DEMO-08-1076Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 3313 8-0000
Phone: (305)795 -2204
Project Address
173 NW 92 Street
Miami Shores, FL 33150-
1131010330990
Block: Lot:
NASSER OTHMAN
Type of Demo: Walls & Signs
Additional Info: PLANTER
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$1 00.00
$8.00
$2.50
$114.30
Building Department Copy
Expiration: 12/21/2008
Authorized Signature: Owner / Applicant / Contractor / Agent
Valuation:
Total Sq Feet:
JUL 0 9 2008
VOA tOlo
MIAMI SHORES VILLAGE
June 24, 2008
Date
$ 1
0
Available Inspections:
Inspection Type:
Final
1
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.
Tuesday, June 24, 2008 1
Inspection Number: INSP -86810 Permit Number: DEMO -6 -08 -1076
Scheduled Inspection Date: July 28, 2010
Inspector: Rodriguez, Jorge
Owner: OTHMAN, NASSER
Job Address: 173 NW 92 Street
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
DEMOLITION OF LITTLE PLANTER ON THE RIGHT HAND
SIDE OF THE DRIVEWAY
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 27, 2010
Miami Shores, FL 33150-
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: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number Q
Parcel Number 1131010330990
Page 30 of 31
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): ` 1 ( ( A
&—
Owner's Name (Fee Simple Titleholder) I0 1\ u ®�
Owner's Address t -F 2 LM S Z �� °
City State
Tenant/Lessee Name
Job Address (where the work is being done
City Miami Shores Village County
FOLIO / PARCEL #
Is Building Historically Designated YES NO
OUAA
Contractor's Company Name
Contractor's Address
City State
Qualifier Name Phone #
State Certificate or Registration No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.O =-l" 0 0
U
Master Permit No.
IAY
Roofing
Type of Work: DAddition "'Alteration
Describe Work: --C.1�- •:, - :'. c) )
***************************************F
Submittal Fee $ Permit Fee -$ / V V
Notary $ . )' W
Scanning $ 6 .0 Radon $
j
Bond $ Code E i i „m • 1
Structural Review. $
Training/Education Fee $ 0 'It
['New
2
V/S4 gdlO
MIAMI SHOPF TLIAGE
Zip
SO— ®�
Phone # S(D --T
r .70 °fir
1 °i;
BY: 11
Phone# 305— ®3 '2
Miami -Dade Zip 23, 1.7S
Phone #
Zip
Certificate of Competency No.
Square / Linear Footage Of Work:
Re r/RReplacc
Double Fee $
Total Fee Now Due $ 1 14
See Reverse side
•
emolition
*****000 * *** * ** ** ********** ******
CCF $ 0.(O n ccCO /CC
Technology Fee $ 2``, 0
Zoning $
4
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
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 faits that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is ubj: t to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hich occu�. .e en '' s after the building permit is issued. In the absence of such posted notice, the
inspection w no ' . e ap roved and a� e`'� : tion ' e will be charged.
Signature
Contractor
The fore oing instrument was ac owlledgged be me this The foregoing instrument was acknowledged before me this
day of J) , 200K, by day of , 20 _ , by
is rsonally known to me or who has produced who is personally known to me or who has produced
identification and who did take an oa as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
(Revised 07/10/07)
Owner or Agent
Cpl
APPLICATION APPROVED BY:
?' S
NOTARY PUBLIC:
Sign:
Print:
My Co ssion Expires:
** '************ * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **
Plans Examiner
Engineer
Zoning
1 '� OWNER BUILDER DISCLOSURE STATEMENT
NAME: ICJ �F� C ® DLDC a b & DATE: ( D 2
ADDRESS: ( kn)
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 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.
VILLAGE OF MIAMI SHORES
1. I hold title to the above property and I am planning on doing this construction
Myself. oo�
Initial N
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. t 1
Initial (v
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 ►v
By
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code — only if the structure meets the
minimum code. ^�
Initial
5. I 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 (�
6. I understand that if I compensate any person or company for work performed
they are required 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.
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.
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.
Was acknowledged before me this
Produced there License or
Oflook,
OWNER
Initial /\
Initial `V
Initial N
day of 20 Qb
who was personally known to me or who has
as identification.
