DGT-11-1047Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 160767 Permit Number: DGT -6 -11 -1047
Scheduled Inspection Date: August 04, 2011
Inspector: Bruhn, Norman
Owner: ESSINGTON, MICHAEL & DOROTHY
Job Address: 55 NE 100 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Decks /Gazebos/Trellises
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132060131420
Building Department Comments
REPLACE TOP BOARDS OF EXISTING DECK
Passe/8,)
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 03, 2011
For Inspections please call: (305)762 -4949
Page 9 of 24
Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
55 NE 100 Street
Miami Shores, FL 33138-
1132060131420
Block: Lot:
Owner Information
Address
Phone
MICHAEL & DOROTHY ESSINGT
Cell
MICHAEL & DOROTHY ESSINGTON
55 NE 100 Street
MIAMI SHORES FL 33138
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 1,500.00
300
1
Approved: Yes
Comments:
Date Approved: 6/9/2011: Yes
Date Denied:
Type Const: Wood Deck
Classification: Residential
Scanning: 1_
Additional Info:
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$3.00
$1.60
Total: $110.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # DGT -6 -11 -41169
06/07/2011 Check #: 4960 $ 50.00 $ 60.20
06/16/2011 Credit Card $ 60.20 $ 0.00
Available Inspections:
Inspection Type:
Final
1
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
June 16, 2011
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
June 16, 2011
1
140/ (-04
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type:
UILDING
OWNER: Name (Fee Simple Titleholder):
Address: 56 top S- .
City: Tulip ( 4 1 wec, State:
Michael
JUN 0 7 RE,,ruL&
Permit No. D J T J I ON7
Master Permit No
dv, - Phone #•305" 75÷ %cl
33 1
Tenant/Lessee Name: Phone #:
Email: Vi1( J @ LOTC a.S}- - fl r
JOB ADDRESS: 65 a
City: • Miami Shores
Fo1io/Parcel #:
County: Miami Dade
t 3?- 0(4)0%?a1LI - 0
Zip: 33 i7-A(
Is the Building Historically Designated: Yes NO Flood Zone: 4O
CONTRACTOR: Company Name: OW /5e k Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 1 9 6&O Square/Linear Footage of Work:
Type of Work: ❑Addition DAlteration DNew Repair/Replace
4tr bittlArCt G
Description of Work:
❑Demolition
* * * * * * * * * * ** * * * * * * * * * * * * * * ** * **** * ** ** Fees************** *** * * * ** **** * * **: * ** * * *** **** **
Permit Fee $ / 2 CJ °x.) CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Structural Review $
Submittal Fee $
Scanning Fee $
Notary $
Double Fee $
•.__
--
TOTAL FEE NOW DUE $ LL1 •
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) \AJ.e.\\ litArq 0 4) 04
Mort a e Lender's Address • c130-1-' (Q (L t o
City State I Zip 759G ' OYSK-
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- Signature
Contractor
The fore oing instrument was ac wledged before me this The foregoing instrument was acknowledged before me this
U.. day of , 20 .. , by k� .! w r�'i 1 j ( day of , 20 _, by
who is personally known to me or who has produced 10
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
\ :It 06S910Q: : :"
oissiww03
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
01181 )NV1ON Print:
'',i /,/,,1 /'S, S Iv \ \°°` °
My Commission Expires:
**= * *** ****s ************************************* ******************************* < -- s:* * ** **** sk**,*NsHs*=k*******
APPROVED BY `✓ ( -70` /7 Plans Examiner
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
;
OWNER BUILDER DISCLOSURE STATEMENT
NAME: ::00ca-h y ' DATE: Co ' ' n) 0 l
ADDRESS: .65 NE ■DO
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 new form states 75,000). 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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder
permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or li•: numbers on
permits and contracts.
Initial
4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve
a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I buil' substantially
improved it for sale or lease, which violates the exemption.
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working o
residence. It is my responsibility to ensure that the persons whom I employ have the license required by law
municipal ordinance.
Initial
building or
county or
7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner- builder permit that
erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner- builder, may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done. Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers co sensation for
the employee. I understand that my failure to follow these may subject to serious financial risk.
Initial
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable
laws and requirement that govern owner - builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or htto : / /www.mvforidalicense.com /dbor /pro /cilb/iin'f .html
Initial
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Kt I 06 , 4a au) ' Shoce3
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inform
have provided on this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a
license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to
understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may
be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the
notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when
the permit is issued.
Was acknowledged before me this .__ _day of cl , 20
By �53114-Flt
Produced there License or
who was personally known to me or who has
OW R
GRAPHIC SCALE
ALL BEARINGS AND DISTANCES SHOWN HEREON ARE
RECORD AND MEASURE UNLESS OTHERWISE NOTED.
( IN FEET )
MAP OF SU?VEY
LOT 7 LOT 6
I i
LOT
OF BLOCK 10 I OF BLOCK 10 OF BLOT K 10
(P.B. 10 - PG. 70) (P.B. 10 - PG. 70) (P.B. 10 - G. 70)
1 inch = 20 ft. CHAIN UNK FENCE
0.79' EAST
1.76' SOUTH
A PORTION
LOT 17 OF BLOCK 10
(P.B. 10 - PG. 70)
J +.1►J 0 X011
Miami Shores Village
DATE
PROPERTY ADDRESS;
SUBJECT TO COMPUANCE WITH ALL FEDERAL.
STATE AND COUNTY RULES AND REGULATIONS
u
- MICHAEL P. ESSINGTON
1 APPROVED
ZONING DEPT
BLDG DEPT
C.B.S.
�* GARAGE
ELEV. =10.27
CHAIN UNK FENCE
0.33' WEST
1.60' SOUTH
CHAIN UNK FENCE
0.58' WEST
ONE -STORY
C.B.S. BUILDING
HOUSE No. 55
F.F. ELEV. =13.16
A PORTION
OF LOT 19
OF BLOCK 10
(P.B. 10 - PG. 70 )
CHAIN UNK FENCE
0.50" WEST
LOCATION MAP
NOT TO SCALE
CHAIN UNK FENCE
0.08' EAST
EMEMAIPIIMIDIAOM
A/C
C.B.S.
(M)
(R)
R/W
F.F. ELEV.:
P.B.
PG.
cal
—X—
A
0.00
= DENOTES AIR CONDITIONING UNIT
= DENOTES CONCRETE BLOCK STUCCO
= DENOTES MEASURE
=DENOTES RECORD
= DENOTES RIGHT -OF WAY
=DENOTES CENTERLINE
= DENOTES FINISH FLOOR ELEVATION
= DENOTES PLAT BOOK
= DENOTES PAGE
= DENOTES WATER METER
=DENOTES WOOD POWER POLE
DENOTES CHAIN UNK FENCE
= DENOTES OVERHEAD IMRE
= DENOTES IRON PIPE
= DENOTES SET 5/8" DIAMETER or LONG) IRON PIPE
WITH CAP LB. No. 7335
= DENOTES NAIL
=DENOTES EIOSIING ELEVATION
(1j;
00
O ri CITY
C i; Yy�
Y "��'Yl PY
sir: I OF
P(3)SM, L.L.C.
3900 NW 79 AVENUE SUITE 235
DORAL, FLORIDA 33166
OFFICE 305- 463 -0912 FAX 305- 463 -0913
LICENSE BUSINESS g 7335
PROPERTY ADDRESS;
FOUO No. 11- 3206 -013 -1420
55 NE 100 SIRLLT
MIAMI SHORES, FLORIDA 33138
CERTIFIED TO;
- MICHAEL P. ESSINGTON
&
DOROTHY S. ESSINGTON
LEGAL DESCRIPTION*
THE EAST 1/2 OF LOT 17,
ALL OF LOT 18.
AND THE WEST 1/2 OF LOT 19,
IN BLOCK 10 OF AN AMENDED PLAT OF MIAMI
SHORES, SECTION NO. 1"
ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT 800K 10,
AT PAGE 70, OF THE PUBLIC RECORDS OF
MIAMI -DADE COUNTY, FLORIDA.
SURVEYOR'S NOTES;
LEGAL DESCRIPTION
PROVIDED BY CUENT.
OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
OWNERSHIP OF FENCES WAS NOT DETERMINED.
EXAMINATION OF THE ABSTRACT OF TITLE WILL
HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS
PROPERTY.
THERE MAY BE ADDITIONAL RESTRICTIONS THAT
ARE NOT SHOWN 014 THIS SURVEY THAT MAY
BE FOUND 114 THE PUBUC RECORDS OF THIS
COUNTY.
BEARINGS AND NORTH ARROW DIRECTION SHOWN
HEREON ARE BASED ON AN ASSUMED MERIDIAN
OF S 89 '08'51" W, ALONG THE CENTERLINE OF
NE 100 STREET. A WELL ESTABUSHED AND
MONUMENTED UNE.
ELEVATIONS SHOWN HEREON ARE BASED ON THE
NATIONAL GEODETIC VERTICAL DATUM OF 1929. AND
A BENCH MARK SUPPLIED BY THE PUBLIC WORKS
DEPARTMENT OF MIAMI -DADE COUNTY, FLORIDA.
BENCH MARK: N -567 ELEVATION: 10.54
ELI A:
FLOOD ZONE: X
ELEVATION: NOT DETERMINED
PANEL 093
SUFFIX: J
DATE OF FIRM: JULY 17, 1995
COMMUNITY No.: 120652
COMMUNITY VILLAGE OF MIAMI SHORES
FIELD DATES OF SURVEY;
05 -06 -03 & 06 -16 -09 (UPDATE)
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SURVEY
IS TRUE AND
CORRECT TO THE BEST OF OUR KNOWLEDGE AND
BELIEF AS RECENTLY SURVEYED AND DRAWN UNDER
OUR DIRECTION. AND THAT THIS SURVEY MEETS THE
"MINIMUM TECHNICAL STANDARDS" AS SET FORTH BY
THE FLORIDA STATE BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS i )CHAPTER 61017 -6
FLORIDA r
MINISTRATIVE .,': PURSUANT TO
SEC,
027 FL., ' . Sir TUES.
iI EDUARDO
PROFESSIONAL
M. SUAREZ. PRESIDENT
SURVEYOR & M ...... .0. 6313
IRAUL IZOUIERDO, VICE - PRESIDENT
PROFESSIONAL SURVEYOR & MAPPER NO. 6099
STALE OF
MAL:
NOT VALID WITHOUT 114E SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER
DRAWN
9 Pao K
SCALE
DATE
DAVH
- - --
r = P0'
06 -18-09
JOB No.: 0605 -00030 -002