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EL-19-1307Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 [fIYF-n�rt� Issue Date: 06/27/2019 Location Address Parcel Number 335 NE 93RD ST, Miami Shores, FL 33138 1132060136260 Contacts Permit No.: EL-06-19-1307 Permit Type: Electrical - Residential Work Classification: Generator Permit Status: Approved Expiration: 12/24/2019 PAUL MADSEN 335 NE 93 ST, MIAMI SHORES, FL 331382854 Owner HOME OWNER Contractor HOME OWNER Description: INSTALL NEW GAS WATER HEATER AND Valuation: $ 6,000.00 on Requests: Inspection 4949 GENERATOR WITH TRANSFER SWITCH Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $3.15 DCA Fee $2.10 Education Surcharge $1.20 Permit Fee $160.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $5.25 Tota I : $269.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $269.30 Credit Card 06/27/2019 $269.30 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 and zoning. Futhermore, I authorize the above named contractor to do the work stated. A-j h),A d2 Authorized Signature: Owner / Applicant / Contractor / Agent Date June 27, 2019 Page 2 of 2 ' Miami Shores Village RECEIVED Building Department JUN 06 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 F BC 20 n BUILDING Master Permit No. F_l= o4 PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP P CONTRACTOR DRAWINGS JOB ADDRESS: ,/ �/ r /�V/' �, a Folio/Parcel#:I/ za" Occupancy Type: Load OWNER: Name (Fee Simple Titleholder) Address: _ City: �% /:/ /V F &i1 Tenant/LesseeName: Email: ]/�' iii o 'sey? Is the Building Historically Designated: Yes struction Type: l l_Flood Zone: BFE: ('S4 'ice r Zip: G _phone#: CONTRACTOR: Company Name: Csl/— Phone#: Address: NO _7FFE: —r s^k ? 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: $ (O//ddw, Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: r f - any?( ng rpecify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2619 -S0 (Revised02/24/2014) Bonding Company's Name (if applicable) f 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 no approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The forgoing instrument was acknowledged before me this _ day of20 / I by /2- (Ao & Sc '% who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign- Print: Print: ` I, r` C1 C 9 L t a - Seal: taVPw J� willillililil" ******** APPROVED BY (Revised02/24/2014) SILVANA L. AGOGLIA b, MY COMMISSION # GG 148382 EXPIRES: October 4, 2021 The foregoing instrument was acknowledged before me this day of , 20 by as me or who has produced , who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as Bonded Thru Notary Public Underwriters Plans Examiner C Y Zoning �� Clerk + - , W OWNER BUILDER DISCLOSURE STATEMENT NAME: (��rn� DATE: ADDRESS: Miami Shores Village Building Department 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. i 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 1, 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 permi 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 leas hich violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the constructio . 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 an b 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. I 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 regulati n . 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.myflorid a license.com/dbpr/pro/ciIb/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 th proposed construction activity at the following address: q3 Initial 12. i agree to notify Miami Shores village immediately of any additions, deletions, or changes to any of th "nformation 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 ` BY U �' 'i I YWI' JU( J who was personally known tome or who has Produced there License or OWNER as id NOTARY -Mi S 0 «n 6,,p s Q `m"'*= #FF 954760 : Q •° �•. "� � �4R1 � i •QO� Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) .011The undersigned Affiant,, ' d u , /nQaQs hereby attest that (Property owne� The attached survey, performed by For address: 7),O I Performed on (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such St r may affect final inspections as applicable to this or other permits. u er, Aff' y ht. 0 Property Owner Signature 44 Property Owner Print Name SWORN TO ANTrUssonally SCRIBED before me this dby of Affiant is ►� known to me, _produced as identificar. �""''•&"' SILVANAL.AGOGLI .,; MY COMMISSION # '148382 Revised on 5/22/2009/ Revised on 6/12/09 EXPIRES: October 4, 2021 P,• "ffo',F.t°'' Bonded Thru Notary Public Underwriters . .... . . .... .... . ...... . ... . ..... . . ....... .... ... ... .. .. . . ••. • . . .. . . . . ....... . .. .... .... . . .... . .. ... .. . ......... . .. .. . ....... 3 —3 PfWGr S Av�IG' SILVANA L. AGOGLIA MY COMMISSION # GG 148382 EXPIRES: October 4, 2021 Bonded Thru Notary Public Underwriters co Ina CEIVED Ju�; os 2e.9 . . ... . . . ... ELECTRIC'SCHEDULE �, FUNCTION =more ,%. ao ®mom o • w &% E mom' f D rl/ ® � NEZIFAMOWNI,�r1� a � �� Wool" rrrr,�r r� m �■rr mmr��s'�n�� mmrt���rr� m , L_ I - i ��I �.inazfse iiAv vq SILVANA L. AGOGLIA '=q• �" W Co MMISS104 # GG 148382 *` EXPIRES: October 4, 2021 _.-- /EOFF6�!" gonded 1hru H'i`r"TPWM.�{TY 3 Load Ca CZ,,()a47"O� Yi irPrau'••., ""� •, A;; SILVANA L. AGOGLIA ft17 COMMISSION # GG 148382 sv�aoF4op` EXPIRES:October4,2pY1 Bonded Thn, No_ fa= yut Underwrllera Poo )SOo as s7a /O 000 /as7a x,�}: �oa9 10� aO ,4)61 aaaa9�a�o= ? 3 0 r �p ys; AAA &Olf 6 /724 �5�.%, t ?c5l ercice .S 3 5-IUE C7.3 KStr�� «, A or) ( "s'-IN" i . 0.1 M n PLANT o c` L� PATIO rn °. 12.7' 0. a' f� w to � m L7 127. 50, ( MEASURED I PLAT) N CHAIR LINK PENCE czo. 3� " .. U' • 4 Im ETE SLAB": e4'0. 24. w • -tea t--- C7 C!] � � • � • n r� CD - I ci lu k r CHAIN LINK FENCE a X 127. 50` '(PLAT) 127. 45" (MEASURED) r- 0 i. 70 h..a GJ CD -Iq zCz,)acn CC•-iAm5.z +IZ r-• C5 n n �a�zroco -<mC'r�ts COUSINS SURVEYORS & ASSOCIATES, INC. 1.0005 SOUTH WEST 161h STREET PEMBROKE PINES, FLORIDA 33025' PHONE (305) 431-7433 FAX (305) 435-7048 LAND DESCRIPTION: � W j LOTS 21 AND 22. BLOCK 46. 'AN AMENDED PLAT OF MIA4Q S CTION NO. 1' ACCORDING TO THE PLAT THEREOF, R WX P_AT BOOK IO, PAGE 70 OF THE PUBLIC RECORDS OF D C LOR I OA. e ,10TES wi 1. REPRODUCIONS OF THIS SKETCH ARE NOT VALID UNLESS SE4IjD AN EMBOSSED SUnVEYDn'S SEAL. 2. LANDS SHOWN IIEIIEON WERE NOT ABSTRACTED FOR RIGIITS A Q EASEMENTS, OWNERSHIP. 011 0111ER INSTRUMENTS OF RECORD. x 3. THIS SURVEY HAS DONE SOLEY FOR BOUNDARY PURPOSES bwols NOT DEPICT THE JURISOIC71ON OF ANY MUNICIPAL, S Am= FEDERAL OR OTHER ENTITIES. 4. TIIE LAND DESCRIPTION SHOWN HERE WAS PROVIDED Y*C1 O og LLJ p' N uj W U o II..L1_ WATER METER 10' ASPHALT PAVEMENT— = 2.0' SOUTH - 6. l' EAST 100. 00' FIP 2. 4' B L� LOT 20IW J t J a co r-�- c=1�- W w 10.2•£ g Ln WALL ri C cu r- n —K— —r—X x—xT LINK FENCE L 0 T 2 2 T 21 l3.5' I CONCRETE PATIO N w � R o m in 16. 7' 0 ►:. D ot Co i STOn1 Y m �r CBS m--BUILDING N I 22. 4' r_� I B ASPHALT DnIVEWAY Fof FND. DRILL IIOLE raoL__,_j ti z Y J k" ey-VIA 1`-- 1.4_, 20. G' A/C SL l t. a• J 13.5' WALL 3. 1' 'v 0 1191 100. 03' ( MEASU D) 100.00' ( PLAT) 5' CONC, WALK 21' ASPIIALT PAVEMENT FIP PROJECT NU. Uv85-s���� F IENT LASYTRr: T� - CE?PORATION _<11 :::�? I. _ _j uj �V w lL J Y = ~ AQ su Z R J Q Q V 0 Ik�GEN C, COCRE a E BE CK o TRUL`fURE Lu 4 a DA C9ECKE BY< -CONC CONCRETE 1 DWN DRAWN BY FB/PG FIELD BOOK AND PAGE -x x —x- CHAIN LINK FENCE SIR SET IRON ROD AND CAP 4180 FIR FOUND IRON ROD FIP FOUND 1/2'IRON PIPE 2_6' LOT 23 W Q J Cn a W �=t 0 L t� v CV I P 300.00' ( PLAT) LLi Z LLf OF THE NORTH EAST 9 3 r d STREETWE HEEBY CERTIFY DESCRIBED PROPERTYTIISTTRUE ANDTHEACHED CORnECTKTOCTHEFBESTVEYOF•OUR KNOWLEDGE" AND BELIEF AS SURVEYED IN THE FIELD UNDER DUR DIRECTION IN JUNE, 1993. WE FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMU14 TECHNICAL_ STANDARDS FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 211111-6 OF THE FLORIDA ADMINISTRATIVE CODE. THERE ARE NO ABOVE GROUND CERTIFIED To: ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON, SUBJECT TO THE QUALIFICATIONS NOTED HEREON. PAVI R. NADSEN AND DEBORAH H. NADSEN LAWYERS TITLE INSURANCE CORPORATION BARNETT MORTGAGE COMPANY ' FOR THE FIRM. BY: _ !"_'e- -------------------- RICHARD E. COUSINS PROFESSIONAL LAND SURVEYOR FLORIDA REGISTRATION NO. 4188 :" ":* REVISIOWS '.' DATE FB/PG OWN CKD FLOOD ZONE INFORMATION *:e* 0R' T(�iGE'SURtF1Y : ►J6/07/93I 2 8 .pE',('. C014HUNITY NO. 1 20652 •0 "0"' PANEL NO.. 0093 IS ••••• . •••• . . •••••• 000 • • • • w •••••• •••• • • • 0000 L ERTY ADDRESS NE 93 STRFC-T 1 KA.LI= '?" = 30'..