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DS-10-430
46 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 138177 Permit Number: De -3-10-430 Scheduled Inspection Date: March 18, 2010 Permit Type: Driveways /Sidewalks/Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: ROJAS, ANTONIO Work Classification: New Job Address: 85 NE 108 Street Miami Shores, FL Phone Number Parcel Number 1121360110480 Project: <NONE> Contractor: HOME OWNER Building Department Comments PLAIN CONCRETE DRIVEWAY ON BACK ALLEY Inspector Comments Passed / J M � Failed Correction Needed ❑ Re- Inspection a Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 17, 2010 For Inspections please call: (305)762 -4949 Page 14 of 2r .�� A� r y Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 3313&0000 z N Phone: (305)795 -2204 _ 3 P r 1f � Expiratlon:00"U29 Project Address Parcel Number Applicant 85 108 Street 1121360110480 Miami Shores, FL Block: Lot: ANTONIO ROJAS Owner Information Address Phone Cell ANTONIO ROJAS 85 NE 108 ST MIAMI SHORES FL 33161 -7035 Contractor(s) Phone Cell Phone Valuation: $ 2,0 HOME OWNER _.... Total Sq Feet: 550 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved:: In Review Final Date Denied: Sidewalk Type of Work: DRIVEWAY Additional Info: CONCRETE Landscaping Bond Return: Classification: Residential Foundation Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $ Invoice # DS -3-10 -37313 Education Surcharge $0.40 Notary Fee $5.00 03117!2010 Check #: 1004 $ 136.20 $ 0.00 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $136.20 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 March 17, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy March 17, 2010 1 Planning and Zoning Criteria Miami Shores Village Permit NO. DS - 3 - 10-430 10050 N.E. 2nd Avenue z Miami Shores, FL 33138 -0000 0�� Phone: (305)795 -2204 Fax: (305)756 -8972 r Issue Date 311712010 / I N -r� Folio Number) 121360110480 Owners Name: ANTONIO ROJAS Owner's Phone: Job Address: 85 108 Street Total Square Feet: 550 Miami Shores, FL Total Job Valuation: $ 2,000.00 Contractor(s) Phone Primary Contr HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/17/2010: Yes Comments: DRIVEWAY EXCEEDS MAXIMUM WIDTH ALLOWED AT ALLEY BY ZONING CODE. ZONING APPROVEDFOR THIS PERMIT IS BASED. ON APPROVAL OF BP2005 -826 BY AL BERG. MIAMI SHORES VII:LAGE � BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Dat 4 Type Insp' n TAa�D�� U- - Permit No. Name �`�d I 0 Address 1 Company Phone # Inspection Date C D Approv"- - ' Correction ❑ Re- Insp'n Fee ❑ ' Legal Description Date: 10/29/1990 Job Number. 90_ 5--039 ' Lot 16 in Block 215 of DUNNINGS Location Sketch Scale: l" - Jod 'F t.) MIAMI SHORE'S EXTENSION NO. 7 ' according to the Plat thereof 1 5 ' ' as recorded in . l -Ilat Dook 52 at 71 Page 33 of the Public Records - %j of Dade County, Florida. u . 0 13 14 Property Street Address : u ",` N a N N i 85 N.E. 108 St., Miami, •`' �i.l� Dade County, Florida. �� �+ -� y' ��,•` = This Survey is Certified to: _ i1A.E.. 10 5'T S Rojas, Raquel and Antonio, Consumers Title Agency, Inc., PLAN OF 5U RV E%y Apollo Mortgage and Financial Services, 1'� � 3a' Inc. WO•q rroLt: 1 � Se� ! I,I ilaPM rw, a L 1 r z y --j 1 6 kA r , "� A`gt6N,Koa r 4 iiiii Y ° � N I s r Q w V % U �•` 2.4.85 • I t. ; e .' -. 15.75 G j tz 7. �� = • ' 7 5.00,•, . ,•�.. �. _ - .•..���, • :!.�. ; • _• �e 571a t'. ^. ,�_. 0000! i+ .+. `�!►.. ��X••T•�„ _ .. . • • 0000.• KWD INFORMATION; FLOOD ZONE X FLOOD INSURANCE RATE MAP&+ 125098 -0093 X • : • • . : • • Notes; 1.- It shorn, hearings aft to an aom med meridian. 2.- Elevations, shown thus reler N �i��'�g4om (1929 • :... • � 3.. This 4 a Boundary Sarver 4.- Not valid unless imprinted with so bas�aa wreyot s • • 0000 0000 WE HEREBY MRTIM Chat the attach" PLAN OF SURVEY of the above descrlbW propertr, him MW ooneA bbA s tat of aar lmewhw4p • • : • • and belief as recently surveyed un t platted sadtr our directlow, also that there are not shore- proaadsncroaehrneVA 4t ban !t0 ►n. 0 * 0 *: • vey We fprtber cerWy that this sur mess the Minimum techalcal standards sel forth by the Florida Board of lroteteSlodl�lLsnd Surver�rs par- • 0000•• scant to FActlov 472.029, FioMa Statutes and Chapter 214111-6, Florida Administrative Cads • • • . • • • • :. "� •✓r ALBER li T Iac. t •. • � �� " • Pros LAND PLANNERS, 9URVEYORSI • •. • • Atbca t r' y 12735 S.W. 34th STRM, MIAMI, FL 33175 Protevsbral Lend Sarr �r 1 FAX 669 -11119 Rslrallo» ; is 226 dial• of mrlds, Y� ti F IT Or °.