Loading...
DGT-10-06-2675Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status: APPROVED Issue Date: 10/31/2006 Expires: 10/3112007 Permit Number: DGT-10-06-2675 Owner's Name: JUAN VALECILLOS one: (786)229-5250 Permit Type: Decks/Gazebos/Trellises Parcel #: 1131010230200 Work Classification: Deck - Wood Job Address: 160 101 Street NW Miami Shores, FL 33150-1214 -ontractor(s) Phone Primary Contractor -10ME OWNER Yes Additional Information Type Const: Wood Deck Additional Info: Classification: Residential 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. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee - Deck (wood) $150.00 Scanning Fee $6.00 Technology Fee $8.75 Work without Permit Fee $150.00 Block: Section: Lot: PB: Total Square Feet: 216 Total Valuation: $ 2,000.00 Total: $321.35 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village Building Department f 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING OCT 2 7 2006 Permit No. PERMIT APPLICATION �t` Master Permit No. FBC2004 BY___ ______________ Permit Type (circle): uildin Electrical Plumbing I�Mechanical RoofingOwner's Name (Fee Simple Titleholder) \ ►l i�1� �`l �' Vt �hOne # 6 2�J6 5o g0 Owner's Address � 63 0 U-) I o I s+ . City0�nw-� 5m"?c State 'FL Zip 3't�t 5D Tenant/Lessee Name Phone # Job Address (where the work is being done) 160 ow Loi 5t City Miami Shores Village County Miami -Dade Zip 3251 50 FOLIO / PARCEL # 1 1 3101 02-3 0 2-00 Is Building Historically Designated YES NO %--' Contractor's Company Name ()/li.t( 2 Phone Contractor's Address Qualifier Name Phone #_ State Certificate or Registration No. Certificate of Competency Architect/Engineer's Name (if applicable) oc� Value of Work For this Permit $ 2 • coo — Square / Linear Footage Of Work: 2-1 b S Type of Work: ❑Addition ❑Alteration dw ❑ Repair/Replace ❑ Demolition Describe Work: 52f1'MOA %-JocA j7LCK 00} e519om''rbl P,*Cl_ rboP. lq' (9ygt -r' ee O Submittal Fee $�_ Permit Fee $ 15 °='t 6wlL`CF $ t • ZO CO/CC Notary $ 5— Training/Education Fee $ 1 L4U Technology Fee $ .1 Scanning $ VJ — Radon $ DPBR $ Zoning $ Bond Structural Review. $ Code Enforcement Double Fee $ I b 2 Total Fee Now Due $ 32 I . ✓� See Reverse side �Ou6 to_ C-.e '' 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 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and 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. Signature Signature O r Agen Contractor The foregoing instrument was acknowledged before me this 1� day of OF 20 0i , by A O(S1661 �A � 7010 , \ rwho is pee-rsso/nally �known to me or who has produced NL i V4Z� �L yn.7tb� As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) The foregoing instrument was acknowledged before me this_ day of 20 1 by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning VILLAGE OF MIAMI SFIORES OWNER BUILDER DISCLOSURE STATEMENT NAME: �l 1 �a1 C� �7S DATE:to/zq /()G ADDRESS: IbC) tJk.3 1Ol S�. �n�nv�^.i .S1�rPS �L 33I Do hereby petition- the Village of Miami. Shores -to act. as my own contractor pursuant to the laws of the State pf Florida, F.S 40.1.03(7). And 1-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 acne -family or two-family residence. You may also build or improve a commercial' building at a cost of$25,000.06 or Tess. Tlie building must be for.your own use and.occupancy. It may'not be built for sale of lease:.If you sell or lease a building you have built yourself within btie 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 zbning'regulations. Please read aridinitial each paragraph. 1. I hold title to the above property and I am planning on doing this Xnces Initial 2. I understand that as an owner -builder I must abide by all zoning nd building regulations in effect at the time of permit application Initial 3. .I have an understanding of the 2004 FBC & FRC and underst that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I, understand that the building official and inspeefors afe not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial 5O Uk.W- s tiaage Mf Ve 10050 NE 2°d Ave Miami Shores, A 33138 Phone 305-795-2204; Fax 305.756-8972 www.miamishoresvillage.com AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, c l(f-is4a �VAfGA65 ° , does hereby attest that (property owner) The attached survey, performed by `mil") 5iry e4of S I n e. (name of surveyor's company) for address: JbQ NijIOI St , (A avyxt performed on I IM16--,- (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 six (6) months 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 structures may affect final inspections as applicable to this or other permits. Further, Affiant sayeth naught. rid 6A Q44ec4o5 Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 2-1 day of 6( u�o2� Affiant is personally known to me, r/ produced 1'v i ' LIC as identification. 42 3(o- 4 Notary LOT 9 BLK 3 'CLF K 107.749(R)107,74(M) �N r� _ 33.90' N CAJ1 3.30' v .,, 3.30' 0 3.30' 11.35' E Ut _________ ______________________________ r r0 r r0 � A Z 0 G_ r N � _ z ZZ OP o1 Do W7 zz e V .mz cn M1:1 D o v o 6,00' v n m Cn a v — vWimM w o A Qo n � O O (� Cn ---------- _--------------- _ -___________-___- 27.10' 29.40' o Asphalt w Driveway c-� O V w - n � _ _ 4' CLF 1107.731'(R)107.71(M) r Remainder Lot 11 BLK 3 SCALE : 1"=20' c '__:2 T 25,00' 0 0 50.00' Total RNV Q (BY PLAT) N ABBREVIATIONS: SNM=SIDEWALK CBS -CONCRETE BLOCK STRUCTURE. CLF-CHAIN LINK FENCE. PL=PROPERTY LINE. DUE -DRAINAGE UTILITY EASEMENT. IP-IRON PIPE, F-FOUND, A/C -AIR CONOrT1ONER PAD, PIC-PROPERTY CORNER, DM -DRILLED HOLE. W/F-WOODEN FENCE, RES-RESIDENCE, CL-CLEAR, RB-REBAR, UE-UTILrrY EASEMENT, CONC-CONCRETE SLAB. NOT VALID UNLESS EMBOSSED WITH RAWRIGHT OF WAY, DE -DRAINAGE EASEMENT, CA. -CENTER LINE. O-DIAMTER, TYP-TYPICAL. M-MEASURED, SURVEYOR'S SEAL R-RECORDED.ENCR-ENCROACHMENT. COMP -COMPUTER. ASH -ASPHALT. NID-NAIL & DISC, S-SET, FEE -FINISH FLOOR ELEVATION, OB-OFFSET, PIP -POWER POLE. OHP-OVERHEAD POWERLINE, WM-WATER METER WOODFENCE- CY :°11'. _, ELEVATION BASED ON LOC. # -- MMHTENANCESDRAINAGE EAMMENT-MAD.E. CBM# ELV. BOUNDARY S U R I SURVEYOR'S NOTES: 1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 2) EXAMINATION TO THE ABSTRACT( TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY, NO UNDERGROUND IMPROVEMENTS WERE LOCATED. 4) ELEVATIONS ARE REFERRED TO NATIONAL GEODET VERTICAL DATUM OF 1929. 5) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT W REVISED: BE FOUND IN PUBLIC RECORDS OF MIAMI-DADE COUNTY 6) LEGAL DESCRIPTION PROVIDED BY CLIENT. UNLESS OTHERWISE NOTED RECORDED OR MEASURED DATA ARE IN SUBSTANTIAL AGREEMENTS. 8) BEFOF e�rvrn,lcrorlrrinelTu or r�lv i L vrv� 1 nuL.1 wry I rT€ ati WuYcS MUST BE CHECKED, NO PROFESSIONAL LIABILITY INSURANCE BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUF OF: RAm PR PAraF LOCATION SKETCH SCALE: NTS NW 2 AVENUE II I Ii C� 107.75' CD O \ W I \ I �a 0 m Cn I O f c goo, 0 0 0 0 000c 0 0 0 0 0 0 f f f f e �oaoAa ooeo 0 0 0 000c r, 01 l CERTIFIED TO: JOSEFINA FARMER, A SINGLE WOMAN, 160 N.W. IO1ST ST.:. SHORES, FLORIDA 33150., ALAN B. FISHMAN, ESQ., ATTORNEY'S TITLE INSURANCE FUND, INC., WASHINGTON MUTUAL BANK, F.A., ITS SUCCESSORS AND/OR ASSIGNS, ATIMt,.. LEGAL DESCRIPTION: LOT 10 AND THE WEST 1/2 OF LOT 11 BLOCK 3 OF MAP OF BONMAR PARK ADDITION SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 24 AT PAGE 1 OF THE PUBLIC RECORDS MIAMI—DADS COUNTY, FLORIDA i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements EY adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements otherthan as shown hereon. A A ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 SINCE 1987 BL.ANGO SURVEYORS ING. Engineers - Land Surveyors - Planners - LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 (305) 865-1200 Fax: (305) 865-7810 FLOOD ZONE: X SUFFIX: J DATE: 7 / 17 /95 BASE: N/A PANEL: 0090 COMMUNITY # 120652 DATE: SCALE: OWN. BY: JOB No. 9/9/02 1' = 20' F, Blanca 1 02- 1 S 11 `per U6,00 Z.J&qs .1 OCT 2 7 2006 B Ys ----------- L \N NN Xz Miami Shores Viiiage APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT ©CoMPLI WlTM 4TATE AND COUNTY RULES AND RECULATIDN9 4 4 � U U 4 4 4 see • • Y • eve • t t Y • • • • t • • Y • Y s • • c �r zx A ev ,�vaN- Z"x y - • y"wA7je �% I T 1 7 i i i L ILL �. U 4 U U Y U U U 6 4 U U U U U Y U Y U U y U U Y U U Y • • ` • YY • • • • Y • ••• • e • • • BECK UXw). t X'-1 € t L„c A, 160 nw 101 St Miami Shores FI 33150. re "" a ka I IV it „l1„ II viol TrV • t pag 1 u L • op0000 0 0000po pp OO 0 0 JUAN CRISTOBAL VALECILLOS. C. 'Wae � ....-S,.,s,.. k pag 2 `SHQc.�iES►.�� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FILNOV Q L�NTe3 ,N SO F�ORIDp' Phone: (305)795-2204 Fax: (305)756-8972 Job Address: 160 101 Street NW Miami Shores, FL 33150-1214 Project: <NONE> Contractor: HOME OWNER Buildina Department Comments Phone Number (786)229-5250 Parcel Number 1131010230200 Block: Lot: Inspector Comments Passed Failed El Correction Needed Re -Inspection Fee ($75) No Additional Inspections can be scheduled until re -inspection fee is paid. Thursday, November 2, 2006 Page 2 of 2