NOTARY
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23.6
N.W. 92nd. ST.
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18' PAV'MT 75` PUBLICR/W:
PROPERTY ADDRESS: 173 NW 92 ST
MIAMI, FL. 33150
( FOLIO No. 30 - 3121 - 033 - 0550 )
DESCRIPTION
Lot , Block , of " " according to the
Plat thereof as recorded in Plat Book
at Page of the Public Records of
Miami -Dade County, Florida.
There may be legal restrictions on the subject
property that are not shown on the Map of Survey
that may be found In the Public Records of
Miami -Dade County, or the records of any other
public and private entities as their jurisdictions
may appear.
The Map of Survey is Intended to be displayed at
the stated graphic scale In English units of
measurement. Attention is brought to the fact that
said drawing may be altered In scale by the
reproduction process.
This Survey was conducted for the purpose of a
BOUNDARY SURVEY only and is not intended to
delineate the regulatory Jurisdiction of any federal,
state, regional or local agency board, commission
or other entity.
Legal description was furnished by the client.
The elevations of well - Identified features as
depicted on this survey and map were measured
to an estimated vertical positional accuracy of 1/10
foot for natural ground surfaces and 1/100 foot for
hardscape surfaces, including pavements, curbs
and other man -made features as may exist.
Weil- Identified features as depicted on this survey
and map were measured to an estimated
horizontal positional accuracy of 1/10 foot unless
otherwise shown.
Legal Description subject to any dedications,
limitations, restrictions, reservations or recorded
easements.
LIST OF POSSIBLE ENCROACHMENT:
N/A
AERIAL MAP (NOT TO SCALE)
FLOOD ZONE INFORMATION:
Community No. 120635
Panel No. 0180
Suffix: J
FIRM Date: 03 -02 -1994
Flood Zone: X
i
BENCH MARK USED
BM # N568, Elev.= 10.50'
converted to NGVD 1929.
1 4
RD
S4
et
94T ST
o - -T •
213 14 15 16 17 19 18 00 01 oe 05 241
e- STREET
S03
10 9 8 7
4 3 2 1$
1F4 1? 18 30 21 22 33 As
DO
STREET.
LOCATION MAP (NOT TO SCALE)
02 -26 -2008
Armando Garcia, P.L.S.
Registered Surveyor and Mapper No. 3109
State of Florida.
a
If shown elevations are referred to N.G.V.D. of
1929
The surveyor makes no representation as to
ownership, possession or occupation of the
subject property by any entity or Individual.
Subsurface Improvements and /or encroachments
within, upon, across, abutting or adjacent to the
subject property were not located and are not shown.
Not valid without the signature and original raised
seal of a Florida Licensed Surveyor and Mapper.
Additions and deletions to this Map of Survey by
other than the signing party are prohibited without
the written consent of the signing party.
This Map of Survey has been prepared for the
exclusive use of the entities named herein and
the certification does not extend to any unnamed
party
CERTIFY TO:
NASSER OTHMAN & PETRONA GARCIA
SURVEYOR'S CERTIFICATION:
I hereby certify: That this "BOUNDARY SURVEY"
and the Map of Survey resulting there from was
performed under my direction and Is true and
correct to the best of my knowledge and belief and
further, that said "BOUNDARY SURVEY" meets
the Intent of the "Minimum Technical Standards for
Land Surveying in the State of Florida ", pursuant to
Rule 61G17-6 of the Florida Administrative Code
and its implementing Rule, Chapter 472.027 of the
Florida Statutes.
ARMANDO GARCIA
Land Surveyors & Mapper
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REVISIONS:
8567 CORAL WAY #425 MIAMI, FLORIDA 33155
PHONE: (786) 290 -4184 FAX: (305) 262 -1039
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Survey 1s not covered by
Proffesional Liability
Insurance.
ORIGINAL 02 -26 -2008
FIELD DATE
JOB NO 02 -56 -08
DRAWN J.V.
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PERMIT #: Imo 0
Miami Shores Villa •e
APPROVED BY D TE
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIANCE ALL D RAI.
j STATE AND COUNTY RULES AND REGULATIONS
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