FW-10-131229 ICS
PERMIT APPLJC TIO -
fsC 20
•
P r t Types BY[.TI� :R�l' -.
Owner's Name (Fee Simple' Tit ! ?t /' t/ !c tL Phone # 3 SS A035!1..
�-�: •
Owiaer's A ddress ` R2 • State L Zip` 3
:Ter ant/Lessc Nato
Phone #
Email
Job Address (where the work is being done) Z o. a.1 c 9 2 Sf
i hore ' Vi11e
City �_ County ; .' 1�tia- Dade:
.......:...
p(3.149 /
Is Buildnig Hfistorically. Designated YES NO Flood one
.:....:.... :
Contractor's Company Name W v�- Phone #
Contractor s Address .
State : , d ip; �...
a :: er 1 ame
liii li:
.:.....:..
• Pou
State Certificate or:Registt'atioa I o� ,
:.
:.. ..• Ceatitieate. ol'•petenc �+To • : � `::
Contact Phone +tiaii . y
Architect ginger, s Nate (if applicable) . Phone #
Value of Work For this Permit $ . ie Square / Linear Footage Of:Work;
Type of W rk:...OAddiition [Alteration +1` Q 1 pair lace 4 0 I)emolthon
.fit .�, '
Deseribe work; ,a-f , , 1; m +Ni�Y 1: t.;t' Ci(-
Pert 1o., F& 1 C) 1 312:_:
master Permit
•
;ORR V...31
Li l 6 21)10
* ************,********** * *".i r** ** **.1 0r1 *. *mediae
Submittal Fee Permit Fee '$ /tf}' 4 :. +CCU' $ CO /CC $'
,tom
.'Notary $ Training/Education Fee $ Technology Fee $
Scing $•' Radon $ DPBR $ Bond $
$ Violation. date:
Structural Review, $ Total Fee Now Due $,
See Reverse side -
4.40-t-Q)
Mimi Sires ?"illae
Building Department
10050 N.E.2nd Avenue, Miami Shares, Florida 331338
Tel: (305): 7952204 Fax :. (305) 7%,897
INSPECTION'S PRONE NUMBER: (305) 762 494
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
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 AFFIDA.VIT::. I certify that all the foregoing information is accurate and that all work will be done in compliance with :
applicable laws regulating ;i onstrUction 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
pronnse 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 llso,a certified copy of the recorded notice of must be at the job site
for the first inspection whic occurs sevrn , 7) days after the building permit is issued . in. the absence of such posted notice, the
inspection will not be appr-od and a reins" tion fee will be charged.
The foregoing instrument was ackno
day of
who is personall
NOTARY UB I
APPROVED BY
(Revised 07 /10107)(Revised 06/10/2009)
edg
efo
/t
Sigh.
go) \ ' .. .
4
Print: A _ Li 7771, .171; , '
My Commi tint I n
' `,; y '
m eielS ` Mkt ANION s -0 4 ti 4
�. d "
• **************** * * * * -, * * * * ** * * * * * * * * * * *.* * * * * * **
/ / 70 Plans Examiner
Signature ` . f /�yv V Signature
0
r
er or Agent
known to me or
Contractor
The foregoing instrument was acknowledged before me this
day of . ,. 20 , by
who has produced who is personally known to me or who has. produced
As identification and who did take an oath.
Engineer
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
.33303r1
Oomq
tIr 401
• Zip
Ite****** * * * * **
Zoning.
Clerk checked
PS:
Inspection Number: INSP- 149669 Permit Number: FW -7 -10 -1312
Scheduled Inspection Date: November 15, 2010
Inspector: Rodriguez, Jorge
Owner: VIDAL, LAZARA
Job Address: 826 NE 92 Street
Project: <NONE>
Miami Shores, FL
Contractor: HOME OWNER
Building Department Comments
November 12, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1132060050170
AFT ALUMINUM FNECE 5FT HIGH
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 148807. Maximum fence height
is 5', NB
Page 7 of 31
OWNER BUILDER DISCLOSURE STATEMENT
NAME: ,d./,i2. c /his 7/ , is ( DATE: /b - O 7 - /0
ADDRESS: 72 4. 4
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. I 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 avdas my own
contractor with certain restrictions even though I do not have a license.
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
M iami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsib for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. I 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 + my own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or li•, -nse 4 mbers on
permits and contracts.
Initial
Initial
4. I 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 proved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I hunt or sip .ntially
improved it for sale or lease, which violates the exemption.
Initial I
Initial l 11
may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
responsibility to ensure that the persons whom I employ have the license required by law and by county or
7. I 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 actin • as an
owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the info
have provided on this disclosure.
Initial
Was ackn ledged before this
By who wa
Produced thete License or ri as identification.
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 compens. ! n for
the employee. I understand that my failure to follow these may subject to serious financial risk.
Initial i it
9. I 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.
10. I 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. mvfloridalicense .com/dbor /prolcilb/iin. x.ht /
Initial /1
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the p
legally and financially responsible for the proposed construction activity at the following address:
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 owners 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.
•
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252.62'
CU
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Found 5/8'-'
Iron Pipe . 4;,.b
No Cap
• !I II Hill,
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24.00'
Wood Po I e •
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PLAN OF SURVEY
Scale: 1' = 20'
1;1
,1 JUL 1 9 2010
9.45'
12. 00'
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CO CD
10. 70' / • \
a
11
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sal
10. 65'
7 47 F lamm°
18
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in.
