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DGT-09-1644 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 126425 Permit Number: DGT -10 -09 -1644 Scheduled Inspection Date: April 06, 2010 Permit Type: Decks /Gazebos/Trellises Inspector: Bruhn, Norman Inspection Type: Final Owner: HARNAGE, HENRY & FRANCE Work Classification: Deck - Wood Job Address: 1248 NE 98 Street Miami Shores, FL Phone Number Parcel Number 1132050090330 Project: <NONE> Contractor: HOME OWNER Building Department Comments LOW LEVEL WOOD DECK Inspector Comments Passed ec_ Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 05, 2010 For Inspections please call: (305)762 -4949 Page 1 of 25 h ll� f g Miami Shores Village �' ) 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 y Phone: (305)795 -2204 3 Expiration: 05/0712010 Project Address Parcel Number Applicant 1248 98 Street 1132050090330 HENRY & FRANCE HARNAGE Miami Shores, FL Block: Lot: Owner Information Address Phone Cell HENRY & FRANCE HARNAGE 257 91 Street ()_ (305)751 -0584 MIAMI SHORES FL 33138 - Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 HOME OWNER Total Sq Feet: 250 Approved: No For Inspections please call: Comments: WHAT IS THE DISTANCE FROM THE DECK STEPS TO THE SIDE LOT LINE? (305)762 -4949 Date Approved:: No Available Inspections: Date Denied: 10/9/2009 Inspection Type: Type Const: Wood Deck Additional Info: Final Classification: Residential Foundation Framing in Progress Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ DGT -10-09 -36096 $ 168.80 $ 118.80 Education Surcharge $0.60 Notary Fee $55 DGT - 10 - 09 - 36096 $ 168.80 $ 168.80 $ 0.00 Permit Fee - Deck (wood) $150.00 Check* 5113 Permit Technology Fee $0.00 Scanning Fee $9.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.40 Total: $168.80 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. November 12, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 12, 2009 1 "10310q Miami Shores Village JD Department g �.� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ee � °oae000 >eae ®°omm® BUILDING Permit No. QUER—IWA- PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): g Roofing Owner's Name (Fee Simple Tideho �� t t� N . R -rl K 10 Phone # 3o:�'- f-1.5 ® — 3 (7 o Owner' � s Address / E V q Stre city mip S�Vtp State PLO(,jr%- zip 33 I-35 Tenant/I.essee Name # Phone # Job Address (where the work is being done) Y? 111 C4 5 `ire`- City Miami Shores Village County . Miami -Dade Zip 3313 FOLIO / PARCEL # U — 3 2 ® "® - 0 320 tQ+ �, g Lock eat4m Sivo" (13t- X13 Is Building Historically Designated YES NO Contractor's Company Name (VI,4 Ph one # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 3OW , O Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration (New ❑ Repair/Replace ❑ Demolition Describe Work: 6 ley I wd'o� 3ecv— Submittal Fee $'" Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ n� 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) VIA Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address ®. Q� q Gqv City CCAV Vt s State Of Zip t3 2Z L/ ^ � g� 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person . whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved a reinspe 'on fee will be charged Signa Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 45 W The foregoing instrument was acknowledged before me this day of 200 , by -011N W- ��iP /j(°L�$ � day of 1 20 _, by , who is personally known to me or who has produced f-�a I who is personally known to me or who has produced �K'/ As identification and who did take an oath. as identification and who did take an oath. a % RUTH A RODRIGUEZ NOTARY PUBLIC: * r�Y coMMlssloN DD 518676 NOTARY PUBLIC: EXPIRES: March 25, 2010 �gr i Bonded Thru Budget Notary Services Sign: �• Sign: Print 4r// 1�0� e� 4 _7' Print: My Commission Expires: -51'`01916 My Commission Expires: �x�xxex���xx�x�ex�x��xx�e��xx APPLICATION APPROVED BY: //�OJ Plans Examiner Engineer Zoning (Revised 07110(07) NOTICE OF COMMENCEMENT C FH 2 009R „ 811157 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTIOAR ft 27078 Ps 34951 (1►ss ) r� 0-y (� /_[�j� O�(`J�J /� RECORDED 11/10/2009 13:15:07 HARVEY PERMIT NO. 7 (I _ 1 & AAX FOLIO NO. f' �—OQ Q - 6 I RU4`Il�r CLERK OF COURT LASTF`AGDE COUWTYe FLORIDA STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / address: ® .M. i A-rM j 15110120-c. PG 5:3l7 2. Description of improvement: tucylo 3. Owners) name and address: ' Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Ala n�2. 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: 1� Amount of bond $ 6. Lender's name and address 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1xa)7., Florida Statutes. Name and Address: dam n QWftr�; + ? CA U Rj t A 8. In addition to himself, Owners designates the following persons) #o receive of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration d to of this Noce of Commencement: (the expiration date is 1 year from the date of recording unless a different date is spec ignature of Owner A `� t Print Owner's Name j o�^� / v ” `e r1 V lcJ Prepared by Swom to and subscribed before me this d f V , 200. Address: 1 I! Notary Publi Print Notary's Name: M f r�l My commission expires: ' C STATE OF FLORIDA, COUNTY OF OADE �o r�u 1 0/19)2013o HEREBY CERTIFY that this is a true copy of the vJ *, P cries C original filed in this office on 1 04h �daayy of 4 �.1Qyembec" , AD 20 Z> V a' WITNESS my hand and Official Seal. HAR Y RUViN CLERK, of cucwt and County Courts BY O.C. - �e aw Too MIN � oe�ee eeeeev vw OLW 3 _ i o Stairs L i ,SL even 0 TW with y JWC house aw A s l 9 ROV D a M[AMI -milDE COUNTY HEALTH DEPAR NT PERMITN: eL�� C�J Non �« y tOTT6 ! ° -- - to KIM a I UVOW pr as u am Fkdb LAND SMVEMG, • • • , C- A B 1Y 74" y • Mo.- 954)9174W DON" coal QrA' MM a ` ` Left Side View . Deck surface 1" 1 MOW interior 1 floor level I 1 I -_ 1 Stone Patio Bottom edge of lower stair box tapers to match slope of patio Front View Ve House • • House . Side stair:..: • • posts rn% •••�•• : '..eonpajq • Goes *stow :0000 15" (minimum) Et EL EL a House SU MGGL LedgerBoatde FooterCalcu 8tiOn o eitac 3Wa oase 16° a 3 sides MaxlaadAma =3'6 ° x3' 5 '= 1722ogbwkee 1722/144 =11.95 egfeet 12 egfmtx 5O PM egft= WOW 60M2000 =3egftpSrfootat' .3x 144 =43.2 eghxdoo 43.2/3.14 =13.76 House 7'4° Nv=root13.76 =3.7 dtamateroffaoter =8 13 °8° Poata rest � - F x on Patio �t•Pa9efa C0VBna • • � .. i �`���;' ��� �� � � ;'� �� �� = � and SCairRlaere House • H N • • a 23° •.••• •..• �..............� • • • • ••...• 13'7° •••.•• I 15 °6° ....... . . . ...... • V Lead 818°x4 MOMMMY som Olack LWW m , ,a 0000 ' •• 0000.. • • 9. Su*d"51W r _ 0000.. • . 0000 • • . . . u�g818' 0000.. 0.0.09 .. amt lame" Ada bms 0000. • 0000. 0000 0000 0000.. 0000 • • 0000.. 0 •.08 • � � 0000.. 008080 • • • 0000.. 1Tllr -s A* uss -= � a -OVE Su*d"51W r _ ran 11114 u�g818' � 4raa)z�ii �adtotEa \\ 3t+4 "x6112' amt lame" Ada bms A 50.00' Total RNV _ f. 98th STREET SCALE: 1"=20' 20' Asphalt - -- - 21.00' / i 35.00' 20.W 00' 20' Parway IC5 FND.I.P.Ire 1 FN .I.P.112" _ � 0 ID) 75.00' O ID 5. 00' J0.00 /� .000 6 .w , B.C. 375.00' Asphalt Driveway N N o Q O tD 10.20 13.50' N 5 ' �.� 20.25' 6' W.F. U 14.35' ni x �1 Ui 0.10 N LL N CL m w ONE STORY CBS 1560' 9� x LOT 7 a1e. g RESIDENCE # 1246 ` +, LOT 5 BLOCK 3 $ M BLOCK 3 9.30' ' o �1 n co 7.30' 7.00' PL P I C A/C LO 9.00' b � N 22.45' U: r O.20! Conc 0 fl- N Tiles 15.40' POOL 4' 30.00' 0. 1 "pOpOe 9p" L C+11 � 4 1.10' ��' FND.I.P.1/2" FND.I.P.1/2" (NO ID ) N W 0ID LOT 15 BLOCK 3 r • +~ ~' ' see LEGEND: A ARC OUL OVERHEAD UTILITY LINES FO FOUND jt • • • • • i •' • roORD BM BENCH MARK EL. ELEVATION FH FIRE FifDIZ IT : • • • : : • � : If�O�D CB CATH BASIN EM ELECTRIC METER (M) MEASyR� CBS CONCRETE BLOCK STUCTURE MHE ELECTRIC MANHOLE POD POINT & BEGINNING i • • ' • • UO{/ • V 1 ER VALVE CH CHORD ET ELECTRIC TRANSFORMER GM GAS METER N� CENTER LINE ENC. ENCROACHMENT FN FOUND NAIL 018 OFFSET ML MONUMENT LINE SIP SET IRON PIPE PC POINT OWKMV*TURE • • • • • T TANGENT CONC. CONCRETE FIP FOUND IRON PIPE PT POINT OF'� (lfff �•" • • Z.