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DS-12-251Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 169953 Scheduled Inspection Date: April 04, 2012 Inspector: Bruhn, Norman Owner: GONZALEZ - GARCIA, ADOLFO Permit Number: DS -2 -12 -251 Job Address: 262 NE 93 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Building Department Comments TILE OVER CONCRETE ON POOL DECK AND WALK WAY AND REPLACE PAVERS WITH PAVERS. Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 03, 2012 For Inspections please call: (305)762 -4949 Page 9 of 22 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 D 512-251 Master Permit No. Permit Type: BUILDING R OWING c. �> i -'o6. -06.3 OWNER: Name (Fee Simple Titleholder): Off) 6/7/ °(' 6?/C Phone #: Address: 26 , sT City: U/L Lg Tenant/Lessee Name: State: Zip: L Phone#: Email: gig 9,Aa JOB ADDRESS: Z6 1'L q s 574 City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: OA) { Phone#: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect /Engineer: Phone #: —4-Value of Work for this Permit: $ 000. OD Square/Linear Footage of Work: 1) 1 cam Type of Work: ❑Addition ❑Ai ationn ❑New & / Description of Work: /C £ 1/ W /200 d ��, des ,Repair/Replace ❑Demolition ******** *+ x** *****x: ****m******** * * * *Ix *** Feesu�******** �: �x�x�x�x�x�x�xx��x�x� : ****�x�x *�xx��:** **�x *x��,x�x *** Submittal Fee $ Permit Fee $ J, 0 " CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ d 2 c .7 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 approves i a reinspection fee will be charged. Signatur Signature t Contractor pp The foregoing instrument was acknowledged before me this ! The foregoing instrument was acknowledged before me this day of , 201—, by i Co l day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification\40ld1iqui an oath. as identification and who did take an oath. NOTARY PUBLIC: V'.••' - . • �'% NOTARY PUBLIC: Sign: ` '`'.— =G Print: My Commission Expires: APPROVED BY •",,, • •.••at, \e\`\a 10 /iiil11111000 �. /(61 Plans Examiner Sign: Print: My Commission Expires: �3�2> 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: A- A— C510\73 Je - DATE: i N 31 l 2- ADDRESS: LL72 Lib 93 `� ( 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 respons:'le,':r the construction and is not hiring a licensed contractor to assume responsibility. Initi 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 o , %wn name. I also understand that the contractor is required by law to be licensed in Florida and to list his or Tice ' y -rs on permits and contracts. Initi 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 imp ved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or 1,tally 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 Initia 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. 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 actin'. ;s an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initi 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 compens. • "or 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. 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 conta�� e Florida Construction Industry Licensing Board at 850.487.1395 or htto: / /www.mvfloridalicense.com /dbpr /pro /cilb /inde - h 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: 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who ; yes •t 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 retumed 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 13 day of 3 By ADUM C tA- Produced there License or ,2012 who was personally known to me or who has ``� 1Irmfiiifigtion • 111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. C S 1 TAX FOUO NO. STATE OF FLOq 1 HEREBY CERT/ t ca STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be mad property, and in accordance with Chapter 713, Florida Statutes, the following information By is provided in this Notice of Commencement. 