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RC-20-344Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 %�21I I1P I j!5 Issue Date: 03/02/2020 Location Address Parcel Number 1460 NE 103RD ST, Miami Shores, FL 33138 1132050310060 Contacts Permit Ala: RC-02-20-344 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 08/31/2020 MONICA SAVITS Owner 1460 103 Mobile: 3059799053 sales@outdoorkitchenservice.com HOME OWNER Contractor HOME OWNER Description: INSTALL OUTDOOR GRILL WITH PORTABLE GAS Valuation: $ 3,000.00 Requests: Inspection 305-4949 PER PLAN Total Sq Feet: 16.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Check # 394 03/02/2020 $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 assure responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, FLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co,0truction�a9d zoning. Fut ermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date March 02, 2020 Page 2 of 2 ENTERED rPB' f 3 2020 BY: BUILDING 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 PERMIT APPLICATION UILDING ❑ ELECTRIC ❑ ROOFING OZOZ E T 833 aaUasu3 FBC 201-t Master Permit No. 2� — 3�-`� Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP jj ,�, ,,\\ 1 C"� CONTRACTOR DRAWINGS JOB ADDRESS: I�IYC) IV7 11)2u City: Miami Shores County: Miami Dade Zip: 3----2-) 13 ZS Folio/Parcel#: ( 1 '3,-X0b Q 3 ) "Q 0 6 0 Is the Building Historically Designated: Yes NO I-- Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name( Fee Simple Titleholder): Address: T D 36S-'-) / 0 City: �J' C, V\�M State: , Zip: 1 a Tenant/Lesseee�Name: ��/'� Phone#: C�� Email: CJc� !( it C U 1 CONTRACTOR: Company Name: () t �­� tee Phone#: Address: City: State: Zip: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Phone#: Certificate of Competency #: _ Phone#: Address: City: State: Zip: Value of Work for this Permit: $ —3 ©C_D[ti Square/Linear Footage of Work: Y-' Type of Work: ❑ Addition ❑ Alteration � ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ztoa f I f W tt- /2 O d-ath­ Qo.d b - J2 1 ct tti Specify color of color thru tile:. Submittal Fee $ Scanning Fee $ . Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ •�� 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 r . , ti 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 on 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/Z2�& Signature OWNER or AGENT CONTRACTOR They foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ay -of 20-�--------by- ...� . M,M to SGN I2 who is personally known to who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sig : I Print: LO R ET =o'P e�,�State of Florida -Notary Publi Seal: *, Commission # GG 118087 P� My Commission Expires '1110"` June 22, 2021 as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as ****************************** ********1******************************************************************** APPROVED BYGv Plans Examiner a Zoning Structural Review Clerk (Revised02/24/2014) NAME: ADDRESS: Miami Shores Village Building Department DATE: 2 f 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 ja�nd, contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. l 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, hich violates the exemption. Initial_ 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 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 unty or municipal ordinance. Initialllop I 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 Initial j 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: (y le,o ► -4- l 0'3 Y-T 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 1 13y S Av ►Z- S day of f , 20 ?