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DS-12-1735Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178628 Scheduled Inspection Date: October 31, 2012 Inspector: Rodriguez, Jorge Owner: CADET, CAUVIN Permit Number: DS -9 -12 -1735 Job Address: 579 NW 111 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 3021360210780 Building Department Comments CONCRETE STRIP DRIVEWAY AND APPROACH 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 October 30, 2012 For Inspections please call: (305)762-4949 Page 18 of 44 PERMIT # CONTRACTOR: SUBMITTAL DATE: Ilif r % ADDRESS: '-----=-74-7 N'& 1 1 i "3-7 '. NAME: -0 - -K RESUBMITAL DATES:a�' ._. /� PROJECT E: 1 V UM9 : 6 ) ZO ,� 1124 ._- ° FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL :pd BL i'' s t O B'UIL 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 —Cdt3Drel rZE2,CEIVEL SEP 18,2012 FBC 20(0 Permit No. V S i 2 f l Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 5 Ail // City: M001 Miami Shores County: An Miami Dade Zip: 3 a / 6 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: /) 0 OWNER: Name (Fee Simple Titleholder): U Vs -4i a 404 Phone #: 1-71 7 7 - Address: City: State: Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: CkAll 'J f -1-- Address: 5 7 ,i.J -v l// S City: ;r I A-7) 5/2.JJ''e S State: Zip: 3 1 6 Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Phone #: 7' -a 77 -.' ty'o Value of Work for this Permit: $ f 500 Square/Linear Footage of Work: awe Type of Work: ❑Addition DAlteration UNew ❑Repair/Replace ❑Demolition Description of Work: C.( i C i�� S 2 ' R ` v ( W (( 7 P.-FPO-0 Ae--44 Color thru tile: ********* * * **** ***** **** ***** ** * ** * * * * *F es******************************************** Submittal Fee $ -a3 Permit Fee $ /,, 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1)5' 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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 1 Signature — Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 3 f , 20 re-by V "./ (7'7 , day of , 20 , by who is personally known to me or who has produced PAP 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: ,1N1111 ,11111, ikres Sign: � � �• � � 12016 Print: My Commission Expires: APPROVED BY d4 tsm� on : ▪ •▪ ''• . EE113�5g:��0 .,, 4)EOF1E700 Plans Examiner NOTARY PUBLIC: Sign: Print: My Commission Expires: 1CI3O g 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: 12 4v yJ AJ g T DATE: el / ? — 2 v/ ADDRESS: ��% ��s t� 1 �'�'.S' 3 /‘3 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 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. 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 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 -''t 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 ram 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.mvforidalicense.com /dbpr /pro /cilbfindex.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 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 L� 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 1 (J day of , 20 % C. ByC LN I r`1 CA-Din who was personally known to me or who has Produced there License or as identification. OWNER �rrr 03/06/101 B • . ®1"rF NOTARY p N:Commission # i c, F r F L 0 `R.� . `��\ 5582 N.W. 7th STREET SUITE 20 MIAMI, FLORIDA 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264-0229 DRAWN BY :: T.D. LOT -1 BLOCK -4 F.I.P 1! NO C uruPyurs LAND SURVEYORS BOUNDARY SURVEY SCALE = 1 " = 20' LOT-2 BLOCK -4 SURVEY No. 6- 0004922 -2 SHEET No. 2 OF 2 11.30 0.50' CL 58.00' i5' U.E.) x \ 11.26 `5' U.E. ANCHOR co LOT -3 BLOCK -4 F.I.P 1/2° NO CAP I1 U.P. U.P. 0.45' CL 12'20/ 11.78 0.50' CL 13.41 11.76 3.85' CL 11.46 x 0.81' 30.10' 1.4' CL 6.70' LOT-20 BLOCK -4 Rff.Futscrc. C.ot67riz` R l iz u'S s 9 if MOP tIJ egg-, «1S14 ly% i CUN Tiz, 10.25' ONE STORY RES. # 579 LOT-19 BLOCK -4 F.F.E.= 14.21' 11.80 15.75' 11.15 x WATER o PUMP 10.75' 11.4( 12.05 ON P 75.00' B.C. • .F.I.P 1/2° • NO CAP NeW Lzrzrz.4 kA5 rt- FIG rue. • F.I.P /2° N.� CAP LOT-18 BLOCK -4 F.I.P 1/2" NO CAP 5' CONC. SWK 18' PWY SURVEYOR'S NOTE: • There may be Easements recorded in the Public Records not shown on this Survey. A, 3 111th STREET 1 G -`'I ig 5582 N.W. 7TH STREET, SUITE 202 MIAMI, FL 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264-0229 DRAWN BY: TDD Js ova Surveyors, Inc. LAND SURVEYORS SURVEY NO 6- 0004922 -2 SHEET NO 1 OF 2 SURVEY OF LOT 19, BLOCK 4, OF WEST SHORES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 42, PAGE 18, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY ADDRESS: 579 NW 111 ST, MIAMI, FL 33168 FOR: CAUVIN CADET LOCATION SKETCH Scale 1" = NT.S. i t 9;.a• ,7 :307: N.W /12rn = , as .9 n � 1 r :: ,7 r•7 /p, 17 i io I r4 ••W I I l I , .9 14 i- SUIBJEC{T I q .