� *CHORD BEARING NS CL CLEARANCE FIR FOUND IRON ROD PRC POINT OF REVEECUNV/>�$E • •DRAINAGE MAINTENANCE EASEMENT N&D NAIL AND DISK CLF CHAIN LINK FENCE PCC POINT OrbCWPPENDQURMAVRE ' •:LAKE MAINTENANCE EASEMENT R V ELEV. FINISH FLOOR ELEVATION TYP TYPICAL POC POINT OF COMMENCEMW • • • • (AE •CANAL MAINTENANCE EASEMENT CENTER ANGLE R RADIUS SIR SET IRON ROD OH DRILLHOLE UE UTILITY EASEMENT MH MANHOLE RES RESIDENCE ONLY EASEMENTS, RIGHT OF WAYS, ETC READILY KNOWN ARE SHOWN. NO RESEARCH OTHERWISE HAS BEEN MADE SCALE: 1 "m�D DRAWN Y: DA REVISIONS: JO$ NO. BOUNDARY SURVEY suxvE3r Its • • I here',)y C& tify AM 1hi mgets thl minimum technical standards as set forlhI4 tie Flotka�oardo Surveyors and Mappers in Chapter 61G17 -5 Florida Administrative Code, patsuant to section 472.027, Florida Statutes. And is � ]�� ]� J� �( T j� C True and correct to the b of ivy knowledge and belief. The survey depicted here X_T XN-a-.11• v •i�j' 1 v �. P S lJ R Ic S TS not iL EX�) ronabLiebrlj�'t�y' lrsQan� E NOT 1 H OLiT SIGIN AND ORIGINAL RAISED LAND SURVEYING, INC. Ar&R)DA ACENED OR AND MAPPER LB # 7495 5 Office: 954)817 -0440 •' • • • ' • •' DONALD �' S • • • E- mail: ttrememeasures1 ,,'holmail.coin PROFES ION fa'[t�,ri�;WPERNO.5851 c TATR. nT*FtPlIt IIA • ' House _ sumxcciaee000a ledgerBoa �attachedto Jolmattachtoledger Corner 16° Houaeuo4calrauixod wncvlva kwjom Bracket 112 °x4114° HangerskWvanbaNab W pAwhoro Spiced 16" House 74° 0 Stdeledgomawchedto House usingeabm " 112"x4114° WedgeAnchms speed 24" 18 "8° Span . 11'r 15'7° p��y 8 °diaCoucratPfer p rasfeon12 "die "mw 8.5= 6'S"� – Concrete Footer Pont Anchor G Patio v House Galvautzad 112 °x4° 112°x4 "Wvanked Hurricane R v Cvra*w Bobeecureetair Tie 3 Through -Bolu aeeemblytodock 58112" t OR 4 "1lmbarlack MI Wean" WRWW 2 each pool �— 25 "—► 18'7" 15 "6" Left Side View (Beam and Footers not shown on this drawing. See Beam and Footer Detall) Deck surface 1" I Wow interior I floor level I I I I Stone Patio Bottom edge of lower stair box to ere to match Ter of patio Front View House House Side stair posts rest on Patio Stone Patio Beam and Footer Detail Flashing Gahaaized 5tee1 TlePlatesconnect Galvanized na0s and Joist Hurricane ties attach upperandlower Hangersattachjoiststo JoiststoBeam. stalrassemblies. ledger. MEMO 4x4 Post Base embedded IM isconcreteplerattaGhed todouble W bom with a ' Heavy Duty 4 °Timberl.ock 2 pWnized 1 /2 "x 4" wood bolts. screwssecure4x4 Galvaaized1 /2°x4° Posts tostairs. boltstie upper stair Footer 1 2"diameter assemblytodeck. and 15"+ Deep. Revisions & Clarifications to Original Drawings 1. Beam has been reconfigured as a bearing beam with cantilever. Joist Span has been reduced from 13'8" to 11' 6" with a 2' 2 "overhang. See new detail drawing. See also Deck Joist Span Table on page 3 of attached Prescriptive Residential Wood Deck Construction Guide (based on International Residential Code specifications. 2. Beam is 2 — 2 x 8's (nailed together with 3 1/2" galvanized nails) 3. Beam supported by 8" diameter concrete piers, 12" diameter concrete footers. Beam Span is 3'8". See Deck Beam Span Table on page 5 of provided documentation. 4. All fasteners are Galvanized Nails except as noted below and on updated drawings: Ledger to solid concrete block foundation —1/2 " x 41/4" Galvanized Wedge Anchors, 16" spacing. Joists to Ledger —10" Joist Hangers and Galvanized Nails. Beam to Simpson Strong Tie Post Anchors —1/2" x 4" Galvanized through Bolts, 2 each anchor. Post Anchor to Concrete Pier — Anchor embedded in concrete. Joists to Beam — Simpson Hurricane Straps and Galvanized Joist Hanger Nails. Stair assemblies to main deck —1/2" x 4" Galvanized Through Bolts, 24" spacing. 