**ss*****ssss***r*S«*Ass*�e�t*t�aea*ssss
o : My Comm. Expires May 14, 2021 n
''.�OFfI" •'
Bonded through National Notary Assn.
(AsAPPRO D'BY" -- --1 — �—i)T — Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
Arco Construction Corporation
'October 19, 2017
State of Florida
County of Miami Dade
Before me this day personally appeared Lester Jensen who, being duly sworn, deposes and
says:
That he will be the only person working on the project located at:
9740 NE 13 Ave, Miami Shores, FL 33138
Sworn to (or affirmed) and subscribed before me this 2-h day of October , 2017 by
Personally know
Or Produced Identification
Type of Identification Produced
rI
o.3Y Put, Notary Public State of Florida (],,
_ ..Yr . Sindia Alvarez 4.
oa My Commission FF 156750 k.
N61- Expires 09/0312018 C
Print, Type or Stam Name of Notary
General Contractors/CGC1505163/1665 N.E. 137`h Terrace/N. Miami, FL 33181
305.892-6507
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENT:. a
Signature:
State of F
County oiami-Dade
Owne
,c704_
The foregoing was acknowledge before me this / d day of a'411. b c/L. , 20 l 7.
By j.Q"n / G z L- dt ro who is personally known to me or has produced
as identification.
Notary:
SEAL:
• ;''yµv n'' ''•., CATHERINE A. DUFFIN
Notary Public State of Florida
Commission k GG 104296
My Comm. txpues May 14, 2021
Bonded through National Notary Assn,
‘..36.0 Ga. 17c.ttftke...v
q?4o 14C is Avg'
ti 6 Si4o(S) fL;3t 3g
Ott 01,17a ON Of oai I Vi; Fb N GE at ' octirst
Miami
imi Shores Village
APPROVED
BY
1
DATE
NO
ACCESSIBLE
:'ORNER
43
SCALE: 1"=2O'
LU1111V'U vLr
BLDG DEPT
� ¢r
0' 20' 407;111:CT 10 COMPI IANCE WITH ALI_ ErDERAL.
;TAIT AND COUN-FY nut FS AND RFGljl_ATIONS
INN
LOT 7; BLOCK 3
s' HIGH "EARLETON SHORES"
OD FENCE P.B. 43, 'PG. 80
�5'UTILITY EASEMENT.
14.3' r -
75.68(R)
5;UTILITY EASEMENT
GATE
OUND f "0
IRON PIPE
30.0'
25.2'
GATE
�"36.3'/
ea
• UMNS
(1.7'X1.7' TYP.
CONtRETT
'_'• •'DRIVE''W4Y.•
i
/ .4'/ . ..
/---
/
VONE STORY/ :I
j /RESIDENCE / :7 NO. 9740
/ /
/ ,32.0'
/
CONC.
WALK
FLAN tE4
29.5'
0
N
PLANTER
R4.5940' •
76.35(R)
OUND 1 "0
IRON PIPE
CONC. FENCE •,
HT 3' COLUMNS'
TYP.)'
FOUND 1 "0
IRON PIPE
•. O
4 •
d
A if
44,
..
FIRE HYD
3".0'..•,•.•, .•.•
N :L'th. T...
..............,.......
rem rtsr-r. .rTz : r .r. rrn :.--r. r -i :.-r. •i-!—�:.-. T::
'::,•
::::.'.::'::':::.'....:. ,..'.....::::::::::':::::...........::':'::'::':::•:'::::: :
Inspection Number INSP-290946
Scheduled Inspect Data January 19, 2018
'Inspector: Naranjo, Ismael
Owner: MOST, JANICE
Job Address: 9740 NE 13 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: ARCO CONSTRUCTION
DEMO -10-17-2505
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 113205 450
Phone: 305-892-8507
Bullding Department Comments
DEMOLITION OF DECORATIVE FENCE PLANTER
Passed
Intractto
Passed Comments
INSPECTOR COMMENTS
/Inspector Comments
Failed
Correction
Needed
Re -Inspection
Fee
Na Additional Inspections can be scheduled until
re -inspection fee is paid.
False
January 18, 2018
For Inspections please call: (305)782-4949
Page 13 of 32