DEMO-19-20302sJ36
I
U�MO-6�-Iq-�D36
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:10/02/2019
Location Address Parcel Number
353 NE 94TH ST, Miami Shores, FL 33138 1132060136110
Contacts
Permit NO.: DEMO-08-19-2030
Permit Type: Demolition
Work Classification: Residential
Permit Status: Approved
Expiration: 03/30/2020
MYRNA GARCIA Owner CESAR GARCIA Applicant
353 NE 94 ST, MIAMI SHORES, FL 33141 353 NE 94TH ST, Miami Shores, FL 33138
MYRNA.GARCIA@YAHOO.COM Business:8185186548
HOME OWNER Contractor
HOME OWNER
Description: REMOVAL OF 566 SQ FT OF DRYWALL AND 836 SQ
FT OF FLOOR TILE.
KITCHEN: REMOVAL OF DRYWALL ON CEILING AND WALLS,
DEMOLITION OF ELECTRICAL CONDUITS AND WIRING LIGHTS
.MARBLE FLOOR REMOVAL. BATHROOM 1& 2: PARTIAL
REMOVAL OF DRYWALL ON BATHROOM 1 AND 2 WALLS, AND
FLOOR TILES. LAUNDRY/BEDROOM 4: REMOVAL OF PARQUET
Fees
Amount
Application Fee - Other
$50.00
Building Demoloition Fee
$50.00
CCF
$1.20
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.40
Notary Fee
$5.00
Scanning Fee
$9.00
Technology Fee
$6.25
Work Without Permit 1st Offense
$100.00
Work Without Permit 1st Offense
$100.00
Total:
$328.10
Building Department Copy
Valuation: Inspection Requests:
_
$ 2,000.00 305-762-4949
Total Sq Feet: 0.00
Payments
Date Paid Amt Paid
Total Fees
$328.10
Check # 1081
08/30/2019 $50.00
Credit Card
10/02/2019 $278.10
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 permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permit are [?squire for IfLECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
AFFI AVIT: I I certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
:onst ction nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / / Applicant / Contractor / Agent Date
October 02, 2019 0 Page 2 of 2
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 (DEMO)
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
c
SEP R 8 2019
`WAE
FBC 20
Master Permit Nwq—�_30�c) -081
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 353 NE 94th St.
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 1132060136110 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Cesar M Garcia/ Myrna 1. Garcia Phone#:_ 818.518.6548
Address: 353 NE 94th St
City: Miami Shores Stag FL Zip: 33138
Tenant/Lessee Name: N/ A Phone#:
Email
CONTRACTOR: Company NameCesar M. Garcia, P.E. - owner
Address: Same
818.518.6548
ne#:
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: $oc> Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑X Demolition
Description of Work: Demolition per Statement of Work Schedule per Drawing Al, A2 attached herein.
Removal of -566 sq. ft. of drywall and -836 Sq. Ft of floor tile. Kitchen: removal of drywall on walls and ceiling,
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ -0 O CCF $_
Radon Fee $ DBPR $
Training/Education Fee $
CO/CC $
Notary $ 5 W
Double Fee $
Bond $
TOTAL FEE NOW DUE $ &�� 9 • / O
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
M
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 note gppr ve and a reinspection fee will be charged.
Signature - %./Vvu V In I • V V —
0 NER or AGENT
The foregoing instrument was acknowledged before me this
�g day of Sk PT 20 % by
O�► — e� ret �► hoiis personally known to
me or who has produced _J l , as
ident' icati d wh did take an oath.
\\\`\'No%%111111111 ////�
NOT RY PU ��� '��`••'• 0N•• TO pi4
2S ,Xt
i
Signature
CONTRACTOR
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:
Print: 01 z Print:
Seal: �/y.,.�-• ��S ACE ...��o �\` Seal:
���// mac,.. • OFE \v
as
APPROVED BY ! Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 2
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
? 11-3206-013-6110
Property Address:
353 NE 94 ST
Miami Shores, FL 33138-2831
Owner
CESAR M GARCIA
MYRNA I GARCIA
Mailing Address
,1520 NORMANDY DR
IMIAMI BEACH, FL 33141 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,892 Sq.Ft
Living Area
2,758 Sq.Ft
Adjusted Area
2,710 Sq.Ft
Lot Size
13,660 Sq.Ft
Year Built
1951
Assessment Information
Year
2019
2018 2017
Land Value
$409,800
$409,800 $409,800
Building Value
$188,616
$188,616 $188,616
XF Value
$38,397
$38,797 $39,196
Market Value
$636,813
$637,213 $637,612
Assessed Value
$636,813
$637,213 $461,764
Benefits Information
Benefit
Type
2019
2018
2017
Save Our Homes
Cap
Assessment
Reduction
$175,848
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 12 & W20FT OF LOT 13 BILK 45
LOT SIZE SITE 13660 SQ FT
OR 21241-3616 04/2003 1
COC 25311-3433 01 2007 1
Generated On : 8/30/
Taxable Value Information
2019
2018
2
County
Exemption Value
$50,000
$50,000
$50
Taxable Value
$586,813
$587,213
$411
School Board
Exemption Value
$25,000
$25,000
$25.
Taxable Value
$611,813
$612,213
$436.
City
Exemption Value
$50,000
$50,000
$50.
Taxable Value
$586,813
$587,213
$411.
Regional
Exemption Value
$50,000
$50,000
$50.
Taxable Value
$586,813
$587,213
$411.
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Descriptic
05/24/2019
$800,000
31472-1371
Qual by exam of deed
07/06/2017
$760,000
30612-0459
Qual by exam of deed
01/01/2007
$735,000
25311-3433
Sales which are qualified
04/01/2003
1 $430,000
21241-3616
1 Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appra
https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/30/2019
Statement of Work Note ##
SWi
Kitchen
SW2
Laundry
SW3
Office
SW4
Bathroom 4
SW5
Bedroom 4
SW6
Bathroom 1
SW7
Bathroom 2
Demolish Floor Tile
X
X
X
X
X
X
X
Demolish Electrical conduit & wiring
X
Demolish Cabinets
X
X
X
X
Demolish Drywall - all
X
Demolish Drywall - partial
X
X
Demolish Ceiling
X
Demolish Shower Pan
X
X
Demolish/ replace sinks, faucets and valves
X
X
X
X
X
Demolition of ceiling lights and switches
X
Install Structural Beam - Reinforcement
X
New Electrical Wiring
X
Repair / Replace Existing Electrical
X
X
X
Install New Tile Floor
X
X
X
X
X
X
X
Install Wall Tiles
X
X
X
X
Existing Plumbing Layout
X
X
X
X
X
Install New Valves & Plumbing Fixtures
X
X
X
X
Re -install Existing Plumbing Fixtures
X
Install New Cabinets
X
X
X
X
Install New Lighting Fixtures
X
X
X
Install New Appliances
X
Install Recirculating Fume Hood
X
Replace Wall AC with Split -Unit
X
Q
Pantry I Note 2
N
FRIG
L
6
Note 3 N
5 -7 314"
1'-3 1116" Note 1
3'-5 114"
i
Note 9
24" a
1washe
APPROVF-D _ _9y
ZONING DEPT_ IL
c
BLDG DEPT _ �lz
�/�
io
i
P.O.
\1 V • � b N
Note 10 _
Co100,
3" v p O 18" x 78" Island Bar
t � (� q (with 33" X 80" counter top) ;
PO-
--i°°
Note 4 N �� PLUMING PLANS
.. ... ..,
• •• • • • • ••• •
Note 5 N to 6 Note 7 Note 8 • • • • • a.:
. •
6'- a • •
24" 4" waterAll. • • • • • •
pare E27g'jT(jCabinet 36" op Cabinet 39" T p Cabinet g@y •• ••Z doors) (3 1 ss doors) (3 g/a s doors) Coo/er nter • • • •
.•• • • . • ••• • .
