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RC-20-493� - �C. 1to• Zcl 5 - 3 b 32D-qq y ?.,,e r)CLQa I \1 I ♦ i. f !S ."Gr7 CA.�,.' drr '\� tr t - j3r.� '1'� .tom' - - �, ��: 4 ` . ,j,..v-�.Z.. — �•. f, �,/" i* A �i [rliE. 7 tw . `•' r� V e ' r �l �tb � �_ ai p � '� a,1�• 1 ''h.Tr . / ` } _�' � e�' ra � ? � '.�������� ` .i �'. a' 1�� ' '1 � � �I r ��jb: �V .�' .�'� '#.�-p.-�i�� +�i,++�; J � '��a�.. y�y�i i. Ate,-,,,! 'S ���+.C'.1 .i' • ;�� io '�'' I'�, ����r r h �. �F+�.' rtc+��"T4��T}�. -.� r efq.��-..t"'�"� •1� rk��,'- ."! t�C' ����y � ^. - ~i '� . ,• . .��'i����*1� •?.�a`,� ti�. Certificate of Completion� Mv,j` Miami Shores Village's �.: 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 1, Tel: 305-795-2204 Fax: 305-756-8972 ' Building Inspection Department Description: Addition and reno vation. -, 46 Descri p P Y+. REPLACING PERMIT RC-10-16-2935 r� r 4 r +yt Permit Type Building (Residential) Bldg. Permit No. RC-03-20-493.� r Owner JORGE LUIS RIOS Contractor HOME OWNER rx ' Subdivision/Project Date Issued 09/30/2020 r Construction Type V-B Occupancy Single Family , U L, Type ►� Square Footage 2,496.00 Flood Zone X ` `-' Location If the building is located in a special flood hazard area documentation of the as -built lowest flood ' 10555 NE 2ND CT elevation or lowest horizontal structural member has been provided and is retained in the records of �T Miami Shores, FL 33138 Miami Shores Village. is4 This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the MORES time of issuance this structure was in compliance with the various ordinances of the jurisdiction c `S �Nc.1932 L� P , r << regulating building construction or use.lift ! :,'• �* Building Officials Approval Ismael Naranjo, CBO > FEOR►OP' Not Transferable ` ;-*'; POST IN A CONSPICUOUS PLACE f F� �: Ky-c'� �'s S`'r� ` Yt +i'� i Y '+►' ' *!� yr �1 'tr." +3^ '1r ram- T{ftf����.i ~jesr�' ': �i u 17 '�' �+�T•� {. Ci. ta:?fr•'t`mv;4 , !�•; j�1• L,4)�T�...�ef.u�'1.y'r'� �'r� w-�. .1, r'' ���jKr> fl •�yr�' �C, J �- -,s=� -'�%`��C�rr"'�F+.:_�' -'+-'�,�$,Y�,�`f:[���5'�,�� '• ..7ia����-- �l�.ii,.�-��� 2� 5n, s'�;r '`�'{ •rP`�i7+ Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Lf Uvi U � Issue Date: 03/17/2020 Parcel Number 10555 NE 2ND CT, Miami Shores, FL 33138 1122310130600 Contacts Permit NO.: RC-03-20-493 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 09/ 14/ 2 0 20 JORGE LUIS RIOS Owner Other:7862026660 HOME OWNER Contractor HOME OWNER Description: REPAIR BACK AND INSTALL THE SLIDING GLASS Valuation: Inspection Requests: p $ 42,890.00 DOOR ADD POWDER ROOM 305-762-4949 REPLACING PERMIT RC-10-16-2935 Total Sq Feet: 93.00 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $1,286.70 Total Fees $1,286.70 Total: $1,286.70 Credit Card 03/17/2020 $1,286.70 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 AFFIDA fy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructs n . Futhermore, I authorize the above named contractor to do the work stated. Authorized March 17, 2020 / Contractor / Agent Date Page 2 of 2 Miami Shores Village Building Department MAR 05 2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 B�2 FBC 201---:� BUILDING Master Permit No.�?,C-03"20- � PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: V 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: OWNER: Name (Fee Simple Titleholder): "mil S Phone#:"a--7 Alo 2 02 Address -a tz3 City: State: r— Zip: r //'' Tenant/L ss a Name: Phone#: �� 202 4(, Email: (% �sUd,��V�U� 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: $ �C-I� 0- C) C) Square/Linear Footage of Work: Type of Work: ❑t�ratio�New;,,,,/ ❑ �ir/ra cW�R&'r/5, f Wnrk. Ci�/'/ racrrin d��r%%��V� color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ _ Training/Education Fee $ CCF $_ DBPR $ CO/Cc $ Notary $ Double Fee $ 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) Mortgage Lender's Address City State Zip Zi 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 YOU PROPERTY. IF YOU INTEND TO OBTAIN FINAN CONSULT WITH YOUR LENDER OR A ORNEY BEFORE RECORDING YOUR NOTICE COM ENCEMENT." Notiftcant: As a conditio to the issuance of a building permit w' h an estimated v lue exceeding $2500, the applicant must profaith that a cop of the notice of commencement and nstruct" n lien la brochure will be delivered to the person whoy subje to atta hment. Also, a certified copy of the r orded n tic of mencement must be posted at the job site for sp ction which o curs seven (7) days after the buildi g permit iss e . 1 the absence of such posted notice, the inspnot e a rove nd a reinspection fee will be charged \ �� EMT The fo in in a tl ash n e ged before me this day of 20 by ,who is t personally ' known to me or who has produced r��y` as identification and who did take an oath. NOTARY PUB Sign: Print: Se R P SINDIA ALVAREZ ' MY COMMISSION # GG 238273 EXPIRES: September 3. 2022 Bonded Thru Notary 11 �ublk e e APPROVED BY The foregoing instrum was ykr wleclgecl 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: IIIYYY Plans Examiner Structural Review Zoning 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: DATE: ADDRESS: 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 app ied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may a 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 r ponsible for the construction and is not hiring a licensed contractor to assume responsibility. 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understandVhatmay protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead ofname. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits ants. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. o build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occu ncy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved mys I 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 vfich violates the exemption. 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons ing gin my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by ty r municipal ordinance. .. . 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 w rking on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder an 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 w is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct upervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and s ial security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employe nderstand 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 —v 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 con act 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 Yt% party legally and financially responsible for the proposed construction activity at the following address: 1 Initia 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of theijm�tion that I have provided on this disclosure. I 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 proper owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting age cy is required when the permit is issued. Was acknowledged before me this day of��t , 20 io� P—' , who was personally known to me or who has ced th�eJ- WnsO or t'� as identification. t" SINDIA ALVAREZ ,. My COMMISSION # GG 238273 EXPIRES: September 3, 2022 • ,�F F�,..` NOTARY Bonded 7hru Notary Public Underwriters