4 x 4 stair support posts to stair assemblies — Heavy Duty 4" TimberLock wood screws, 2 each post. FastenMast le r, No Predrilling, Stronger than - lags. • Stronger design shear values w, than 3 /8" lags .. . a • Nationally recognized testing y and code approvals • Sharp point and aggressive thread ;penetrate the densest �8E woods without predrilling • Unique tapered head k countersinks easily into wood for flush appearance s x y 3 • Variety of lengths, from ?l /2" to 10 ",; to match every application • Proprietary three -step coating process protects. against corrosion, even in pressure treated wood. ACQ approved • free bit in every ,package Photographs should not be used as 'a reference for fastening patterns. `- For more *R t-G s i r, free -sum" call FustenMuster at 800-5,18-3:569* OMG INC., 153 BOWLES ROAD, AGAWAM, MA 01001 WWWJASTENMASTER.COM , / • • 1 ' INSTALLATION PR P ROD UCT TimberLok should be installed using a high torque, 1 /2" variable speed drill (at least 14.4V if cordless). Choose the proper length so that threads fully engage the second piece. Lateral Design Values (in pounds per Fastener) for single shear connections loaded perpendicular to grain Specific FastenMaster Nails L °gs HEAD STYLE Wood Gravity ** Timherlok 101) 16D 20D '' /a" 3 /e" Red Oak 0.67 154 184 222 140 .r COUNTERSINKS Southern Pine 0.55 128 154 185 120 r ITSELF DURING Doug. Fir -L, SCL* 0.50 118 141 170 110 INSTALLATION Doug. fir -S 0.46 109 131 157 100 Hem. Fir 0.43 102 1 122 1 147 100 JIM E. Spruce, W. Cedar 0.36 87 1 104 1 126 90 M * SCL= Structural Composite Lumber (LVL,PSL and LSL) **Wood species identified typically have average specific gravity similar to the values MADE OF HEAT shown on this table. TREATED STEEL FOR All design values based on 1 W" side member thickness and penetration into main DRAMATICALLY member as follows; TimberLok 2 ", Nails 10x diameter, lags 8x diameter. Design values may be subject to adjustment factors (section 10.3 in NDS) based on conditions existing INCREASED during installation as well as those expected during service life. STRENGTH AND The lag screw and nail design values included in these tables are compiled directly from DRIVABILITY the 2001 National Design Specification for Wood Construction (2001 NDS). TimberLok Comparative Data The statement Faster, Easier, Stronger than Ys" Lag Screws refers to the comparison of design shear values of TimberLoks and 3 /s" lag screws. The Professional Engineer (PE) is responsible for designing all connections, which include ULTRA COATED FOR �► the number and location of all fasteners to meet the national and local code requirements. All minimum end, edge and spacing distances of the Timberlok should UNMATCHED follow minimums set forth in ICC ESR #1078 (see www.FastenMaster com). This report CORROSION should be reviewed thoroughly when designing connections. RESISTANCE. Photographs showing Timberlok usage should not be used as a reference for ACO APPROVED fastening patterns. For complete design values and engineering data, available through ICC -ES, see report ESR #1078 at www.icc- es.org. For technical assistance or backup information, please contact FostenMaster Technical Support at 1 800.518.3569. AGRESSIVE THREAD FOR ULTIMATE Part Number Screw Length Quantity per Pacli PULL —DOWN POWER FMTLOK04 -10 4" 10 FMTLOK06 -10 6" 10 FMTLOK08 -10 8" 10 FMTLOKI 0 -10 10" 10 FMTLOK212 -50 2 50 FMTLOK04 -50 4" 50 FMTLOK06 -50 6" 50 FMTLOKOB -50 8" 50 FMTLOKI 0 -50 10" 50 FMTLOK212 -500 2 500 FMTLOK04 -250 4" 250 g FMTLOK06 -250 6" 250 0 FMTLOK08 -250 8" 250 g FMTLOKIO -250 10" 250 OMG, INC., 153 BOWLES ROAD, AGAWAM, MA 01001 800.518.3569 WWW.FASTENMASTER.COM *! FA — STER — EASIER STRONGER ©2048 FastenMaster' and Tim6erLok ® are trademarks ofOMG ,Inc. CITY COPY 0', 5 � C,19 6 ogo J! Miami shores Village Building Department R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: ��' �� DATE: +� ��• �/ o