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RC-11-331Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ■ \ - u'' Inspection Number: I NS P- 156451 Scheduled Inspection Date: March 26, 2012 Inspector: Bruhn, Norman Owner: GROSSO, BRYANT Permit Number: RC -2 -11 -331 Job Address: 133 NE 103 Street Miami Shores, FL 33138 -2328 Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360130820 Building Department Comments REPLACING OF WINDOWS TO HIGH IMPACT WINDOWS. OPENING MODIFICATION Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 23, 2012 For Inspections please call: (305)762 -4949 Page 4 of 37 EEL1 2 ton BY: 0“040000000001,00000004 BUILDING 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 Permit No. PC—) l PERMIT APPLICATION FBC 20 Master Permit No. Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Brujty* &. 6COSSO Phone #: 139' - 253 1(pl0(t) Address: 133 N) e, 1 03 S-T City: i'ti1 S {iO�rcS State: FI...CrZA on Zip: 3313 5 Tenant/Lessee Name: Phone #: Email: G IZo55 C7 A l 1, • Gcvr7 JOB ADDRESS: 133 £ 1 ©3 sT City: Miami Shores County: Miami Dade Zip: 33► 3 25 Folio/Parcel #: 1 1 2- 13(00 / 3 06 Zo Is the Building historically Designated: Yes CONTRACTOR: Company Name: Address: NO ,/ Flood Zone: (1)1/1Pr- Phone#: 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: $ 2i SAO Square /Linear Footage of Work: ONew ❑Repair/Replace Type of Work: Address lilcifteration tJjA. ❑Demolition Description of Work: e .Ac...1 �� ClP �� NFU. )S ?■ 1W`oec ' w) vN - C oS► S Vl • i, S p ,aar ll� V v 11%._ 1 e, 00 t�1�i���g,��� �. -..R-y_ _�` „_ •�HLl�7�s ai11a=1 �► ��(iS:�IV7 w --1., !1' ... COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: * * ** * * ***** * * * * * * * * * * * * * ** * * * * * * * * **** Fees********** * * * * *** * * * ** * * * * * *** * * * * *** * ** *** 7(2” Submittal Fee $ Permit Fee $ / 7 (2CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ C • OD 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 subj, t to attach,' t , a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectio / wh' curs ) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ove <� nd a,. =ction fee, ill be charged. Signature The f.- day o who is Owner g inst ment was a o"edg- be • -e me ersonall k 20 ,b own to me or w o has produced As identifi NOT ' ' ' UBLIC: Sign: _ ;A Print: My Commission Expires: t Signature Contractor The foregoing instrument was acknowledged before me this O day of , 20 , by ho is personally known to me or who has produced ation and who did take an oat ,pt* ' 411'5+ p. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) M iami 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: br60.4 (cO Q DATE: 24-t8 /&oiI ADDRESS: 133 /J& /03 S7 JLh 1') i % �' 33/31, 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 license 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. Initial 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 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. 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. 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 http://www.mvfioridalicense.com/dbor/oro/cilb/index. Initial 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: 133 tO3 11/44∎ k st- c.e, FL-. 