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DS-06-2181Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 0212 12008 Inspector: Grande, Claudio Owner: ARENAS, JORGE Job Address: 623 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060171870 Lot: Building Department Comments NEW PAVERS DRIVEWAY FRONT DRIVEWAY ONLY Passed Inspector Comments cc Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, February 27, 2008 Page 2 of 2 .al \eC Ca). Miami Shores Villageo G\�e ci 712t0 (3) Building Department 0,G\ It 172 -I 10050 N.E.2nd Avenue, Miami Shores, Florida 33 i3S �% Tel: 6.8972 �0 J" Z5 . V 1' ( BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical 6— Plumb' Permit No��'► o.06 -2.1 1 aster Permit No. -C°5- 3 o0 apical Roofing t ' —ir — "V'3 s 1. ii Owner's Name (Fee Simple Titleholder) `r C j�.) k - J (� ' Phone # Owner's Address 6 Z 0 , s ( City c S ( " _`t State k Zip 3 \ › c-- • Tenant/Lessee Name Phone # Job Address (where the work is being done) flsf City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Qualifier Name • Phone # Zip Phone it State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Phone # QAlteeration Describe Work: Square / Linear Footage Of Work: Repair/Replace ['New 736 1- ❑ Demolition Submittal Fee $ Notary $ Scanning $ ' V� Permit Fee$ /i( Training/Education Fee $ 10-40 CCF $ I CO /CC Technology Fee $ ° 13 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 4 '54 -1-3 See Reverse side -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 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 firs inspection .J hich occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection 'ill not be roved and a reinspection fee will be charged Signature Sigiature Owner or Agent Contractor The foregoin instrument was acknowledged before me this 3f The foregoing instrument was acknowledged before me this day of 409) , 20 , by clifiS (P_ Ali aittf, , day of , 20 , by , who is personally known to me or who has produced F1,—Pfivelii who is personally known to me or who has produced A65 212. g /Z40 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: **** ** * * ** ** ***** * * * ** * ** * *** Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08!06) Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. ster Permit No. 'C'S (Vc) 2� ', NOV 2 0 2006 Permit Type (circle): %Build' if_ Electqoa:I.UPYinntbiug Mechanical Roofing Owner's Name (Fee Simple Titleholder) -. sO'L G� J� Phone # Owner's Addresses -� State Zip City�� Tenant/Lessee Name Phone # (Dc__ThS 3 ice` Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City Qualifier Name State Certificate or Registration No. Certificate o Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: ............„.„..„.....„.„...,...„... . „ , (5 . „.„........,..,...,„,„„„... Submittal F $ Permit Fee $ W CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ s) See Reverse side --* 1 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 ot be app rove and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 31 The foregoing instrument was acknowledged before me this day of MN N , 20 A by Jo f f kcal/ u S , day of , 20 , by , who is personally known to me or who has produced w et:sllC who is personally known to me or who has produced M52 +2 (24d As identification and who did as identification and who did take an oath. Sign: k 1 tr- NOTARY PUBLIC: NOTARY po9 NOTARY PUBLIC: Cg t ,06 Sign: Print fs\i' Print: My Commission Expires: .ef My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner' Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: 3� DATE: ADDRESS: `'?A -Cab Do hereby petition- the Village of Miami. Shores.to act.as my own contractor pursuant to the laws of the State of Florida, F. 489.1;03(7). And "have read and understood the following disclosure statement, which entitles rite to work as my own contractor; I further understand that I as the owner must appear in person to complete all ipplidatidns. 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 com.rriercial building at a cost of $25,000.00 or less. The building must be for.yotir own.use and. occupancy. It may not be built for sale or lease; you sell dr lease a building you have built yourself within one year after the.constructlon 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 super /ision and must be employed by you, Which rneans.thatyou Must deduct F.I.C.A and withholdings 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 zbning'regulations. Please read and-initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as ari owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application 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 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`a,ny contract disputes. Initial (3N- 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. • Initial 7. I; understand that-if any.person.gets injured on rriy construction project —they are entitled to Wdrkrneri'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 focal laws I' can not do -ariy Electrical, Plumbing, Heating, Air & Roof work on my - property with out first obtaining the proper permits by licensed contractors. Was acknowledged before •me this 3 461p, A WO day of 4q T ,20 a' who Was-personally known to me or who has Produced there License or ti tiV °S'Zi(,. 465Z4205WD as identification. w LOCATION MAP (N.T.S.) rl a t8'ri4 sreeer PROPERTY ADDRESS: 623 NE 97 Street Miami Shores, Florida 33138. LEGAL DESCRIPTION: Lot 15 and the West i of Lot 16, Block 101, "MIAMI SHORES SECTION FOUR ", according to the plat thereof, as recorded in Plat Book 15, at Page 14, of the Public Records of Miami -Dade County,. Florida. FOR: JORGE G. ARENAS & TINA M. ARENAS. CERTIFY TO: JORGE G. ARENAS & TINA M. ARENAS. MARTINRZ- ESTEVE & LOPEZ- CASTRO. FIRST AMERICAN TITLE INSURANCE COMPANY. NORTHSTAR MORTGAGE COMPANY, its successors and /or assigns. SURVEYOR'S NOTES' 1) TFds aevey was conducted for tithe pugiose of a'Bounday Survey' only and is not Intended to deltrheate tha regulatory jurisdkdbn 0f any federal, state, regional or kcal agency, board, comet err oter enlily. 2)Theaccuracyobtainedbyrneastrementsandcabulationsonthissurvey,MeeisandexceedetheMtranumTechnical Made r+equirernente fora Itzban area (1 toot ih 7,5001ee[1 es sped Pi E r 81017 -8, Fkorfda AdmIn 9ative Oode. 4 Legalciescriptionsubjecitoanydeckcatione, !irritations, raetrictiOns reservatonsor rnenls d record. 5)ExaminationoftssAbstracdotTilieval have tic be male to deterrrare recorded lnstrlanents, R any aflec ling the property; search of Pubic Reoorca not performed by tub offioa. 8) No effort was made by this °floe to koate any crde grourhd utilities and/or structures within or abutting the subject property. 8) TMs survey has been prepared for tie exclusive use of the ergs named heron ordy end the certifications hereon do not extend to any unnamed parkas. 9) Thkr survey was prepared for a Mortgage Transaction on Not to be used for design and/or construction purposes without the consent of the office. 10) UMW tam witrn Utility Easements not noted as violations. 11) Driveways or portions thereof within Roadways not noted as violators or 12) Foundations and/or footings underneath the ground surfers that may cross beyond the boundary fines of the herein deserted parcel are not shown. 13) Ail Iron Pipes or Re -Bard found end shown on the ketch of survey have no caps unless otherwise sorted. 14) Fence ownership determine by visual means only tinny); Legal ownership not debarmined. 16) No search of records was made by Vila firm beside the record plat therefore we do not imply or accept responsibility for any Easemerd, Dedication or limitation tor which informatics was not finished. 16) Contact the appropriate autarkies prior to any design work on the parcel for Building and Zoning 17) Professional Land Surveyor end Mapper hi responsble Charge: Rolando Ortiz LS 4312, State of Florida. 18) This away le not vaid wIlhaut the algnedure artd the raised seal of a Florida Lbeneed Land Surveyor and Mapper. I hereby certify to to above named tort and/or persons that the !ketch of Survey of the described property Is true and correct to the best bf my knowledge and ballet, ee reoerty acrvayed and planed under my direction; also that meets the tM r*rw, Technical Standarcia set in Chapter 81017 -6, Florida Administrative Code, pursuant lent to Section 472.027 Florida Stal ,use. DATE: JOB NUMBER: t - zsisso SKETCH NUMBER I DRAWN BY 20z y a. 1 '/ e (te) (Colt.) F.I.P. FRB FIVH F.N. FtHa D cie OW) C:L RIGHT OF WAY ENC. ENCROACH MEASURED C.LF. CHAIN LINK FENCE RECORD W.F. WOOD FENCE CALCULATED CONC. CONCRETE FOUND IRON PIPE C.P. CONCRETE POLE FOUND RE -BARD F FIRE HYDRANT FOUND DRILL MOLE /H MAN HOLE W/M WATER' METER FFOUUNNDDD NAIL & 25C W.P. MOOD POLE CONCRETE BLOCK L.P. LIGHT POLE AND SNOW P.C.P. PERMANENT CONTROL POINT CATCH BASIN P.I. POINT OF INTERSECTION TYPICAL P.C. POINT OF COMMENCE CENTER UNE P.T. POINT OF TANGENCY MONUMENT UNE U.E. UTILITY EASEMENT PROPERTY UNE D.M.E. DRAINAGE AND CLEAR MAINTENANCE EASEMENT PREPARED BY: :: GUNTER GROUP. INC. LAND SURVEY@VG — LAND PLANIWG FLORIDA CERTIFICATE Cr AUTHORIZATION # LB 4507 9350 S.W. 22nd TERRACE MIAMI, FLORIDA 33165 (305) 220 -0073 GS -13 /Z BY: ROLANDO ORTIZ LS 4312 OR: RICARDO ORTIZ LS 5829 REveoN& f- Z3 -zoce. (uP OATE sfszvM I PROFESSIONAL LAND SURVEYOR & MAPPER, STATE OF FLORIDA. SKETCH OF SURVEY SCALE 1° I r• C I @/ D AUG 1g) 20D6 G1. r t4 No\ 0; 140:112" ! °k 0.I5 N. PAO VAqtqi ACCORDING TO THE NATIONAL FLOOD HSURANCE PROGRAM THE ACT PROPERTY FALLS Rd ROOD ZONE COMMUNITY No. PANEL No: SUFRx' DATE OF FIRM FIRM ZONE, BASED FLOOD ELEV.: /Zo6 35 0©93 J -7--/ • r