Contractor P wner � Architect Picked up 2 sets of plans and (other) Address: .1 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to ntinue itting process. Acknowledged by: PERMIT CLEARK INITIA RESUBMITTED DATE: PERMIT CLE #RK INITIAL: `yNoRFS Miami shores Village evil �_ ,,,,,� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ORIDp' Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09 - m9y Job Name: 2009 Page 1 of 1 Building Critique Sheet Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 n a n d .7 Criteria —oning Miami Shores Village Permit NO.DGT-1 0-09-1644 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b )) t 10050 N.E. 2nd Avenue ............. ....... ... ..... ­ ........................ bo ...... ...... ......... ..... . ........ Irk T . ... RM P` Oft Sare 19. ......... . ............ Miami Shores, FL 33138-0000 ...... ................. ........ ...... ...... ............. .............. ................. ............ ....... ........ ...... .................... ...... ...... ....... ................ ec ba Phone: (305)795-2204 Fax: (305)756-8972 ........... ....... ------- - -- ....... ........ ........... Issue .- Date: . N . ot I . Ssued Expires: Not ISSUed ........... . .............. .. . ........ ........... ... ......... Folio Number: 1132050090330 Owner's Name: HENRY & FRANCE HARNAGE Owner's Phone: Job Address: 1248 98 Street Total Square Feet: 250 X Miami Shores, FL Total Job Valuation: $3,000.00 ............... .................... .......... ............................ .................................... ........... .......................... ....... ............................. Contractor(s) Phone Primary Contractor HOMEOWNER Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 10/9/2009 Comments: WHAT IS THE DISTANCE FROM THE DECK STEPS TO THE SIDE LOT LINE? VILLA GE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: t (�inl� �c C kJ e) DATE: ADDRESS: /4 ,SLlan �31 39 Do hereby petition the Village of Miami Shores to act as my-own contractor pursuant to the laws of the State of Florida, RS 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 41lows 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 residCnce. 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 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 sate or lease, which is a violation bf 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 und 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' pompensation for that employee, all as prescribed bylaw. Your construction must comply with all applicable laws, ordinances, -buildings codes and zoning regulations. Please read and initial each paragraph. L I hold. title to the above property and I am planning on doing this constru on Myself. Initial L r 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 reinstateme f the permit., Initia L- 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. nth 4. h 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. Initia ,L- 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 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 undeiata:nd• 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. Initia , �• 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 , 20 BY kk1 who was personally known to me or who has Produced there License orT 1 • as identification. OWNER NOTARY NOTARY PUBLIC STATE OF FLORIDA CWAA V Cutillos Commiq&2 #ll1D717923 '•e. a pw. SER 7.3, 2011 BoxDFV i°xau ATLANTIC BONDING co., INC. FLORIDA DEPARTMENT OF H EALT Charlie Crist Ana M. Viamonte Ros, M.D., M.P.H. Governor State Surgeon General October 23, 2009 John & Marie Perikles 1248 NE 98 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP940211 Centrax Permit Number: 13 -SC- 1006953 OSTDS Number: 1248 Coral Way Miami, FL 33138 Lot: 4 Block: 3 Subdivision: Earleton Shores Dear Applicant: This will acknowledge receipt of an application dated 