� Q' ® Miami Snores Vill =:ae i i ° °• It es�,, DATE j � 5 AI d !!••: !!!!° : S APPROVED B ZONING DEPT i t'�• !' BLDG DEPT ° i! ;� •• iii!! SUBJECT i 0 Cr MPLIANCE WITH ALL FEDERAL • • i! ' "'� • ECU'� !!! AT10NS i STATE AND LCUN.Y RULES AND R i } • i • ! 4 • Miami Shores Village 03 9TE Building Department MAR 1 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 F Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BY. .. ..................... BUILDING Permit No. l p AL.o PERMIT APPLICATION Master Permit No. FBC 20 CB�LDI Permit Typ ROOFING Owner's Name (Fee S C3 iimple Titleholder) Av V j � � 6 f ,� S Phone # X4 p — 7Y6 q p Owner's Address b 6 A( C f l® 'S T _�57 T City _A4LA (? S — 6 1Z�S State F L_ Zip �c0 Tenant/Lessee Name f Phone # Email Job Address (where the work is being done) ? City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name > Phone # Contractor's Address City State Zip Qualifier Name Phone # 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: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Am U6 LAM ff) i W�/ a I ML Submittal Fee $ Permit Fee $ 12S -60 CCF $ i CO /CC $ Notary $ Training/Education Fee $ '! Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: 1, 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) 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 Signature 11. � vVn�`i �r tge q Contractor The foreg ' g instrument was ac ` o _ edged before this 1� The foregoing instrument was acknowledged before me this day o 20�f, by AMONO day of , 20 _, by , who 1 is p ersonally to me or who has produced who is personally known to me or who has produced 1 ('1 Z 1 Q identification and who did take an oath. as identification and who did take an oath. NOT Y LIC: ���`� NOTARY PUBLIC: Sign: Sign: Print: a Print: My Commission Expires: My Commission Expires: APPROVED BY Plans Examiner � Zoning Engineer Clerk checked (Revised 07 /10 /07XRevised 06/10/2009) Miami Shores Village Building Perm rt 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -826 Printed: 6/912005 Page 1 of 1 Applicant: ANTONIO ROJAS Owner: ROJAS ANTONIO JOB ADDRESS: 85 NE 108 ST Contractor RELIABLE CONCRETE`tORRP Contractor's Address: 1101 SW 18 CT Local Phone: 305/229 -4945 Parcel # 1121360110480 Legal Description: 36 52 41 PB 52 -33 DUNNINGS MIAMI SHORES EXT NO 7 LOT 16 Fees: Description Amount FEE2005 -7908 Building Fee FEE2005 -7909 Building Fee $125.00 Total Fees: $82.73 FEE2005 -7910 CCF �1 0 Total Receipts: $0.00 FEE2005 -7911 Training and Education Fee k I ' " FEE2005 -7912 Technology Fee FEE2005 -7913 Scanning Fee w X3.00 FEE2005 -7914 Submittal Fee ($0) Total Fees: "2.73 Permit Status: APPROVED Permit Expiration: 11/30/2005 ctlon Value: $1,900.00 Work: CONCRETE DRIVEWAY PAID Signed: (INSPECTOR) ° CVO— 1 - 4a4 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING Permits PERMIT APPLICATIO J1114 ® `=6 � Master Permit FBC 2001 Permit Type (circl i;. g Electrical o d ° ° mg Mechanical Roofing Owner's Name I ple :' lehcier)�' �� �� Phone # Owner' ss t city_ S State L Zip Tenant/Lessee a Phone ## Job Address (where the work is being done) City Miami Shores Village County Miam -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name ca T1- ono � Contractor's Address .1 l J� t City At�--T' State `�' - � � -: � ;,dip Qualifier � State Certificate or Registration No. 6 0 9 ` ' i ficate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit s 100 Square Footage Of Work: ° Type of Works ❑Addition ❑Alteration New ❑ Repair/Replace ,, E],Demolition Describe Work:` ,i 1 CL��� ,,- Submittal Fee $ �� Permit Fee $ °�' CCF $ CO /CC Notary $ � aini(g/Education Fee $ Technology Fee $ 8- 4 3 Scanning $ Radon $ Zonin Bond $ Code Enforc ant, Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) [2(o ip 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 alt 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 buildin g 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 buildi: mit is issued. In the bsence of such