DS-07-681Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
- - -
Inspection Date: 03/17/2008
Inspector: Rodriguez, Jorge
Owner: PITCHMAN, ERIC
Job Address: 104 100 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
0.0.•• • ''-•C •• • ".•,••• '•••'••• .0*07 40 • • •
1,4, 0.Z; * 0:*
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Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number
Parcel Number 1132060132170
Lot:
Building Department Comments
INSTALL BRICK PAVERS IN DRIVEWAY
• 1- S •
Passed .„1-N4
Inspector Comments
CC
3- i 7--,• P
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid.
until
Thursday, March 13, 2008
Page 1 of 2
Miami Shores Village ������
Building Department
µ 0 6 �oo� IT
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B APB Y: -------- - - - - --
Tel: (305) 795.2204 Fax: (305) 756.8972
1 �:_: ,/� c�
,�' >hS Permit No. , 501 O 0
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple o der) p/ �e.ei��°9 Phone # yj� `7, - -e, �f,/ -7 e els -7970
Ova ner's Address 4''9 �C /60 S z• � /
City c"',O.a, --fa filefse1', State "Ceimie4 Zip 73/78
Tenant/Lessee Name Phone #
Job Address (where the work is being done) % '/ ia2 4'O S172.2..e4---
City Miami Shores Village County Miami -Dade Zip 31/ Tv
Is Building Historically Designated YES NO
Contractor's Company Name OW ne
Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certified' of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
C
Square Footage Of Work :0 3
Type of Work: DAddition DAlteration :New Er/Repair/Replace : Demolition
Describe Work: e,,,AJ d ri cc Rea' a.v4 Ri ✓ f ®A0 vre 1 de/Apo:J/5" 0,44
Submittal Fee $ Permit Fee $ CCF $ ti CO /CC
Notary $ Training/Education Fee $ , (Q O Technology Fee $ • (2-,
Scanning $ Radon $ Zoning 'Bond $
Code Enforcement $
Total Fee Now Due $ 455 , �7
(Continued on opposite side)
Structural Plan Review. $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent �jj Contractor
The for going instrument was acknowledged before me this l._ The foregoing instrument was acknowledged before me this
day o�, 2001 , by 6ee_Pncm,m) , day of , 20 , by
who is personally known to or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLI
Sign:
Print:
r
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
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APPLICATION APPROVED BY:
Chc 05/13/03
MY COMMISSION # DD 456896
_ EXPIRES: October 31, 2009
1$ Bonded Thn, Notary Public UndarWriturs
My Commission Expires:
************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * **
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as)
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: O[ / c 'Pi r-c" .4.1.4®./ • DATE: 7
ADDRESS: /0/ /'J /00 Sr
Do hereby petition the Village of Miami Shores to act as my own c.ontradtor 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 construction
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 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 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. Iffor any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed eompanyor person.
Initial
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 workriien'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 Blectrical,
Plumbing, Heating, Air & Roof work on my.property with out first obtaining
the proper permits by licensed eontractors.
Was acknowledged before me this ,day of
Initial
20
By 5.1( Pt hrnan • who was personally known to me or who has
Produced there License or as identification.
�YPUo
Mabel Varg p'`B `= Commission #DD2 J
198 �s Expires° Ja113, 200
4; 01104 Th t '-
Mtamt, .t
i
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, ° `rc ,does hereby attest that the
(property owner)
attached survey, performed by � f- ` AS3 oe -)
• A» IDAVIT..
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(name of surveyor's company)
performed on .-/Z , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witn sign and print)
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of
Affiant is
personally known o m produced as identification.
Notary
DIANA CRIAVEfrA
MY COMMISSION 4 DD 486898
EXPIRES: October 31. 2009
Oolaip .Public Ihmetwrkets
VILLAGE OF MIAMI SHORES
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BUILDING DEPARTMENT
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BUILDER DISCLOSURE .STAIEI ENT•• •,• •
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I j- C %� r e m e/
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being the legal property owner, for thepr®per4' •
Located at: / 0 9 Je /00 S
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Legally described as oiS /3 r / c K /C ArletAell 14-j -thr "4411 f Sect 1
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, P.S. 489.103(7),.-gnd I have read and understand the following disclosure
Statement, which entitles me to' krork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 bind or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not•hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal Iicensing
ordinances. Any person working on your building who is not Icensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this 511L, day of
By die- Actoolv
20
who is personally known to me or ho has
Produced as identification and who did take an oath
Notary
' rli%'•, DIANACHIAVEITA
j� *k MY COMMISSION # DD 488896
EXPIRES: October 31, 2009
Bolded Thry Not ry Public; Undwwrksi
/j PPS er4cti •
fl?iami S/jorr . ��aCd•
• • •
10050 N.E. SEcizri 4VF. • • • :°.
•
MIAMI SHORES. FLC¢trp T 5$138;2
Telephone: (305r795- 2207.• .•
Fax: (3051.756- 8972..
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COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY • ••• •••
I' -f1���
WHEREAS,
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(owner)
, hereinafter referred to as the Owner of the
following described property:
Legal description/folio #:
Lot / J 4'2 /' Block /6 Subdivision Awr c' 944,--Ds 5;Y-c/a/ sec rug,"
Tax Folio #:
requests permission to install:
[ Asphalt, concrete, brick pavers
[1 Landscaping
[ ] Other
within the public road right of way of 70 9 A /00 jriz_aq---
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with tiie land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 3 day of Ar C. , Loo 7
SIGNED. SEALED AND DELIVERED in the presence of
,,, .N1abel V
' Commission #D
f1 Expires: Jul 1
Bonded Tiro
a thinie Bonding Co., Inc
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Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. DS -4 -07 -681
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132060132170
Owner's Name: ERIC PITCHMAN
Job Address: 104 100 Street NE
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 0
Total Job Valuation: $ 2,400.00
Contractor(s)
Phone
Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes
Comments:
Date Approved: 4/10/2007 : Yes
!KETCH SURVEY
LEGAL DESCRZPTIONs •,
Let& 13 and 14, Block
according to the plat
the. Public Records of
• •
BEARING NOTEs .. • • • • • •'
Bearings, shown hereon are to •pn•2tIsduia§4. ei•,dian: Due East Is ae
to be parallel with N.E. 100t4i ST. •ad •sii'o• hereon.
• • • • •• •- • • • •:
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16, "AMENDED PLAT OF MIAMI Si1ORES SECTION .Z
theraaf•, as..vererddd 'iii Plat Book 10, Page
Dade: Colsi yy 1p'4ritL$
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