RC-13-1186 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-196915 Permit Number: RC-5-13-1186
Scheduled Inspection Date: August 09,2013 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: VALMOCINA, MARIBEL Work Classification: Alteration
Job Address:685 NE 93 Street
Miami Shores, FL Phone Number (305)758-7829
Parcel Number 1132060141750
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
INSTALL FRONT RAILING TO BOTH SIDES OF THE Infractio Passed Comments
STEPS. INSPECTOR COMMENTS False
I
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-196617. NO PERMIT 8/7/13
call 786-271-1215 or 305-758-7829 ,
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
i
August 08,2013 For Inspections please call: (305)762-4949 Page 12 of 18
� Miami Shores Village
Building
g Department
90050 N.E.2nd Avenue,Miami Shores,Florida 33138Q)
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 ;r• --�
FBC 20 1 C_')
BUILDING Permit No.
PERMIT APPLICATION Master Permit NoR--�Q ®� 1
Permit Type: BUILDING ROOFING
JOB ADDRESS: G%S QF_ g3ro\ Z.b
City: Miami Shores County: Miami Dade
Folio/Parcel#: 11-32Q�Q 01>A-
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleho r , Phone#: 19G 31 `�N
Address: 08 1. . amp ZA
City: Wj b- State: — zip $
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Aln "U�Qnd Phone#: �� �A M��
Address: (-.-a qJ Q q3rc� sz:s
City: .�A a%xk C . State: flp-63 dCt zip: ��la&
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ t5t_�"K� . On Square/Linear Footage of Work:
Type of Work: DAddition OAlteration Q4New ORepair/Replace ODemolition
Description of Work: b�
Color thru tile:
aa
Submittal Fee$. 15D ' Permit Fee$ 60 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ '
Rq
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
I
inspection will not be approved and a reinspection fee will be charged.
Signature-)&N/%�� ►`C,[a Signature Y c
Owner Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of_ ' `�,20a,b Y 1 1� �/!"flay of ,20 by
who is personally known to me or who hasoguced Kr who is personally known to me or who has produced
�.
As identification a\fid wlt l as identification and who did take an oath.
co
NOTARY PUBLIC: =3;!:: ��'� ��o N v ° NOTARY PUBLIC:
Sign: Sign:
Print ��,, D A ���` Print.
My Commission Expires: My Commission Expires:
APPROVED BY � C.�' Plans Examiner C 3 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: DATE:
ADDRESS: tzqs� �'� ' A auk %Icr L•,�1.. ��
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the taws of the State of Florida,F.S 489.1030.
And I have read and understood the following disclosure statement,which entities me tQ work as myown 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 bulk yourself within one•year after the
construction Is cotnpibte,:the lawwill;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.CA 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.
9. 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 specitiaa that I,as the owner of the properly listed,may act as my own
contractor with certain restrictions even though I do not have a license.
. Initial��
2. 1 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 responsibuity.
Initiel__t� _
3. 1 understand that as an owner builder,I am the responsible party of record on permit I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit flied 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 lit his or license numbers on
permits and contracts.
INtial�
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also buud.or Improve
a commercial building if the costs do not exceed$75,000.The building or residence must be for my toe or ocx ncy.It may
not be butt 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. 1 understand that as the owner-builder,I must provide direct,onkte supervision of the construction,
Initial.
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise person working on my building or
residence.it Is my responsibility to enure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
Initial
7. 1 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•,
Gable and subjected to serious financial risk for any Injuries sustained by an unlicensed person or his or empl6yees while
working on my property.My homeowners insurance may not provide coverage for those injuries.I am willfully acting as an
ownet-builder and am aware of the limits of my insurance coverage for injuriees to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who Is not licenses to
perform the workbeing done.Arry person working on my building who Is not-licensed must work under my direct supervision
and must be employed by me,which mom that I must comply with laws-requift-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 senora;financial risk.