^Yt i %G3.y'rJ t 9 S` • n 5 /D9 4.4,140 ABBREVIATION AND MEANING A =ARC NC = AIR CONDITIONER PAD A.E. = ANCHOR EASEMENT NR = ALUMINIUM ROOF NS = ALUMINIUM SHED ASPH. = ASPHALT B.C. = BLOCK CORNER B.C.R. = BROWARD COUNTY RECORDS B.M. = BENCH MARK B.O.B. = BASIS OF BEARINGS C = CALCULATED C.B. = CATCH BASIN C.B.W. = CONCRETE BLOCK WALL CH = CHORD CH.B. = CHORD BEARING CL = CLEAR C.L.F. = CHAIN LINK FENCE C.M.E. = CANAL MAINTENANCE EASEMENTS CONC. = CONCRETE C.P. = CONCRETE PORCH C.S. = CONCRETE SLAB D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENTS DRIVE = DRIVEWAY ENCR. = ENCROACHMENT E.T.P. = ELECTRIC TRANSFORMER PAD F.F.E. = FINISHED FLOOR ELEVATION F.H. = FIRE HYDRANT F.I.P. = FOUND IRON PIPE F.I.R. = FOUND IRON ROD F.N. = FOUND NAIL F.N.D. = FOUND NAIL 8 DISK l" FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM IN. &EG. = INGRESS AND EGRESS EASEMENT L.F.E. = LOWEST FLOOR ELEVATION I.M.E. = LAKE MAINTENANCE EASEMENT L.P. = LIGHT POLE M. = MEASURED DISTANCE M/H = MANHOLE N.AP. = NOT A PART OF NGVD = NATIONAL GEODETIC VERTICAL DATUM N.T.S. = NOT TO SCALE O.H.L. = OVERHEAD UTILITY LINES O.R.B. = OFFICIAL RECORD BOOK O/S = OFFSET OVH. = OVERHANG P.B. = PLAT BOOK P.C. = POINT OF CURVE P.C.C. = POINT OF COMPOUND CURVE PL. = PLANTER P.L.S. = PROFESSIONAL LAND SURVEYOR P.O.B.. = POINT OF BEGINNING P.O.C.. = POINT OF COMMENCEMENT P.P. = POWER POLE P.P.S.. = POOL PUMP SLAB P.R.C. = POINT OF REVERSE CURVE PRM = PERMANENT REFERENCE MONUMENT PT. = POINT OF TANGENCY PVMT. = PAVEMENT PWY = PARKWAY R. = RECORD DISTANCE eon £01 a /0 I • '9 Ii 1 /7 .H • RAD. = RADIUS OF RADIAL RGE. = RANGE R.P. = RADIUS POINT R.O.E. = ROOF OVERHANG EASEMENT R/W = RIGHT -OF -WAY SEC. = SECTION S.I.P. = SET IRON PIPE L.B. #6044 SWK = SIDEWALK T = TANGENT TWP = TOWNSHIP U E = UTILITY EASEMENT U P = UTILITY POLE W.M = WATER METER W R = W000 ROOF W S. = WOOD SHED = ANGLE = CENTRAL ANGLE C = CENTER LINE = MONUMENT LINE LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ( "SURVEY "): - THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY - THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING. AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES. - EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDEDINSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS. RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN - THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. - THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. - ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE - FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND /OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. - THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES:NAMED' `' - HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. - THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW THE LOCAL F E.M A - AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN ZONE: X COMMUNITY /PANEUSUFFIX. 120653 0139 L DATE OF FIRM 09/11/2009 BASE FLOOD ELEVATION: N/A. CERTIFIED TO: CAUVIN CADET f9 !6 /8 /7 // 1 � v 5T LEGEND TYPICAL —014- OVERHEAD UTILITY LINES 22 CB S = WALL (CBWI -x—* C.L.F. = CHAIN LINK FENCE - 0-0- I.F. = IRON FENCE ▪ W.F = WOOD FENCE • 0.00 = EXISTING ELEVATIONS SURVEYOR'S NOTES 1) IF SHOWN. BEARINGS ARE.REFERRED TO AN ASSUMED MERIDIAN. BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT. THEN BEARINGS ARE REFERRED TO COUNTY, TOWNSHIP MAPS 2) THIS IS A SPECIFIC PURPOSE SURVEY. 3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 4) IF SHOWN, ELEVATIONS ARE REFERRED TO MIAMI -DADE COUNTY. ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929 MIAMI -DADE COUNTY BENCH MARK# N -385 LOCATOR# 2125 S • ELEVATION 13.86 FEET OF N.G.V.D. OF 1929 SURVEYOR'S CERTIFICATION 1 HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF THE PROPERTY DESCRIBED HEREON. AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6. FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027 FLORIDA STATUTES. BY: GEORGE IBARRA 41 -12 -17_ (DATE OF FIELD WORK) PROFESSIONAL LAND SURVEYOR NO 2534 STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR) REVISED ON REVISED ON .WM„ t, .. 4 o .4�yi1FlCgr� T A : NO.2534 d' 5o. * o 5 i� W STATE OF 9 / /,, �q< F <ORIOP' ,41 ? ' 4 C SUR,.... SURVEYORS SEAL N S