DS-10-1785Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP- 152662
Permit Number: DS -10 -10 -1785
Inspection Date: September 12, 2011
Inspector: Bruhn, Norman
Owner: GROSSO, MARIA
Job Address: 130 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060132400
Building Department Comments
NEW CIRCULAR DRIVEWAY
Passed
�/J
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 152093. Resod disturbed area.
NB
K------
/ ��
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
September 12, 2011
For Inspections please call: (305)762 -4949
Page 1 of 1
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) O IM /, /2"1,9--)
3 .r/ W
Sol/ , �� 1 3/ e
the following described property (address): %
Legal Description
Folio #
Requests permission to install (describe work):
hereinafter referred to as the owner of
Lot
Within the public right of way of (address)
Block Subdivision
/sd /*.tre/ 67,0,eo
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.
1
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 the land
and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until
such time as this obligations 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).
Signature
6.4exii/D
Owner or Agent
The foregoing instrument was acknowledged before me this day of t , 20, 10, by L4714
who is personally known to me or who has produced p As identification and who did take
an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
2
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
130 NE 98 Street
Miami Shores, FL 33138-
1132060132400
Block: Lot:
MARIA GROSSO
Owner Information
Address
Phone
CeII
MARIA GROSSO
130 NE 98 ST
MIAMI SHORES FL 33138 -2337
Contractor(s)
HOME OWNER
Phone
CeII Phone
Valuation:
Total Sq Feet:
$ 2,000.00
100
1
Approved: Yes
Comments: PLEASE PROVIDE A LANDSCAPE STRIP OF AT LEAST 2 FEET IN WIDTH BETWEEN SIDEWALK
Date Approved: 10/14/2010 : Yes
Date Denied: 10/12/2010
Type of Work: DRIVEWAY
Bond Retum :
Scanning: 3
Additional Info: ASPHALT
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$150.00
$9.00
$1.60
$166.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS -10 -10 -39099
10/15/2010 Check #: 1422 $ 166.20 $ 0.00
1
1
Available Inspections:
Inspection Type:
Final
Sidewalk
Landscaping
Foundation
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. Futherrnore, I authorize the above -named contractor to do the work stated.
October 15, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
October 15, 2010 1
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: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder)
Owner's Address
City.
Tenant/Lessee Name
Email .`
State
Job Address (where the work is being done) —
City Miami Shores Village
FOLIO / PARCEL #
Permit No. I l (
aster Permit No.
one #
Zip
Phone #
County Miami -Dade Zip
Is Building Historically Designated YES NO
Flood Zone
Contractor's Company Name .) t Phone
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No, Certificate of Competency No.
Contact Phone E mail
Architect /Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ❑Addition DAlteration []New L Repair/Replace
❑ Demolition
Describe Work:
* ** * * * * ** * ** * rx *Fees* * * * ** *max* r * ** * **
Submittal Fee $ Permit Fee CCF $ CO /CC $
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond
Double Fee $ Violation date: _
Structural Review $ Total Fee Now Due $
See Reverse side --
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
gage Lender's Address
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
applicable laws regulating construction and zoning.
ork will be done in compliance with all
"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 by ding permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me
day of , 20, by
who is personally known to me or who has produced
As identification and who did take an oath.
this
Contractor
The foregoing instrument was acknowledged before m
day of , 20 by >'
who is personally known to me or who has produced
as identification and who did take an oath. --
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:__
Print:
My Commission Expires: w,
OTARYPtlilli 5krTt,(lPl�aP,l
Yolanda d Avrtl
Commission ;)D768023
��,�}}��77}}��77"((?? R. 24, 2012
* * * * * * * * * * * * * *�: * * * * * *%h¢,� *115; 9E�ciF�� � # * -k
BONDED THRU 5 I Eux �l�
APPROVED BY
Sign:
Print:
My Commission
(pi
e this
* * * * * * * * * * * * ** * * * * * * * * * * **
Plans Examiner ' Zoning
Revised 07/10107 }(Revised 06110/2009)
Engineer Y Clerk checked
SPE IIHIIC PURPOSE SURVEY
To set on the Ground Nails for CERTIFY TO:
MARIA
Proposed Driveway T. GROSSO
I HEREBY CERTIFY THAT THIS BOINDARY SURVEY MEETS DE MINIMUM x« ;,„
STANDARDS AS SET FORM BY THE PLORIDA BOARD OF PACCESIONAL tAND
SURVEYORS AND MAPPERS IN CHAPTER 6IC17.8 PUMA ADMIliSTRATIVE COTE,
Ad,PURSUANT TO SEC11O+1 472.027, A 6 t ,'
Property Address:
130 NE 98th STREET
Miami Shores, FL, 331
Folio No.:
11-3206-013-2400
CORP .
• 180 NW 7th STREET # 511
MIAMI, FL, 33126
PHONE: 786- 252 -1440
gtgavarrete ® aoLcom
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: AI" / 6/69—C-5° /1DATE: Oa /'i o7D /0
ADDRESS: /t) ,(2 dgear f/'L3 /'f
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 license umbers 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 built or ub�stantially
Initial 71c
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.
I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and ;y county or
municipal ordinance.
Initial ./(
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 compensation 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 govem owner - builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
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 http : / /www.mvfloridalicense.com/dber /pro /cilb /index.,t9ml
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:
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the informatio that
/
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 contractors 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 1 day of
20 )0
who was personally known to me or who has
Produced there License or TI
identification.
NOTARY
r ; OR[AL
644, 6A°.Y.��d9
_4� .' i-1 L ✓ ! ; 323
= r f C5
149NP `raapu ,isa -c e.®,+L±�s
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
Folio Number:1132060132400
Owner's Name: MARIA GROSSO
Job Address: 130 98 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 100
Total Job Valuation: $ 2,000.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/14/2010: Yes
Comments: PLEASE PROVIDE A LANDSCAPE STRIP OF AT LEAST 2
DRIVEWAY.
2 SHADE TREES OF NOT LESS THAN 12 FEET IN HEIGHT MUST BE
INSTPECTION AND APPROVAL BY THE BUILDING OFFICIAL.
FEET IN WIDTH BETWEEN SIDEWALK AND
PLANTED IN THE SWALE BEFORE FINAL
10/14/10
CORRECTED PLAN WITH 2 FOOT LANDSCAPE STRIP BETWEEN NEW DRIVEWAY AND SIDEWALK. IS OK.
1
1
Permit NO. DS -10 -10 -1785
Issue Date: Not Issued
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
Expires:Not Issued
Folio Number:1132060132400
Owner's Name: MARIA GROSSO
Job Address: 130 98 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
100
$ 2,000.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: No
Comments: PLEASE PROVIDE A LANDSCAPE STRIP OF AT LEAST 2
DRIVEWAY.
2 SHADE TREES OF NOT LESS THAN 12 FEET IN HEIGHT MUST BE
INSTPECTION AND APPROVAL BY THE BUILDING OFFICIAL.
Date Denied: 10/12/2010
FEET IN WIDTH BETWEEN SIDEWALK AND
PLANTED IN THE SWALE BEFORE FINAL