Initlel 1` _
9. 1 agree that,as the party legally and financially responsible for this prod Construction activity,I will abide by all applicable
laws and requirement that govern owner-builders as well as employers.I also understand ft"the
Corrstructibn must comply with all applicable laws,ordinances,building codes, °and zoning requlafiore.
Initial
10. 1 understand that I may obtain more Information regarding my obligations as an employer from the Internal Revenue Service,the
Unites States Small Business Administration,and the Florida Department of Revenues.I also understand that l may contact the
Florida Construction Industry Uoershg Board at 850.487.1395 or •/ .m fl rid c rse.co fdb rl Wdl linden m ml
inifiail
11. 1 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.
ln(fial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the Information that I
have provided on ft disclosure.
Initiaal�
Licensed contractors are regulated by laws designed to protect the public.if you contract with a person who does not have a
license,the Corstriluction 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
venfft 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 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 L�;kC day of 0-Y_ .20 1:3
By l AEI rd— VA-J-n who was personally known to me or who has
Produced there License or as!dentifica'on.
OWNER =a. �"o':�
.\�\
���hrrrmnmu1k'�`�\
S
FPERMIT
copy
MIAMI SMOKES VILLAGE
APPROVED BY DATE
ZONING
STRUCTURAL
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ELECTRICAL' � /
PLU± 6H , i
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SUBJECT TO CONT U;.�:n wI i 4 gat,L *-DERI-
STATE AND COUNTY R€JLE.. '.iii? REC-'RLATI;i— .
PERMIT •#:_
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Miami Shores Village
APPRO\fED BY DATE 1 z
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ZONING DEPT
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STATE ANA ( I >v, f ail L_S APJU REGULATIONS I I
37.6 o 0 o M ai 0 0 �I
75'TOTAL R/WQ P.B. 10- PG. 37 $
Portion Lot 19-Block 65
Chain Link Fence o
S00 000' "E 128.75' (4-high) 8 + I =
Ilk IgJ .. -----28.00'---� L O• 4i 15.40' I 1�U �'(44yJ
---- °i V
_ N m 51.05' in
o Asphalt , Asphalt Driveway ip 0 `•D I / r b ►fir (A). ••'�- - - �-t '28.0 -,m 1� '� I O W
———— N Q �ry
————— _ -Cr_———J———————
_ pp _ T� , J N Westerly Line Lot 20 i F R
M' 4 24.96' V•9 L N � ;Jt20': a D + n 'd in n it
Z4 Conc. Zi 5 try - cD „.
a - ------------ w C 15.30' tz o' 9.0 I Uri w
0 28.65' Z , ry
0 6.85' o �- w. 49.70' --- �1
r� . r 5,5 H----------------------------- I r-1
4 4.0' �l 0
N z 2
28�- - I w
F �
c a., I as- Chain Link Fence O��j\4. I e
1 1 (4'high) , ^a 'F 3 3-
- --- ------------- L ——
F -
�� F Noo°oo'oo°w 128.75' I •
37,rj Z,m `� Lot 21 -Block 65 0 0 0
75'TOTAL R/W a " MIAMI SHORES SECTION No. 3"
P.B. 10 - PG. 37 N
S
Scale: 1" = 100'
/3o-
NORTH / 17
16 15 14 13 12 ll
�j 15 ALLEY
34.9c 50 5o.ar sD W—[-50.W 50 co 50.00' soar 50 07
Black 65-
18 N r 20 21 22 23 24 25 26 N
%.
/• 55.19 50 r 50 00' 1 50 00• 50.(X)'
L ------------ I ------ .fC�-- --Jni�E�------ —�----
zf0v apeaPnoN
FOLIO:11-3206-014-1750 �►
THE EAST 1/2 OF LOT 19 AND ALL CSF LOT 20,BLOCK 65. MIAMI SHORES SECTION NO. 3
ACCORDING TO THE PLAT THEREOF.AS RECORDED IN PLAT BOOK 10.AT PAGE 37,OF THE PUBLIC
RECORQS.OF MIAMI-DADE COUNTY.FLORIDA.
PVPE,PTffAOO,PESS efkr/f?I V
685 N.E.93rd STREET.MIAMI,FLORIDA 33138 MARIBEL VALMOCINA
FLOOD ZONE:'X' COMMUNITY:120652 PANEL:0306
DATE OF FIRM:09-11-2009 SUFFIX:L ELEVATION:N/A
GENERAL,NOTES -
1)LEGAL DESCRIPTION PROVIDED BY OTHERS.
2)EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE ABBAPE 1MA NT ANO LEGEND
RECORDED INSTRUMENTS.IF ANY,AFFECT THIS PROPERTY.
3)THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER A/C -DENOTES AIR CONDITIONING UNIT
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. CONC. =DENOTES CONCRETE
4)UNDERGROUND PORTION OF FOOTING.FOUNDATIONS OR OTHER IMPROVEMENTS (M) =DENOTES MEASURE
WERE NOT LOCATED. (R) =DENOTES RECORD
5)ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. (C) =DENOTES CALCULATED
6)WALL TIES ARE THE FACE OF THE WALL. R/W =DENOTES RIGHT-OF-WAY
7)FENCE OWNERSHIP NOT DETERMINED.
=DENOTES CENTERUNE
8)BEARINGS REFERENCED TO UNE NOTED AS B.R. U.E. -DENOTES UTILITY EASEMENT
P.B. =DENOTES PLAT BOOK
9)BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF PG. =DENOTES PAGE
THE SURVEY WORK PERFORMED IN THE FIELD.COULD BE DRAWN AT A SHOWN SCALE ® =DENOTES WATER METER
AND/OR NOT TO SCALE.
10)NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. =DENOTES WOOD POWER POLE
11)NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL. =DENOTES WOOD FENCE
�— =DENOTES CHAIN LINK FENCE
12)DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. n =DENOTES IRON FENCE
13)ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D.1929 UNLESS OTHERWISE NOTED —OH— =DENOTES OVERHEAD WIRES
14)THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. =DENOTES FOUND IRON PIPE(NO ID.)
15)THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES =DENOTES FOUND NAIL AND DISC
NAME HEREON.THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES,
16)BENCHMARK No:N-603-R.................ELEVATION:8.06 FEET
LOCATION:N.E.96th STREET&N.E.6th AVENUE
CERTIFICATION:
SURVEYOR'S CERTIFICATION'IHEREBY'CERTIFYTHAT HIS"BOUNDARY
SURVEY"IS A TRUE AND CORIF ECT REPI`iESE\TATIM A SURVEY ALL BEARINGS AND DISTANCES SHOWN HEREON ARE
PREPARED UNDER NY DIRECTION.T HI C(SAIPLI H THE%iININIUM RECORD AND MEASURE UNLESS OTHERWISE NOTED.
TECHNICAL STANDAR AS SIT FORTH BY F FLORIDA BOARD
OF PROFESSIONAL 5E1" 1 i)RS Abp YEA AP ER SJ-17.OS1,
FLORIDA AD. � r T1vECODEPLI$s To rnoN47LO27,FLORIDA MIGUEL ESPINOSA LAND SURVEYING INC.
sTATUTFS.
PROFESSIONAL SURVEYOR AND MAPPER
SIGNEp // � 10665 S.W.190th STREET.SUITE 3111.MIAMI.FLORIDA 33157
/ FOR THE FIRM PHONE:(305)262-2992 FAX:(3057 964-9303 1_B.vo.6163
MIGIJEL PIN P.S.-R. .S101-STATE OF FLORIDA
NOTVAI.OW Ina ENrC£".FCT;2C:JI(: NATURE AND AUTHENTICATED BOUNDARY SURVEY
ELECTRONIC SEAL AN TFtS MAP IS WnT VA WITHOUT THE SIGNATURE AND
THE ORIGINAL L OF A t^JVSE SUIZJEYORAND MAPPER. Original Date: Field dote: Revision Date: Drawn by: Job No.
05/16/2013 05/15!2013 05l16/20i3 R.U. 510439