DS-18-3299Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit No. DS -10-18-3299
Permit Type: Driveways /Sidewalks/Slabs
MM Work Classification: New
Permit Status: Approved
Issoe Date: 02J,22/2,0 9 1 Expiration: 08/21/2019
Parcel Number
34 NW 96TH ST, Miami Shores, FL 33150 1131010330480
Contacts
Description: REPLACE WOODWAY WITH PAVERS AMDE OUT OF Valuation: $ 0.00
Amount
JORGE BONAMINO
34 NW 96
Owner HOME OWNER Contractor
HOME OWNER
Inspection Requests:
CHICAGO BRICKS PACKED SAND OF 2 INCHES. GAP BETWEEN
3a5 ?62 4949
BRICKS WILL BE FILL UP WITH ONLY SAND. Total Sq Feet: 0.00
Fees Amount
Application Fee - Other 50.00
Concrete/asphalt/pavers, slabs, dways, 50.00
swalks
0.00DBPRFee2.00
DCA Fee 2.00
Notary Fee 5.00
Planning and Zoning Review Fee 35.00
Scanning Fee 3.00
Technology Fee 2.50
Total: 149.50
Payments Date Paid Amt Paid
Total Fees 149.50
Credit Card 02/22/2019 $149.50
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 aye required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
onstruction andinnina. Futhermore. I authorize the above named contractor to do the work stated.
Applicant / Contractor / Agent Date
February 22, 2019 Page 2 of 2
BUILDING
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
BUILDING ELECTRIC ROOFING
b
FBC 20 (
q
Master Permit No D "' 2 I
Sub Permit No.
REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ( /lf ! /fiE4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
aS-x-326
OWNER: Name (Fee Simple Titleholder): IDiZ!-2 i=0i4%Q1q'W J Phone#: a7)S 4320,
Address: /VGv CF
City: _A%4 /Y / S 111C 1rL-E_j State: L Zip: _ J
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $
Type of Work: Addition
Description of Work:
Alteration
6e,)c2 9 P cu
v,- 1c_
Phone#:
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
New Repair/Replace Demolition
i chI-r4 PAc)i /Lc At A-6 e- Oc, r of
S^ f) C> r 2-,1 /SIC- +
u p :/roc
Specify color of co or thru the:rc 6 cK ( `'C Lch2
Submittal Fee 1 Permit Fee $ CCF $ '' CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $ Notary $
Double Fee $
Bond $ 6M -
TOTAL FEE NOW DUE $ 1 C- q • —
o(49.
Q
Bonding Company's Name (if applicable)
Bonding Company's Address
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.
Signatu
OWNER or AGENT
The for4going instrument was acknowledged before me this
day of Cl yrJ 20 by
r C941- 30N'4s-1i P^?Aniho is personally known to
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced I as me or who has produced
identification and who did take an oath.
NOT
Sign
Print
Seal
A
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
xaminer 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
p
NAME: J012 -CF— /0 DATE: oz 0
ADDRESS: 3 1/,t/t/
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 s 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 hp r 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. 1 and tand 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 permit nd 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 lea ,which violates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the constru on. .
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
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 aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that 1 may not delegate the responsibility for supervising work to be a licensed contr for 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 regulation .
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/dbpr/pro/cilb/index.htmi
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. 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
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
i
s required when the permit is issued.
Was acknowledged before me this Z C. day of U-?15; 20 t
By J-t who was personally known to me or who has
50
Produ ed there License or ` J as iden "
cu
r AFF W
r OWNER I NOTARY Mown;;.•
F'
HE
wt r of ru a IG r-OJt LJ 16Gt VI wt u, 1-15.00'—
Blodi 131, of "MIAMI SHORES I •
SECTION NO 6", acwrding to the 1 • • • • Plat thereof, at recorded in Plat
1 • Book 10, at Page 39, of the Public •
Records of Miami -Dade County,
Florida. I •
I I I I
0. Ir . M ;, Lot 7,
I •0!1'•?•;• r a Block 131
i I CI
50.00'
L,' A ,," N,
I
I ai.5'46'
Flood Plane Information: I
CLSwimming
and/or other instruments
Pool
3'
Flood Zone: X; Panel No: I a • ;. •
12086C0302L_, Dated I. I• •'• . '
September 11th, 2009; 1 1
wood
Community Name /No.: I I Deck
Village of Miami Shores/ I
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There may be easements YL- - S
and/or other instruments
affecting this property, OCT 2 ! 101
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Asphalt Pavement
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19+9.
Rte, FIP
recorded In the Public I Conc Curb
Records not shown on
NW 96th Street Grass Median
this survey. — — — — 60' Total R/W)
For: LEGAL NOTES Date of Feld Work 10-20-2012
Consuelo Becerra; Jorge This StffM does rid reflect or determine ownership. aw*iohm of the Abstract of Trite +ar7 Re Staking 09-02-2016
Bonamino have to be made to determine Recorded hrsbumenting thets, if ally' affecting properly, The Revised 03-07-2017
kY is "Ject to dedicafiom, Watiom, restrictioris, reeervotiore or easertkrdi of records; Aniano J. Garcia PLSM 5105
Legd Description provided by crot The Lj*Vy of the Survey is limited to the ooat of the
Survey; Underground Encmodanads, if orly, are not sham; Tho firm hos not attanpted to Not valid without the signature
locate footing and/or fourrdatiom and/w w*Traad r7wernerrta of my nature; ff sham, and the original raised seal
Beoriwp aro referred to on Asaumed llalr, If sheridiam, Sevolim we referred to Notional of a Florida licensed surveyor
Order No 12-0307 r v .n nr ,mc (NMM f4?1)
1
F210 SW 129th court, Aniano J. Garcia, PLSM Ph (305) 856-4566
Fax(305)595-1454 Record SurveyMiami, Florida 33183 Land Surveyor Pjagl;eib: • .• agarcja2,9Jj§aol.com Scale 1"= 20'
Property Address: FIP
34 NW 96th Street, I or I
Miami Shores, Florida 33150 11 square g 15, Wide Alley g
Legal Description: cutin,asph t• Asphalt Pavement vi
Lot 7 and the East 25 feet of Lot 8,I--18 N_90-800 '00" W 75.00'
Block 131, of "MIAMI SHORES I I I 0 FIP
SECTION NO 6", according to the 1 01" 1Platthereof, as recorded in Plat I
o
M - Lot 7, I o, 0.1'
Book 10, at Page 39, of the Public I i o Block 131 IQ1. • N N I CI
Records of Miami -Dade County, i 1 • I • . . : I
Florida. I i 50
1
1
E 25.00'
I 6 I 14.5'x26' I
o
The E 25'
Flood Plane Information: 1
aSwimmin1
13
9 Pool a
ci o
1
xi
of Lot 8,
Block 131
Flood Zone: X; Panel No: 1
II
i
a1 1
12086C0302L, Dated
110'
September 11th, 2009; 1 I
Woady
Community Name /No.: 1 i I DoOk 12'1
5'
Village of Miami Shores/ 1
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16.4
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12065206to
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I a Residence 1
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1
There may be easements
and/or other instruments
affecting this property,
recorded in the Public
Records not shown on
this survey.
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up I —10.60' -
OE
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15.00'
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Conc iStoops
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Sidewalk
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NW 96th Street Grass Median
80' Total R/W)
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