DS-09-118Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: March 03, 2009
Inspector: Bruhn, Norman
Owner: ROVITO, OSCAR
Job Address: 1225 NE 96 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060143800
Building Department Comments
Passed
n7%9
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
GL
March 02, 2009
Page 7of16
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. 9S Ci AM
PERMIT APPLICATIO '' JA Master Permit No.
FBC 2004
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) 0 SC RR R Ov I TO Phone # —78G 569-5101
Owner's Address 12 2-r N. iE . Q 6421
City M + AM t S % 2z-S state Ft-or-1 () Zip
Tenant/Lessee Name L) Jk Phone #
Job Address (where the work is being done) 12 2.S' (V E
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO ✓
Contractor's Company Name OWN) &� _ Phone # 786 67-5TIDT1
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 $ 21600.03 Square bkinair Footage Of Work: /
Type of Work: ❑Addition DAlteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work ■ 1 DOSE 4(20 1— 12tA . -rs-o— t&) i L2.. eE_ CEov
t.&) ; {- Li ME S` Qi E. 1 M l T rilOr{
— Ei T t4 GE H-A -LL grE Ps W e _ -0£. Co vEttED W i Th ,4
c(Ltc. 7r�TTt'•t..
iii t(S «n * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F® ** * * * * * * * * * ** * * * * * * **y**'* * * * * * * * * * * * * * * * * * **
Submittal Fee $ 5) Cil Permit Fee $ /®� CCF $ I. 60
Notary $ Training/Education Fee $ 0 *(90 Technology Fee $ 6'0
Scanning $.3'00 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 5-) 90
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 n fee will be charged
Owner Agent nn
The foregoing instrument was acknowledged before me this da
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of i7 , 20 Q" , by , day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA NOTARY PUBLIC:
Ana Tsimogianis
Commission #DD696765
j ,,, ,,. Expires: SEE 07, 2011
Sign: '� ` EOARDDT V 817-4 1111r nnxnnvr, CO, MO Sign:
Print:'' /4®l P i i,r7 07 / S Print:
My Commission Expires: � 7' c.7 /.70r/ My Commission Expires:
who is personally known to me or who has produced
***************************************** ********* *: x******** ******************** * ** *** *** * *** * * **** * ******
APPLICATION APPROVED BY: 0044'
,/27 "cam Plans Examiner
f Engineer
07/76/ Zoning
(Revised 07/10/07)
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME Rock( ilc DATE: I /(9.-Co /o7
ADDRESS: 1 �-- /L)6_. Q G 41 c f iki1, f,t\- Mit SitteskE
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.
1. I hold title to the above property and I am planning on doing this con • tion
Myself.
Initial
2. I understand that as an owner - builder I must abide by all zoning ordinances and
building regulations in effect at the time of peunit 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
p ermit.
Initial
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
t‘" %\
4. I understand that the building official and inspectors are riot there to design,
alter or give advice on how to meet code .— only if the structure yieets the
minimum code.
lnitial
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 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.
Initial
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 44 day of
BY am, eOVt7b
Initial
,20O
who was personally known to me or who has
Produced there License or VSCAY Ttiffii,fierak. 4505fD as identification.
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Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)758 -8972
Permit NO. DS -1 -09 -118
Issue Date: Not Issued
Expires: of Issued
Folio Number:1132060143800
Owner's Name: EUGENIA SCHATZLE
Job Address: 1225 96 Street
Miami Shores, FL
Owner's Phone:
Total Square Feet:
Total Job Valuation:
180
$ 3,000.00
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 1/27/2009 : Yes
Comments:
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CERTtRED TO:
RAPID TITLE SERVICES cOAPANY; COMMONWEALTH LAND 77TLE INSURANCE
COMPANY; OSCAR ROWTO TRUST
e
LOCATION SKETCH
MOTTO SCALE
LEGAL "DESCRIP77ON:
LOT 11 AND THE EAST 25:00 FEET :OF LOT 12, BLOCK 83, "WANT SHORES SEC7JfM NO.3`ACCORDAVG
TO THE PLAT 71EREOF AS RECORDED IN PLAT BOOK 10, PAGE 37, 9F 7 71E Ptgw jfECORDn, 4: • • •
MIAMI -DADE COUNTY, FLORIDA.
