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DS-12-441Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175800 Permit Number: DS- 3- 12-441 Scheduled Inspection Date: July 16, 2012 Inspector: Bruhn, Norman Owner: GARCIA, JORGE Job Address: 482 NE 93 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 1132060140170 Building Department Comments POUR NEW CONCRETE SLAB 18 X 11 IN BACK YARD AND TILE PROVIDE A LIC CONTRACTOR 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 - 175418. CREATED AS REINSPECTION FOR INSP- 171087. Provide plans and permit for inspection. NB the step in front of door has to be as deep as door. JR July 16, 2012 For Inspections please call: (305)762 -4949 1 Page 23 of 35 tio112- 1-I •o tIIti1 j2-�(ti.. $ DING PERMIT 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 Permit Type: JOB ADDRESS: AP(Z 11 7 ‘>q City: Folio/Parcel #: Miami Shores Permit No. Master Permit No. Vs� FBC 20 q41 I 2, ROOFING County: Miami Dade Zip: - J3t7t, Is the Building Historically Designated: Yes NO� Flood Zone: 14 OWNER: Name (Fee Simple Titleholder): J b A t0gV.K., Phone #: SCS ° 5 ✓ o 905 Address: City: 141J41/4 7 Tenant/Lessee Name: '4-17/S State: L Zip: 3!1 Phone #: Email: z 1.11C CONTRACTOR: Company Name: 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: $ 1 000 c) Square/Linear Footage of Work: Type of Work: DAddition 'Alteration Description of Work: • ONew ❑R6pair/Replace ODemolition C,6 *1 . _ . dry' 4Y' 1,4-we ********* * * * * * * * * *** * * * * * * * * * * *** * * ** * **F s * * * ** * * ****** ** * * * * ***** ******* ***** ** * **** Submittal Fee $ Permit Fee $ O00 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ 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 M State Zip s r tt , 4t ta.r 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 ' ,'rove! - - , / a will be charged. Signature .. JP/, Zilil Signature Owne Contractor The foregoing instrument was day of i..t u , 20 IZ_, b ,1 ' 0 di. 1 At ' 0 if O of , 20 _, by ri ' w s o is ■ ersonally known to me or wh. has pro • ce • '2��/� ho is personally known to me or who has produced 4As identification and who did take an oath. as identification and who did take an oath. NOT ' Y • UBLIC: . or Agent owledge • lefore «a thi the foregoing instrument was acknowledged before me this ki Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: ** ** ** * * ** *** ** ** ** *** ** * ****************************************** ** * * ** * *** * * *** * * * * **** * * * ** * ** APPROVED BY �� /L Plans Examiner it Zoning Structural Review Clerk (Revised 3 /f2/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) NAME: 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 A�" �f1 s261 DATE: ADDRESS: 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, ay 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 11. =nee 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 al + 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 s .stantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I • .'It 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 wor residence. It is my responsibility to ensure that the persons whom I employ have the license required by law municipal ordinance. ding or county or 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 II idly 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 lice es to perform the work being done. Any person working on my building who is not licensed must work under my di upervision 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 w ers 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 ab 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. e by all a.. • Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Interne United States Small Business Administration, and the Florida Department of Revenues. I also understand Florida Construction Industry Licensing Board at 850.487.1395 or h •: //www.m oridalicense.comJdb , r /'ro ble 41IP ervic.e, the I may contact the ex.html Initial 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands th legally and financially responsible for the proposed construction activity at the following address: party Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the info r a o that 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 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 retumed 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 B63-ye A Produced the (5 day of J>4' , 202 On who was personally known to me or who has -11-act s identification. /j .j 4 ,I NOTARY CLAUDIA V. CUBILLOS O. Notary Public - State of Florida = My Comm. Expires Sep 23, 2015 Commission # EE 128810 .0 �. h National Notary Assn. %; o Bonded Throu9 Sketch of Survev, trio M';4v f APPROVED ernitno. 0 6 C �1�2•� Kati-Dade Calm Health Depart= Py� A" • t'3'••t�1teY 1 1 ypr)'Yll.Yt. �(.2w Cot tc. +e. c 5L�' -tO t ti NOTE: al hi oieaanoes araVor encroachments shown hereon are of apparent nature, fence legal *mashie not b) TThelesuuu ad. this anew Is orgy for the enduelve and apedtuae *Moos persons. parties orinstauUonsin the e�9 lkdn9r` , ander tead n notes •) The good Information sham hereon does not i m that 'the svbeed property wit of eat not be feu tram emend a damage and does not create lability m the part of the arma employee thereof. For any damage that lotus awn names on said Intonation. • 0 Lanza depleted hereon wens a uvsyed per legal description provided by tdian and no claims as to ownwship a matters oiteteare made orbnpead. g) at roads shown hereonarepubicunlesso3ar•isenoted. N Ho Vonteltation capstomeonpropmycomesunlessotherwisenoted. o Oistanoes stoma boundary are record and measured unless noted. 9 The grapNO potions of this document are blended lobe diapisyed at eta grephldnmme scales as depleted. Said s c a le nuy be altered in r e p r o d u c t i o n s and se such° should be considered when obtains g scaled data FOR: Not vend unless it terms U.* tfgaakea. and tee• *VW raised sestet Flo4b Beensed Surdeyorand Mapper. . ••• •• • .•• a• ••• • .a•• • • • IV: • ••• .Mr • • • . • ..,• • • • • •• /attar/ay Alva This property described as: Lots 1,2 and the East 'h ofLot 3, Block 50, MIAMI SHORES SECTION No. 2, as recorded in Plat 13ook 10, Page 37, of the Public Records of Miami -Dade County, Florida. CERTIFIED TO: Jorge A. Garcia and Angel Perez. Accubanc Mortgage Corporation, it's successors and/or assigns, AT1MA. The Harrison Title Group, Inc • Old Republic National Title Insurance Company. regoosearreoremair AEG A • Y• NC • Mb Con6►knor MPH • MOM 1114 • ere•a• BM • e•nfiM•t CB • Cacti Boob CAS • Conroe ekdtShaw ON • tare anew • urnMe.a• • CsntaUn• MN • Chan lb* 'Wm C. • CNN Cane. • antra o o.a 0 • otmaut CH • D1Ntob aIE • 0r*.. & M*tw. eo ease to nt r Eas.nent Eno. • Eeor•sol•m.nt PR • F••Nytr.rt Ens • Rend Fit • EWAN Pow ttfyr LP. •ion Woo 15 • tk.ns.e%doss is • Lnd3n•vtor M • Mssstnd • ii,:. • mean 4 Mn. • Muxrmrt NIA • WI Poke* 140 • Naaobe id • Pa abr NTS • Nano Scale 011 • OWN O.Y.L. • Chatham! IOyUna P • Piot Pa •PIA Book PC • Pa1td *mu* PCP • P.o onord Control Poke PO • P•e• Pal • Pold InOwssdlen PldiY • hawse wsee R • naosttr t•r. P1. • Moist MA • Protaskml Lard Svr.pr P.0.8. • PoMda•eeeip P.O.C. * Po0edtm•nrramr• Pa. • PowerPoto PAM • Point Wawa Ur•nwit PT • Poet of Taming 11 •Reeks Ass. • R.ddreo 110.8. • Rguuae Land Surveyor ANC • Rana* AIR • POW 004 • R•gAtred Swot, a Mime RtatttaWay PM • see, Mama Soo. • rodeo T • Tanjore 1t1P • Towmtp 11.3. • VOW Easement UM. • IA8t1 forge A. Garcia and Angel Perez 482 NE 93rd Street, Miami Shores, F1.33138. , f. r Od/�SURVEY. ELEVATION NOTE :, (II APPLIt ILE) Alvarez, Aiguesvives and Associate`s, Inc. • Meer. s lY-6 dootes lowest beitlable Boor elevation. 1 HOMY maim that this sunup • Elevations shown herea refer to N.Q:Y°t 1929. Lowest adjacent grade ovation a 0'12 ego b©9 1`nO E3e i 7d 70 Garage Elev.= ___ . - Erp. s' FLOOD 1NFORMATIO1f: • meats the soln&nun tee elleal standars as PR se torte by the OORIDA BOARD F 74 Flo •r Administrative Code, tont to Von 472.027ftarida . ! � ArLAz • L.B. No. 047 Surveyors, Ma?pers and Land•Planners 8230 Coral Way,(suite -D) Miami, F1.33155 Phone: 305-220-2,424 Fax 305- 552 -8181 FL I.1 ION • i No. FIRE. DATE: t 2/ g,. ELEV: ROAD. • 7 E AI d ESVIVES • REGISTERED SURVEYOR AND MAPPER No. 327• State of Florida. Field Date Scale: Scale: / t, /% 7 /RNs! la *c' vele it*" dg fal+d alas er Drawn by: Drwg. No. O LIJ w cL C cc/ p Lu JJ tSJ 1 -D 0, z O J • O J U�1 K' co Lid • ra 0) MA 1 LF �v 4� r.,4 B yAPR 2 �L_ eK M iaml Shores Village Building Department RE I T PERMIT #: I J DATE: J6v_z o Cqntractor Owner o Architect Picke bp 2 sets of plans and (ot Address: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 'V 46, L aC q-oj From the building department on this date in order to have corrections done to plans And /or get County stamps. l understand that the plans need to be brought back to Miami Shores Village Building Dep,�,,„ process. Acknowledged by: PERMIT CLERK INITI RESUBMITTED DATE: `-t 2— PERMIT CLERK INITIAL: Permit No: 12-441 Job Name: March 20, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 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 -441 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060140170 Owner's Name: JORGE GARCIA Job Address: 482 93 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: $ 1,000.00 0 Contractor(s) HOME OWNER Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 3/14/2012 : Yes FLORIDA DEPARTMENT OF HEALT Rick Scott Govemor Steven L. Harris, M.D., M.Sc. State Surgeon General April 18, 2012 Angel Perez 482 NE 93 St Miami, FL 33138 RE: Contingency Letter Application Document No: API 066472 Centrax Permit Number: 13- SC- 1400420 OSTDS Number: 482 NE 93 St Miami, FL 33138 Lot:1 2 Block:50 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 03/22/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Proposed 21' x 20' concrete slab at the back of the house. There is not increase in sewage flow, change sewage characteristic, or compromise the integrity or function of the system. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: 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 r11-4 Vet 9W -10 NOT PART OF THIS PERMIT NOT PART OF THIS PERMIT BEDROOM BATH BATH BEDROOM OFFICE FAMILY REAR NOT PART OF MS ?ER}IIT NOT inus PEBl& NOT PART j / OF THIS roma LIVING DINING KITCHEN GARAGE NOTE: MEAN ROOF FIGHT :1Q'- 4" ROOF TYPE : 3:12 GROUND FLOOR (2„ NOT PART OF THIS PERMIT NOT PART OF THIS PERM rr RIGHT REVISION: DATE 10/012/04 SCALE 3/16" =1' DWG. BY: M.R2. JOB # 89