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FW-12-1164Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 175131 Permit Number: FW -6 -12 -1164 Scheduled Inspection Date: May 16, 2013 Inspector: Bruhn, Norman Owner: ANNABELLA BUCHELI, ALBERTO Job Address: 1075 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number — Parcel Number 1132050180030 Building Department Comments REPLACE EXISTING IRON FENCE AROUND POOL AREA AS PER BO. OK TO REMOVE W /OUT FEE. JUST TO CALL FOR FINAL INSP. Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 15, 2013 For Inspections please call: (305)762 -4949 Page 1 of 38 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 Permit No p©MEVT.„„ JUN 2 5 'ij 2 BY: ._________.. ®__ �._. Master Permit No. Permit Type BUILDING ` ROOFING JOB ADDRESS: / 0 7f i e� 9 62 5X---,e,..4e_ City: Miami Shores County: Miami Dade Zip: Z ) 1 ' f Folio/Parcel#t Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): /4 l/ "dt9vY e e r° Phone#: Address: / a 7,f ?YE CF f / City: 5 State: Zip: 77 13 Tenant/Lessee Name: Phone#: Email: 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: $ I 400 Type of Work: °Addition °Alteration Description of Work: Square/Linear Footage of Work: °New DRepair/Replace °Demolition Color thru tile: ** ************ *** ****+x*****+n******* ** **Fees * ** + n****+ x***** *** **+x************* *****+x**** Submittal Fee $ Permit Fee $ /�d CCF $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ 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 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 FT.RCTRICAL 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 properly 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 `� r P ,y Signature Owner or Agent Contractor instrument Aas ac ,• Ied _ed befo me . 's The foregoing instrument was acknowledged before me this At 20 lo. by . ♦Yl� day of , 20 _, by who is personally known to me or who has produced ntification and who did take an oath. as identification and who did take an oath. The fore in day of (_who is rsonally known to me or who has produced NOTA Y ' UBLIC: • Sign: Print: My Commission Expires: '.1.:Z":". iC hl1l ►d p V. CUBILLOS Notary Public - a ` ` '' es Sep 23.2015 Commission # EE 1 Assn. Bonded Thiou9h National Notary NOTARY PUBLIC: Sign: Print: My Commission Expires: *******+ k**+ Is +k**+k************* k*** Rik+ k***= k***Bs**+ k+ k**** **************8s+k*d * ** APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) + k*****N=*****�kN��k*** �k *�N�Nde *+N�k�kH�� *** 9 Zoning Clerk 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: 4- ov", - DATE: 6— 2 ) ADDRESS: /c?-7 1414- 991/- / e S -3' 13� 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 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, !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 e4 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 alicensed contractor to assume responsibility. k Initial 3 1 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 Iicensed 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 t 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 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 bylaw and by county or municipal ordinance. 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 4" ' " Y 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,1 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 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 l may contact the Florida Construction Industry : Licensing Board at 850.487.1395 or http:// www. myfloridaiicense :com/dbpr /nrotaib/index.htmi Initial 11. I am aware of and consent to an owner- builder building permit applied for in my name and understands that 1 am the party legally and financially responsible for the proposed construction activity at the following address:, IC3-5 q(7). Initial, 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information at 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 budding 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 day of 60/11C) , 20 Aka) AytIJAOCCn who was personally known to me or who has i nn Produced there License or 9 oA (oo_ 0 OWNER -1 'Z 2Qsenfification. 4 NOTARY ussy AiejbN IeuopeN yrfnoJUl PaPuoB • vno sp, Ote8dt 33 # UOISSIWWo3 S tOZ '£Z des saJldx3 •wwoO eplml I to alels - 3Ilgnd AJeioN -� *t._• ', ',41„;;;1 ; �' soiilgno A vianvio 7e: 4041.2;s r u eirae). A! X4rilme. rewle.ST MEsv: Nd if3 _'"' L. !JU//ZU•C3 /.//W. r C/ q q 4z t 1 0 • • tic) L2 -_ 1) V Yy s This property described as: Lot 14, Block 178 REVISED PLAT OF 34i:A14I SHORES SECTION 8, according to the Plat thereof, as recorced in Plat Book 43, Page 69 of the Public Records of Dade County, Florida. Flood Zone: AE FLOOD INFORMATION: Community No.: 120652 Panel No.:. 93 Suffix: J Date of F.i.R.M.: 3 -2 -94 Base Elevation: +8.00 M.G.V.D. Certified To: Greenwich Title Services, Inc., First American Title Insurance Company, Valle, -Prime Mortgage Investors, Inc., its successors Note: Underground encroachments and utilities, located. Pence ownership 5y visual oceans only not determined. Jose Antonio and and/or assigns. if any, not legal ownership FROFERri oF: Valle, Jose Antonio, Udtm it bens the strvmm:md tea mi ll taotd sal of a Fea{de Ikppatd swersar tld supper 0it drasreg.thesis.pWmtmna rur ratan ada,al purposes only and it m, ,aSd. Miami Shores Village APPROVED ZONING DEPT BLDG DEPT Ira vii Ilfr' IIII DATE All SUBJECT TO COMPLIANCE WIfiH ALL FEDERAL STATE AND COI JN Y RULES AND REGULATIONS 1075 N.E. 99th Street, Miami Shores. A BOUNDARY urn, 1 aoaq sway du th, nix/ m ao. farad harem moots the wash, wo technical *is AoM tot .. korai of Land 1nr.eron 4 dlaa, RC17•d Stoke tale sans,clatlnaeIaser ou lae A ,p1m nyprnpd� tlthnr o, M 1.ne,u. 11 Ron Ued A �C F�f•.. 33 Florida. IA Nutt! St2 8GARCIA, INS. ENWNEFRS . LAND SURYLYORS. LAND PLANNERS Rene Aiguesvives 04327 Ofticr address- 399 Akaaar Arenue. Caul Gabfet. Flarida 13130 MaiGn6 address: P.Q. Boa %1131. Miami. Florida 33155 {305) 666-7909 t9341523'8653 D�1i' .-, I 5%'L do, �OR} et 145797 NO PeAA66) 4' LI k t• .0 • ALL J A1LS ANO CONNECTORS TO BE GALVANIZED (SFBC 2911.2) 2x1 l • P.T. W0.1AIL9(3) 4a4 P.T.WD. POSTS $ 4' -O" O.C. 4% L PINS' I 1 Z•oo fa 1:41+.1 SI a NIG.li fie 'OS S'Leo ".0•C. 4:© i/iG$4 POSTS (01,-," 6.c.. : 1110.O11 1 xd WO. 8LAT8(PIOKET8) 111E 1IEIGIIT OF FENCE IS REM MEASURED FROt4 L E •�,,��UAtE...... GRADE- ELLVAIk N OF Poi t1t1! • • SIDEWALK OR CROWN OF ROAD] CONC.F1G. 1' -0'• • OIAM. SOTION THRU WOOD FENCE(TYP.). 3/4:1:1' -0" `p R. c'? C e.(r c.T. .yl g..aC.r. 2.(1 • • �i P,mt Or R.c10k4 Paw