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DS-12-20-2936, 9306 NE 9th AveMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-12-20-2936 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Issue Date: 01/22/2021 I Expiration: 07/22/2021 Location Address Parcel Number 9306 NE 9TH AVE, Miami Shores, FL 33138 1132060020070 Contacts ......... �_ _ Marcella Amador Walled Owner HOME OWNER Contractor 9306 Northeast 9th Avenue NE 9th AVE, Miami Shores, FL 33138 HOME OWNER Mobile: 7862715215 mlaw118@yahoo.com .... ......... Inspection Requests: Description: REPLACE FLOORING IN ENTRY AND PATIO AREA. Valuation: $ 7,500.00 305 762 4949 INSTALL TRAVERTINE PAVERS (24X24) TO EXISTING STRUCTURE UTILIZING SAND (1 INCH THICKNESS) AND TO Total Sq Feet: 2,000.00 POOL COPING WITH MOROMIX TINSET 1 INCH�� Fees Amount Application Fee - Other $50.00 CCF $4.80 Concrete/asphalt/pavers, slabs, dways, $125.00 swalks DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $1.60 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $4.38 Total $234.41 Payments Date Paid Amt Paid Total Fees $234.41 Credit Card 01/22/2021 $184.41 Credit Card 12/21/2020 $50.00 Amount Due: $0.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. January 22, 2021 Page 1 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-12-20-2936 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 01/22/2021 F Expiration: 07/22/2021 .ocation Address Parcel Number 9306 NE 9TH AVE, Miami Shores, FL 33138 1132060020070 HaVOWNININN Contacts Marcella Amador Walled Owner HOME OWNER Contractor 9306 Northeast 9th Avenue NE 9th AVE, Miami Shores, FL 33138 HOME OWNER Mobile: 7862715215 mlaw118@yahoo.com Inspection Requests: Description. REPLACE FLOORING IN ENTRY AND PATIO AREA. Valuation: $ 7,500.00 INSTALL TRAVERTINE PAVERS (24X24) TO EXISTING 305 762 4949 STRUCTURE UTILIZING SAND (1 INCH THICKNESS) AND TO ! Total Sq Feet: 2,000.00 POOL COPING WITH MOROMIX TINSET 1 INCH gg' Fees Amount Application Fee - Other $50.00 CCF $4.80 Concrete/asphalt/pavers, slabs, dways, $125.00 swalks DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $1.60 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $4.38 Total: $234.41 Payments Date Paid Amt Paid Total Fees $234.41 Credit Card 01/22/2021 $184.41 Credit Card 12/21/2020 $50.00 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 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. / uthermore, I authorize the above named contractor to do the work stated. AuthorizedSignatdre: Owner —T —Applicant / Contractor / Agent Date January 22, 2021 Page 2 of 2 Miami Shores Village cF,iVF_,1D Building Department DEC 21 2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 11 BUILDING Master Permit No.1)S`Z Z0- 2R 3C� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� CONTRACTOR DRAWINGS JOB ADDRESS: " 1 m o op f 1 V Lo U-e— 2 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: J�-'))JOLQ - 0b 2 d 01 () Is the Building Historically Designated: Yes NO o Occupancy Type: 't& • Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): M l llr Cf_I I UI n T 1 a j o r Phone#:] &U' 2-1) - 5Z 15 Add City: 1 V t (C) M I �1N r-eJ State: L Zip: U Tenant/Lessee /N�,ame: /N /pA Phone#: Email: I VI Y V /3- p 0 V (A ND . C0 � 1' CONTRACTOR: Company Name: Phone#: Address: City: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: te: of Competency #: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 5 0 0 . 00 Square/Linear Footage of Work: 20 T V l n I Type of Work: ❑ Addition El Alteration El New K] Repair/Replace ❑ Demolition Description of Work: Rt T (40 r( in -en Q (,1 oAiio ay-eA" ZYi St ) tr�►y e r fi rl c o v r S 2�! x N fio f xi Ifi n A sfi1J Ke U l� l i 2.iln 0 s�ini C I i � I-n`t'"tss ) And 11 Pao l C001nx -W'lti,; MOI(D »ix Specify color of color thru tile: TroiyL r-h n c it W ve " m ti r n q Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ 8 T' Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City, State 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 not be approved and a reinspection fee will be charged. NSignature Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this 2-1— day of u Ct!Mb20 2-0, by m%1yo-elNa 6 Z Se'[h�U l is personally known to me or who has produced E D L-- as 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. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as (s..�v Sign: Sign: Print: LX Print: Seal: ;;��'�?` " SELENA ARANDA Seal: E.• MY COMMISSION # GG 971705 ,p EXPIRES: March 22, 2024 �OF'4° Bonded Thru Notary P4 Underwriters ***************** * ****************************************************************** APPROVED BY / Plans Examiner 2 Zoning g Structural Review Clerk (Revised02/24/2014) aS -- 12 --ZC - Z4i3(� Moor, n� i n existing Fab o qre u w111') �uVErs CJ A ZH i yvir c e y l Wn►it' firv,vc rfi n � -hie I p ver �1 ��►, i'hl%kne� � Il;�; .✓I� TL' �h� ►r��fc;llt �ti 1 m S i-;n 61 Illt G',JtFIVl01 ) I ►✓1 ,v WO)t b�l Z ► MPt V i o l► nr1 t I GV�i No Pv� i re Pcj►( S c r Yt��YfiG,U►�1G� - Nu I�,mb till �nc r I LtY, C ,r l -V1hc exl�fi►� � it l C e, ✓eq n he rt�FlCs(.c'� w,il� new � GSv�r fit t-C (S rime d , <,b;;4e)ujlog Eund Giod (PREPARED BY: Land Surveyors, Inc. www.exacta[and.com Toll Free 866-735-1916 • F 866-744-2882 PROPERTY ADDRESS: 9306 9TH AVENUE MIAMI SHORES, FLORIDA 33138 FIELD WORK DATE: 121231201a REVISION DATE(S):(REVO 12R3R01n1 1412..2411 BOUNDARYSURVEY MIAM1-DADECOUNFY i/2' VIP "O iD 4.5' OFF C-% R= 25.00'(P4M) L= 39.63'(P) 39.57'(M) G=90°49a5.3YP) 90°41t95YM) h 5 4435403e 6 , 35.61 W) 5 44-0015-W. 35.57'(M) ? Lin rPJt%D P:. its 1}.)C:Y S .., •�t":Ji 9J 30 O �In NN_ 0 z 105.00 (F) SURVEY NUMBER: 1412.2422 89°5008' E 122.29' (M) { 122.08' (P) -2e i 0- i\. B- 230- / 4 i PC,, 45 36- F: 3r 262 • 5• --------x----=`-------------------- 15tY. 91F5 19306 t�;N Lt'S5 Tlir ;7:i' 3.r ' R o.C.5. h x 23 5' f Lire, L 01 1 /2' FIP NO to +n v oc N }} It1— ta Lbw ^.tLi Nm } url 3 P! . • . ^� 1O.0 i !jl • • or) ur• rIP �• v, 45' OFF r10 In N La P.1. • •_ O5. (P) 5 90'O0'O0' W 97.20 (P) 25.37' L n2• Fir 5 90°00100- W 97.52' M N • ( ) 89°38'23' W 255a'tM) - 11010 B.R. (ASSUMED) it •FIP l hereby ce Boundary Survey of the j BI` ' hereon de irI p% has been made under OOU.)E� I C/'•TE P4=:K AD^'T!; i% my direc 'onda7tn tRe est of my knowledge p. -Io1 P``r,C I3r1 and bell f ;b is o tr a accurate re resentationlrptf P (r;w >g;•NMi i hrltR0' fkir; I It Fras:r of a su y minimum technical 3p o t5 30- stondord ' et forth by e Florida Board of Professio a.e SuiRZyLWS _ oppers in Chapter �f 5,1-17 of ^ lorid inistrotive Code. GRAPHIC SCALE (In Feet) r suaceYO RONALD W. WALLING 1 inch = 30' ft. a\\ State of Florida Professional Surveyor and Mapper License No. 6473 It - Use of This Survey for Purposes other Ihan Intended, Without Wnuen Ve,,f a ,on, will be aI the User's Sole Risk arof Without Liabaity to the Surveyor Nothing herein shall be Con ed to Glve ANY Rights or Benefits to Anyone Other than [hose Certified. 1- FLOOD INFORMATION: POINTS OF INTEREST BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE NONE VISIBLE LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES, COMMUNITY NUMBER 120652, DATED 09/11/09. AFFILIATE CLIENT NUMBER: CE1408-FL-2023222 DATE:12/23/2014 BUYER: R W Holdings Group LLC, A Florida Limited Liability Company U-1 '�1 MEMBERS SELLER: OCWEN LOAN SERVICING, LLC IC CERTIFIED TO: R W HOLDINGS GROUP LLC. A FLORIDA LIMITED LIABILITY COMPANY PREMIUM TITLE SERVICES, INC.; WESTCOR LAND TITLE INSURANCE COMPANY _ This is page 1 of 2 and is not valid without all pages. LBa A77 "` 119a0 Fairway Lakes DrP866735-1916-F.8667M-2882 ive. Suite I - Ft My —Ft 33913 �)-ez "•Ih( CXtJhncl pu�i s4+ety cjlife -h be ivisltJltdl uric iS ot)'Plct-ed 'Mesh Pai S4ff4_,� t711-t M?4)urlil1 3u jntht.j fiGll ins��tillr cairn to Ids 1 h eh, 1t �mund. NO optnln., 5 Vit o el `IiI G Y1 2 InU'1Li Wld�(• (�YIC t navy � cc i'-e Stiurt�9 wj Au m ter, ln9 Auo.( �n d V.cy ►0a_ REPORT OF SURVEY � 1412 2422 This Is 1� LEGAL DESCRIPTION Page 2 or 2 and 1s not valid without all pages. y_. _.r 4, LOT 8, LESS HE WEST 105 FEET HEREOF AND LOT 7, FIRST ADDITION TO MARILYN HEIGHTS ACCORDING TO THE PLAT HEREOF RECORDED IN PLAT BOOK 41, PAGE 60, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA, JOB SPECIFIC`. »�.,r._: ...... .:..� . SURVEYORNOTES. `_. ...:n...x_.•.<,,.....�- - :- ..��. :.:,. .,_<_._ - THE ASSUMED BEARING E OF SOUTH DEGRE LINE OF LOT 8, LESS HE WEST 105C FEET THEREOF AND LOT 7,LT MINUTES WrrH N F RSDT IS BASED TO MART THE YN HEIGHTS, ACCORDING O HE PLAT HEREOF, AS RECORDED IN PLAT BOOK 41, PAGE 60, OF HE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA r GENERAL SURVEYOR NOTES: L The legal Description used to perform this Survey was wPpped by Whers rids survey does not dwerrttine or' 2. This survey only shows fmonwements found above grtursd Underground foodrwA utilities and enwach Imply ownersNp. 3. If there is A septic sank Or drain held shown on this Sury the miems are not located on this survey map, probirsq rods, and Nswlabove aY• �aS°n is apprndmate as the location was either shewrh to Email by a third party or h wen estimated by meld daemon, 4. 1TdssaveYfsescoslveiy for the use tl'O'c"nOrly.No"Ontion we, performed in Order to determine the enact and accurate locatim 5. Additions or deletions to1"the u _e parties owhopid u—tifred. this 6. Dimensions are in few and dedmah themaL and report by other than he signing party orfames is prohibited withoutarrttm consent of sigwrhg partyor pw[iei, 7. Due EIAA It comtottiOn srasdards, house dimensions are approximate. e. AnyfEMg Okadtone data cwdained on,hissunvey 4lo, Infwmatienal purposes only. Research ro obtain suds data was performed at wwwfemagov. 9. All corners marked as set are at a minimum a ysdameter, l8"iron mbw with icap camped LBf7737. To' Syou are readirhg rhls survey in an dectnosdc format the infomatln comai_.d on oSh daowhmth orl valid if this docunswhs is decssw,lu Chapter SJ-17.062(3) a the Florida Administrative Code and Florida Statute 472,025. The Electronic youfly signed as specified in sent order sepuate coven MamLaitysigned and scaled togs dap survey signature ides are kept in eoaee dthe related this documentis prominently displayed on the invoke for this Survey which is i[ is not void without the Signature and original raised sal of a Floridang amveyoi.ITthis document b in paper format i t, unless otherwise noted. an eraminadm of the abstract of title was NOT performed Surveyor. 12The symbols reflected In the legend and on this survey msyhave bean a fed eel edby the for clang surveyor o determine watch oted a the if any, are affecting this property. location, and may not represent the actual shape orsiteofthefeatune or reduced for clarity,The symbols have bens plotted at thecenterol the held 13. Points of interest (Port) are selected aboveground improvements which may be in coMia with boundary, bu0dmg setback w easemens lens, as defined by the parameters of this survey. There may be additional pors which we not shown, not cafldoul as Port or wNth weotherwae unknown to the surveyor. These Pol's may not represent an Items of interest to the viewer. 14. Utili"O shown on the subject property may of may not indicate the existence of recorded or,mrwordW udpry nsemenrz 15.The information contained on this survey hen been performed informational purposes only, esduSivey, and the sole mgxonslhBby, of FiKh Surveyors. Additional to90 or re(eren es to third party finro are for 16. purser' o F5. 558.0035, an frdfvidual MPoya (sagent may not be held fndvidually gable for negpgence. 17 Hour measurements should not be used for new constnsctiOn or plawhing. iNnsu,emenable for sped ver prior to such activity. LEGEND: ; 5URVEYOR5IFGEND ta+enre9.�.sm.w..a:.ao AC RaemRonrwsnc ,t. memehrwrxox ® aR arAewe matpl¢ aL 3¢ smhn a.0 0"00, cTteaA oor. aenaAOr �. 9CIC TwaI • • • • SIWCrURa •,�- Gel. ,1aQROYrRVpmOR M. wmseeTpw stw. solicit m11GIrIR Sur. 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Change from -Auto Color- is, -Full Color to r g 1 2:`. •� _ n, m xm rah rroc nos an.•n wnua,cd hour aw e rs rout aahr„n. # `Gray Scale" F '> u, r2 Exacta Land Surveyors Inc , 4 >` h www.oactnWd.cpm Lea 7377 PS66-735-1916 • F966-7442882 11940E FL MyerL FL 33913 airway takes Drive, Suite t. > G � PR EPARED BY: I —1 r•ssoc NE tM Ave _ Land Surveyors, Inc. tk dF ` www.exactaland.com 4 Toll Free 866-I35-1916 F 866-7a4-2862 P#OPERTY ADDRESS: 93069TH AVENUE MIAMI SHORES, FLORIDA 33138 SURVEY NUMBER: 1412 24 a -_,ryi y'y FIELDWORK DATE: 12a32o1a REVISION DATE(S): (REV.D 12/232o14) t 14111422 no, BOUNDARYSURVEY a MIAMI-DADECOUNTY ° ZZ 1 - L jN•a! ^ — 5 89°5008' E 122.29' (M) V) z' FIP 1 22.08- (P) fiO ID I!2 rIP R _ t FIO 10 Q (' Y + ! 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(A55UMED) • • 12' rIP ! �1� • • • .F-� S L.�•• /1 `yti �11' herie-by ce Boundary Survey of the . • • a C. t ,l •�•••• hereon de 71`pyfS has been made under ''1 K" i • i 'i • • '� • • • 1 oral G✓-eQ my direc yond47t17 the est of my knowledge • • / c and bell / ! fs o tr e a accurate representation) 2 V V V $ , T fi• of a su y minimum technical 30 a 15 30 -_ standard ` et forth by a Florida Board of /% S U ti I; Z Iy1 pt Pro/essio a Sur1le yeI, oppers in Chapter e J SJ-17 of and a Of inistrotive Code. GRAPHIC SCALE (In Feet) X i S q S v,,E RONALD W. WALLING I inch = 30' ft. �+' • 1 7 Slate of Florida Professional Surveyor and Mapper \\\ License No. 6473 if i c Useof This Surw.y for Purposes other than fiU C jC; Sfiny an Emended, Without Written Ventreion. will beat the User's Sole Riskand Without U.b9ity to the Sarveytir. ti Nothing hereon shall be Construed W Give ANY Righu or Benefits to Anyone Other than those Certified. Sbv cN r e FLOOD INFORMATION: POINTS OF ;NTEREST j ,�y BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING n1 NONE VISIBLE r o e 1 e �/I a (L a I MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE ! or p��lmbi►�g CAD IM ZONE X. THIS PROPERTY WAS FOUND IN THE MIAMI SHORES, COMMUNITY NUMBER 20652, DATED 09)11/ GE OF09. } M „ AFFILI a " �� r (►7t d CLIENT NUMBER: C El 408-FL-202 32 22 DATE: 12/23/2014 t 1 BUYER: R W Holdings Group LLC, A Florida Limited Liability Company FI:TA MEMBERS SELLER: OCWEN LOAN SERVICING, LLC CERTIFIED TO: R W HOLDINGS GROUP LLC, A FLORIDA LIMITED LIABILITY COMPANY; PREMIUM TITLE SERVICES, INC.; ,k WESTCOR LAND TITLE INSURANCE COMPANY jj rr' y f ; - S �.11 tt_1 t,'LI1 �!C'�lI0[ .7, I1 ? 