RC-12-697Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 172556 Permit Number: RC -4 -12 -697
Scheduled Inspection Date: October 04, 2012
Inspector: Bruhn, Norman
Owner: SEATON, DOUGLAS
Job Address: 1201 NE 97 Street
Miami Shores, FL 33138 -2559
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number 305/758 -1145
Parcel Number 1132050090370
Building Department Comments
CONVERTING HALF GARAGE TO OFFICE
Inspector Comments
PasseW�
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 03, 2012
For Inspections please call: (305)762 -4949
Page 4 of 23
51,10_ T
7/Z(412- tf 4c
Miami Shores Village
Building Department
RECEIV r
APR 1922
90050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: ----- Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FB
Permit No. a_C.„ t 2 --(0°14—
BUILDING
PERMIT APPLICATION
Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS:
City: Miami Shores
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): /c7L Tr." f ciltiv, Phone #: 3C5 6 /0- 411 y
Address: 9,,CI t Uv - / O '
City: 111\0‘.,^,1 S kOMe -. State: -4 Zip: 33 (3 T
Tenant/Lessee Name: Phone #:
Email:
County: Miami Dade Zip:
CONTRACTOR: Company Name: OL 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: $ 3, 000 • r: Square/Linear Footage of Work: .( 09k
Type of Work: Addition Iteration
Description of Work: V-2‘ 4—
New ORepair/R- .lace ODemolition
30 �� t Sf atc .
Submittal Fee $ 3'5' Q ® Permit Fee $ /;i CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 15- I l
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 w rk 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 approved and a reinspection fee will be charged.
Signature ) _ ��_ Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this
day of I/ RI 20 IL; by —2 ( ,Ce_`T' ? , day of , 20 _, by
who is personally known to me or who has produced (D 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:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY 2220 I L Plans Examiner L �! /() Zoning
1 ?4 { 11 Structural Review Clerk
(Revised 3 /12/2012XRevised 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: l rD.0 l- Ce.--c•■1-6 v— DATE: 9
ADDRESS: P.G � 71-1\ S+ m►C,„Y.. sh
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; 1 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 1, 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
J
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. J —°
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 superviiion of the construction.
I
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.
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 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 Y--5-
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.myfloridalicense.com /dbpr /pro /cilbrndex.html
Initial T--S'
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:
(2\C) 9-4
Initial I
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 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 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
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
By To-Aot 5��ArnK
Produced there License or
1
OWNER
day of Arfelt(-- , 20 11--
who was personally known to me or who has
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
Issue Date: Not Issu
ed
Permit NO. RC -4 -12 -697
rr i i" eiR�dential C fr
1
rk Ci
a
Expires:Not Issued
Folio Number:1132050090370
Owner's Name: DOUGLAS SEATON
Job Address: 1201 97 Street
Miami Shores, FL 33138 -2559
Owner's Phone: 305/758 -1145
Total Square Feet: 369
Total Job Valuation: $ 3,000.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/19/2012: Yes
Comments: REQUIRES 5 FT LANDSCAPE STRIP BETWEEN DRIVEWAY AND HOUSE
NEEDS COVENANT
DAVID A. DACQUISTO, AICP
PLANNING & ZONING DIRECTOR
1/fl6tmi Sliorei ViC�a
DEVELOPMENT ORDER
10050 N.E. SECOND AVE.
MIAMI SHORES, FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (305) 756 -8972
DACQUISTODOMIAMISHORESVILLAGE. COM
File Number: PZ- 10 -11- 2011268
Property Address: 1201 NE 97th Street
Property Owner /Applicant:
Address:
Agent:
Address:
Douglas and Tracy Seaton
1201 NE 97th Street, Miami Shores FL 33138
Mark Campbell
373, NE 92nd Street, Miami Shores FL 33138
Whereas, the applicant Douglas and Tracy Seaton (Owner), has filed an application for
site plan review before the Planning Board on the above property. The applicant sought
approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Special
site plan review and approval. Garage conversion to office and storage.
Whereas, a public hearing was held on November 10, 2011 and the Board, after having
considered the application and after hearing testimony and reviewing the evidence
entered, finds:
1. The application was made in a manner consistent with the requirements of
the Land Development Code of Miami Shores Village.
2. The conditions on the property and the representations made at the hearing
merit consideration and are consistent with the requirements of the Land
Development Code.
The Board requires that all further development of the property shall be performed in a
manner consistent with the site plan, drawings, and the conditions agreed upon at the
hearing:
1) Approval is granted to convert a 608 square foot garage to a 369 square
foot office and 239 square foot storage area.
2) Applicant to provide and maintain not less than two (2) parking spaces on
the plot.
3) A five (5) foot landscape strip shall not be required between the driveway
and residence.
4) Applicant to obtain all required building permits before beginning work.
5) Applicant to meet all applicable code provisions at the time of permitting.
6) Applicant to complete a covenant in the form of a "Declaration of Use"
assuring the property is used only for a single family purpose, record the
covenant with the Miami -Dade County Recorder and provide the planning
director with a copy of the recorded document prior to the fmal inspection
by the Building Official.
7) This zoning permit will lapse and become invalid unless the work for
which it was approved is started within one (1) year of the signing of the
development order by the board chair, or if the work authorized by it is
suspended or abandoned for a period of at least one (1) year.
The application with conditions was passed and adopted this 10th day of November, 2011
by the Planning and Zoning Board as follows:
Mr. Abramitis Yes
Mr. Busta Yes
Mr. Reese Yes
Mr. Madsen Yes
Chairman Fernandez Yes
Date chard M. Fernandez
Chairman, Planning Board
DO PZ- 10 -11- 2011268 Douglas Tracy Seaton
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Date: '� `Z
Permit #: « 61
Plumbing Critique Sheet
Date:
& Swea9 sc.? Tti H * d/'4:071;:ejel
Review Completed by: Rafael Hernandez
Chief Plumbing Inspector
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: -� —��`" l� DATE: NV I 90 gJ
I
1, c) V&- S SF04(04)
o Contractor
Niiv Owner
o Architect
Pickedup 2 sets of plans and (othe) C
Address: � 20t I q--1C
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
)9 )2-
Permit No: 12 -697
Job Name:
April 30, 2012
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Provide all permit applications prior to any further review.Mechanical and electric.
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
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE•AT TIME OF MST INSPECTION
PERMIT NO -C-1 l (.0 F TAX F000 NO, t 1 " a -Doll - a3
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives nolkethat Improvements will be made to certain real
propertyrand In accordance with Chapter 713, Florida Statutes, the following information
Is provided In this Notice of Commencement.
11111111
NIIf11N
CFH 2012R0529987
OR Bk 2820E Ps 0001; (1PS)
RECORDED 07/27/2012 10 :09t12
HARVEY' RUVINP CLERK OF COURT
MIAMI -DADE COUNTYr FLORIDA
LAST PAGE
Space above reserved for urso of reconft office
of • party and street/address:
3.Owner(a) 418)e.andeddrm
Interest In propert}+r otOvi e
Name + d address of fee simple titleholder: +P.:
4. Contractors name, address and phone number:
5. Surety: (Payment bond feign * by owner from contractor, If any)
Name, address and phone number.
Amount of bond
6 Lenders Harris and addre:
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., F?Iorida Statutes,
Name, address andphone`ntimber •
8. In additlonto himself; Owners designates the following persons) to receive a copy of the Lt nor's Notice as provided In Section
71&13(1yot Florida Statutes
Name; address and phone niumber.
9. Expiratl`on date of this Notice of Commencement:
(the expfatlen date Is 1 yea► from the date of recording as a drgefe4date Is Geer
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF �CEMENTARE CONSIDERED
IMPROPER PAYMENTS UNDER. CHAPTER 713, PART I; SECTION 713.13.' FLORIDA STATUTES, AND' CANN RESU IN`YOUR PAVING TWICE FOR
IMPROVEMENTS TO YO PROPERTY. A NOTICE OF COMMENCEMENT MUST BE'RECC�RDED•AND POSTED ON THE JOB`SITE'BEFORE THE
FIRST INSPEOT10N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE, COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Slgnature(s).of- Owner(s)•or Owner(s)' Authorized Office _r /Dlrector/Partner/Manager
Prepared By Prepared By .. .,,..
Print Name Print Name ,.. , .-
Tttie/Ofgpe Title/Office .
pwledged Wartime this c2l.Q day of
STATE OF FLORIDA.
COUNTY OE'IM. -bAti
The jqg Intl In
By_� YYAAL
❑ Indivfdu
O Perso
,J1 �►.
e1 +1
for
own; or lJ prodiice<I the'following _type of identification:
Stgnature_of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTIQN S2 52& _FLORIDA STATUTES
Under penalties of perjury, tdeclare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Slgnaature(s) of s : : s) or Owner(s)'s Authorized Officer/Director/Partner/Man
•� •
rI !HI/AIi! 1 6CAFI
B
123.0142 PAGES 8/10
CLAUDIA V. Ol1BILLOS
r o. Notary Public - State of Florida
• My Comm. Expires Sep 23.2015
o-, Commission • EE 128810
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