5.3'
cu
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r
5.3;
- • +••1•
1211 •
Wood Fence
nt 6' 11 I gh)
n
c,
(Lot 18, Block 2)
N. E. 92nd —ST.
1 .2. 95'
15' Pavement
Stamp Cocc. Driveway I
ali•V
031=
24.69' 26.82'
i6' Parkway
.00'(Plat) 74. 15' ( Maas
i-STORY-C. B. S.
Res. No.826
5.06' • ins
9.80'
it. 30'
19.
.0'
1•
oc •
_5'
fig
45. 00' ., . 19.35'
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. :A - ••: r• '
Terrace "Si
at tt3 ;•=, to sc
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as
eystone) ,. •.•.•,.
ce9.
Found 5/8'
s
Iron Pipe
c7. No Cap
0.30'
Found 5/8'
Iron Pipe
_Cap • 14.?. INC.
•
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LOCATI ON MAP
Scale; 1.. 100'
u
Ili,
1111
LEGAL DE:°.;C:RIPTION
Lot 8 and the East 1/2 of Lot 9, Block 2, GOLDEN GATE PARK ADDITION, according to the Plat thereof, as
recorded in Plat Book 6, at Page 130, of the Public Records of Miami -Dade County, Florida.
Property Address: 826 NE 92 STREET MIAMI SHORES, FL. 33138
Flood Zone: "X ", Community Panel No. 120652 -0093
Base Flood Elevation: N /A' Map Revised: March 2, 1994
FOR THE BENEFIT OF:
LAZARA VIDAL
CHAMPION TITLE & TRUST CORPORATION ;
CHICAGO TITLE INSURANCE CO.
NETWORK CAPITAL GROUP
MARIO PRATS JR. & ASSOCIATES, INC.
SURVEYORS - MAPPERS - PLAN! NIE
300 S.W. 107th Avenue - Suite No.214- Miami, Florida 33174
Voice(305) 551 -6000- Fax(305)221 -1239
E-mail: mpratsebellsouth.net Certificate of Authorization No.:4249
The above 'BOUNDARY SURVEY'. represent the herein described property and It was completed bider my supervision
and or direction. to the best of my knowledge and belief and "oho meets the Mnlr'n.-t Technical Welded set forth by
The Florida Board od Lond Surveyors and Mappers. p rsuarde. ro Section 61017-9.0M. Fw1ea Statutes and!maternent va
Rules. Florida Board Adm nistrotive Code.
SURVEYOR'S NOTES:
1) The above captioned Property was surveyed and described based on the above Legal Description furnished by
Client.
2) This Cerlfflcotton ts only tor the lands as described, It is not as certification of Title. Zoning. Easements. or Freedon of
Eno cos ABSTRACT NOT REV1WED.
3) Ther+� jTgy bt, fidWtlond estd flgns not shown on this survey that may be found in the PubEC Records of this
County. - Examination of 4BsTaxa pF TITLE will hove to be made to determine recorded instruments. If any affecting
this property. • • •
4) Owalla llf _•ct to OPINION OF TITLE
5) Type of Surveys%OUNDAf SURVEY. •
6) Locaticr%and identificati:94 Utotres and or adjacent to the property were not sealed as such Information was
not requested.
7) Unlessel•Allse noted, tht•lim Yc• not attempted to locate Footings and /or Foundations (underground).
8) This P f'7F SURVEY. halbeerfprejared for the exclusive use of the entities named hereon. The Certificate does
not ex?e?yd to Srly unno ?es f c111r
9) I f Bearings shown they are o W
10) Predsl4r }clbtitse 1:75E0 S urbcf t Class Survey •
BLEVATION$$ NOTES : (IF REQUESTED AND SHOWN)
1) 0. Incliades existing E ve %I6• • •
2) Elevitipns ore referred tcstieNnowal Geodetic Versed Daum
3) @ENCHIW1RIt (Used) DMNo. Devotion:
. Le • i • • •
[tEvsionSi • • • •
J.N.: • • Data
••••
J.N.: Date:
J N.' Data
Feet
THIS NOT A VALID CERTIFICATION
WITHOUT THE SURVEYOR'S ORIGINAL
SIGNATURE AND RAISED EMBOSSED
SEAL PRESENT.
N. E. 92A-
-ST.
ABBREVIATIONS
BM. = Bench Mat:
Cork. =Cdata•ea
Meas. = Measured
C/1. =Centerline
MA = Monument lino
N =North
S. =South
E =East
W. =West
PAM. =Permanent erenceMmummt
P.C.P. = Permanent Codrd Paint
W.F. = Wood Fence
Cll. =Chain link T ence
Rea. =Residence
=Arc
R =Racks
D =Gila
T= Tangent .
upper No.3332
ida
P.T. = Point otTonuency
P.05 = Point of LOy'i:k.g
P C. = Point of Curvature
PRC =Point of ReversOCano ure
C.S.S. = Concrete•Bloc•Slructta0
(VW = Rlght•ot•Way
SEC. =Seam
RGF. = Range
IWP = Township
Eno. = Encroachltent
FF. =Podsh Floor
A(C =Air Conditioner
Conc. =Concrete
Swi =Sidewalk
SIY. =Mary
Ekrv. = Elevatiot
C.A.D.
ity
Original date:
07/5 I/0 4
ff Up -dotes seormnsONs)
Field date:
C8f3o /0
Sheet 1 of 1
Original J.N.:
17585