191641cia3YM: PB6613b 1916 •EeGfiJa4-1682 �` This is page 1 of 2 and is not valid without all pages. L397337 1194a Fairwaylak,,D mS itel•Ft iA)aLFL33913 e`SNORES c dill ys� t 4 H F1O 01) PERMIT ADDRESS: 9306 NE 9TH AVE Miami Shores, FL 33138 APPLICATION DATE: 12/21/2020 SQUARE FEET: EXPIRATION DATE: 06/19/2021 VALUATION: PARCEL: 1132060020070 2,000.00 DESCRIPTION: REPLACE FLOORING IN ENTRY AND PATIO AREA. $7,500.00 INSTALL TRAVERTINE PAVERS (24X24) TO EXISTIN STRUCTURE UTILIZING SAND (1 INCH THICKNESS) AND TO POOL COPING WITH MOROMIX TINSET 1 IN CONTACTS NAME COMPANY Contractor HOME OWNER HOME OWNER HOMEOWNER HOMEOWNER Owner Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled Marcella Amador Walled I_1111 i439 9306 NE 9th AVE Miami Shores, FL 33138 9306 Northeast 9th Avenue NE 9th AVE Miami Shores, FL 33138 Ninety Three zero Six NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 9306 Northeast 9th Avenue NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 9306 NE 9th AVE Miami Shores, FL 33138 i P r e ... - .. � '. .... .... ��. '.... ram.. � .. _ ... REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: bo@msvfl.gov Review item used to allow building to comment during a plan review Correction: General - Ismael Naranjo (1/4/21) - Not Resolved Corrective Action: 1. According to the information provided it appears that you will be replacing the pool coping. Are you re -surfacing the pool? Please comply with section 302.6 of the 2017 FBC, Existing Building. 2. Provide details and specifications for required of barrier. Section R4501.17 of 2017 FBC, Residential. 3. Provide details and specifications for paver deck. Please, include base leveling sand and pavers. Also, Make sure to reflect change of elevations. Planning v.1 Approved Travis Kendall email: kendallt@msvfl.gov Review conducted by the planning and zoning department Y January 05, 2021 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOISURE STATEMENT NAMM63 kmadO(—V DATE: L' 1 � - ON ADDRESS: g3OW E- Op f 1V tin u e , m l o ai l 5h o rn , F L 3313 b 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 m\ Ok 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 rA\ A 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 m\O\ 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 m \ A 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial M A 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 s, ism responsibility to•ensure that the persons whom I employ have the license required b law and b count or municipal ordinance. Y A Y p P Y q Y Y Y P Initial M 1 ut 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-` 'i 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 M 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 M 1 A 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.myflorida license.com/dbpr/pro/cilb/index.htmI Initial M l CA 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: q,3 O la tgl t qAh bye-1, M I A m i S Yhoi'e-i , -F-� 33 !3 8 m � A 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 l' M I' A 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 2 day of J)'eC , 20 2Q By t�2rce��Q LlZ -I who was personally known to me or who has Produced there License or �7 L- p (_ as identification. x)(JA(00001 OWNER NOTARY SELENA ARANDA MY COMMISSION # GG 971705 EXPIRES: March 22, 2024 Bonded Thru Notary Public Underwriters