SURVEYOR'S NOTES:
1) NOT VALID UNLESS SIGNATURE rs EMBOSSED WITH THE »t't ?#RED LAND S•t/RVEYOR4 •
2) LEGAL DESCRIPTION PROVIDED BY OTHERS. •••• • • • • •
3) PROPERTIES SHOWN HEREON WERE NOT ABSFR4CTID•FORE$lismENTt O•Rgi •T IER A ECIP 'IESSD
ENCUMBRANCES NOT SHOWN ON THE PROPERTYPLAT OF • •
4) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF . Al'
5) UNDERGROUND UTILITIES, FOUNDATIONS, OR OTHER 11N 17E1M IF •ARTY, II/ERE 14637• • • : •
LOCATED • •
•
• • • •
•• • • • •
•
•
•
6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEOI3E77C VERTICAL DAVU f l•929.
7) FENCE OWNERSHIP NOT DETERMMED UNLESS DfPERINSE NOTED. • • • • • •
8) MEASUREMENTS TO WIRE FENCES ARE 7'O CENTER OF IAIn • • • • • •
9) WALL MEASUREMENTS ARE TCYFROM FACE OF WALL. • • •
10) DRAWING DISTANCE BETWEEN WALLS ANDIOR FENCES AND PROPERTY LAM EIAY BE
EXAGGERATED FOR CLARITY.
11) FLOOD ZONE INFORMA77ON WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY
FLOOD INFORMATION RATE MAPS
12) BEARINGS IF ANY SHOWN ARE BASED ON PLATMERIDIAN AT:
LEGEND
INDICATES CONCRETE
NDICATES OVERHEAD LINES
I1DAw47E'.S WIRE FIS CE
INDICATES IAR710DFENCE
— - MACAWSPROPE RTYGORflER
INDICATES POINT OFS hV3
POC: INDICATES POINT OFG VT
INDICATES PROPERTY LAgE
AIDICATES RECORD AE/WURE ENT
DUE: INDICATES DRAINAGE &UTLITYF_A81SWEIT
UF• lAVICiTESUT3.FTYEASSBIEVT
PRA& AIDICATESPERMANENT REFEREVCE MOMI4I9VT
PCT: INDICATES PE RASWENTCON TROIL PONT
FAD: M ICATE.SFOUND
CL
WICATES CLEAR
LAL ,ESN- ..._..._.
CL: MCANi4'3CLEAR
BIM N57324TTSENCROACHMENT
RP: I+MAN: SR I/ DRONPIPE
Rat DUATM4FO BMW MBAR
SRE I SET
TYP • INDICATES TYPICAL
NW / CIDES T- OXIVAY
ONE INDICATES OPR iL RECORDBOCK
HT/ ATEESM ORE CRUETS
F.F. ELEV' INMATES fi1 ROOR ELEWITOV
MT.& INDICATES PKIT7OSCALE
N INDICATES NORTH
S INDIPATESStOU'TH
kamATE.S CE3NIEIE/NE
( I) INDICATESFiELDAEASM E3631 S
CMG: INDICATESCOACRETEc'
MYR: INDICATES ONIPROPERTYLIIE
FLOOD ZONE X
MAP & PANEL= 12025C0093
COMMUNITY No.: 120652
,SIX. J
DATE OF FIRM: 7 -17 -95
BASE ELEV.= NUA
PROPERTY OF: OSCAR ROVITO TRUST
1225 NORTHEAST 96th STREET
MIAMI SHORES, FLORIDA 33138
NOT VALID WITHOUT THE SIGNATURE 73-E
ORIGINAL RAISED SEAL OF A FLORIDA L1OIED
SURVEYOR AND Nubs
A BOUNDARY SURVEY
I HEREBY CERTIFY THAT THE SURVEY
RESENTED HEREON MEETS THE MINARET
TECHNICAL STANDARDS SET FORMBYTHE
FLORIDA BOARD OF LAND SURVEYORS IN
CHAPTER 61G17 -6, FLORIDA ADMINISTRATIVE
CODE PURSUANT TO SECTION 472-027, FLORIDA
STATUTES, THERE ARE NO
OVERLAPS, EASEMENTS APPEARING ON 71-E
PLAT, OTHER 77-i4NAS SHOWN HERETO.
FLORIDA PROFiESJBTONAL SURVEYOR AND
PROFESSIONAL SURVEYING AND MAPPING
LANNES & GARCIA, INC.
LB # 2098
FRANCISCO F. FAJARDO PSM # 4767
359 ALCAZAR AVENUE, CORAL GABLES, FLORIDA 33134
PH (305) 666 -7909 FAX (305) 559 -3002
ELD DATE :09-04 -20081 SCALE: i' = 20' 1 DRAWN BY: M. PJO 1 DWG. No.: 213223