33198 Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information t t I 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 owners 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 Ag day of By Produ , -d ther 6E0 211 who was personally known to me or who has Pe_./ r'0 q--) ).2i0211/1 as identification. IN NOT', ` ; 'C1 lssti c§)''' -0 mAtminmomemEsunrxm MIAAFLOWDA31126 JOHN !BARRA & ASSOC INC: TELEPHONE: (305) 262-0400 • FAX: (305) 262-0401 DRAWN BY: R.S. LAND SURVEYORS SURVEY No. 10.003369-1 SHEET No. 2 OF 2 LOT- 17 BLOCK- 122 THE WEST LINE LOT-18 BLOCK-122 BOUNDARY SURVEY SCALE = 1' 20' r-- 1- NO CAP 25.00' 0.30'ENCR. (B) TI-IE NORTH UNE LOT-18 BLOCK-122 r--72Ekt4114DER LOT - IS BLOCK - 122 F.I.P 1/2" NO CAP 6' W.F. ON PL 0.05'CL Z C.B.W. LOT - 20 LOCK- 122 THE SOUTH LINE LOT-18 BLOCK-122 ' F.I.P NO CAP F.I.P NO CAP B.C. 7.80*PWY • . . ...... • • .t ' 3' .4 . - -d- ,,, - EIVCROACIRWENT NOTES: ' 1A)Seath side of the Subject Propeny Concrete Return Encroaching Into the Right of Wap of N.E. 183rd STREET . _tin West side °fete Sabjca Property Neighbor's Wood fence Encroaching Into the Subject Property . ' 0 :a • ‘1,1. ' •:.. StAVEYORZIWTE:! -Mete* may be -Easements recordell in the Public Remade not shown nn this Surrey. • Thejidrpose of this Survey is for nee in obtaining Title Insurance and Financing and should not be used for Construction purposes. s t srr . • 44 A LIMIT OF PLAT (N.A.P.) MIAMi SHORES SECT1OW ! AMENDED (P.10 PG.70) 777 N.W. 72nd AVENUE SUITE 3025 MIAMI,#LORIDA33126 JOHN IBARRA & ASSOC.,1NC. SURVEY No. 10-003369-1 TELEPHONE: (305) 262-0400 FAX: (305) 262 -0409 DRAWN BY: R.S. LAND SURVEYORS SHEET No 1 OF 2 PROPERTY ADDRESS: 133 NE 103rd STREET MIAMI SHORES, FL 33138 LEGAL DESCRIPTION: EAST 1/2 OF LOT 18 AND LOT 19, IN BLOCK 122 OF MIAMI SHORES SECTION 5, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, AT PAGE 47, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. LOCATION SKETCH N07108CALE W pc. S0->� ;7413 .. 12 - 7 Ice 2 w 3 A rei 3 1b 6o i/'1/ LB 4 , INF i Q 3` . 7 b 8y- a -^s1. 8.w.�er.e{$tt MOPERTY r 3 V 8 i b S MS 16 t'( 18 11 4 ZO 1 94 43-013 R E. E. T A - A.C.= A.E.= A.R.= A.S.= MM.= B.C.= 5400.= O.K. = B.C.R.= H.O.H.= (C) C.8.= C B 8 C.B.W.= Ca = MR.= CL._ C.L.F.* C.9.4 C05C.- C.P.= C.S.= C.W.= D.E.= D.M.S.= DRIVE B.I.P.= 8T$V.= =CR.= ARC. AIR 0201)2711291:11 PAD. ANCHOR EAST. AL0]YI6= ROOT. ALMS= Seca. 4593443. BLOCK COMER. 882LDIIiO. MACE MARE. • 84515 /D 190177 RECORDS. RAMS OF BFARIASS. Cl3'L$ 1NB7AT. C07CA0T8' BLOCK S9RUCTORE. CONCRETE RUCK WAAL. C80RD. • CHORD 84483RD. CLEAR. CRA4N LINK FENCE. CANAL MAWASt1WiKCS FASEPEOTS. L'@ICR9TS. CONC. MRCS. CONCRETE BLAB. MAMA= SASZNENT. DRAINAGE MAINTEMISC4 EASEffi TS. DEf3US' S. ELECTRIC TRAMESORACER PAD. ELEVATION. . P.H_= FIRS ETDAANP. F.I.P.= POUND IEDN PIPE. F.Z.R. = POUND DM ROD F. P.E.= FINISH= FLOOR SLEVA320(. F.N.D.* FOUND NAIL 0 DIRE. FT.= FEEL. FNIP.= FEDERAL )01TIODIL•D7SURANCS PROGRAM. F.N. = FOUND WAIL. R.= AIM NIBILOT) 23. LEG.= 2198365 AND =MSS AL4ZAMM. L.B. v Cert131O+CA 01 AOLAosla.6ion L.8.99a6 L.P.= LIORT POLE. L.F.E.= LOWEST FLOOR ELEVATION. L.M.B.= LM{8 LOLI8TS0WCB SA]I', • ABBREVIATION AND MEANING e #11107FS. (M)= 1935030 078TA8CE. W.H.= 943404. . N.A.P. = ROT A PAM OF. • NOM = 8ATIORA4 GEODETIC VERTICAL DATOY_ IV. T. SOT 30 SCALE. I-80.= IBDISER. 0/5 * arFTIEZ. 0.8.= OPZ9. D 0.5.4.= O7ER3AD 0321.310' LADS. 0.5.5.= CMIO.TNAL RECORDS HOUR. 0.0.8.= OVERRANG. PANT.= PAVPMENT. PL.= MOTOR. Ph = 9806 123 LINE. P.C.C.= POINT OF CONDOM) CONE. P.C.= POINT OF CONE. PT.= PO2N2' OF TAN* 2' ICT. PDC.= PO2RT OF CARIMMETAIM.. P.O.B.= POINT OF REOL0285. P.R.C.= POINT OF REVFRQE CURVE. 98? = PARRIer. PRN = D OMMI0 T MEMO= Md 171.. P.L.S.= PROFESSIONAL LAND SURVEYOR. P.P.= PORES POTS P.P.B.= POOL PIMP SLAB 9.0.3.a 4081.10 =IL= EMME ? (R)= 9.3938 01SSA8CE. RR.= RAIL ROAD. RES.- RESIDENCE. R/8 - R2OE1' -UF -ART. RAD.= RADIUS OR RADIAL, ROE.= RAMS. R.O.E.= ROOT OVERMANS FASEXIINT. SEC.= SECTION. ST0'.= SNORT. SAO,= SXDEOlLX. S.I.P.= SET SRON PIPR S.= SOUTH. S.D. a 800SFQ;D PORCH = =GATOS. UMW. 3'AQ' = TAP. o-ru.=•UTILITT. U.E. . BTILITT SASERMT. 0.P.= O3TLIT7 POLE. W.M.a 9331.02 ASTER. W.F.* WOOD FENCE. W.S.= WOOD MED. W.R.= Pia= ROOF. W.P.= 871388 VALVE_ SI a .YDW8ffi' LIRE. - =MR LAVE. = CENTRAL AEON. a - 19513. LEGEND TYPICAL OVERHEAD D7'IL777T LINES z>=ICIM CBS HALL (CM). C.L.B. - 08828 LINT FENCE. I.F. _ IRON R27CE. W.F. - WOOD MACE. * 0.01 • 9315T135 0540831050. LEGAL NOTES TO ACCOMPANYSKETCH OF SURVEY (SURVEY): '773411879380360138580580801 IHDPUA)CR4OO Nor mown ON7Io8URYPT: 71.718 PURPOSE OF THIS SURVEYSFDR USE IN0977 70 ONCE INSURANCE AND FWOATAfGAND SHOULD NOT DBUSED FORCOASTRNCRONPNRPDSES 1.030347023$057755584C758 Tina WLL HAVE 3088WADE TOOET LODta6RKWlD809TW8LEM88`ANY. AFFECTING THE FROPFFTY. 47.7MD$URVEY IS SUBJECT TOQSDCANOIO%LU8TATIONE. RESTRC770N8 RESHNa70N0ORB8SEWPNIS OF RECORD. 0.38341 DESCR(PNCHSPRITADMI YOAPNORA77Ea7IN01471E Mawr. WSOUI.ARYSU ETAMA SADRAWMiANAVORAORF1NC7ISPRESEI• TTATWNOPTNBSURVBYWOR4PERFORIMOMTfa NED, COULD BE DRAW/ AT SHOWN SCALPANIN ANOT TOS70E WEASEMENTS AS SN W WJ ARE PER PUI TBODIt. 01gESS ORSIRWSE SHOWN. XXIX TX= SNCROACNNDJl'MEM VISAMAR7 MOVE GROUNDENCROM WEN75. >A. ARORIECTSSHAIL MIAOW =NM REGULATIONS, RESTRICTIONS SE7BOCNSALm PAL EE RESPONS8IEOF8U0M7TNHO 'tor PUNS MTH 718 CORRECT AVFDRw *TON FOR T83RAPFROVAL FOR AUTNORUA7708 TO AUSMWUIES WA NEW CONSIW/GTOaS 181.UNLBESOTHERWAENOIE0. 17057R93H4SNOTAT TE7d7EDTO3OCATEFOOTNOAND 'ORFOINDATIONE tO.FENCEOWNERSAITPROTOETOMMO. 7B.TM5FLAN OP SURVEY. 058939739036975893593J2790 MS op THE BJTTE19830NEREPY. MECERRPCA7H 08033070300771 70ANVWWAMTIPAR1Y, 17 3714 SURMA=RARHS NO GWRA27ESHAS TO TNHACGVAIOV OP TI0PSCWIATI05 BELOW. THE LOCAL 9.434 MENT SHOIAJ)SE COMMAND V E M C A 7 A N T H E FUXID NAPS HAVEDE5GAMED THE NERMA=SUPBED IAND 70E ER ROOD TOE' 7f: TAE SIJSJ8CIP858ERTVDOES NOT LIE IN A SPECW. ROOD HA7ARDARPA SURVEYOR'S NOTES: 1'280W3 BEARINOSARE REFERRED TO AN ASSUMED MERIDIAN. SY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IFNOT. THEN MAILINGS ARE REFERRED TO COUNTI: 7OWNSWPNAPS. 2). THIS ISA SPECIFIC PURPOSE SURVEY. O) THE CLONAL IN THE BOUNDARY SURVEY IS ABOVE S:7IOOF7. GFRR0CATE 0PAUIHORUA7eAL3F 7606 SURVEYOR'S CERTIFICATION: AMWAYCERTIFY THAT DES ROA.C4RYSURVEY. OF THEPAOPER77005090508451 Y. HAS IOCENTAMEE8500 BYBOANDORAMTIUAOERWYSUPERVMW 0$0CQ'RPLl5SW4AI THE L8HWUM 780IMCAL STANDARDS AS MT MAMAS5 THE ROJO* BOARD OF PROFESSIONAtwaSURVEYOBBIHCHAP7ERSJ7. RORM AW28S7RARVECODE PURSUANT 7092 ie. ROMA STATUTES BY. 12- 20-2010 CARLOS /HARRA HDATEOFPLELDAMRIO Lmm sursYFYDRno..:6770 BrAre op P30800 (7014800787381 TF88URVEY WILR61R 7HEEWBOSSEOSEAL OF 7HEATTESTMG LANGSGRVESAM. NOT VALID WITHOUT AN AUTHENTICATE ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL ROLA:EDON REYSBDOM REVISE= CERT/FICATTON: BRYANT GABRIEL GROSSO GREGORY B. TAYLOR. P.A. CHICAGO TITLE INSURANCE COMPANY CITY NATIONAL BANK OF FLORIDA, ITS SUCCESSORS AND OR ASSIGNS, AS THEIR INTEREST MAY APPEAR