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DGT-11-1493Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 165140 Permit Number: DGT -8 -11 -1493 Scheduled Inspection Date: October 31, 2011 Inspector: Bruhn, Norman Owner: NATALIA MARIA HIRN, NATALIA & WflI Cr!Akin Job Address: 102 NW 106 Street Miami Shores, FL 33150 -1248 Project: <NONE> Contractor: HOME. OWNER Permit Type: Decks /Gazebos/Trellises Inspection Type: Final Work Classification: Deck - Wood Phone Number (786)566 -9669 Parcel Number 1121360080010 Building Department Comments WOOD DECK 18 X 16 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 164935. CREATED AS REINSPECTION FOR INSP- 163302. gate on the right side will be open, plans on deck Not Ready NB GATE WILL BE OPEN ON THE RIGHT SIDE Provide a foundation for the steps. October 31, 2011 For Inspections please call: (305)762 -4949 Page 12 of 18 19,4 I k\alroVoi 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 No. Gl t ILIq'3 Master Permit No. Permit Type: BUILDING ROOFING °I—NG �J� C�,, OWNER: Name (Fee Simple Titleholder): ,, 1� ' � Phone#: -2 u `2G9 Address: Co Z. (JG� 1 � Q S1"° �\ City: ■ cult i Sh,.CV CS State: F-Z._. Zip: 53 ( 5C) Tenant/Lessee Name: 0 ( Pk' Phone#: Email: N Ixl f f 6 J am/ j -C ' CO/WA JOB ADDRESS: t6 2 f """ r CilP Cf • City: Miami Shores County: Miami Dade Zip: 531 SC) Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 3 UJti t( 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: $ g 00 Square/Linear Footage of Work: 288 Type of Work: ❑Addition ❑Alteration ❑New / ❑Repair/Replace Description of Work: lo 0-6 C dec k [ X ['(42 • Demolition **** *+ x**** *****+ n+ x**********************Fees********* ** **** x**** ***+x************ ****** ** Submittal Fee $ Permit Fee $, j 6' el CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 Signature The for goin Owner or Agent Contractor day of litrum t was a o 1 ed before me this The foregoing instrument was acknowledged before me this P,20') ,byl' it �� r ■ �yl day of ,20 —,by known to me or who has produced ho is personally known to me or who has produced entification and who did take an oo as identification and who did take an oath. NOTA . Y ' UBLIC: �1 ! �t1 NOTARY PUBLIC: Sign: I �`� [ !'` �+'. Sign: Print: ?,! "- $ Print: My Commission Expires: My Commission Expires: *********************************************************** ******* ** ** ** *** ** * ** * *** * ** *** ** * ** ******** ** APPROVED BY �'0' (( Plans Examiner - / Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk 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: N1 O* a l t e R 1(Vl DATE: e - (s - ( 1 ADDRESS: I C) Z- N (i (010 S+. i'1 t aryii S hare S, It 33150 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. Initial 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 lice 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 built or substantially improved it for sale or lease, which violates the exemption. IrQtia 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 on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by 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 properly. 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 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 htto : /haww.mvforidalicense.com/dbor /pro /cilb/index.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: Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. In• I 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 1 5 day of Act% , 20 11 By II 1At-i 4. -k t (UJ who was personally known to me or who has Produced there License or as identification. OWNER r Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General August 29, 2011 Natalia Him 102 NW 106 St Miami, FL 33150 RE: Contingency Letter Application Document No: AP1045290 Centrax Permit Number: 13 -SC- 1365749 OSTDS Number: 102 NW 106 St Miami, FL 33150 Lot:1 Block:204 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 08/24/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced From a review of your completed application, it has been determined that your existing system is adequate for the proposed use (wooden deck construction). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Jose • er, • ' r Specialist I I Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com 1 --•- � �.- =ice. ,. 