posted notice, the inspection will not be approved and a reinspection fee will be ch� ged Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this_ The fo oing inst was ack rument now ged before me this r day of , 20 by 0 by who is personally known to me or who has produced wh is rsonally known to me or ho has produced As. identification and who a take an oath r ication and id take an oath. NOTARY PUBLIC: NOTARY PUBLIC: s Sign: Gone� Print: Expires Bon M Commission Expires: "'�� " At1and Y xp� f09t6@h1199fon Expires: APPLICATION APPROVED BY: Plans Examiner Engineer the 05/13/03 Zoning Legal Description Date: 10/29/1990 Job Number. 90 -5 -039 Lot 16 in Block 215 of DUNNINGS " z too I Ft.)' MIAMI SHORES EXTENSION 110. ?, n Sketch scale.l according to the Plat thereof tt 1� A,LLc� 75 iii as recorded in.Plat Book 52 at 1 h, Page 33 of the Public Records of Dade County, Florida. a Property Street Address: ",' N N N N 85 N.E. 108 St., Miami, Dade County, Florida. , 7 z��'�X\ This Survey is Certified to: _ E. 105"TN_. 40 7 Rojas, Raquel and Antonio, Consumers Title Agency, Inc . , . PLAN OF �E)U RV E*'y _ Apollo Mortgage and Financial Services, Inc. t .%A ' oop volt~ � 5 � � s.�lrtt . N•A ,•;, o.► 30,40 0.4 �. • y. x , \ JSl© I � ..t. X 4 � �`� 4•NIGN OWN Mt1K FEtltA � •i "��4 ,j; . 4'1110 VON It IJ ooqE�l P . 1► • 0.5 1 v1 . •�. .� N } ! r too me.0 io�ZB' N J $ V A 4 Y x We ,!1 M • � 1i 4 (IJU0 r 24.85 i I may'. •,' X5.75 PORCH s+1435 t2: ' + .. , f '�� �U! lAC 'k � ..... �tG' Ir�I �.ty�^►�T_' + .I � i 'T 4 FLOOD INFORMATIONS FLOOD ZONE . X FLOOD INSURANCE RATE MAP- 125098 -0093 F Natal 1.- If shown, beariargs are to an awauied meridian. j . Me-rations and Ltnpr�inled x1� an it N.G. Seat 3.• This is a Boundary Survty WE HEREBY CERTIFY: That the attaa•hed ??LAN OF SURVEY of the above dewxgwd property, Is true and as rreet to the best of ew Imowledge and bellef as recen'"Iy sxanaeyed un4 platted -ender our direciton, also that there are not above -ground encroachments other than those shown. We furtber cerilay not "survey r w.1% the minimum technical standards set forth by the Florida Board of Professlowd End Sarreyors pur- suant to SSection 472.1127, FlorklA Statutes and Chapter 214111.6, Florida Administrative Coda .Jj A1AMt ' Ti EL ; " &)WSOC I TE4, Inc. ` C.f:, ter Pres 1.�1ND PLANNERS, SURVEYORS 13 Y ______.._1 ._..� Atbcrt lriaattlselsary 12735 S.W. 34th 8'i'REIIT, MIAM[, FL 33175 Protewbr�l Lnnd Saar ur PIIa661.6706. FAX 669 -1114 R s!%=tir No. Z It s° M iami S hores Village Building Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: AIQ TWJ (0 E Q,1 A DATE: S — O /D ADDRESS: 9,6a u- log ST� kl4m Z gdb `, FL- 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 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 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 licensed in Florida and to list his or license numbers on permits and contracts. Initia 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. l 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 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 responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. 1 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. Initial 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 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 emplowee. I understand that my failure to follow these may subject to serious financial risk. Initial 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 govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial AIL 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 850.487.1395 or http: //wvw.MAoddalicanse.com/db rtgoidlbrndex.html Initial 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 activity at the following address: S Initial .40- 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 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 verifyir #whether the contractor is property 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 properly owner and retumed 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 20 0 By r 1 6NI 0 & U J k g who was personally known to me or who has piuveO U(,Owe : b Produced there License or 1-10 - b00 -01 as identification. w f WNER NOTARY 1;OTARY r" 1'''C e � :TldZ9 tp 23 i011