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DS-09-2091 �W.0 Miami Shores Village f l� � e 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 a Phone: (305)795 -2204 �{ T Expiration: 061191201 Project Address Parc Number Applicant 241 91 Street 1131010331340 Miami Shores, FL 33150- Block: Lot: DANIEL WEIHNACHT Owner Information Address Phone cell DANIEL WEIHNACHT 241 91 Street MIAMI SHORES FL 33150 -2258 Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 HOME OWNER Total Sq Feet: 192 Approved: Yes For inspections please call: Comments: (305)762 -4949 Date Approved: 12/22/2009: Yes Available Inspections: Date Denied: Inspection Type: Type of Work: APPROACH Additional Info: CONCRETE Final Bond Return : Classification: Residential Sidewalk Landscaping Foundation Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ DS-12 -09-36691 $ 159.20 $ 109.20 l Education Surcharge $0.40 ~ # 4 * Permit Fee $150.00 DS-12 -09-36691 $ 159.20 $ 159.20 $ 0.00 Scanning Fee $6.00 Check #: 782 Technology Fee $1.60 Total: $159.20 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 January 22, 2010 Authorized Signature: Owner I Applicant / Contractor / Agent Date Building Department Copy January 22, 2010 ^ -� 1 Miami Shores Village Buildin g Department artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 !i BUILDING Permit No PERMIT APPLICATION Master Permit No. FBC 20 i= Permit Type: BUILDING ROOFING II Owner's Name (Fee Simple Titleholder) at q pd K /e_ ,,y L,A a_c hf Phone # (56Y) 7 �'(_Cl Owner's Address _2-q A/W g, City 0�'t (� State Zip - 9 3 1 SD Tenant/Lessee Name Phone # A Email /_6.4, Ghf- 0 Ya C C9 Job Address (where the work is being done) 2- ( AJW q 5 1 - - City Miami Shores Village County 'ami -Dade Zip j 1 5'0 FOLIO / PARCEL # Is Building Historically Designated YES NO Act al Flood Zone Contractor's Company Name OX41 C✓ gAe-/` Phone # Contractor's Address City State Zip Qualifier Name Phone # II; State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ � ©� ® °® Square / Linear Footage Of Work: .1 + Type of Work: OAddition []Alteration []New 0 Repair/Replace ❑ Demolition Describe Work: -F2 or- me4t 16 Gpp6�5 C c,h d r cse w c 4 e �x i 0 � Submittal Fee $ Fee $ ,/.SQ o� CCF $_ CO /CC $ • �y Notary $ Training/Education Fee $ - Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ I t Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ L o See Reverse side -� ';I 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 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 COMMENCEMtNT." 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 ,A Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this `� l.— The foregoing instrument was acknowledged before me this day o , 20 , by (_ CA.Xi4 "�iA j day of . 20 _, by who is personally known to me or who has produced P-- lD 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: le ,n1S S/ Sign: "x? �;: �xRir�; ° � Si Print: = Print: My Commission Expires: : cp %. Commissioo.6 M Commission Expires: 9 , OD 76 5901 • .. OF FLOW APPROVED BY � � : f �l t� Plans Examiner .2 Zoning Engineer Clerk checked t (Revised 07 /10 /07)(Revised 06/10/2009) Planning and Zoning Criteria Miami Shores Village Permit NO DS -12 -09 -2091 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 16 w� �a Phone: (305)795 -2204 Fax (305)756-8872 Issue Date 12/21/2009 Expires :1 I 1 I Folio Number: 1131010331340 Owner's Name: DANIEL WEIHNACHT Owner's Phone: Job Address: 24191 Street Total Square Feet: 192 Miami Shores, FL 33150- Total Job Valuation: $ 1,500.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 12/22/2009: Yes Comments: OKMEWtty 1 24C. Iti, • .,. � M S L acne 10050 N.E. SECOND AVE. �xORIDp` MIAMI SHORES. FLORIDA 3313 8-23$2 Telephone: (305) COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, -6,°t -Q j UI /e 4 ACLC hfhereinafterre ferred to as the Owner of the (owner) following described property: - Legal descriptionlfoliA Lot - ,?-q [ /(/ L Block Subdivision Tax Folio r• requests permission to install: Asphalt, oncrete brick pavers [ ] Landscaping [ ] Other within the public road right of way of ��[ [ (�,� �, °� r r /) c r47 (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). + a +►irnrrrrri SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this :;;?-t- day of (owner) _ A ®` � C ' SIGNED, SEALED AND DELIVERED in the presence • .