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SENC-09-481 oRSS ;,. .. . Miami Shores Village :... . � 9 .':.?�$t# 0 10050 N.E. 2nd Avenue :.: .:: ..... i.i'!� '- r'i. .;i iiiiii'i ''. ... ..:;.: �iFji:. ��..., '.'s..•,,l;e`53..CS>.: ..... .. Miami Shores - FL 3313 - 8 0000 :: . ::. :::: . . .::; ::«: »: » »:......:;;: >; >: >;; >;;:::: >;; >;; >: o i `tts::►FPRe1/E17 : : : : Phone: s .« a (305)795-2204 2 204 f o ►vA tt r Ex p it . atlon: 10 01 Project Address Parcel Number Applicant 10357 6 Avenue 1122310120200 ESTELA MENDIETA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ........... ... ......... ......... ............ ESTELA MENDIETA 10357 NE 6 AVE MIAMI SHORES FL 33138 -2047 Contractor(s) Phone Cell Phone $1 ,000.00 ......... - -- HOMEOWNER - Valuation: ................. _..,. ........ ........................ Total Sq Feet: 545 Approved: Yes m - Available Inspections: Comments: Date Approved: 3/26/2009 : Yes Inspection Type: Date Denied: Final Type of Work: REPAIR Additional Info: EXISTING ENCLOSURE Classification: Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 SENC -3 -09- 34355 $ 114.30 $ 64.30 Education Surcharge $0.20 Notary Fee $5.00 SENC -3 09.34355 $ 114.30 $ 114.30 $ 0.00 Permit Fee $100.00 Check #: 3121 Scanning Fee $6.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.50 Total: $114.30 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. April 20, 2009 Authorized Signature: Owner / Applicant ! Contract(,- / Agent Date Building Department Copy April 20, 2009 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 W W WMIAMISHORESVILLAGE.COM BUILDING �ED Permit No. 3E C o -0 PERMIT APPLICATIO MA 2 2009 Master Permit No. FBC 20 Permit Type (circle): Building mg Owner's Name (Fee Simple Titleholder) r �•^ MJ ~ 'c+ Phone # Owner's dress � S t 1 '�^ City State Zip Tenant/Lessee Name Phone # w Email (h, tom" l Job Address (where the work is being done) _ W City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name —�rwt, MAX& J Phone Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # 500 Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ~ 4A Q CI`E y1� * * * * * * * *eD * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee s � � 3 / Fee $ /�a � CCF $ � •IJGQ CO / ems Notary $ �.lJ� Training/Education Fee $ Technology Fee $ Scanning Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address "`" City State Z Application is hereby made to obtain a permit to dib #he-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 j urisdiction. .1 understa" separate permit must ured�ior ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FCIRI�I�EES OILERS�;1 J S an&AIR aftDIMNERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing" idformation=is &-xurate and that All work will bedops coni trance with all applicable laws regulating constntetioii an(t zo ng. _ t "WARNING TO OWNER: YOUR FAILURE TO RECORD A O OF C TICE d rE PJCMEINT NAY-RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YEd> , PR( ERT , & 'jo INTEND ° Td OBTAIN FINANCING, CONSULT WITH YOUR •Lk� DER OR' AN AfiTURNEY 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. r Signatu a Signature wner or Agent Contractor The foregoing instrument was acknowledged before me this U The foregoing instrument was acknowledged before me this day of Nam , 20� , by z IC��� Ha icU day of ' 20 _, by who is personally known tome or who has p roduc e d ` !`�tW5 P who is personally known to me or who has produced As identification and who did take an oath... as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 'Wp Sign: pvpp�5 (, Sign: Print: .r C4M�}�ct��`a Print: ARNO My Commission Expires 4 My Commitssion , xRires: APPLICATION APPROVED BY — flans examiner Zoning. Engineer Clerk checked (Revised 07/10/07) _ VILLAGE OF MIAMI S11101? S MAR 2 4 % = 1 . dw 6 2009 OWNER 13UILDER DISCLOSURE STAT +INTENT " 'NAME: �, tk y" - DATE: 0 Z Zoo ADDRESS: 3 7 Pie 0 hk du �J 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 �i 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 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. I hold title to the above property and I am planning on doing this construction Myself. Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building "regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. �--�} � Initial C►�"1 3. I have an understanding of the 2004 FBC & FRC and understand 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 inspectors are not there to design, alte or give advice on how to meet code – only if the structure meets the minimum code. /'�,� Initiat P)k 5. 1- understand. that'as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial G _.- 6. I understand that if I compensate any person or company for work performed they are requited to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project –they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could .include loss of wages during recovery from injury. Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this day of k — , 20 By. \u ClUw�k who was personally known to me or who has Produced there License (� as identification. OWNER � 99 N ARY MA \G 0* * pMM pc\ob��oy�a� r .tD &s L f / Miami Shores Village Permit NO S E N C 3 09 481 �e 10050 N.E. 2nd Avenue I an. { ce 1= losl�ce Miami Shores, FL 33138 -0000 " .: Phone: (305)795 -2204 Fax: (305)756 -8972 ``-- -�' Issue Date: Not Issued Expires: Folio Number :1122310120200 Owner's Name: ESTELA MENDIETA Owner's Phone: Job Address: 10357 6 Avenue Total Square Feet: 545 Miami Shores, FL Total Job Valuation: $ 1,000.00 . ........ . ......... ......... Contractor(s) Pho ne Primary Contractor HOMEOWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/26/2009 Yes Comments: • ... .. .. . . % .: ... ' ... • • . ... . . . :00 090 goo . • • . .. . • . . • • . . . . . • • . 0 0 0 so ••• .•. .'. j.. .. off ... . . . • .. . . . . . ... .. 33 Pl AVENUE CORAL. GABLES, FL. 33134 SURVEY No. 97'027 I D ADE: (305) 779- 3288 4 THOMAS .J. KELLY, INC. SHEET 1 0 2 FAX:' (305) 441 -6494 LAND SURVEYOR -- SURVEY OF LOT _ -22 _.._ -._ ._� _ _ BLOCK SUBDIVISION GOLF VIEW FSTATFS - - -' ACCORDING TO THE PLAT THEREOF AS RECORDED IN Pl_AT BOOK NO. 41 AT PAGE NI.J. PUBLIC RECORDS OF DADE._. _____ OUNTY. F' ,RIDA DATE: 3o /97 FOR: R ICAR DO ME NDIETA MID ESTELA M ENDIETA LOCATION SKETCH SCALE 1 " =tir 10357 NE _6 AVE MIAMI SFbRES, FU. 33138 /50 o � 2¢ Z 0 4 y� h P4 a vi �� z U) -1 M110EV1ATKY3 - H AND" tyE. ': MEANING: • ETY Nrar AND" NO, NUMBER O AERI. C R DRIVEWAY ' cK I%WTY LINE 04 OFFSET MON MONO r PEN EERMM ICNCE .x.wwwwwww 6r T. HGH CHAIN I INK f7:HCE ••• EE Im-Or AY KECNM{KO'WOOO fE,ME CL CLE R{X•W C ENCROACH EHKC .CWOACIIMDR EWK SIDEWALK ,�. ?AV KA.W'AV AVEM7NT PWY RAIN EASEMENT PL rLAWTU ^4 U CU CHMN MK EEN a wt KEGWOOwwowrocE W ✓ W IT ELS EV ON FLOOR H a NOw ,AT04N EM CEGOE Va IK'K DATLAr SE FEET - ION _ �U) z � j SEC Sr EC. i VJ r�-r Ulf RANG EIIII r I I KOe RANGE H RM M R ILNMCURU`K AND II S R R EO LYRIUCU • \ � J \� �� PON f KKKU 11 OLE E V IDN " , NAI LL H ill H EUUNO Ill- Shores 3LWOR EE Miam , OEOREEI, M .EA $ T- WE ., EECONDf I� C', HORT14 rt Ilt •EAST• iVKE CEW �/ C ces CONCRETE WALL B7 G CONCRETE EGCK WALL APPROVED I E °I U low L K ARC Ls ARC DIST DISTANCE T C A ZONING DEPT C c C � DELTA F.R. SOUND KE..AA R CIDMR LINE BLDG DEPT O 7CREENIORCII - OVN OVEMw10 CHE10❑PAC CIIAETf EK,K IGfl M. R,DA ADMINISTRATIVE L LO ERE MINIMUM TECHKKAL STANDMOS l mpg SU13JECT TO CQNIPUANCE W Mf EET RU, .. ,,, TT 7 NS I's nEL "M RULES A D M tt Y t 7 WI MEA SDAT Of FIELD WO R OK A STATE AND COl1NTY UI,,OOI ONLY OR AI ONE MEAN OF TAN YRELD waRR ,T POINT DE CURVATIA H W K " Nr a LVRVATURE H 0 � H roc " In W COMME NCEMENT pR 'OIMpRFOINNIND PCC POINT Of COMPOUND a. z � H UU`E v rt EASCEaNr RR RAILROAD RLDO RUILDN O RES RCVDENCE CALC CALCULATED I Q F Q FLOOD ZONE:_ __ fiX11 THIS IS A FLOOD HAZARD ZONr X _ .. � — ''HIS IS NOT A FLOOD HAZARD ZONE I'- COMMUNITY PANEL NO. _120652_. _ . _ a PANEL NO.. — �3 ....- _ SUFFIX: __._yL .. DATE OF FIRM: 3J2 1_94 _ U BASE FLOOD ELEV. — n / LOWEST FLOOR ELF': .� /. HIGHEST ADJ. GRADE: ,_— n/a i I NOTE: UNDERGROUND ENCROACH Mc,J'I:,, .F ANY, NOT LOCATED. ENCROACHMENTS NOTED: A-/U/V / I hereby certity that this sketch of survey of the above described property is true and correct to the best of my knowledge and belief as surveyed and platted under my direction. I further certify that this survey meets the minimum requirements adopted by the Society of Professional Land Surveyors an the Florida Land Title Association and also CH -61G17 F.A. code. There are no encroachments, except as shown, i 1/3 NOTES: 1. IF SHOWN, BEARINGS ARE TO AN ASSUMED MERIDIAN (BY PLAT) OSE A. PEREA (DATE OF FIELDWORK) 2. IF SHOWN, ELEVATIONS ARE REFERRED N.G.V. DATUM 1929 PROFESSIONAL SURVEYOR AND MAPPER # 485E 3. THIS IS A LAND SURVEY STATE OF FLORIDA CLOSURE ABOVE 1 7500 o . (NOTVALID UNLESS IMPRINTED WITH AN EMBOSSED SURVEYOR'S SEAL) SCALE: 1 a • • • • • • • • • • • • ••• • ••• ••• •• • • • •• •i• • • ••• • • • • •• • • • • • • • • • X33 Palermo Avenu THOMAS 97 -0271 CORAL GABLES, FLA. 3313 J . KELLY INC. SURVEY NO. BRWD' (305) 779 -3288 LAND SURVEYOR SHEET 2 OF 2 FAX ? ( 305) 441-6494 SKETCH OF SURVEY SCALE: I ° =20( Z /P // I � �� (M)(R) � 2 d- w t 5 _ Fe pS - J � Q� V U :nv G CJ FF 0 1 i 0 /)e ervi�) u, V� m 9,40 i 1 S,FS rill I l 1 .. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 109706 Pe rmit Number: S ENC -3 -0 - 481 Scheduled Inspection Date: July 23, 2009 Permit Type: Screen Enclosures Inspector: Bruhn, Norman Inspection Type: Final Owner: MENDIETA, ESTELA Work Classification: Repair Job Address: 10357 NE 6 Avenue Miami Shores, FL Phone Number Parcel Number 112231012020 Project: <NONE> Contractor: HOME OWNER Building Department Comments TO REPAIR EXISTING SCREEN PLEASE CALL ESTELLA: 305.606.8065 Inspector Comments Passed Failed Correction Needed I� Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 22, 2009 For Inspections please call: (305)762 -4949 Page 2 of 14