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FW-10-934Inspection Number: INSP - 144332 Permit Number: FW -5 -10 -934 Scheduled Inspection Date: June 16, 2010 Inspector: Bruhn, Norman Owner: ESTEBAN, MARCELO Job Address: 133 NW 99 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments June 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1131010220400 INSTALLATION OF A GATE ON THE SIDE OF THE HOUSE vaasea��� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments For Inspections please call: (305)762 -4949 Page 6 of 20 r r LOOP ill DE 30' iri_; (1 • 200A • 11 1 2' ABOVE 12D13F •• F11IT3IICD riRAME e mac; munana PU Bt.CI p11G •• - ••••■•••• WO" M N 11FJ' T 11 HAIN CD PANEL r, r.• PVC SLEC c1.,u1P • • r • ••• MLLCti If sail • iEVt iiiu' CLNir SUB C L PANEL • S1(i 11 A NOT V. 1 X li' rlr>:11•a1 Run aulu R ` ' K la-K U1< • 11 • Conductor sl'ce_ Q., • Conduit stir '' Condul type- T' ` i i ,f �C, Y E"r NO • Ground Wirt :3f:. HAM. DISYON11ECT Railnp yl?O • .AmpS Hain „Q _Anps Sub 73rRq,icsrs Aprg A s Bond Buss . T es: % _No .1.ocr* tiol,�i i� l al —Cal- I'EIt S.F.u.C, 45O5,2(B) SUB FEEDER Ne_' v► ExisUnp _ T ype - ---t -- . Bond Vie; - • INSIDE PANEL D Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Parcel Number Phone Applicant 133 NW 99 Street Miami Shores, FL 1131010220400 Block: Lot: MARCELO ESTEBAN 1 Cell MARCELO ESTEBAN 133 NW 99 ST MIAMI FL 33150 -1742 Valuation: Total Sq Feet: $ 1,000.00 0 Contractor(s) HOME OWNER Phone CeII Phone Approved: Yes Comments: Date Approved: 5/26/2010 : Yes Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: GATE 5 FEET MAX Scanning: 1 Fees Due CCF Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $0.80 $104.60 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Pay Date Pay Type Amt Paid Amt Due Invoice # FW -5 -10 -37986 06/15/2010 Credit Card $ 104.60 $ 0.00 Date Available Inspections: Inspection Type: Final Foundation 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. June 15, 2010 June 15, 2010 1 BUILDING PERMIT APPLICATION FBC 20 City Miami Shores Villag FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address Contact Phone Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 \, Permit NY \ ' ) O Master Permit No. Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) f c _I e5 I c'T) Phone # 7 5 Z / Owner's Address / .3 Al(4) J / �©cJ 9�0 IoV�7 cee City - (,t, W1. �� State R1 Zip 3 3 /S0 TenantJLessee Name A ifa O FS /4 (:; Phone # S- Q - Q. , Email Yknyo,sd au ) cc, Cdvo Job Address (where the work is being done) /3 3 k/ Qf .9 YES NO County Miami -Dade Zip g 34/ City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -mail Phone # Flood Zone ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** KAY 2 5 2010 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 100 ' OD Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: , i ns.4-411a 0-r- •r P loil Submittal Fee $ Permit Fee $ /Do 60 CCF $ a'ta CO /CC $ Notary $ Training/Education Fee $ 3 Technology Fee $ V" IC Scanning $ ` Radon $ DPBR $ Bond $ Double Fee $ Violation date: � 04.(0D 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) s after the building permit is issued. In the absence of such posted notice, the inspection will not be appr a reinsp ton fee will be charged. Signature ! — Signature The forego day of wholi N01i Owner or A g instrument was ac ,20b known to me or who has produced As identification and who did take an oath. Sign: Print: My Commission Expires: 8 V4 s I1� . 4,0 : *SF*' jt11t' k*7Z' SF* k'.'