• �� +++ r F: s� URVEYORS ® ®S� pTS� INC. ( PROJECT NUMBER :5858 -07 ' 3921 SW 47TH AVENUE,®SUYE VOt"1 DAVIE, FLORIDA 33314 CLIENT CERTIFICATE OF AUTHORIZATION : LB #�644�` DANIEL WEIHNACHT PHONE (954) 680 o9SM ® 5AX (954 - 660 -- 13 r SlZETCH OF SURVEY DESCRIPTION /"MIAMI 9 AND THE WEST 1/2 OF LOT 20, BLOCK 1 �. c SHORES SECTION NO 6 ", ACCORDING TO THE°PtAt EOF AS RECORDED IN PLAT BOOK 10, PAGE 39 OF THE PUBLIC RECORDS OF MIAMI /DADE COUNTY, FLORIDA FENCES, WALLS, INSTALLED ON ALLOW 40 SQ. FT. FOR 6 TRIMMINeet ImTO. � 1� 2 a 4 1� 15' ALLEY ' ,h 10 ASPHALT PAVEMENT ,i SND 5.00. _ ") ' O 0' � z U U S fl.0 Z Z Z 4 t�� �N 1 00 LOT 18 LOT 19 � W 1/2 E 1/2 �- 4- LOT 20 LOT 20 BLOCK 136 BLOCK 136 (nrn WI3 BLOCK 136 BLOCK 136 W S CONC . 1 y 120 rn - 0) to tt} N ° co, A/C �� N N t— 15.14' 1 C4 15'0' STORY CBS 71 RESIDENCE to FLOOR ELEV= 13.70 1 - ' ai GARAGE ELEV = 11.72 `� . W 30.3' OX M Z 10 7' COYRED �O�CBS WALL W CBA ALL�'� CONC Y STEP CO NC `Q F 3 — �, : o° o ° I 0 o o ° RECEIVED Z M M r" o. CA Z 0 � Q N. (Z-- 0 M s mmmcm z O _r_ m N � 50.00' STEP 25.00' ° E 5' CONCRETE WALK 5 FDH Y "i ° 0 75.00' E o C o 0 e 1� � N C7 0 � z � W � Q N m M W 1 �2 l 8' ASPHALT PAVEME g�69 NW 91 ST STREET REVISIONS DATE FB PG OWN CKD FLOOD ZONE INFORMATION ( 72 41 PERTY ADDRESS BOUNDARY & IMPROVEMENTS SURVEY 04/09/07 126/51 AV REC COMMUNITY NUMBER 120652 NW 91ST STREET PANEL NUMBER 0090 1 ZONE x SCALE 1 BASE FLOOD ELEVATION N/A EFFECTIVE DATE 07/17/95 SHEET 2 OF 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OW r NER BUILDER DISCLOSURE.STATE IENt NAME: DATE 011 2- f0 ADDRESS: _ �- ( YLdW Do hereby petition the village of Miami Shores to act as my own contractor pursu ant to the laws of the State.of Florida, KS 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 fora 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 frost 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 safe or lease.. if you sell or lease a building you havebuiltyourself wiflrin one Year after the construction is complete, the law will presume that you built for sale or lease, which Is aviolation 6f"this'ecemption. 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 Owlar 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. lnitl 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 birised.m Florida and to riot his or license numbers on permits and contracts. Initial ®� 4. 1 understand that I may bold or improve a one family or two-famlty residence or a farm outbUll ft 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 5. 1 understand that, as the owner - builder, i must provide direct, onsite supervision of the construction. Initial W 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 responsibkikty to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 0 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-butlder permit that erron�usly implies that the property owner is providing his or her awn labor and materials. I, as an owner - buckler, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees white 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. Initia 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 bulldkg who Is not licensed must work under my direct supervision and must be employed by me, whichImeans that) must comply A 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. Initia 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 c o m p l y w i t h all applicable laws, ordinances, building odes, and zoning .regulations. 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 850.487.1396 or MtpJtiaww.myfloridalk�.eom/dbrx /pr ctibrmdex.html Initial b� 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 activiiy at the following address: Initia 12. I 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. Initia Licensed contractors are regulated by lawns 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 mutt 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 mint 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 iA-�,�Z Q , (� By 1 \1\1(i, w ho was personally known to me or who has Produced there License or i � -��,� as identification. r Z64i;1901£0 OWNER Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 131940 Permit Number: DS -12 -09 -2091 Scheduled Inspection Date: April 28, 2010 Permit Type: Driveways /Sidewalks /Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: WEIHNACHT, DANIEL Work Classification: New Job Address: 241 NW 91 Street Miami Shores, FL 33150- Phone Number Parcel Number 113101033134 Project: <NONE> Contractor: HOME OWNER Building Department Comments CONCRETE PAVEMENT TO APPROACH DRIVEWAY Inspector Comments Passed 46�f;2w Failed Correction Needed ❑ ' Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 27, 2010 For Inspections please call: (305)762 -4949 Page 4 of 22