DGT-17-2125BUILDING
PERMIT APPLICATION
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
NOV 2ry�p�
FBC 20 V1
Master Permit No.l b11 2-1 L
Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 5 NE, q g r i
City: Miami Shores County: Miami Dade Zip: %j 2) ) -) n
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Z Type::? Flood Zone: BFE: 1 FFE:
OWNER: Name (Fee Simple Titleholder): 1cca Q r (r GI Y 0 S Phone#: 7 0 lU _ 1 I ._ 2 col
Address: 4 F N F St -
I
City: M) ra }Y) i S 1 I 0 (^ E
State:
FL Zip: 3.31 5 y
Tenant/Lessee Name: 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:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work: Can CO 6 l f t—I e n OF '' DI. K/ p e,r ni i 1 7 o r
wind d e c,K r�i n d tr ell )�r. N >r. IN U ./ he,v e Y
D
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ z 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
ti
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 RECORDA 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
ENT
The foregoing instrum 4 was acknowledged before me this
'.1 day of N() 10'CA `,20 I ,by
tGavsLA , who is personally known to
4, as`
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Illll///
Fio.
_-,� my
a o I a�.r--
�9 S39IdX.a•' ��
* *********************************s*******************************
��/lflllllll �\
P.1 I
******************************
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , 20 , by
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)
' Arlenis Silvera
From: Karina Zayas <karinazayas16@gmail.com>
Sent: Tuesday, November 27, 2018 12:49 PM
To: Arlenis Silvera
Subject: Cancellation of Permit
Hello!
This email is regarding an open permit I'd like to close for a wood deck and trellis. Work was never started on this. My
address is 45 NE 98th St. Miami Shores, FL 33138.
Thank you!
Karina Zayas
Sent from my iPhone
i
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FL 33138
Tel: (305)795-2204 • Fax; (305)756-8972
8/10/2018
To: Current Owner
45 NE 98 Street
Miami Shores, FL
Permit: DGT-8-17-2125
Address: 45 NE 98 Street Miami Shores FL 33138
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
Ismael Naranjo (CBO)
Building Director
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. DGT-8-17-2125
Permit Type: Decks/Gazebos/Trellises
Work Classification: Deck - Wood
Permit Status: APPROVED
Issue Date: 813112017
Expiration: 02/27/2018
Parcel Number
Applicant
45 NE 98 Street
Miami Shores, FL
1132060131130
Block: Lot:
JAVIER ZAYAS
Owner Information
Address
Phone
Cell
JAVIER ZAYAS
45 NE 98 Street
MIAMI SHORES FL 33138-
45 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s)
HOME OWNER
Phone Cell Phone
�9
(305)318-6738
Valuation:
$ 1,750.00
Total Sq Feet: 270
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type Const: Wood Deck
Classification: Residential
Scanning: 0_
Additional Info: NEW DECK AND TRELLIS
CANCEttEP
Available Inspections:
Inspection Type:
Final
Foundation
Framing in Progress
CReview Structural
f view Building
)ittr'ew,P„lanning
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Plan Review Fee (Engineer)
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$5.00
$150.00
$80.00
$9.00
$1.60
$251.70
Pay Date Pay Type
Invoice # DGT-8-17-64961
08/22/2017 Credit Card
08/31/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 201.70
$ 201.70 $ 0.00
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 forall 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 AFFIDAV :
construction and ..
certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
the above -named contractor to do the work stated.
August 31, 2017
Authorized gnature: wner - . .. • Contractor / Agent
ate
Building Department Copy
August 31, 2017 1
BUILDING
PERMIT APPLICATION
UILDING ❑ ELECTRIC
PLUMBING ❑ MECHANICAL
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
AUG 222017
BY:
FBC 20 it -I -I
Master Permit No.D1Tn -1 1 25
Sub Permit No.
❑ ROOFING ❑ REVISION
❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
ciS sr-
❑ EXTENSION RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Folio/Parcel#: Is the Building HistoricallyCi
NC
City: Miami Shores
Occupancy Type: Load:
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): apw te ` l4( Phone#:
i yl State: Zip:
p
Tenant/Lessee Name: Phone#:
Email:
f l.,
CONTRACTOR: Company Name: r*� � � NQ C 3 ✓ (�, v i1dt e Phone#: (3. V : ) .161)—(0 -73
Address:
City: State: Zip:
Qualifier Name: 6Phpoe#?
State Certification or Registration #: Certificate of Compet�n y #CE L L E D
DESIGNER: Architect/Engineer: VI GCE l • / t'V-Al.---e-3 ,, Phone#: (301�3 (. f p (0
Address: (B S PA (&k D V1.- City: N o (. 9 State: f / Zip: 3 j' Ol 2_.
Square/Linea Footage of Work: i .0 0
�-y/ 144 fFn7
Type of Work: ❑ Addition , ❑ Alteration L1� N ❑ Repair/Replace ❑ Demolition
Description of Work: / )W\ 0_C k Tre U I S P
ir 0 .~
Value of Work for this Permit: $
County: Miami Dade
r r.
Specify color of color thru tile:
• L
Submitta`I Fee $ 0 -
Scanning Fee $
14 7s0
Permit Fee $ 1 -' • i° CCF $
Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ GO • G� Bond $
TOTAL FEE NOW DUE $ 20 \ - 1 O
BFE:
(u 5) 3--(a 7Yr
FFE:
co/CC $'"
Notary $'F) • OD
(Revised02/24/2014)
t"
Bonding Company's Name (if applicable)
lBonding,Company's A ddresss
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. 1 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." 1 + t
Notice to Applicant: As a conditio'n'to the issuance of a building permit with an estimated value exceeding $2500, the applicant•mus(4
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 aroved and a reinspection fee will be charged.
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2. L day of -AUGU L , 20 1,--— by day of ` , 20 , by
T \I C 32 . , who is personally known to , who is personally known to
L +
me or who has produced �- ' as me or who has produced as
identification and who did take an oath.
%.\\f.*°
NOTARY B IC:
Si
n•
Print: l
irueNeNese'Vle,e,r-v-. , "4"
Seal: Atsif Doe,. Notary Public State of Florida
7,1 Sindia Alvarez
My Commission FF 156750
"1aofa Expires 09/03/2018
***********
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
**********************************************************
APPROVED BY Plans Examiner t Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: �.J i%V (e r 2-' y DATE: 0 `" 2.2 - 17
ADDRESS: 445 ire cQ ST Jf �'1 /� / J ��?T� I�� J PL 2-3) 3S
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 personas 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 yo }
that you must deduct F.I.C.A and t
d
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law:1,,:,r•. ;.. u s,,�•1 ply 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
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
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
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.
Initial ilk...—.
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 unty or municipal ordinance.
Initial
who was personally known to me or who has
License or as identification.
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
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
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
Construction must comply with all applicable laws, ordinances, building codes, ancilz"or�
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 I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
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
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 12 day of AkIkiS1, 20 I %
By
tee( Zvyed
Produced t
iTARY
o `r P% Notary Public State of Florida
Sindia Alvarez
'A v My Commission FF 156750
.7or nd Expires 09/03/2018