6810' NGa°1059'W 2i CERTIFIED TO: NATAUA MARIA HIRNAND WOLFGANG HARN, RAPID TITL E SERVICES COMPANY, COMMONWEALTH LAND TIME INSURANCE COMPANY, INC., GUARANTED RATE, INC., ITS SUCCESSORSANDJORASSIGNSAS THEIR INTEREST MAY APPEAR G 152011 122.35'(Mj 0 N co s 1 Miami Stares Village APPROVED ZONING DEPT BLDG DEPT BY DAT it FLOOD ZONE: X MAP & PANEL= 12086C0302 COMMUNITY No : 120652 SUFFIX L DATE OF FIRM: 09 -11-09 BASE ELEV.= 1VA PROPERTY OF: NATALIA MARIA HIRNAND WOLFGANG HIRN 102 NW 906th STREET MIAMI SHORES, FLORIDA 331&) APPROVED MIAMI -DADE COUNTY HEALTM DEPARTMENT F WITH A`EERAL 11 Q. Atilarl -nr n nTrnnr NOT VALSi !lTTHESIGNATL .ORIGINAL RAC SEAL OFA FLOM SURVEYOR AND WPM PERMIT 4. LOCATION SKETCH NOT TO SCALE 0 LEGAL DESCRIPTION: LOT 1, BLOCK 204 OF'DUNNINGS MIAMI SHORES OCT No. 41; ACCORDING TO THE PLAT THEREOF, jAS��RECORDED IN PLAT BOOK 48, PAGE 20, OF THEPUBLIC RECORDS O WAM{LADE COUNTY', SURVEYORS NOTES: 1jNor VALIDI ATUREIS EMBOSSffolvini 716 REGISTERED IAND SURVEYOR'S SEAL 2 LEGAL DES 77ONPROVIDEDBYOTHE PROP TIES SHOWN HE I NOTABSTR4CTW FOR EASEMBVJ'SOROTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY FIAT OFD MEASURISWENTS TO WOOD FENcES ARE TO OUTSIDE OF UNDERAROUND MERTES FOUNDATIONS, CR ODER afFROWENENTS, IF ANY. WERE NOT LOCATEa 6J ®.EVATIONS, IF MOWN ARREBASED ON NATIONAL GEODETIC VERTICAL DATUM 192 7) FENCE OWNERSHIP NOT DETERMSED UM SS GRIMM NOTED 10 MEASUREMENTS TOWNE FENCES ARE TO calm OF IMRE. IV WALL NEASURENINTS ARE TODof FACE OF WAIL. 15, DRAWING DISTANCE BETWEEN MILS A FENCES AND PROPERTY LINES MAY BE EXAGGE?A7EDFOR CLARITY. 11) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL E GENCYMANAGEMENT AGENCY FLODDIMVATWICSIRATEMAPS J( LI_.i3�l D.v1 a.. ".. .l.l ."rj.: { - �t ILL �i.•)ii .11l! g LEGEND agooreames INOICATESCONMETE IIESCATID3 OVERHEAD ININDITW VANE PINCE %DJ C4TES WOO ,PENCE MOUES PROPERTY G'UOE PO& INDIC4IES POWTOF POO Di17E4PONTOF INDiamEsFscreonste (Rj INDEXTESNEXINDMENDIREMS3ff DALE: INDICATE/ 6 UNITY EASi ENT LEE: INIXCA7ES MAY DISSENT PIM I DIQUES PERMANENT J POP. INDICATES PE TOONTROLPOINT DiDAMEgFOUND CL: DTESCLEAR (C) INDICATES WARRED GUMMED W.U.P. INDICATES WOOD MIRY FOIE LM yy IMBC TEsLN EM Wi l/IA1E CLEAR L DNDICATLS p I F O Z I N D O N P P E INDICATES ME DENCATESPOMODEBAR Slat IMDCAI{��p SET Z2VIAMETIST ROAR INDICATES WMIIEiiTYPICAL RA* ND2ATFSRI HT- OF-WAY ORE INDICATES L RECORD DOCK DENCATES MONEOR LESS F.IF ELF: INDICATES RIDSHED FLOOR ELEVATION ?LTA: INDICATES NOTTOSCALE N INDICATES NORTH S DYDICATE3SOUTH tATICATES(NTERLsE (41) BoicATESFIRDAIEWWIEMEMS COKfO DIDATE8COAIORETE ow/PL- TDFCATESoNFROPE TYLD1E OAL 1NDD-ATES OVERHEAD UTILITY WEB %AD THE tostseo A BOUNDARY SURVEY I HAY CERTIFY 771ATINESURVEY REPRESENTED HEREON MEETS THEMMAIUM TECH lCALSTANDARDSSETFORTHBYTHE FLORIDA BOARD OFLAND SURVEYORS NCH/PIER 510174 FLORIDAADMINISTRATWECIODE PURSUANT TO SECTION 472 -027,F STATUTES, THERE ARE No EAICROACHMENTS OVERLAP'S EASEVEITS APPEARING ONT HEFLAT, OTHER DIAMAS HERETO. FRANCISCO F.FA 054767 ROMA PROFESSIONAL SURVEYOR Ale MAPPER REG. NO 4767. PROFESSIONAL SURVEYING AND MAPPING LANNES & GARCIA, INC. LB # 2098 FRANCISCO F. FAJAR ©O PSM # 4787 385 ALHAMBRA CIRCLE - SUITE C, CORAL GABLES, FLORIDA 33134 PH (305) 666-7909 FAX (305) 559 -3002 FIELD DATA -2011 SLLE 1°= 20' { DRAWN BY-RG ` DWG No 221634 s o-kvcl-v RE- 0 I 67 A i geSsti .re.-4-7a .0-to PD FiTs 1-4,1 00402 atoa,k,r-ttr_ 14 Thp oF. tAn 41.- be 2.0 1/ 4444x 712,Aioc , aN FieArevihn f#Qt11- 4%3,4 1.5° 10" r FIVAINIV 9ct,vext1T6 4s1 Povr 4 sh 41( 4 ccik- V4t4fZeN AI Ce-ek-21" M 104' FT Przlhenc, Latettaf- tieJACD " TCOCkikrit.- Wtit.4- Pexioc:rp,_ F:::147,1tVrefit t4t. Tr■pcom5 ft no h_ l2")( -10104: dge,,,12) trAire‘6, tosItletk Shrilvg‘pft 116 'S'414trr 4.1w4446 .2etvt2t.-7o &1/41/114141Arzeb acinoxs. Pvi Pat-. eer-tARI-11 4144" Ai443-104, 4 %I' X 48.6nLvirt41701 Lhei ( /4 PT tbM1 Pirte't -A Jots Nittr4IF2, 771a DIZAVE Ce-~eb-"WS• Miami Shores Viiiage Building Department RECEIPT PERMIT 1)— I4 DATE: U L 11 1, N 6f\ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o Contractor Owner o Architect Ced up 2 sets of plans and other) I OD, NU \Oo Address: 1-1 oni 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 CLERK INITIAL RESUBMITTED DATE: z 11 PERMIT CLERK INITIAL: 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Folio Number:1121360080010 Owner's Name: LOUIS CASTANEDA Job Address: 102 106 Street Miami Shores, FL 33150 -1248 Owner's Phone: Total Square Feet: 288 Total Job Valuation: $ 2,000.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/18/2011: Yes Comments: