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DS-12-372Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 172054 Permit Number: DS -3 -12 -372 Scheduled Inspection Date: April 23, 2012 Inspector: Bruhn, Norman Owner: CEPERO, ROBERTO Job Address: 50 NE 91 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010200030 Building Department Comments PAVER DRIVEWAY Passe X;2f-/02— 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- 170662. Resod area and remove debris. NB April 20, 2012 For Inspections please call: (305)762 -4949 Page 20 of 33 BUILDING PE ''` APPLICATION 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 RECEjV MAR 0 2.2012 BY: Permit No. is 2 i2— 312' Master Permit No. Permit Type UILDIN ROOFING p q q OWNER: Name (Fee Simple Titleholder): C'1 O8 E. cilo e _ EJ° IVY- -C Phone #: 86 3` - 3 Address: 5 O AA (l S+ City: ?4o S orV 4 State: FL Zip: 33136 Tenant/Lessee Name: Phone #: Email: C_ £9 . R-0 itA—c) P t', G ; 1 . f_cA-. JOB ADDRESS: 50 N, L . o1 , S-1. City: Miami Shores County: Miami Dade Zip: 39 1 3 8 Folio/Parcel #: Is the Building Historically Designated: Yes NO %F Flood Zone: Ni 0 CONTRACTOR: Company Name: OW/lei— 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: $ Qr 0°0 Square/Linear Footage of Work: I 0 0 41 44 Type of Work: DAddition DAlteration New ° ❑Repair/Replace ❑Demolition Description of Work: W i ct� i� 14 ,e. (n% c y f° I? r on i n n/�8 tr P pJI-1 Wml / 'PO gel 1104-4 Cre °II� bt Cat el I IC— SP of Submittal Fee $ ��2 Permit Fee $ CCF $ CO /CC $ in 0 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 properly 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 Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of jYlt4 , 20 IQ; by Petal 0 a ricao who is p sonally known to r who has produced � who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: day of , 20 _, by As identification and who did take an oath. NOTARY PUBLIC: Sign: r �� �. i Sign: . Print: My Commission Expires: APPROVED BY MIL"- p Ex� E. Print: • Co „o ?r- / 0,'• n = My Commission Expires: • /`, /'''��IiiiiiiA∎\ \Pllans Examiner F4) 3/7/12 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: ZOG E OI1O C—VESA0 DATE: r a‘ ADDRESS: 50 IQ S3. )44'0,1.6 St ores )k.. 3323 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. 1 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. 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 licensnumbers 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 o 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 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 /pro /cilb/iindex.h 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: 50 NE °11 S5. Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information at 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 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 't day of iYla2A1 , 20 1 B Ito 13t who as personally known to me or who has Produce re License or _ as ict.e:� e 0 0660911/261'::// 21r , OWNER NOT NIC + �On # %irrrn;rit���� 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 NO. DS -3 -12 -372 Expires: Not Issued Folio Number:1131010200030 Owner's Name: ROBERTO CEPERO Job Address: 50 91 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 900 Total Job Valuation: $ 2,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/7/2012 : Yes Comments: PLEASE NOTE CORRECTED DIMENSIONS ON PLANS E1,(s po��� kLS -o EIaPi°2o�. l Phone: (305) 552 -7504 Fax: (305) 229 -8068 Professional Land Surveyor & Mapper G1 RA c� 14317 S.W. 45th Terr. Miami, Florida 33175 Property Address: 50 NE 9 / 5t Street, Mam(, FL. 33135 Legal Description: 1 DADE COUNTY. BM# L -24 ELEV.