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DEMO-19-239c D * ),A (Ts 7T0 YP-- 5�,2<{ c ./-41 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 -1—IGU" —l1� Issue Date:11/21/2019 Location Address Parcel Number 148 NW 96TH ST, Miami Shores, FL 33150 1131010240290 Contacts Permit NO.: DEMO-02-1-9-239 Permit Type: DemOliti ft Work ciassfficatiom Residential Permit Status: Approved Expiration: 05/19/2020 JOSE CABANILLAS RODRIGUEZ Owner HOME OWNER Contractor 600 NE 36 ST APT 1917, MIAMI, FL 33187 HOME OWNER Home: 7867478191 CABASCASITA@GMAIL.COM ___.. Inspection Requests: Description: DEMOLITION OF A 6 FEET WIDE X 3FEET TALL Valuation: $ 200.00 Inspe ti n Re WALL 49 Total Sq Feet: 6.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Scanning Fee $9.00 Technology Fee $1.25 Walls, Signs, Other Demolition Fee $50.00 Total: $115.05 Building Department Copy Payments Date Paid Amt Paid Total Fees $115.05 Credit Card 01/27/2020 $115.05 Amount Due: $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 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 an zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date January27, 2020 Page 2 of 2 MO)f(J 10/e,4Gl 2, 6 \\ BUILDING 1�TFEB4 I Miami Shores Village 9 Building Department BY 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING FBC 2011"' � Master Permit No. 'Nolo I -I _ �!q Sub Permit No. ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 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: 1 OWNER: Name (Fee Simple Titleholder): r—�-m'e-_� F . (e," m, Phone#: Address: n,1'j6jjTj�jW City:iIU Tenant/Lessee Name: Phone#: ' Email CONTRACTOR: Company Name: 0 tunkt r Phone#: Address: City: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: ne#: Certificate of Competency #: City: p: Zip: Value of Work for this Permit: $_ R0 C) Square/Linear Footage of Work: 6'C� Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace L /® Demolition Description of Work: r��Ah(1�'j0 jn C7� I 6Eed W A- Y 3 �pPT -7"'Ad 1410 1/_ Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ d Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ I I 4:S - 05 d - c Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Application is hereby made to obtain a permit to do the work and installations as it commenced prior to the issuance of a permit and that all work will be perform construction in this jurisdiction. I understand that a separate permit must be s 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 OWNER or AGENT CONTRACTOR The foregoing instrume Q was acknowledged beforemethis t& -th day f +_ 20 1 1 , by Sv �J G►n'111 Q i who is personally known to ru or who has produced r V`4 1 i C as identificatio and w o did t e an oath NQTARY P 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: as Sign: N, V Sign: Print: (A Print: Seal: Seal: �Mr Y PRIETO 4r r_ MY COMMISSION it FF 2PW.,Q EXPIRES: March 25,APPROVED BY � Plans Examiner - \ 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: `�� _ E. 66 DATE: 6�L -) I - I _ A , Allow, 6Y5 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 7�� 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—V 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 lease, which 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 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 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. 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 regulations. Initial �S 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.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: $ 016 S M'larni Skoto3 V 1. 3313E 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 is required when the permit is issued. Was acknowledged before me this day of 20 By10-'Sq j i • Lb&h i ��t S who was personally known to me or who has Produced there License or f IVq as identification. OWNER V` O YANADY PRIErO MY cOMMISSION 11 FF 214031 `. EXPIRES: March 25, 2019 Bonded Thin NotmY Pu* Undsmftm ut-r-u LAJI, Z' I '40.UU HARVEY RUVIN, CLERK OF COURT, MWDADE CTY THIS MMUMENT PREPARED BY AND RETURN W� Elen Ltercen E.C. Tick SwAces. Inc. 4.61S NWr-AVE*l19 MIAMI, FL 33166 Property Apprrilms Parcel Identification ftllo)?*vmbery 113101-024411290 SPA(:FAYIOI#T- THIS LIN I-: FMRECMVjK0 OATA WARJUNTYDEED THM WARRANW DEED. made the day of-ElOCI 2019 by OCA Corp., a Florldo Corporation, as Ttoxter e't''326 Pkirldo tzod Trust Dated June 119.2011� with power to protect, cote and to sell or lease and encumber or othervem to msmp and dispose of suNwt real e#ste,'h0rtift.CdW ft Smntcr, to Jose F C,*b*uW*s. a married man. wtww pig oMor aftm is 141t NW 96 ST,.MWW. Shores. F-L 331 Sk hereinafter iWled theGmtee: M70ftw wed IsrWir the Aim "Smnfte aid "rime*" iw/44 all the pa"Ja to " inowwrty and ik Amm. IeW reareftiNwhiff aftdau** qtk&fir*jMd& <Wd?f&-4W4AV" foldwska QA.W?P0Mfi0Mj W I T -N E S S -E T H: 74t the Smsor. for and in considwWm of sum *fT-r-N AND W-lWS (SIO-M) Dooms and other vakmbk considerations. receipt %*creof is hereby sduwwkd&4 her* grots, bugrins, sOI& aliens, nmusm relcows. coovqs and confirms wrothat gmWeealt thatccrIam l"Stuatc in MIAMI-DADE County. St or Fforida� viz.: The West % Of Lot 9 and all Of Lot 10, Block 5, BONMAR PARK, according to the Plat thereof, recorded in Plat Book 17, Page(s)11. of the Public Records of Miami -Dade County, Florida. AWJA 148 NW 96 ST, War* Shores, FL 33150 SMWW W gammeft, restyk1tom and rwMitlons of record and -taxes -for-the ym,2019 2nd thereafter. TOGETHER, %%iOk 40 the knenitnts, hered1tomeft and appU00mmm thtmo betouling-cr in Mqywise! appau"ag, TO RAW AM TO HOUN the same in *c simple ifix", AIN04 the grootor hareby covtoara with sW Stwaft thq* 4e.grmor is wwfutly sgizad of Said tared in kq Si"Tici that the grMtot has good right and lawfol vu#wily to Self;m4convey.said tend, ond hereby vmrm* the title to said taw and will de2ad the mft aSoLd the krwfid claims of all peelers whomsoever; and that said Wd is *ft of all enWmbm"CMt*Qe0 talcts w=uftVAbseqmt to D"mber 31. -2019, File No.: 19.19" iN WITNMANKEREOP, The aid runorha signed and se" dmwpn"then dmW and year Waabmulti4m. ftmxkmated and 4dwww lft*epremccof OCA Corpq a FkwW CArperatiam6 as Trustm, 0326.11btiftlawd IWO Datedlue t9, 201% w&vswwtovr*temconmm and to nu erkaftwW encumber or *Gmviw to wanW and ormbleareaeswte Xpreddent of OCA CorpaFlorida Cuq)cratIw* asTrustee of the 326 Florida 1 av4 Tmst dated I=e 19,2018 67SRaftrlDr,0VWsMm,F7.33149 STATE OFFLA)RIDA COVWV OF MIAMI,-DAVE Tice iocegoie g to teirrent was admawledged bef4m (ft this,i day of, 0tabySalina fivamPresident or OCA Cwv� aflorlda Corporatim, as Tftstm of the 326 Flarfda L=d 7ku5t dated June 1& 281& He 6 PerwRaUy kw" to me or has produced C4 hL -.0 m"* f 4,0 SEAL kly comiWall Evkm File Nw I8-29 I 148 NW 96TH STREET, MIAMI SHORES, FL 33150 NW 96TH STREET (F) mm 5 ASPHALT ROADWAY POT-9 �25. 0; t i.1 oe' � r w c zi LOT 10 o BLOCK 5 O ; GdJ WALL ::" Zb.T LL }w COVERED o o z co LL��L cA p203 23. o LL 0 . . .... ... .. o FOUND 117; , % (P C®RNEK • • EST 1/2F IRON PIPE I ..Co, OF 1 •0 0 • •AT LOT 8 a i *see . 5 ... LOT 9 _OCK5 FENCE I ••�••� :000 *00 • ELUDED) 0.2 W I I •• •• ...... 0000 .... . BASIS OF I • ; • ' BEARING i . ; • • • • • "" ' DES W O i co v '••••' O N I I 1 m FENCE I �~ 10.5' GOVERE _: 9` 0.1' W -- Z : _ UTILITY � REMAINDER' OF LOT 9 I l Vp F bOQ 1'S Lj`J t)4 1)j' w BLOCK 5 a I Now POOL i � OT INCLUDED) iQNA �CkNl t � ZD z I z b) 1 -FENCE 1 25.0' i 50.00' _ 15- 0.1' W I 1 75.00- (D) P00 FOUND 1/2' I FOUND 1/2" IRON PIPE LOT 11 PUMP IRON PIPE i BLOCK 5 z z &, - ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED �SIIPV� G. LL[. PHONE:561.508.6272 THeEAR�lG,4Nn�s .� was,�dli�'oi� BY ul FAX:561.508.6309 = -=-- LB 8111 t' SURVEYING, LI.C. -.:.� ' . 88y 5601 CORPORATE WAY, SUITE 103 WEST PALM BEACH, FL 33407 . NexgenSurveying.com - s N -21 CURVE TABLE LENG RADIUS DELTA C1 39.39'__ 25.00' _ _90°-1T00". LEGAL DESCRIPTIODI: THE WEST 112 OF LOT 9 AND ALL OF LOT 10, BLOCK 5, BONMAR PARK ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 17, PAGE(S)11, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. CERTIFIED TO: JOSE E. CABANILLAS FIRST INTERNATIONAL TITLE, INC. CITIZENS BANK, NA, ITS SUCCESSORS AND/OR ASSIGNS FIDELITY NATIONAL TITLE INSURANCE COMPANY FLOOD ZONE: 12086CO302L • • • • • • 1 . i • • • , r • • • • • • • • • k • see* • • • • • • • ease:* • • • i • • • • --ZONE: X / • • • • • • • 0000. EFF:9/1112009 r••••• •••• r • ••••• SURVEY NOTES • • •• +• •••• •••••• • 1 - This survey is for conveyance purposes only and not intended for construction purposes without permission of this suveyer. ; ' • NO NOTABLE CONDITIONS FOUND ' • •• . : • • • i • • •• • • • i .' • r • LE�£'kt3 AX AIRCOND P.H T —*---FEM.T -k463iMfE AL -ARCLSOM M -PAGE # I (°C i3LkYf N (0 -CALCtltATED PALE - PILSW Ltil111YE47AMW vtvwj.T 0 -CA±L7 DS- -DRAOMWEASEMERfi' R AADW -C1. NMETE 04 -ME42M 0 AECOW YDO P" -FCIWT0F8E4^WNG U -UnU YEASEA ENT a>d WC. -POF tCM WM -MATE A EM �C Tpcu � �£ �. TQPOGRAPHICELEVAtt -fit