DS-08-1885Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Talc:
BUILDING A
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Roofing] /�
Owner's Name (Fee Simple Titleholder) 0 r! Aci:ar Phone # jar 75? t/ 7`
Owner's Address / / 5
City // ; �f �i /, C' State (.. Zip
Tenant/Lessee Name Phone #
Permit NoOS0 78t)3
Master Permit No.
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated
5`l3 Imo{
County
Miami -Dade
Zip
Contractor's Company Name
YES
NO
Phone #
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 #
Square / Linear Footage Of Work: 3t 7/ 32r
Value of Work For this Permit $
Type of Work: ❑Addition & LAlteration
Desc be Work:
C�
e
❑ Repair/Re lace ❑ Demoliti
* * * * * * ****** ********** *** * *** * * *** * * ***Fees:x * *********** :****** *** ::x*:xa *** * ** * *** *** **
Submittal Fee $ Permit Fee $ /40 CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
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 MR 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 b appr ved and a reinspection fee will be charged.
Signature
The for
day o
ao-
Signature,
Owner or Agent Contractor
ent was ac • wledg efore me thi (91 The foregoing instrument was acknowledged before me this
b -��
day of
,20_,by
h • is personally known to me or who has pr.. uced
As identification and who did take an oath.
N t TAR ti ' 1 UBLIC:
1:
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4
APPLICATION APPROVED BY:
(Revised 07/10/07)
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
********************************* * * *** * *** * * ** * *** ** * * * * * *** * * **
Plans Examiner
Engineer
Zoning
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: January 21, 2009
Inspector: Bruhn, Norman
Owner: TAGGART, JOHN
Job Address: 573 NE 102 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: New
Phone Number (305)759 -8710
Parcel Number 1132060171000
Building Department Comments
January 20, 2009
Page 1 of 1
Passed
/44?
Inspector Comments
CC
Failed
Correction
Needed
Re- Inspection 11
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 20, 2009
Page 1 of 1
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: JOh g �� DATE: /�
f
57.E /oZ J
ADDRESS:
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 viol lion 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 doin struction
Myself.
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. 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 reinst
permit.
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.
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.
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 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 i elude
loss of wages during recovery from injury.
8. I understand that under state and local laws I can not do
Plumbing, Heating, Air & Roof work on my property with out
the proper permits by licensed contractors. )
Was acknowledged before me this
day of , 200(
who was personally known to me or who has
Produced there License or -1 I L 0949:71)1 -62:7-,9014s identification.
BOUNDARY SURVEY
• BY
v
1840 NO PINE ISLAND RO
PLANTATION, FLORIDA 33322
PHONE (954) 4734010 FAX (954) 4734020
TE OF AUTHORIZATION #LB7086 EMAIL: XER1L ANDSURVEYINGQYAHOO.COM
LEGAL DESCRIPTION=
LOT 22 AND THE WEST 1/2 OF LOT 23, BLOCK 93 OF
'AMENDED PLAT OF MIAMI SHORES SECTION NO. 4°
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE
COUNTY, FLORIDA.
NOTICE
LANDS SHOWN HEREON WERE NOT ABSTRACTED BY TH
SURVEYOR FOR RIGHTS-OF-WAY AND/OR EASEMENTS OF
RECORD. THEREFORE, ONLY THOSE RIGHTS-OF-WAY AN �+
EASEMENTS SHOWN ON THE REFERENCED PLAT ARE 5H•
POLW.ID
IRON
NO ID
SEP 1 3 2006.
Bl'a___!_:
25.00
0.50
X
4' CHAIN
UNx PENC5
• 0- -
x--x-
0,Pb
Cia
NORTr1E45T 103AJ- STi1EEf
t Q (� ^C
NOKTh * 5T 1 O2ND 5TR4T
LOCATION $KETCH
NOT TO SCALE
NOTES
I) ELEVATIONS. IF SHOWN HEREON, ARE
RELATIVE TO THE NATIONAL GEODETIC
VERTICAL DATUM OF 1929.
2) UNDERGROUND IMPROVEMENTS
AND /OR UNDERGROUND ENCROACHMENTS
NOT LOCATED OR SHOWN.
3) BEARINGS /ANGLES SHOWN HEREON
REFER TO THE ABOVE MENTIONED PLAT OR
LEGAL DESCRIPTION.
4) ROOF OVERHANG NOT LOCATED
UNLESS OTHERWISE SHOWN.
5) THIS SURVEY IS FOR PERMITTING
PURPOSES ONLY.
G) REASONABLE EFFORTS WERE MADE
REGARDING THE EXISTENCE AND LOCATION
OF UNDERGROUND UTILITIES. THIS FIRM.
HOWEVER, DOES NOT ACCEPT
RESPONSIBILITY FOR THIS INFORMATION.
BEFORE EXCAVATION. CONTACT THE
APPROPRIATE UTILITY COMPANIES FOR
FIELD VERIFICATION.
7) ALL BEARINGS /ANGLES AND DISTANCES
SHOWN HEREON ARE BOTH MEASURED ON
THE GROUND AND RECORD (AS PER PLAT)
UNLESS OTHERWISE. SHOWN.
