DS-06-1359Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10//2007
Inspector: Grande, Claudio
Owner:
Job Address:
TAGGART, JOHN
573 102 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 (305)759 -8710
Parcel Number 1132060171000
Lot:
Building Department Comments
NEW APPOACH CONCRETE DRIVEWAY
lo
.1K2 - tl /I 31 ) 0
p-k--- e_ftL ,
\vt
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 18069. Sod not completed
around driveway. Fibermesh ticket OK, see attached. 7/2/07 CG
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Friday, October 5, 2007
Page 1 of 2
4 I II Pry-) .j
John -t DT' Miami Shores Village
Building Department
BUILDING
PERMIT APPLICATION
FBC 2004
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
2 2006
Permit No. `' 169 °
Master Permit No.
Permit Type (circle):
Owner's Name (Fee Simple
Owner's Address .k
City
Tenant/Lessee Name
Electrica Plumbing Mechanical Roofing
d v V? " Phone # ? J ` y
g
Sr-
State
Phone #
Job Address (where the work is being done) 57 3
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # / 31 o c 1-1 1 C'oc,
Is Building Historically Designated YES NO
Contractor's Company Name �°-'C� 7Y ' Phone #
Contractor's Address
City
Qualifier Name
State
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Phone #
Type of Work: ['Addition ❑Alteration
Describe Work: 1'/ 6/
Square / Linear Footage Of Work: �✓J �"
ew ❑ Repair ' eplace ❑ Demolition
***************************************pees*********** r** ** * * *** * ******* * * * * ********
Submittal Fee $ Permit Fee $ /0 0 �� CCF $ (-) b0 CO /CC
Notary $ ° Training/Education Fee $ Technology Fee $ 2.
Scanning $ - Radon $ DPBR $ Zoning $
Band $ Code Enforcement $ Double Fee $
Structural Review. $
cry , d
)Z4G
Total Fee Now Due $ 41 I • 3D
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
I
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 2' a The foregoing instrument was acknowledged before me this
day of , 20 /9(, by k r-')- day of , 20 , by '
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
Signature
M identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
NOTARY PUBLIC -STATE OF FLORIDA
ernandez
76455
9
,. -.
u 17- II
mg Co., Inc.
My ion Expires 27 l c�'L 1
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
I4SQ
l41 tS- %1
Plans Examiner
Engineer
Zoning
rr
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: J � A h C‘dA • DATE: LC
ADDRESS: S?
Do hereby petition. the Village of Miami. Shores to act as my own contradtor pursuant to the laws
of the State of Florida, F.S 489.1.03(7). And I have read and understood the following disclosure
statement, which entitles' the to work as my own contractor; I further understand that I as the
owner must appear in person to complete all a'pp'lications.
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 Iease: 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 underyour supervision and must
be employed by you, Which rneans.thatyou must deduct F.I.C.A and with- holdings tax and
provide workers' compensation for that employee,.alt,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
Init
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
Init4 elk
`ice
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.
derdt
4. I' understand that the building official and inspectors are no ere to design,
alter or give advice on how to meet code —. only if the structure - is 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.
Initia
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 teason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company-or person.
Initi
7. T uiaderstarid that if any person.gets injured on my construction project—they are
entitled to workrneri's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which co • !elude
loss of wages during recovery from injury.
I. understand that under state and Local laws I can not do arty Electrical,
Plumbing, Heating, Air & Roof work on my property with out first .o..4,47 i ing
the proper permits by licensed contractors.
Initial
Was acknowledged before me this 2,Z day of /12-7/77 , 20
B3jO
ja Who was personally known to me or who has
Lc
Produced there License or
as identification.
NOTARY PUBLIC - STATE OF FLORIDA
Yorleny Hernandez
Commission # DD476455
Expires: SEP 27, 2009
Banded Thy.' Atlantic Bonding Co., Inc.
t.) IN. Lw/r
maini Sh0
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (305)_756 78972 ..
A P PR°11cff
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, j J Z / 1
►� �` (4 r' , hereinafter referred to as the Owner of the
owner)
following described property:
Legal description/foliog: 1 i O 1 o o o
Lot h IA,° t� La1- �'3131ock 1 3
Subdivision
Tax Folio #:
requests permission to install:
Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of
_ 73 /i'/o27'
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
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 withthe 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 o
Z day of
SIGNED, SEALED AND DELIVERED in the presence of
-STATE @p MAMMA
rleny Hernandez
Commission # DD476455
Landed Expfres: SEp 27, 2009
Thru Atlantic Bonding Co, Inc.
• • •• . • • • • . ••
• • • • • • • .
• • • • • • • • • • • •
. • ••• •.. • • •
LECAL.
LOT 62�2��y��A�{{{{N'��.D¢TjHE WEST 1!2 or tor 23. BTU( pr • • • ... ..
ACCORDING TOME PLAT THEREOF AS °�� *'-;P 11 !Clot .. • • . • • •
$O.OK. 15AT PAGE 14OF THE . CR� . : .•• •
COUNTY; KORIDA.
NOM
1) E eviviow 1F,SPIOM4 HEREON, AR
Rf ATIVV TO TPhE NATIONAL otorwrIc
V1:R lCAt DATUM OF l 29r
2) UNDERGROUNP IMPROVINefir5
AND/OR L
NOT LOCATED OR SHOWN.
3) 3CARiNGs/ANGLES %OW MEOW,
REFER TO THE ABOVE ItatifiONED PLAT OR
LEGA4Irk•
A) ROOF OVERHANG NUT LOCATED
UNLESS
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SURVEriSfOKFEROMAG
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I Shores VII
APPROVED
ZONING DEPT
BLDG DEPT
SUI3.IECT TO COMPLIANC "iIITH All ".' ERAL
STATE AND COUNTY RULES AND REGULATIONS
t MEW CERTrYlliAT Tt IS S TCli or T. -44 U
TECHNICAL 5TMIDARD5 Sgt' FORM 5Y E. `le or
?R.O S1ONi L SURVEYORS AND MAP1 IN - 1 G4 7--G>
FLORIDA A(MNISTRATIVE cODE, PUR US4 N- -TO d 2.027,
fORlDA STAT4)TES: ,.. -, L .. -
NOT VALID WITHOUT THE 51G A U AN t . A L O
A FLORIDA PROFESSIONAL Sj4 R RS ,