1. Legal descr�ipt on of pro • - - d eet/address: dro1 ii haIR Til or/ 2. Description of improvement: • ' ✓ .0 r -wl 5 (P •'% C& pee t/-f.iT_ 3. Owner(s) name and address: icrR U i^ la (et- rc-c‹ Interest in property: -12- ame and address of fee simple titleholder. 4 C tr r's e, adpiress aqd phone tuber: • ci-L 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: CFN 2e i 12801 16872 Bk 28002 F's 2837; (1s) RECORDED 02/21/2012 09 :10 :09 HARVEY RUVINi CLERK OF COURT NIAMI -C+ADE COUNTY, FLORIDA LAST PAGE COUNTY O.FDADE 11 115 a :.._, copy (,d Me L1. ERN Co Cow? D.C. Cekl,e) Space above reserved for use of recording office ©c� 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR ' • - D' ia� - NOTICE OF COMMENCEMENT. = r• - o Sign f r(s) or Owner(s)' Authorized Officer /Director/Partner /Manager Prepared By Prepared By Print Name A•DoLkt, (,11t2A -(,L2 -;ka.cArA Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was aclmow(edged .befors methis By bI.C°O FjoAZacrrZ• Q;Afl -CAA- ID Individually, or ❑ as Title /Office ►3 day of for ❑ Personally known, or ❑ produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) S VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director /Partner/Manager wt(6 j�ned aBb By By ittrilltottiO\ 123.1.62 PAGE 3 3/10 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 Na DS -2 -12 -251 Issue Date: Not Issued Folio Number:1132060133500 Owner's Name: ADOLFO GONZALEZ - GARCIA Job Address: 262 93 Street Miami Shores, FL Owner's Phone: (305)206 -0463 Total Square Feet: 1100 Total Job Valuation: $ 7,000.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/13 /2012 : Yes Comments: 3OUNDARY SURVEY NE 93rd STREET 9 /2" v 41 PAVEMENT PROPERTY ADDRESS: 262 NE. 93rd STREET. MIAMI SHORES . FLORIDA 33138 LEGAL DESCRIPTION LOT 5 OF AN AMENDED PLAT OF MIAMI SHORES S €C1ION «o. 1 ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10 , AT PAGE 70 , IN BLOCK 26 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. O \GO _ s F.I.P. * 1/2" F.R. NO ID. VI/CAP 0.20' PL5 3689 CN UNE ONE STY. C.B.S. RES. No.262 F.t. =12.14' 0 R.; cb-Cz I Wavk 4' C.B.S. WALL 0-1' / F.I.P: a1 /2' 00 ID. IZX(513. / c. se. G�SA�SwA� Pr z C MOS' F.0 . 01/2" NO ID. 0.E '4i"4, r5Z3 . S T. e.' 1• N 1 AO 41 aistliabo jou ■ ZONING DEFT BLDG DEPT NOTES: —Pe DPIC14 use of i8 u04. AS BAISKPD [stc7t�- T EX 19 1 PPM N 7,300 mAsesul FEEL y .LO. aBC SY iI4 .i r AIM CALWUlID4 0P A D. . Gur1DC r_ P ,1 � • � , -, -'JWS SaQN1 MIMS MK MIT AMEIRACMD .. ; C.' 1I , MOT '7F Win 1ND PIKERS 11A L.E PD 'J,LjjpltY A MARCH 0T MITE 1D IIE 9BELT I.NDL, -AD .TEMPT YAS EASE 1D LEGATE LT[CIdD P410b'ITS TV ASY 9:IAICIIIFffi -APS MOM IrAS MI A PY!S IflI OE =WOW osiCa, WE MOT (WOOS) alr.-Wa 74 IreuaIB B WE MAMMY T A. AnAgawam 1. 1115 m Lt SO row r- -TES Ce W OUCES P4 Mai SR 64 mar ASSOST Plot S TV A. 111 VIA - OZOTI0i5 +7A ID HATC II& *AGO= .II I1aY PAIL) (1459) WPM-0API MUM 1 7 1 011& 4 111 .YAM -.36t IAC4I121.]14a NA: EIEYALPOPIP' SE. WPM =KT MD N. NM MEWL �T> coc,JAELIANCE wrrH ALL FEDERAL I,LES AND REGULATIONS a44]_saEKbncl1 II4FOEL4AHCtfa DATE as FIIDr: 07 -97 -93 120552 PA.4EL• 0093 some J zt11E X ME ROOD ELEYAfl1 4/ N/A A. FIORE AND ASSOCII LAND SURVEYORS �12.44,1,k0 921 S.W. 122nd Avenue, Mram1.Ytorpda PH. (305) 2 1"?50� I HEREBY CIMPPY TWAT EMS MAMMY PAWN 7 O/' VIE P7Q+Dif7 MEEK TIME AID COMM tD IIK WS, OF UV IMOU331X AND Q4.4P PJ;,77AnY 01531m MD 0*1D wee ay DDElAm YI. 1115 RNLI - VIM INC ewe IEDIIICAL swam; 531 M114 ar PM Rana VAIII OP flI0) W1t 1.0?0 PPM= 15 OPPRN 115111 -4 MAMA ADNDe_OA 11070 P1 .ESUM 111 15 1ON 171037 MOP= LIA111759. SCALE: 1 " =20' IMAM 8T A.T. l °06 VIVO CONES OF 11:4 RAM on BEM 114 ammo TV OP PP mamma um =wow T ID d III 1 DATE: 12 -131 -GO li L00Z /9T /b0 0b06TZZ50£