8) THIS SURVEY I5 CERTIFIED EXCLUSIVELY
Tfl•
0.50
-x-x---x
POUND I/2'
IRON PIPE
NO ID
• •5' CONCRETE WALK • .
POUND I/2'
IRON PIPE
CERTIFICATION:
I HEREBY CERTIFY THAT THIS SKETCH OF SURVEY MEETS THE MINIMUM
TECHNICAL STANDARDS SET FORTH BY THE FLOWDA BOARD or
PROFESSIONAL SURVEYORS AND MAPPERS IN. CHAPTER G 1 G 1 -7 -6,
FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472:027,
FLORIDA STATUTES.
°NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF
A FLORI P ' • FESSIONAL SURVEYOR AND MAPPER."
"SPOT SURVEY LOCATED SEPTEMBER 12, 2006"
"ADDITIONAL. NATIONS ADDED FEBRUARY 12. 2006"
°--mmN ;7 `FLOOD INFORMATION_ ._
SHOWN
- -- - r +AL RV OR AND MAPPER NO. 5721
STATE OF FLORIDA
13x6
�T 19.• -
FLOOD ZONE: X (BASE FLOOD ELEV.:N/A
COMMUNITY PANEL #1 20652 0093 J
BUIIDNG DIAGRAM NO. I I MAP DATE: 03-02-94
!LOWEST FLOOR ELEVATION : 11.6 I-tti
`GARAGE ENV.: 9.9 -FEET I srr ELEV.: AS SHO W
°CLIENT: TA+raGART
PROJECT NO.: 08203. 08472, 09981
SURVEY DATE; JANUARY 5, 2006
573 NORTHEAST 102ND STREET N
MIAMI SHORES. FLORIDA 33138
SCALE: 1..25'
s FILE: TAGGART. JOHN •
t. • , • ti;
4,4•"'" " 1
N.,
PERMIT #0
APPROVED
•
Miami Shores Villa9e
ZONING DEPT
BLDG DEPT
BY
DATE
ti(31 co-
/01.1766
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS '4
I4301111Vc13G 1-111‘47.41-1 A.LNnoo 3G140111
e.-45
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
RECEIPT
PERMIT #;
DATE:
I,
❑ Contractor
-erwner
❑ Architect
Picked up 2 sets of plans and (other)
Address:
s 73 Al /O 1
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLEARK INITIAL:
RESUBMITTED DATE: RJ2/ V (3 oK
PERMIT CLEARK INITIAL:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. OF-(Cr�'S
Job Name
Date /0 For
gr
BUILDING CRITIQUE SHEET
/ /MO c��'�
Reviewer:
305 - 795 -2204 Ext 1430
1
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 -10 -08 -1885
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132060171000
Owner's Name: JOHN TAGGART
Job Address: 573 102 Street NE
Miami Shores Village, FL
Owner's Phone: (305)759 -8710
Total Square Feet: 324
Total Job Valuation: $ 1,000.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/31/2008 : Yes
Comments: DRIVEWAY CAN NOT EXCEED 12 FEET IN WIDTH AT THE REAR PROPERTY LINE
10/31/08
APPROVED PROVIDED DRIVEWAY LENGTH IS INCREASED TO 20 FEET
ir.;70 in, a rit:11
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Pennit Na DS-10-08-1885
Issue Date: Not Issued
•
Expires
Folio Number:1132060171000
Owners Name: JOHN TAGGART Owner's Phone: (305)759-8710
Job Aedress: 573 102 Street NE Total Square Feet: 324
Miami Shores Village, FL
Total Job Valuation: $ 1,000.00
Contractor(s) Phone Primary Contractor
..:
HOME OWNER Yes
:Not issued
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 10/27/2008
Comments: DRIVEWAY CAN NOT EXCEED 12 FEET IN WIDTH AT THE REAR PROPERTY LINE
Miami Shores Village
Building Department
10050 .NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
RECEIPT
PERMIT #:
� in
1,
❑ Contractor
❑ Owner
❑ Architect
DATE: /e/0?
hn r&.6)
Picked up 2 sets of plans and (other)
Address:
c- 3 ///c9_ ST-
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Dept u' _ At to continue permitting process.
Acknowledged by:
4
PERMIT CLEARK INITIAL:
RESUBMITTED DATE:
PERMIT CLEARK INITIAL:
a r
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Pet mit NO. DS-10-08-18851
Issue Date: Not Issued
• •
•••• • • • •••••••
..............
............
•"•••" „ftssit
Expires:Not issued
Folio Number:1132060171000
Owner's Name: JOHN TAGGART Owner's Phone: (305)759-8710 1 il!
Job Aedress: 573 102 Street NE Total Square Feet: 324
Miami Shores Village, FL
Total Job Valuation: $ 1,000.00
Contractor(s) Phone Primary Contractor ••
••
••
••
••
••
••
••
HOME OWNER Yes ••
••
••
••
••
••
••
••
••
••
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 10/27/2008
Comments: DRIVEWAY CAN NOT EXCEED 12 FEET IN WIDTH AT THE REAR PROPERTY LINE