= 9.45' OF N.G.V.D. OF1929 LOT. The West 1/2 of Lot 5 * All of Lot 6 BLOCK. 9 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. /// /// / -// j NE 9 1st Street 's //// . ////l/t///// % _ ; s..: `a Drive (Plat) % /// ////://// , // 70' ,L !�/W / / // / / / // / // / / , / 19' Asphalt P. / SUBDIVISION. EL PORTAL SECTION 3 9 AT PAGE /45 SKETCH OF SURVEY (Boundary Surrey) ////SCALE 1" = 20' // /0 75.00' (R) 4 5'.5telewalk ac. gr Lot 1/01.1'. Alp 'b _ 110/4 "rS 231.60'11?)* FI 9.94' 10..s min po.r, I I I 9.67' 10.35' 18.40' 12.95 P WI !I rlr� BLOCK- 9 LOT- 7 12.20' Conc. 4 51ab 12.20' 23.35' ONE STORY C.13.5. Re5.# 50 F.P.E. = 14.25' Gar. Elev.= / 1.24' BLOCK- 9 LOT - 6 ' West 1/2 of Lot 5 pl 23.05' /a54' BLOCK- 9 Remainder of Lot 5 12.95' 23.05' CD 0 m t) Steps m r� C co ZIOZ 10 dVI ZAIZL 50.00' `90 1/2° 1.P. BLOCK- 9 LOT- 24 4' C.L.P. 75.00' (le $ (M) BLOCK- 9 LOT- 25 bah BLOCK- 9 LOT- 26 O U/ /2' LP. BASED ON THE FLOOD INSURENCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 9- / / -09 THE HEREIN DESCRIBED PROPERTY IS SITUADED WITHIN: ZONE X BASE FLOOD ELEV. NIA COMMUNITY NUMBER: / 20652 PANEL NUMBER 0302 SUFFIX L LEGAL. NOTES THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMF_NT6, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATION, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DESCRIPTION PROVIDED BY CLIENT. THE UABIUTY OF THIS SURVEY 1S LIMITED TO THE COST OF THE SURVEY. UNDERGROUND ENCROACHMENTS, IF ANY. ARE NOT SHOWN. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE. IF SHOWN BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929 THE CLOSURE IN THE BOUNDARY SURVEY 18 ABOVE 1: 10000 DATE OF FIELD WORK: Aug. 3 /, 2010 REVISED ON: Feb. 23, 2012 THIS CERTIFIES THAT THIS SURVEY OF THE PROPERTY DESCRIBED HERE ON WAS MADE UNDER MY SUPERVISION AND THE SAME MEETS 7118 MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND ARTURO R. TOIRAC P.S.M. 3102 NO VAUD WITHOUT THE SIGNATJRE AND THE ORIGINAL EMBOSED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. CERTIFIED TO: Roberto Cepero = CENTER LINE P/L = PROPERTY LINE = MONUMENT LINE R/VN = RIGHT OF WAY C.LF = CHAIN LINK FENCE W.F. = WOODEN FENCE LEGEND AND ABBREVIATIONS FD. = FOUND IRON PIPE O.H.L= OVERHEAD UTILITIES (C) = CALCULATED (R) = RECORD (M) = MEASURED CL = CLEAR TYP.= TYPICAL ".= ELEVATION R = RADIUS A =ARC DISTANCE C.B. = CATCH BASIN B.C. = BLOCK CORNER ENC. = ENCROACHMENT C.B.S. = CONCRETE BLOCK STRUCTURE CONC.= CONCRETE 0 = DIAMETER D.M.E.= DRAINAGE MAINT. EASEMENT I.F. = IRON FENCE JOB No. / 20233 AC = AIR CONDONED UNIT RES. = RESIDENCE W.M. = WATER METER U.E. = UTILITY EASEMENT P.C.P.= PERMANENT CONTROL POINT F.O.B.= POINT OF BEGINNING „mi.„404.4/ov ,v0VA 0. 10. 70' TOTAL RIGHT OF WAY ALABAMA DRIVE (PLAT) NE 91st. STREET 19' ASPHALT PAVEMENT . . . 9 00' ASPHALT PAVEMENT ' / 7 18.50' PARKWAY NEW PORCH FLOOR (162.28sq.ft.) LOT 7 BLOCK 9 9 . 9 75.00' z 0 5' CONCRETE SIDEWALK 6 r) 7ROOF ITO BE EMOVED 12.95' ■•.1 jillagerff GARBAG 0 SHED 0.20' CL 12.20' liCONC. SLAB 12.20' PORCH 23.35' ONE STORY CBS # 50 LOT 6 & W1/2 LIOT 5 BLOCK 9 23...5' 9.67. CONC. SI A13 0 9 r1 );j' 7-00' 9 . 5 4. • --11 i LOT 24 BLOCK 9 0 N) 4 METAL ON CONC. S_AB 23. 18 80' 731 8' .1 10. 10.4' 1 r-L1 900 GLS STANK CONIC. SLAB 4'C.LF. 75.00' LOT 25 BLOCK 9 SITE PLAN CO 1 1 OLD _UT LINE I i . 4 J I, I I is) Ic) LOT 26 BLOCK 9 LOT REV AIN 5 BLOCK 9 IL i1LT BE ON JOB TIME OF INSPECTION evision ' A .”1 itt!tt, Checked: M. LOPEZ Dote: 11/01/10