DS-10-1380Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
9801 N MIAMI Avenue
Miami Shores, FL 33150-
1132060131110
Block: Lot:
MARCOS ORQUERA AND ELIZA
Owner Information
Address
MARCOS ORQUERA AND ELIZABETH GI9801 N MIAMI Avenue
Miami Shores FL 33138
Phone
Cell
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 400.00
32
Approved: Yes
Comments:
Date Approved: 8/2/2010: Yes
Date Denied:
Type of Work: BB -Q AREA
Bond Retum :
Scanning: 1
Additional Info: BRICK
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$0.80
$104.60
Pay Date Pay Type
Invoice # DS -7 -10 -38549
08/11/2010 Credit Card
07/30/2010 Credit Card
Amt Paid Amt Due
$ 54.60 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Sidewalk
Landscaping
Foundation
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
August 11, 2010
Date
August 11, 2010 1
Miami Shores Village paRgwzim
Building Department 0 zoia
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �..
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: �, V ...
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) O LU Phone # � 6 6 34.6 -
� /
Owner's Address g` /� C Ytio xr Ayr.
Permit No. DS-1-I4- 13g0
Master Permit No.
City Ni QOM Sfr. State Zip 23 150
Tenant/Lessee Name
Email
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name /U & Phone #
Contractor's Address
Flood Zone
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone
E -mail
A`t-chitect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ /0 Square / Linear Footage Of Work: 3.2_ 6 r+.
Type of Work: ['Addition ❑Alteration 13New ❑ Repair/ReplacePL ❑,,Dee//molition
Describe Work: .- d-1 cA -3 the 0.../.&... . f e) 4 is ®'i ..F4e ,uat ` / a
sia e4- bcicerat.
******* * * * * * * *** * * * * * * * * *** * * * * * * * * * ** *Fees * * * * * * * ** * * * * * * * * * * * * ** * * ** * ** * * * **
Submittal Fee $ 50.00 Permit Fee $
PAtp
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
/oo
CCF $
CO /CC $
Structural Review. $ Total Fee Now Due $
See Reverse side -->
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 COMIlVIENCEMENT."
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 QQLO 0 Signature
Owner or Age Contractor
The foregoing instrument was acknowledged before me this I, k The foregoing instrument was acknowledged before me this
day of .e(t L L 20 L!b, by 1111 Orit , C. day of
,20_,by
who is personally known to me or who has produced 1 17 who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
00%1111iiiin/,,
03/0 2012 f
:' b x'/ .. Print:
c �R %rddil = My Commission Expires:
u' .A °mmissi �' ofintifilmo
Sign:
Plans Examiner
Engineer
(Revised 07 /I0 /07)(Revised 06/10/2009)
d Zoning
Clerk checked
,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ILO OWNER BUILDER DISCLOSURE STATEMENT
NAME: c L o• DATE: "z q .2,010
ADDRESS: ?8 U( /U 1' 1 c ,AVE
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.
Initial
5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction.
Initial
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 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 I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or htto:/ haww. mvfloridalicense .comIdbor /prolcilbliindex.htrri.—
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
Licensed contractors are regulated bytows 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 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 ti day of t (. , 20 1 C�
By in _acb -€ S
Produced there License or
who was personally known to me or who has
Csa—Q `-' 2A ````„.0°° E p,. as identification.
+�j> ,i :f, 4`/` • &RY
cg`s
d
lorr In 1100
•
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
Folio Number:1132060131110
Owner's Name: MARCOS & ELIZABETH ORQUERA GIRALDO Owner's Phone:
Job Address: 9801 MIAMI Avenue Total Square Feet: 32
1
Miami Shores, FL 33150 -
Total Job Valuation: $ 400.00
Contractor(s)
Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 8/2/2010 : Yes
Comments:
Permit No: 10- /fcTQ
Job Name
,2010
Miami Shores Viiiage
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
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 - 795 -2204
for the following reasons:
BRICK BAR -B-QUE INSTALLED IN NORTH WEST SECTION OF PROPERTY -IN SET BACK -NO PERMIT.
REMEDY: OBTAIN PERMIT FOR STRUCTURE MENTIONED OR REMOVE.
You are directed to correct the above violation by 08/04/2010 and notify the Miami Shores Village Code
Compliance office once the necessary corrective actions have been completed and the violation has been
corrected. In order to correct the violation, you must undertake and accomplish the remedy in full.
If the above - described violation is not corrected and approved by the Miami Shores Code Compliance Office by the
deadline set forth (or if it is corrected but recurs), you are required to appear before the Miami Shores Village Code
Enforcement Boad at Village Hall, Village Council Chambers 10050 N.E. Second Ave., Miami Shores Village, FI, at
6:00 p.m. on 08/05/2010. If the violation is corrected and then recurs or if the violation is not corrected by the
deadline set forth above, the case may be presented to the Code Enforcement Board even if the violation has been
corrected prior to the board hearing.
If the property is not in compliance by the date set forth by the Code Enforcement Board, you will be required to
appear on the first Thursday of the following month at 6:00 p.m. in the Village Council Chambers, which will be the
Penalty Hearing Date.
You are advised to bring to the Enforcement Hearing any witnesses and documentary evidence that you want the
Miami Shores Village Code Enforcement Board to consider on your behalf. Furthermore, you are advised that in the
event that you decide to appeal any decision reached by the board with respect to any matter considered at the
Enforcement Hearing, you will need a record of the proceeding and you will need to ensure that a verbatim record is
made of the testimony and evidence presented at the hearing. At the hearing you have the right to be represented
by an attorney at your own expense to present evidence and witnesses, and to cross examine witnesses.
Failure To Appear
Failure to appear will result in this matter being heard in your absence. If you are found
not to be in compliance with the code and you fail to correct the violation, the Code
Enforcement Board can impose fines against you of up to$250.00 per day per
violation, in addition to assessing against you the costs of the enforcement action.
If you fail to appear as scheduled to contest the citation, you will be deemed to have
waived your right to contest the violation and an order may be entered against you
imposing a fine which would become a Lien against your property.
If you have any questions, contact Michael Orta immediately at (305) 795 -2207.
MIAMI SHORES CODE ENFORCEMENT
Case Detail: CASE -7 -10 -7397
Report Printed: 7/15/2010
Page 2 of 2
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PERMIT #: vs -1- 0-V3Da
Miami Shores Village
APPROVED
BY
DAl E.•
ZONING DEPT
4
g�
ti
BLDG DEPT
SUBJECT 10 CGMPI_IANCE WITH ALL FEDERAL.
STATE AND U� .UN CY RULES AND REGULATIONS