10/22/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails: "WOOD DECK INSTALLATION ONLY " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use: " APPROVED ". G/P If you have any questions on this matter, please call our office at (786) 315 -2444. Sincerely, ose �r, Engineer Specialist II Enclosures cc: Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 1 ON STATE OF FLORIDA PERMIT NO DEPARTMENT OF HEALTH DATE PAID: - v ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: ` "APPLICATION FOR CONSTRUCTION PERMIT RECEIPT F 3 PPLICATION FOR: New System Existing System [ ] Holding Tank [ ] Innovative [ ' ] Repair [ Abandonment [ ] Temporary - APPLICANT: � )1An AQ(1 f2 !✓ '"d2 I f Q AGENT: TELEPHON E'��cf'n ° nZD' OC� MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM /DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: BLOCK: J SUBDIVISION: ►2�.P. C, DOPS PLATTED: PROPERTY ID #: ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZ� I ACRES WATER SUPPLY: ' [ ] PRIVATE�PUBLIC / � ] <=2400GPD [ ] >2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y IN � '"'�--- ''DISTANCE TO SEWER: FT PROPERTY ADDRESS: _ Li QIRECTIONS TO PROPERT y R t r 4J BUILDING INFORMATION [ "f RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial /Institutional System Design No Establishment Bedrooms Area Saft Table 1, Chapter 64E -6; FAC 2 3 4 [ ] Floor /Equipment Drains [ ] Other (Specify) SIGNATURE {,r - t . i`Q _� DATE: I DH 4015, 10/97 - Page 1 (Previous Editions May Be Used) Page 1 or 4 Stock Number: 5744 - 001 - 4015 -1 r. APPLICATION FOR: Check type of permit, if "Other" specify type in blank. - APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. TELEPHONE: Telephone number for applicant or agent. MAILING ADDRESS: P.O. box or street, city, state and zip code mailing address for applicant or agent. LOT, BLOCK, Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a SUBDIVISION: recorded subdivision, a of the lot legal description or deed must be attached. DATE OF SUBDIVISION: Official date of subdivision recorded in county plat books (month /day /year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. PROPERTY ID: 27 character number for property. CHD may require property appraiser ID # or section /township /range /parcel number. ZONING: Specify zoning and whether or not property is in 1/M zoning or equivalent usage. PROPERTY SIZE: Net usable area of property in acres (square footage divided by 43,560 square feet) exclusive of all paved areas and prepared roadbeds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and non- compacted road rights -of -way and easements with no subsurface obstructions may be included in calculating lot area. WATER SUPPLY: Check private or public <= 2000 gallons per day or public > 2000 gallons per day. SEWER AVAILABILITY: Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet. PROPERTY ADDRESS: Street address for property. For lots without an assigned street address, indicate street or road and locale in county. DIRECTIONS: Provide detailed instructions to lot or attach an area map showing lot location. BUILDING INFORMATION: Check residential or commercial. TYPE ESTABLISHMENT: List type of establishment from Table il, Chapter 64E -6, FAC. Examples: single family, single wide mobile home, restaurant, doctor's office. NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. BUILDING AREA: Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. BUSINESS ACTIVITY: For commercial /institutional applications only. List number of employees, shifts, and hours of operation„ or other information required by Table II, Chapter 64E -6, FAC. FIXTURES: Mark Floor /Equipment Drains or Others and specify item or "NA" if not applicable. SIGNATURE / DATE: Signature of applicant or agent. Date application submitted to the CHD with appropriate fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary to determine composition and quantity of wastewater.