Loading...
DS-12-479Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176404 Permit Number: DS- 3- 12-479 Scheduled Inspection Date: July 30, 2012 Inspector: Rodriguez, Jorge Owner: GRIMALDI, KARINA Job Address: 1125 NE 91 Terrace Miami Shores, FL Project <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)285 -5527 Parcel Number 1132050010140 Building Department Comments REMOVE OLD DRIVEWAY & REPALCE WITH A 4' X 4' CONCRETE PAVER Failed Inspector Comments CREATED AS REINSPECTION FOR INSP- 171283. NO PERMIT ON SITE. JR Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 27, 2012 For Inspections please call: (305)762 -4949 Page 27 of 37 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 Permit No. `DS 1 `Z -- 47 Master Permit No. Permit Type: BUILDIN . ROOFING JOB ADDRESS: `/ 9 L- qj Tar , - City: Miami Shores County: Folio/Parcel #: / % r javOc --/1 if —014/0 Miami Dade Zip: .9.9 /9g) Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): k4 r / A1at CC j Id; Phone# :.i 552,11— Address: IL a S M 2- '( let r City: m i a ,NA, State: Zip: .373/ Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name. Address: City: State: Zip: Qualifier Name: Phone #: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: b` DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ � o 0 el Square/Linear:Footage of Work :' UNew ORepair/Replace Type of Work: DAddition ❑Alteration Description of Work: m emolition Submittal Fee Permit Fee $ /0611 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1, 1 3 , Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City r 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 with occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap roved and a reinspection : will be charged. /A Signature Signature Owner or Agent Contractor The foregoing i�istrument was acknowledged before me this .24•7 The foregoing instrument was acknowledged before me this day of 104.4&, 20 by tezigt SClgj 41.3 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 and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: \��•`� f \weranrrr����i4 Sign: '-1111. � •. �� Print: _ _ Q • ft. oo4% • =_ ///,„ , Tn TE,OF``\`�� My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner (1) Z,t/I'? Zoning Structural Review Clerk (Revised 3 /12/2012XRtviged 07 /10 /07XRevised 06 /10/2009XRevised 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: y i &c . 6/ 1 4,411 /; DATE: ADDRESS: 1/.2.5 N4 q'f 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"buildor improve, atone family or two - family residence or a farm outbuilding. I may also build or improve a commercidl building -fi the costs domot 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 ® e i" t s $ Initial 5. I understand that, as the owner- builder, I must provide direct, onsitesuperVisior¢ 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. 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. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide . • pplicable 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 http : / /www.mvfloridaiicense.com/dbor /pro /cilb!ndex.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 tfi 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. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does n 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 day of Jill a . , 20 By 16144.41-41-4. t24 J was personally known to me or who has Produced there License or t p R as identification. STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shares Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, � l x` 1 C 'U e c�.k,�oes hereby attest that (Prope owner) The attached survey, performed by l( (Name of surveyor's company) For address: Performed oa l2 � 1 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures affect final inspe � ons as applicable to this or other permits. Further, `i. nt sa Pr.pe : Owner Signature Property Owner Print Name SWO N TO AND SUBSCRIBED before me this 4lv 'day of IYlinON4 . personal) known to me, ,�pnmr�rr,,,��� y 6e produced ,,jD as ide lai isms .�. ommris '` �1. ellin i :" ii f,P1.00ro Affiant is Revised on 5/22/2009/ Revised on 6/12/09 o� O,l!- ✓•fi /,iy Lines CI. ora- sre 4 , .2S O ft.rt : 2 • 7 N / ' ' 2 , - ' 3 - 4 44 . _ , - G G 7 7 e et 9 - / /01V/' / /2 i� / /1 /'4 1 ` ` , ,q. ? ?/8 9 /Ar This property described as: Lots 16 and 17, Block 1, WATERSEDGE, according to the Plat thereof, as recorded in Plat Book 9, Page 141 of the Public Records of Miami -Dade County, Florida. Note: Underground encroachments • and utilities, if any, not .. located. Fdnce ownership by visual means only, legal ownership not determined. JD.ro 7=84, L1v/a /Joh .' 9.4s �/ /C¢;c ` �raar. �E 141 /Of7 //2C /1A '2q - Aished 67se./7; l or cZe—qQ.' EA. 4 /t1 „s show”; re /ter- 5 v 47, G.Y,.,a. /ow E$ 7 c741' /ocei2/ fcrrxle °�'� 4 • j�,?� f •r. _ B —� i .� /ev= 8=71 cal c/o� z /cry= alto fir• ,7 ' 4t7! Carp. w�C Loco /iarr ,ti'74P sco. /e if' = /.5 G? z a z 0 a W PROPERTY OF: Grimaldi, Karina 1125 N.E. 91st Terrace, Miami Shores, Florida Not valid unl ess embossed with Surveyors Seal • 2'4 of You e/r.e17¢ A BGUNDARY SURVEY I hereby certify that the survey repre- sented hereon mews the minimum techn - standards sec torsi, by the Boar - of land Surveyors .urwant to Se • •. 471027,E &.St. There are no _ • • achnnents. oc , ` !1f easeme the r than on the Fla: Reg. • • . 4; No M1 33138 LANK ES and dARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS L.B. #2098 Office address: 399 Alcarar Avenue, Loral Gables Florida 33134 FRANCESCO F. FAJARDO #4767 (3051645:7909 (954) 523 -8883 D TE � ' SCALE ,--.�i DR NJY 9 -15 -08 Recertified. Certified To. Name and Flood Information Revise DRWG. NO 193 -2350 _23