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ACT-19-2060Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: SACT -09-15-2060 Permit Type: Awnings/CanopiegTen s Work Classification: Addition/Atferadon Permit Status: Approved Issue Date: 09/04/2019 1 Expiration: 03/02/2020 Location Address Parcel Number 440 NE 92ND ST, Miami Shores, FL 33138 1132060140050 Contacts Description: REPLACE AWNING TO REPLACE Valuation: $ 3,000.00 Inspection Requests: PERMIT#ACT-7-16-1897 305-762-9 Total Sq Feet: 0.00 Fees LAURA & JAVIER ORTIZ Owner 440 NE 92 ST, MIAMI SHORES, FL 331382730 HOME OWNER Contractor HOME OWNER $50.00 CCF $1.80 Description: REPLACE AWNING TO REPLACE Valuation: $ 3,000.00 Inspection Requests: PERMIT#ACT-7-16-1897 305-762-9 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Scanning Fee $9.00 Technology Fee $2.50 Window Awnings $50.00 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 09/04/2019 $117.90 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons,$uction and zAwing. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date September 04, 2019 Page 2 of 2 Miami Shores Village R.ECEIVF,D ` + J Building Department sE 04 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: fv Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 BUILDING Master Permit No. QGt- PERMIT APPLICATION Sub Permit No. f—t�l " 0C 0 D BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: t�qO A/�F `7 /j, rD `d J 7- Folio/Parcel#: Occupancy Type:��7— Load r the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name r77 /fL(Fee Simple Titleholder: JHl Fk�G�UP� op—T/2- Phone#: 79&--�•�—i5 Address: ` t2 /(/k, /�� ��' S % City: State: L Zip: Tenant/Lessge Name: Email: , lavtoc • Ale- r hone#: v CONTRACTOR: Company Name: ow 0 tuwez— Ph`ohe#: 78,6 - 6 Address:�d City: y (4ml State: L Zip: 373 (3� Qualifier Name: — Phone#: v State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ;?b 6 b Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �I McF 7*x Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 11 —4 - 6 Ell Bonding Company's Name (if applicable) Bonding Company's Address A City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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 64 day of S -Maw; 20 by Z.VrCR— —L032T--C--A--k Z�5ko is personally known to me or who has producedl_ 'i«-4 yEe— UZFN&S identification and who did take an oath. NOTA UBLIC: Sign: t: The foregoing instrument was acknowledged before me this day of me or who has produced 20, by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal:S!NDIA ALVAREZ Seal: iroar?waI"Se ; MY COMMISSIO"J # GG 238273 -'•c :Q. EXPIRES: September 3, 2022 ',re 2Lae' rtnnAed Thru Notary Public Underwriters APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review as Zoning Clerk 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: \JA✓1[ ! Z DATE: ADDRESS: % l O /l,' VN 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 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 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 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 leas , hich violates the exemption. Initial 5. 1 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 is my responsibility to ensure that the persons whom I employ have the license required by law and b my or municipal ordinance. Initial _1. 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. 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. 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 htt_ p://www.mvfloridaticense.com/dbpr/pro/cilb/index.html Initial 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 the proposed construction activity at the following address: Initial- 12. nitial 12. 1 agree to notify Miami Shores vrilage 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 Gy day of SSM 20 /'� By. 11:w M0 w� GpT CT-) � ho was personally known to me or who has Produced there License or �L_—TSLi:�c7Z lJ�(�SE as identification. t OWNER NOTARY .: SINDIAALVARFZ °••..... fMY COMMISSION # GG 238273 o EXPIRES: September 3, 2022 Bonded Thru Notary Public Underwriters Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FI 33138 Tel: 305-795-2204 Fax: 305-756-8972 12/5/2017 Owner: 440 NE 92 Street Miami Shores FL 33138 - Process No: ACT -7-16-1897 Address: 440 NE 92 Street Dear Sir or Madam: Our records indicate that the above referenced permit application has expired. According to section 105.3.2 "Time limitation of application. An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued." In order to serve you better, we need to keep our files up to date. Please be advised that an expired permit application will hinder your ability to obtain new permits, refinance or sell this property. It may also suspend a contractors permit privileges in Miami -Dade Countv. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, 1 t- /1 Ismael Naranjo, C O Building Director 305-795-2204 SKETCH OF BOUNDARY' SURVEY r SCALE 1' O' N.E. 92nd STREET _ 75.00' Total Rr1N 19' Asphalt ` Lot 9 Block 49 0 B.C, o--` The West 6 Inches of MIAMI SHORES 200.00' LOT: Lot 6 all of Lot 7 & 011 Lot 8BLOCK: 49 SUBDIVISION: SECT4QW jVo.2 23' Parkway test 0.40' FND.I.P.1/2" • • W ..east Q sees sees • ••t••• • • W 5.0 ze • • • • • Lot 9 Block 49 0 The West 6 Inches of MIAMI SHORES r` LOT: Lot 6 all of Lot 7 & 011 Lot 8BLOCK: 49 SUBDIVISION: SECT4QW jVo.2 23' Parkway test .tees• FND.I.P.1/2" • • ...... •• ..east O ID sees sees • ••t••• • • • • • SURVEYOR'S NOTES: fee* e•►• 5.0 r 00 • • • • • • . • DESCRIPTION FURNISHED BY CLIENT. • • • • • • • 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN X50, LOT 8 BLOCK 49 • 3.) THE LANDS SHOVIN HEREON WERE NOT ABSTRACTED FOR ME*Sd R OTHER Concrete 4 CNCn NOT BE SHOWN ON THE SKETCH.• • • • 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTYER IMAQVEMENT • :000e: WERE NOT LOCATED. • • • sloe • • 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. • • • Canvas Tiles 0 t` 0 v 100.41'(8) 100.65'(" 0.0 ' 8.05'; c O LID N to TWO STORY C,BS RESIDENCE # 440 55.20' r IIs 0 0e Payers POOL 27.0p, 16.00' 8.50' o r 4' C.L.F. 100.41 F .112" (NO ID) `.� 9.5'Asphalt--, 15' ALLEY (NO , Asphalt 5' Conc.Walk 21.00' o h LOT 7 BLOCK 49 Asphalt Driveway M N 00 N CFT-r7D JU 0 2016 �1y: _ 27.40' 0.15' M Remainder Lot 6 Block 49 I 18,20' 16.85' cosi o 5 n L y 8.40'A/C l E.M. CBS UtilityLLi Conc. I UL 11,50' U • QQn of U c� 0 0 o 7.50' 1 7.00' 9.65'!MI 'v W.P.P. FND.I:P:1/2" JAVIER ORTIZ AND AND LAURA FERNANDEZ ORTIZ JOB NO: 1206-013 FIELD DATE. 06-11-2012 PROP, ADD:440 N.E. 92nd STREET, MIAMI SHORES, FL 33138 CERTIFIED, JA VIER ORTIZ AND LAURA FERNANDEZ ORTIZ. REGIONS BANK D/B/A REGIONS MORTGAGE, ITS SUCCESSORS AND/OR ASSIGNS, AS THEIR INTEREST MAY APPEAR. GUARANTY TRUST 8, TITLE, INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY. LEGAL DESCRIPTION: The West 6 Inches of MIAMI SHORES LOT: Lot 6 all of Lot 7 & 011 Lot 8BLOCK: 49 SUBDIVISION: SECT4QW jVo.2 test .tees• PLAT BOOK: 10 PAGE: 37 OR MIAMI 0 COUNTT,'1I • • ...... •• ..east sees sees • ••t••• • • • • • SURVEYOR'S NOTES: fee* e•►• . + • • . 1.) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCOR6/MrM:i THE • • • • • • • • • . • DESCRIPTION FURNISHED BY CLIENT. • • • • • • • 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN • • • • • • • ARE THE SAME AS PLAT VALUES. toffee e • 3.) THE LANDS SHOVIN HEREON WERE NOT ABSTRACTED FOR ME*Sd R OTHER • RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND E SAME,F ANY MA: • • + • • • • NOT BE SHOWN ON THE SKETCH.• • • • 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTYER IMAQVEMENT • :000e: WERE NOT LOCATED. • • • sloe • • 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. • • • 6.) WALL TIES TO THE FACE OF THE SAME. • a • 7.)ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1929) UNLESS OTHERWISE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. 9.)TIIIS SURVEY IS FOR MORTGAGE PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION PURPOSES. (FLOOD ZONE INFORMATION) ZONE: X comm: 120652 PANEL• 12086CO302 SUFFIX: L DATE- 9-11-2009 BASE: NIA NOTE' DETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE. NOTE: ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF ON THE CENTER LINE OF. PROPERTY LINE. CASEMENT VIOLATIONS: ❑ YES IN NO AtPARENT VISIBLE ENCROACHMENTS: ❑ yES 00 NO ABBREVIATIONS: SWK= Sidewalk, CBS= Concrete Block Structure, CLF= Chain Link Fence, PL= Property Line, DUE= Drainage Utility Easement, IPI- Iron Pipe, AlC= Air Conditioner Pad, PIC-- Property Corner, D/H= Drilled Hole, W/F= Wood Fence, RES= Residence, CL= Clear, IR= Iran Rebar, UE= Utilty Easement, CONC= Conc. Slab, RAN= Right of Way, DE= Drainage Easement; CIL= Center Line, 0= Diameter, TYP= Typical, M= Measured, R= Recorded, ENCR= Encroachment, COMP= Computer, ASPH= Asphalt, N/D= Nail & Disc., S= Set, FFE= Finish Floor Elevation, O/S= Offset, P/P= Power Pole, OHP= Overhead Powerline, WM= Water Meter, WPP-- Wood Power Pole, E.M.=Electric Meter, M.F=Metal Fence, P.F.=Plastic Fence, D.M.E.=Drainage Maintenence Easement, C.M.E.=Canal Maintenence Easement, L.M.E.=Laky Maintenence Easement, M.E.= Maintenance Easement, B.C.=Block Corner, PSA naht.nt Curvatura FND=Fnund N0In=Nn IdP.nHlicatinn _ G TBAL MENSIONS INC. Land Surveying Services OFFICE: 14770 SW 43rd WAY, MIAMI, FL 33185. PHONE: (305) 5124225 FAX: (305) 512-1814 I HEREBY CERTIFY: The Ow fRf.lnd'BOUNDARY SURVEY" of thf Ifndf whom hereon u t— Nd eorrut to the heft of my Mnovdedge end 1,00 u rfartfy fuveyed and dremn under my fuperriflon lrtd dlrecdm. Thif oompllM With the o p ic" Mirdmum TKhNefl &fMWf fdopGd by the Flonda�f Beard of ProfafelorN Sr ryorf and Mopp— u aonteinfdin Chapter 0J-17, FWdf Admimftntive Code, pular[ to Chapter 472.027, Florida Stehdea. t DAVID L. FUT H REGISTERED LAND SURVEYOR Al 4843 STATE OF FLORIDA LB # 0006874 Signed and Sealed. SHEET 1 OF 1