­0 who was personally known to me or who has �Produced th License or 9L— D V t��_ as idq1AIcet►r�i��by':, t• NER NOTAR%rvy:y��v", N A 0 0 M Side Burner Counter Top 13.9" F__ A Double Access Door Refrigerator 20" PLAN VIEW n.t.s. Grill 42" Counter Top Refrigerator ELEVATION VIEW A -A n.t.s. 20" Un co co �3.2020 • :. F F�. :.. Jay% ...... . . ... .... .... ... • • • .. . •••• ... i APPRGV-'] RY E Dfie{F 1 _Pr LYIP j - NOTE: - MATERIAL BUILT-IN: Metal Frame & Hardie Backer. T LOCATION MAP NOT 70 SY.ALF z� ob c� vN '+1 ••�.. : s n::::;:;:•: •g0 BOUNDARY SURVEY {• • PROPERTY ADDRESS: 1460 NE 103 ST., MIAMI SHORES, FL. 33138 Z in 0 w d aef M m m ' S• • • a LEGAL DESCRIPTION: LOT 15, BLOCK 5, OF REPLAT OF TRACT "C", MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 64, PAGE 97, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORDA. SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 11)ELEVATIONS BASED OFF OF BM# B-50 LOC# 3250 S ELEV. 10.02' ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNNG PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB: 64 PG: 97 l - CONCRETE B.C.- BLOCK CORNER U.E.- UTILITY EASEMENT P.R.C.- POINT OF REVERSE CURVE PROPERTY LURE A.E. - ANCHOR EASEMENT CH - CHORD ELEVATION SINCE 1987 �- CONC. BLOCK WALL SEC.- SECTION I HEREBY CERnFY THAT THE SURVEY NOT VALID UNLESS EMBOSSED WITH ®= WOOD DECK cERTER LINE D.E. - DRAINAGE EASEMENT CH. BRG.- CHORD BEARING TWS. - TOWNSHIP REPRESENTED THEREON MEETS THE MINIMUM BLANCO SURVEYORS INC. ®— COVERED AREA VC.— MONUMENT LINE ENCR.— ENCROACHEMENT B.M.— BENCH MARK - RG. - RANGE TECHNICAL REQUIREMENTS ADOPTED BY THE SURVEYOR'S SEAL e- ASPHALT CALCULATED F.F. ELEV. - FINISHED B.R.— BEARING REFERENCE SWK- SIDEWALK STATE OF FLORIDA BOARD OF LAND SURVEYORS M.- FIELD MEASURED FLOOR P.O.A.— POINT OF COMMENCEMENT PURSUANT TO SECTION 472.027 FLORIDA Engineers { Land Surveyors • Planners • LB # 0007059 —x—x-- CHAIN LINK FENCE (CLF) P. - PER PLAT ELEVA710H P.O.B.— POINT OF BEGINNING STATUTES.THERE ARE NO ENCROACHMENTS. 555 NORTH SHORE DRIVE O I* — WOOD FENCE (WF) TYP. - TYPICAL N.T.S.- NOT TO SCALE T.B.M.: TEMPORARY BENCH MARK OVERLAPS. EASEMENTS APPEARING ON THE PLAT - IRON FENCE (IF) P.R.M.- PERMANENT P.B.- PLAT BOOK P.O.B.- POINT OF BEGINNING OR VISIBLE EASEMENTS OTHER THAN AS SHOWN MIAMI BEACH, FL 33141 A — ARC DISTANCE REFERENCE MONUMENT O.R.B.- OFFICIAL RECORD T.B.M.— TEMPORARY BENCH MARK L- LENGTH P.C.P.= PERMANENT CONTROL BOOK HEREON. A- CENTRAL ANGLE / DELTA PONT M.H.- MAN HOLE FD. LR. ` FOUND IRON REBAR (305) 865-1200 Email: blanCOsurveyorsinC@yahoo.com Fax: (305) 865-7810 FD. P.K.NAIL =FOUND PARKER—KALON NAIL R - RADIUS FD. NAIL = FOUND NAIL C.B.S — CONCRETE BLOCK P.S.M.— PROFESSIONAL SURVEYOR AND MAPPER II T — TANGENT FD. D/H = FOUND DRILL H STRUCTURE A/C — AIR CONDITIONER PAD FLOOD ZONE: AE SUFFIX: L FEMA DATE: 09 / 11 i 09 BASE: 9' P.T. = POINT OF TANGENCY FD. 1/2- I.P. — FOUND IRON BLDG - BUILDING — TRANSFORMER PANEL: 0306 COMMUNITY # 120652 REVISED: P.C. - POINT OF CURVATURE PIPE 1/2- DIAMETER O.H.L.— OVERHEAD UTILITY P.P.- POWER POLE P.C.C.- POINT OF COMPOUND C.M. - CONCRETE MONUMENT LINES D.M.E.— DRAINAGE & MAINTENANCE EASEMENT DATE: SCALE: DWN. BY: JOB No. CURVE TEL- TELEPHONE FACILITIES ADIS N. NUNEZ C.B.— CATCH BASIN W.M.— WATER METER 0.o'- EXISTING ELEVATION REGISTERED LAND SURVEYOR CAT; - CABLE UTILITY Box R/W - R04T O" WAY STATE OF FLORIDA #5924 4/23119 1" = 30' R.BELLO 19 - 327