* *$ ** 1'C*7tC$f7ti' * * *****1[Qt * 3f*'**:E' : **f' e$ C7F*:' *' 3C9t' ** l'c 'Cl@**3C*'?C 'JC*lY7Y0'C** '. *** ** * **** **** *** **:F APPROVED BY UBLIC: (Revised 07 /10 /07)(Revised 06/10/2009) d7, Plans Examiner Engineer Contractor The foregoing instrument was acknowledged before me this y of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: u l! Zoning Clerk checked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: MQIt � ��4 al) DATE: 5 " fl ADDRESS: A /VvV qa't Miami diries 33/So 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 act as 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. Initial tti L 2. I 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. Initial PC 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 of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial M e 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 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 n C Initial Pi 6. I 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 responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial Pe. 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 acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. y� Initial fie e 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 compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 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. Was acknowledged before me this -Y day of ,2010 Produced th OWNER 3 Initial t Initial 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.myforidalicense.com /dbpr /pro /cilb /index.html Initial h 11. I 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 activity at the following address: 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. Initial 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 Toss 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 contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed 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. n,, t) ` I B t 1-_- Ce\ A i� who w as personally Y � P Y known to me or who has as identification. Initial_ NOTARY IIaG !1/1c. Planning and Zoning Criteria Owner's Name: MARCELO ESTEBAN Job Address: 133 99 Street Miami Shores, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor(s) HOME OWNER Phone Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 5/26/2010 : Yes Issue Date: Not Issued Permit NO. FW -5 -10 -934 Expires:Not Issued Folio Number:1131010220400 Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 1,000.00 NC A = ARC DISTANCE F.I.P.1 /2 P (NO ID.) Lot 11 Block GOLD CREST Lot 2 Block 5 GOLD CREST r 2.r 5 = AIR CONDmON,NG PAD, • • 4 • _•% BLDG = BUILDING C.B. = CATCH BASIN C.B.S. ° CONCRETE BLOCK STRUC' I ij ? • • CH. = CHORD DISTANCE CL. ° CLEAR CA. ° CENTER UNE CONC. = CONCRETE 6' CHAIN LINK FENCE -�- • ,.. � fi�6,- HALT�A�EAAEt�iT � .., ��. • • • ••• 4? • • • : •: j : \ • \,•;: E�A OF SURVEY ABBREVIATIONS • • EnfC • BEN R04•014ENt' -• • • • )40 . • t 1•„ • • .. . F I- • J'FI}RE Ry• • - F OJND IRDN� F R "s Fb }1NQ 'REBAR • L.FyE. +1( Lerolette OO EI L . I POLE • (r•Maksualo • • • (R) _ ITECOFIb• • • F.D.H. = FOUND DRILL HOLE YSrION • • • • 75.00' (r & m) WL N.G.V.D O.E. P.B. P.C.P. PG. P.O.B. PA. N.T.S. Lot 3 Block GOLD CREST • E = MONUMENT LINE = NATIONAL GEODETIC VERTICAL DATUM = OVERHEAD ELECTRIC UNE = PLAT BOOK = PERMANENT CONTROL POINT = PAGE = POINT OF BEGINNING = PROPERTY UNE = NOT TO SCALE I al 0 0 0.5' Tel 5 F.I.P.1/2'0 (NO ID.) LLI R = RADIUS RAD. = RADIAL RES. = RESIDENTIAL RJW = RIGHT OF WAY S EC. SECTION S .I.P. = SET IRON PIPE No 5034 STY. = STORY SWK. =SIDEWALK U.E. = UTILrIY EASEM PROPERTY 133 NW ! DESCRIPTIO The East 25 fi according to at Page 56 The Map of Si of measureme by the reprodL This survey wr intended to de board, Commit Legal descripti Legal Descril reservations If shown eleva' The surveyor n occupation of t There may be 1 shown on the A Miami -Dade Cc entities as their Subsurface iml abutting or adjE shown. UNI PSS OTHERWI FOUNDATIONS. U.P. = UTILITY D= =CENTRAL X X = WOOD F -X-X- = CHAIN LI ® - C.B.S. W = ELEVATI 4