Loading...
FW-12-2292Permit Number: FW -12 -12 -2292 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 182444 Inspection Date: June 10, 2013 Inspector: Rodriguez, Jorge Owner: PILOTO, MARCOS Job Address: 10017 N MIAMI Avenue Miami Shores, FL Project <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060131390 Building Department Comments WOOD FENCE INSTALLATION ON THE BACK OF THE HOUSE WITH A MANUAL GATE FOR DRIVEWAY ACCESS. infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 10, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 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 Ei 0 i2 Lwtld BY: m.o-------- - - ---- FBC 20 Permit No.TIA) l i p�p Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: /0 0 (7 /V orh ; dim City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: �✓� Zip: '33/3-3 OWNER: Name (Fee Simple Titleholder): / f4fcgf R10+0 4 Address: / 0 0 / 7 elm Phone #: 3©� -go` -``oV0 City: Ai,- Slt e' e Tenant/Lessee Name: N�i4 Email: State: Zip: 33 / Phone #: CONTRACTOR: Company Name: 0 WTI er 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: $ e00 Square/Linear Footage of Work: 7S- Type of Work: ❑Addition °Alteration UNew DRepair/Replace °Demolition Description of Work: C I /yo 04, 411 ee 04- 4k f earn pro 4-7 Color thru tile: Submittal Fee $ Permit Fee $ / (J( CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR 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 " Owner or Agent Signature Contractor The fore Ding ins II L, 1 t9-;-by was ackn wledged efor s �/ The foregoing instrument was acknowledged before me this day of 1 � ' I a i j , day of , 20 , by who is pe}sonall known to me or who has produced'C' % who is personally known to me or who has produced I identification and who did take an oath. as identification and who did take an oath. NOT Sign: Print: My Commission Expires: b : Commission # EE 128810 9r,v'�4,: �„ ;;,;,,.' Bonded Through National Notary Assn. APPROVED BY 0/� 49 177 Plans Examiner Structural Review NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 5 /2 /2012XRevised 3/12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) * * * * * * * * * * * * * * * * * * * * * * * ** / 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 (7 NAME: /1/16vo. i® DATE: /)-- a— ADDRESS: /6)/2 ) fV *1 r'a 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 bylaw. Your construction Must 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 l 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 ; 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' 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 end 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 p for sale or lease, which violates the exemption. A /% improved it • ,:. Initial 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial r 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. 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 homeowners 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 sub1ect to serious financial risk. Initial �� 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:// www. myloridalicense .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 -71'1 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 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 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. ' is day of 'Ccrr1' 200-- Was acknowledged before me th _ �, y , who was personally known to me or who has Produced there License NT) IOC) l� 2'4 411 as ide ''cation. diod OWNER CI AUDIA V CUBILLOS Notary POW', • Sate otlori a5 Co '1m Expires Sep 23. My EE 128810 Commission Through to onal Notary Assn. Bonded ihroug SIiores ViLLa `STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, Marco / S A c o , does hereby attest that the (property owner) °y9 1 Po; n 4 Lae, 61 sly tee rocs „ T-/! C, (name of surveyor's company) attached survey, performed by ^)ry a performed on /f a '200 Y , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. AffiantlP operty owner 44iebtle)5 QEnr�t /, / , ,C4 .—r, �.S , R Witn -'land print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this "7 day of �-- Affiant is 7-personally known to me, produced as identification. BOUNDARY SURVEY SCALE: 1" 20' F. \DRAWNG \10017 N -MIAMI AVE 331 FlP. 1/2" No I.D. 75.00'(R M) Z (11C BLOCK m CORNER • 1222i1S 144001. FlP. 1/2 No I.D. 89'50'16" WI iiird9W4959q7 Xi tf. «t t= ti► I. -er AP visverVINV 4P404400,0# i ,L4 FlP. 1/2" No I.D. 0.7' 1.0' 90'9'44" r✓ O m (rw w� O • • CD O C") 7C O I 'T1 0 r- z to w� �1 Z m \9N, 90'9'44" 2.1' FlP. 1/2" No I.D. 89'50'16" 0.6' FlP. 1/2" Nol I.D. UN LOT -15 BLOCK -10 LEGEND OH Overhead tie Line // Wood Fence URVirY'tams, JNQ. — — Centerline PHONE: 305- 822 - 6062 * FAX 3O5-827-96I9 6175 NW 153rd STREET SUITE 321 MIAMI LAKES FL 35014 1 r LOT -9 BLOCK -10 ® =Water Meter =Wood Role X X =Light Poe Page 2 of 2 BOUNDARY SURVEY Property Address: 10017 NORTH MIAMI AVENUE, MIAMI SHORES, FLORIDA, 33150 LEGAL DESCRIPTION: Lot 12 & N112 OF LOT 13 , Block 10, of "MIAMI SHORES SECTION ONE AMD" according to the plate thereof as recorded in Plat Book 10 at Page 70 of the Public Records of Miami -Dade County, Florida. SURVEYOR'S NOTES: 1) The above captioned Property was surveyed and described based on the above Legal Description: Provided by Client, 2) This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. 3) There may be additional Restrictions 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 determine recorded instruments, if any affecting this property. ) Accuracy: The expected use of the land, as classified in the Minimum Technical Standards (61G17- 6FAC), is "Residential High Risk ". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and /or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Contact the appropriate authority prior to any design work on the herein- described parcel for Building and Zoning information. 8) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. 9) The surveyor does not determine fence and/or wall ownership. 10) Ownership subjects to OPINION OF TITLE. 11) Type of Survey: BOUNDARY SURVEY. 12) North arrow direction and bearings are based on Recorded Plat Book 10 at Page 70 of the Public Records of Dade County, Florida. 13) Elevations are based on the National Geodetic Vertical Datum of 1929. 14) Bench Mark Used: # N/A of Dade County, FL. * Elev. = N /A' 15) Flood Zone: X Base Flood Elev.: N/A as per Dade County, Florida. F a A Pagel urr ber. 120652- 0093 -J -MARCH 2, 1994 x'44 16) This PLAN OF SURVEY has been prepared for the exclusive use of the entities: pain a r The Certificate does not extend to any unnamed tarty: A.) MARCOS PILOTO &W DOLORES B.) C.) D.) SURVEYOR'S CERTIFICATE: I Hereby Certify to the best of my knowledge and belief that this drawi correct representation of the BOUNDARY SURVEY of the real property describ I further certify that this survey was prepared in accordance with the,appli of Chapter 61G17-6, Florida Administrative Code. Field Date: November 12, 2008 Job# RP- 08-875 Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 LAND a u FIVEY ©R 9, N i 6175 NW 153rd STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014 Phone: 305 -822 -6062 * Fax: 305 -827 -9669 F:IBOUNDARY- SURVEY- NOTES \OOBOUNiDARY -MIM9- DADS- NTS.doc P -ge 1 9f '1