• 3'-0" 1'-3" 3,-0„ 1,_3„ 2, 0„ 4'-6 1/4" : : • : • • • • . •
IL
-----------------
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Page A2 rage AL
Kitchen Remodeling Section Bathroom Remodeling Section
4il
Remodeling of Existing Structures
Statement of Work Summary
Statement of Work Note #
Sw1
Kitchen
SW2
Laundry
sW3
Office
SW4
Bathroom 4
Sws
Bedroom 4
SW6
Bathroom 1
SW7
Bathroom 2
Demolish Floor Tile
X
X
X
x
x
X
x
Demolish Electrical conduit & wiring
x
Demolish Cabinets
X
X
X
X
Demolish Drywall - all
X
Demolish Drywall - partial
x
X
Demolish Ceiling
X
Demolish Shower Pan
x
x
Demolish replace sinks faucets and valves
x
x
x
x
x
Demolition of ceiling lights and switches
X
Install Structural Beam - Reinforcement
X
New Electrical Wiring
X
Repair Replace Existing Electrical
X
X
X
Install New Tile Floor
X
X
X
x
X
X
x
Install Wall Tiles
X
x
x
x
Existing Plumbing Layout
X
X
X
x
x
Install New Valves & Plumbing Fixtures
X
X
X
X
Re -Install Existing Plumbing Fixtures
x
Install New Cabinets
X
x
x
x
Install New Lighting Fixtures
x
X
x
Install New Appliances
X
Install RecirculatIn Fume Hood
x
Replace Wall AC with Split -Unit
1 x
Notes:
• • ••
1. General • •
a. Planned work limited to remodeling and improvements injot8hen, bat4clbxns
1, 2 & 4 and; in addition to replacement of floor tilet?RSflite, laundry arld
bedroom 4. egos • •
b. All existing walls and plumbing will remain as is. • • • • • • • • • • • •
c. Electric improvements limited to areas marked in Drawing E 1. •
2. Demolition Notes • • : • • : • • •
a. Removal of wall and floor tiles - kitchen and bathroenis • /2 and 4. • • • • •
b. Remove drywall per Scope of Work table. 000000
•
c. Removal of all non -compliant wiring attached to kitr*•henWaMs.
3. Plumbing • • •
a. No changes to existing plumbing layout. 0 • • • i • • • • •
b. Remove and ra-install existing fixtures in existing loalstions. • • •
c. Re -build shower pan in Bathroom 1. • • •
d. Install new faucets and valves in bathrooms 1,2 & 4, kitchen and 1armI&
room.
e. All plumbing fixtures to comply with FBC Section P270 1, Table P270 1 . 1 and
ASME, AASE, ANSI and ASTM standards as referenced therein.
f. All shower and shower/tubs combinations shall be equipped with control
valves of the pressure balance, thermostatic mixing and temperature limit
requirements per FC2 2708.03 and ASSE 1 01 G.
g. All plumbing fixtures, fixture fittings and appliances to comply with maximum
flow rates and consumption per Table 604. 4 Miami Dade County Article III,
Section 8-3 1.
4. Electrical
a. The actual location of all fixtures to comply with NEC 2 1 0.52
b. All receptacles shall be tamper -resistant per NEC 406.1 1
c. Electrical details and computation on Page E 1
S. Structural
a. Remediation of load bearing wall improperly removed by previous owners
(approximately 88 SQ. FT.) per drawing S 1 and related computations.
6. Mechanical
a. Replacement of existing Bedroom 4 wall -mounted AC with a new split unit to
be covered under separate permit.
b. Installation of bathroom exhaust fans in Bathroom 1 and 2.
7. Roof repairs covered under separate permit
•m•er:
rw we w eneR
•ws sP�t� R sar N
r1.
Repairs & Remodeling
Cesar & Myrna Garcia
Kitchen, Bathrooms & Floors
Residence
Legal Description: Lot 12 and the West 20 feet of Lot # 13. Block 45.
353 NE 94 m Street
Subdivision: Amended Plat of Miami Shores, Section 1 according to
Miami Shares, FL 331 38
the plat thereof as recorded in plat book: 10 page: 70 Public Records
of Miami -Dade County, Florida
D Nn 2�
Folio• 113206131 36110
REV.
D6CRIIIDN
DRTE
BY
1
• Irvtlal Release
m.oE.x)v
CR
3
ExpaMM tlemtlk'nn fkbi6
D3.18x)19
Cg
Bathroom 1 & 2
Repair / Upgrade Plans
�r f
�J � r QR
Kitchen Remodeling Plan
4'-6"--4
Remodeling of Existing Structures
Statement of Work Summary
Statement Of Work Note q
SWl
Kitchen
SW2
Laundry
SWs
Office
SW4
Bathroom 4
SWs
Bedroom 4
SW6
Bathroom 1
SW7
Bathroom 2
Demolish Floor Tile
X
X
X
X
X
X
X
Demolish Electrical conduit & wiring
X
Demolish Cabinets
X
X
X
X
Demolish Drywall - all
X
Demolish Drywall - partial
X
X
Demolish Ceiling
X
Demolish Shower Pan
X
X
Demolish/ replace sinks, faucets and valves
X
X
X
X
X
Demolition of ceiling lights and switches
X
Install Structural Beam - Reinforcement
X
New Electrical Wiring
X
Repair / Replace Existing Electrical
X
X
X
Install New Tile Floor
X
X
X
X
X
X
X
Install Wall Tiles
X
X
X
X
Existin Plumbing Layout
X
X
X
X
X
Install New Valves & Plumbing Fixtures
X
X
X
X
Re -Install Existing Plumbing Fixtures
X
Cabinets
X
X
X
X
New Li htin Fixtures
X
X
X
LIn,1,11New
New Appliances
X
Recirculating Fume Hood
X
e Wall AC with S lit- t
I
i
i
i X
s •
• • 9
•
••toot
toot
tot•
•loft•
•• ••
Remediatlen*ot
Load Bearing Wall
(Please refer to Si)
n � �I i cf�igj2P1 f
Miami Shores Village
g
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BUILDING (DEMO)
PERMIT APPLICATION
gECEIVED
AU 3 0 019
BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 4
BUILDING ❑ ELECTRIC ❑ ROOFING
F BC 20 )`:Dt
Master Permit No Mo _ 09 - ( cl - Zo30
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 353 NE 94th St.
33138
Folio/Parcel#: 11-II—1jsn11u Is the Building Historically Designated: Yes NO -
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Cesar M Garcia/ Myrna I. Garcia Phone#: 818.518.6548
Address: 353 NE 94th St
City: Miami Shores L State: Fzip: 33138
Tenant/Lessee Name: N/ A ! � A ri Phone#:
Email: 1f1 ' ll
Cesar M. Ga�c' P.„o �ner {� W� 818.518.6548
CONTRACTOR: Company Name: ' J Phon
Address: SameC
X
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: $ �i 450 Y Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Q Demolition
Description of Work: Kitchen: Removal of drywall on ceiling and walls . Marble floor removal.
Bathroom 1 & 2: Partial removal of drywall on bathroom 1 and 2 walls, and floor tiles.
Laundry/ Bedroom 4: Removal of parquet floor
Specify color of color thru tile:
Submittal Fee $0::�) Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ �.. 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
Mortgage Lender's Name (if applicable) IBERIA BANK
Mortgage lender's Address 1501 Alton Road
City Miami Beach
State
FL
Zip
Zip 33139-2705
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 seve (J days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a rei spe ion fee will be charged.
Irip, i/IF1%7
OWNER or AGEW CONTRACTOR
The fore oing instrument was acknowledged before me this
0 day of dfl " 20 by
-�P(2 LEA who is personally known to
me or who has produced 1L-X5?4lk(2- U,0&N3f5-
identification and who did take an oath.
NOTARY 2BL
Sign: ,
Print:
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:
as
Seal: Seal:
.S�gYP SINDIA ALVAREZ
:.:
L COIdMISSION k GG 238273
EXPIft S: September 3, 2022
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: ,Cesar M. Garcia DATE: 08.30.2019
ADDRESS: 353 NE 94th Street Miami Shores, FL 33181
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.
I. I understand that state law requires construction to be done by a licensed contractor and have applie oan owner -builder permit under an
exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act �J,(rL own contractor with certain
restrictions even though I do not have a license.
2. 1 understand that building permits are not required to be signed by a property owner unless he or sp� i responsible for the construction and
is not hiring a licensed contractor to assume responsibility. i�
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I undeAofy
ay protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instename. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permcts.
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4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I ma 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 occup nc It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved my is old or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or le s , 4ich violates the exemption.
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5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
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6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise person o ing on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and b fco or municipal ordinance.
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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. 1, 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.
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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 u derstand that my failure to follow
these may subject to serious financial risk.
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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
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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 c ct the Florida Construction Industry
Licensing Board at 85O.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html
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11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that am the party
legally and financially responsible for the proposed construction activity at the following address:
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12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the i o ation that I have provided on
this disclosure.
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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
By
Cesar M. Garcia
30th day of August 20 19
who was personally known to me or who has
••• • vvirnxnaowry ff uu GJOZl3
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Miami Shores Village
Bui:ding Department
10050 NE 2 Ave
Miami Shores FL 33138
Permit NO. UCr4"-v01 W-A
i. Type: Dom
Workclass: Resu
L: �+ Permit Status: ARI
Issue Date:10/2/2019 Expires: 03/30/2020
71
r.rve..m. , v ......
INSPECTION REQUESTS: (305)762.4949 or log on at https://bidg.mevn.gov/energov_prod/selfseMee
Requests must be received by 3:30pm
WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM
SATURDAY 8:OOAM - 6:OOPM.
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS
BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANSARE
READILY AVAILABLE. IT IS THE PERMIT APPLICANTS RESPONSIBILITY, TO ENSURE THAT WORK IS ACCESSIBLE AND
EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR
EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION .
Owner's Name: MYRNA GARCIA
Job Address: 353 NE 94TH ST
Miami Shores, FL 33138
Contractor(s)
HOME OWNER
Phone
Address
POST ON SITE
1132060136110
Owner's Phone:
Total Square Feet: 0
rota) Job Valuation: $ 2,000.00
Description: REMOVAL OF 566 SQ FT OFbRYWALL AND 836 SQ FT OF FLOOR'T`ILE.
KITCHEN: REMOVAL OF DRYWALL ON CEILING AND WALLS, DEMOLITION OF ELECTRICAL CONDUITS AND WIRINC
LIGHTS .MARBLE FLOOR REMOVAL. BATHROOM 1& 2: PARTIAL REMOVAL OF DRYWALL ON BATHROOM 1 AND 2
WALLS, AND FLOOR TILES. LAUNDRY/BEDROOM 4:,REMOVAL OF PARQUET FLOOR.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
Page 1 of 1
INSPECTION RECORD
STRUCTURAL
INSPECTION
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
1
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS:....
INSPECTION
DATE INSP
Attachment
INSPECTION
WORKSPUBLIC
DATE INSP
Excavation
ELECTRICAL
INSPECTION
DATE INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
S]ab
Wall Rough
Ceiling Rough
Rough I
)
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
Z
ELECTRICAL C
M ENTS
INSPECTION DATE INSP
Final Sprinkler
Final Alarm
P
INSPECTION, I DATE I INSP
Rough
Water Service
2nd Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
PLUMBING
DATE I INSP
jUnderground Pipe
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS