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FW-12-1927Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179991 Permit Number: FW -10 -12 -1927 Scheduled Inspection Date: November 13, 2012 Inspector: Rodriguez, Jorge Owner: ROMERO, JOAN LUIS Job Address: 73 NW 108 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number (786)231 -9297 Parcel Number 1121360110260 Building Department Comments REPLACE CHAIN LINK FENCE IN A WOOD FENCE Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 09, 2012 For Inspections please call: (305)762 -4949 Page 19 of 36 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 -E.cEIV OCT 152012 \C4 Ia- FBC20l0 BUILDING Permit No. PLi-7 12 - 1 q 2-q-- PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 43 Nii '110g 5+ City: Miami Shores County: Miami Dade Folio/Parcel #: 1 Is the Building Historically Designated: Yes O J OWNER: Name (Fee Simple Titleholder): NO4 +) 1)-V.13 e V lZO Address: 73 MW tog S1 City: %G' G.' $1 o,?S Zip: 33jI P Flood Zone: Phone #: State: -t-Lo i 0+ Zip: 33%i Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: (2.�L- Phone #: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: $ Square/Linear Footage of Work: Value of Work for this Permit: Type of Work: °Addition a eta Description of Work: °Alter�attioon - (.l e(.421� ® °New i(. 'L t' a- Repair/Replace °Demolition - 14,vr.ve Color thru tile: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * ***** Fees **** x************** ********* * *** ********* * ** Submittal Fee $ Permit Fee $ 03 •(--) Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ TOTAL FEE NOW DUE $ r 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abse of such posted notice, the inspection will not be approve and a reinspection fee will be charged. Ownr or Agent The foregoing instrument was acknowledged before me this /IS The foregoing instrument was c� owledged before me this day of f? : 7/ °� , 20 I, by 3J /20n°1 who is personally known to me or who has produced 41 ° who is personally known to me or who has produced As identification and who did tak$■l .ial ]t�ii��i as identification and who did take an oath. 1 "'% "•S '� NOTARY PUBLIC: vo �oSS�•1� 0 NOTARY PUBLIC: Sign: Print: OPP Wit_ My Commission Expires: :34) , :print: eaat0:0 My Commission Expires: ************************************************** ***** ********* ** ** *** ** ****$n** ** ***** *** * * * * ** * ********* APPROVED BY Plans Examiner /6 7;'-Zoning Structural Review Clerk (Revised 3 /12/2012)(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: jA-1111 D ilEqcz o DATE: IV/ °/- ADDRESS: 73 NW (t r 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,) 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 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 2. 3. I understand that, as an owner builder, I am the responsible party of record on a permit. 1 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. r Initial J . 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 *Se 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 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 Sg. 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 3g. 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 V 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 SiZ 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 htto : / /www.myforidalicense.com/dbor /pro /cilb/iindex.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 the party legally and financially responsible for the proposed construction activity at the following address: Initial 3-4, 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 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 /0 day of et/s/ , 20 (Z- By Produced there License or who was personally known to me or who has 0;a,151,entification. • �=v ‘\����� \� nnr III 8 75.00 LOCATI ON MAP 7 75.00' Scale: 1° = 120' 6 75.00' 75.00 gi 9 75.00' 75.00 11 75.00 5 12 75.00 4 75.00' 3 75.00 2 75.00' 74.69 15' ALLEY 75.00 Si 13 75.00' 75.00 14 75.W 1fl8th ST. 75.00' 15 75.00 74.69' Fv 16 €; 74.73' LEGAL DESCRIPTION Lot 10, Block 214, DUNNINGS MIAMI SHORES EXTENSION No. 7, according to the plat thereof, as recorded in Plat Book 52, at Page 33, of the Public Records of Miami -Dade County, Florida. Property Address : 73 N.W. 108th Street, Miami Shores, Florida 33168. Flood Zone: °X° Community Panel No: 120653-0302 Base Rood Elevation: N/A Map Revised: Semtember 11th, 2009 FOR THE BENEFIT OF: JOAN LLUIS ROMERO RIAMBAU and UUAN VIEIRA LIMA KIM & LOWMAN, LLP OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY HOME LOAN CENTER INC. DBA Lending Tree Loans 11111111 ttii, MARIO PRAT'S JR. 8z ASSOCIATES, INC. 1111111 SIJRN/EYORS — MAPPERS — PLANNERS 52 S.W. 81ST Avenue - Miami - Florida 33144 Voice(305) 551-6000- Fax(305)265 -9480 E-mail: docsepratssurvey.com Certificate of Authorization No.:4249 The above 'BOUNDARY SURVEY', represent the herein described properly and M was completed under my supervision and or direction, to the best of my knowledge and bellet and M also meets the Minimum Technical Standard set forth by The Flortda Board of Land Surveyors and Mappers, pursuant to Section 61G17 -9.003, Florida Statutes and Implementing Rules, Florida Board Administrative Cade. SURVEYOR'S NOTES: 1) The above capttoned Property was surveyed and described based on the above Legal Description furnished by Ghent. 2) This Certitcatton Is only for the lands as described. M Is not as certification of Tide. Zoning. Easements. or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3) mere may be additional Restrtcttore not shown on this survey that may be found In the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to detem**, recorded Instruments. M any affecting tNs property. 4) Ownership subject to OPINION OF TITLE. 5) Type of Survey: BOUNDARY SURVEY. 6) Location and Identification of LJtilites and or adjacent to the property were not secured as Such Informatron was not requested. 7) Unktss otherwise noted, this Firm has not attempted to locate Footings and/or Faundattcns (underground). 8) This PLAN OF SURVEY, has been prepared for the excfufive use of the entfites named hereon. The Certificate does not extend to any unnamed party. 9) M Bearings shown they are based an Centerline of N.W. 108th Street being N917001;0981 10) Predston do aosure 1:7500 Suburban Class Surrey jLEVATIONS NOTES' (RF REQUESTED AND SHOWN) 1) 0.0' Indicates existing Elevations 2) Elevations are referred to the National Geodetic Vertical Datum. 3) BENCHMARK (Used B.M. No. Elevation : _Feet EVISIONS• won' R J.N.: 25763 fie. 08/13/2010 J.N.: Date: J.N.: Date: THIS NOT A VALID CERTIFICATION WITHOUT THE SURVEYOR'S ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAL PRESENT. ABBREVIATIONS S.M. =Bench Mark Cale.. Calcdated Meas. • Measured Centerline M/L= Monument Una Nor North S• • South E °East W. • West P.R.M.. PenrianerdRererate Mannmrd P.C.P. =Permanent Cared Pohl W.E. =woad Fence C.L.F. • chain Uric Fence Rea =Rene R= Ramie • Delta Tangent P.T. - Point of Tangacy P.O.S -Paint of Seg5 Wg P.C.. Pahl of CuvaIue PRC • Paint of Reverse Cuvarve CAS. ° Cmarete.Eodr-Stnphre PPN RIgtdgrWay SEC. =Section ROE. • Range 1WP •TOVUdVp &cr. = Encroanrgrd F.F. • Wtltr Roar C • Canaltlaner Concrete Sue • Sidewalk STY- Stay ,. • Elewlkn C.A.D. File: T:Surveys \24420 Original date: 05/21/08 Tar Updates see REt/IEOIG) Field date: 05/20/08 Sheet 1 of 1 Original J.N.: 24420 PLAN OF SURVEY Scale: 1 ° = 20' TT pUNNINGS MIAMI SHORES EXTENSION No. 7 TT ( P.B. 52 • PG. 33) ( Lot 7, Block 214) .5' Asphalt Area i:;!. reia ntfliliilllilllllillllr'• O Z 0 N W N V �(03. =N O ci m <a Z erioob Z itgro L Fbtnd 5/8° Iron Pipe No Id. 0.60 15' ALLEY;;: .............. .... ............................... :.214139° : 57`42 "E 75.00` �•:: Asphalt Area •::.... • }:iC:G..:B:•WGip•i::•: i:•r:• Found 5/8" _ Iron Pipe Pi No Id. ( Lot 9, Block 214 ) LL U NOO °07'40 "W Found 5/8" Iron Pipe -\ No Id. volo Found 5/8° Iron Pipe No Id. Parkway N. CO c bl Found Nall 105.00'