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RC-13-1438 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-198740 Permit Number: RC-6-13-1438 Scheduled Inspection Date: September 10,2013 Permit Type: Residential Construction Inspector: Naranjo, Ismael Inspection Type: Final Building Owner: HERNANDEZ, ROLANDO Work Classification: Alteration Job Address:95 NW 95 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010330540 Project <NONE> Contractor: HOME OWNER Building Department Comments REPAIR FRONT PORCH Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed -lie o Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 09,2013 For Inspections please call: (305)762.4949 Page 26 of 31 Miami Shores Village Building Department ® 2 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 w Tel:(305)795.2204 Fag:(305)756.8972 (� INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 2013 BUILDING Permit No. PERMIT APPLICATION Master Permit No.9CAS� Permit Type: BUILDING ROOFING JOB ADDRESS: e-:1�?57—1ec) City: Miami Shores Coup a County: 1Vl�ann Dade Z,p; �j 5� Folio/Pamd#: Aj 3 /0/0,3,30 Is the Building Historically Designated:Yes 6!_J_��Flood fie: OWNER:NameFee Simple Titleholder): ;;2Q-e_f4 • �a 07 6M Phone#: ' es-z— 3 e-- Address: S � eed-cT 7- City: ��l State:_ Zip:?;?5/ Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �l Af 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:$ may Squam/Linear Footage of Work: •��)'I°� Typed Work: OAddition OAlteration ONew ORepair/Replace ODemolition Description of Work: !� �� %4!Vofr &4elO((0C7 Color duw tile: Submittal Fee$ Permit Fee$ </ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/F.dumdon Fee$ Technology Fee$ able Fee ' '2 0 a. Structural Review$ TOTAL FEE NOW DUE Bonding Company's Name(if applicable) /11A A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) /1/4. 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 o a building permit with an estimated value exceeding 2500 pp .f 8 p g$ , 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 whio occurs seven (7) days after the building pennit is issued. In the absence of such posted notice, the inspection wil4beqpv ved and a reinspection fee will be charged. Signature Signature Wbr Agent Co ntractor The f mi instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20&by ft—A"—A3 r`� day of .20—,by who is personally known to me or who has produced who is personally known to me or who has produced As identification`\a \Witiicytake an oath. as identification and who did take an oath. NOTARY PUBLIC: CO NOTARY PUBLIC: Sign: - j a = Sign: Print: Print: •�_�_• ,�,�moo. _ My Commission Expires: %PsD,q My Commission Expires: APPROVED BY — Plans Examiner Zoning Structural Review Oak (Revised 3/1212012XRevised 07/10/0Wevised 061100W)(Revised 3/15/09) gs Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 'nR Tel: (305) 795.2204 Fax: (305)756.8972 Ofta BUI ER DISCLOSU STATEMENT NAME: /Zi fro E: ADDRESS: 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 personas 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 wn 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 responsibl the construction and is not hiring a licensed contractor to assume responsibility. 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 m If from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or lice n rs on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-famNy residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.Thel3uilding 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 im ved myself is sold or leased within 1 year after the construction is complete, the law will presume that I b ' r s antially 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. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building r residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by cc n 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 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 a '9q as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initia#notlicenses 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is 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 an social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers co nsat for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that,as the party legally and financially responsible for this proposed construction activity,I will abide by all applica 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. 1 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 con *the Florida Construction Industry Licensing Board at 850.487.1395 or h :/Av=.m toddalicense.com/db rt rotcilbind x.h Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the inform ' th 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 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. 1ZWas acknowledged before me this day of 20 3 By �2 who was personally known to me or who has Produced there nse or c.._..........a ication. NER !o• NOTARY cnm tw33 • CFPI:20130378.123 BOOK 28627 PAGE 4783 DATE:05/142013 11:02:38 AM DEED DOC 1,440.00 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY Propar�ed by: ' Maria Prods Trident 711%LLC So 1&Plagler Drive,Sulto 201 ltrost balm Beach,Ptordda 33101 File'NuaAor; MSOM12-0114 General Warranty Deal We this May 10,2013 A.D.By Ramon hie,Rt leno and 814blean Me Brlean,hushand find hvite,whose addros$is S 162 T.oigh Ate, San Jose CA 95124,horelnuftor called the grantor,to Rolando Hernandez,a married span,whose post office address is 91 Ml+9SIh St, Miami Shoros FL 33150,heredhmDer called the grantee; (1Pt wever used hodn the tam►)pWe'anti"gtmttea"taeht8o PH tho pat11es tahhts hWimuent and tho itch$,legal t ouvamil"s and Milos or bunvItIols,sad the sae nm tatd asshw att&"mhtoss) Wltttessatlt,that the grantor,[brand M conshlera llou of the stun ofTon Dollars,($10,00)and othor vafuablo 4onsldor4110118, receipt whereof is hereby aalutowledged,ltereby BMWs,bargahss,solls,aliens,OWNS,releases,eomsays and sa0nnus 11010 the grantee, all that Certain loud$1181110 In M10011-111da Cottnfy,PIM1118,vizh .Lot 16 and tiro Wet 112 of Lot 19,Blaeh 131,WAM SHORES' NO,!,n subdivision neeording to tho pint thorcof recorded at Plot Bait 101 Page 39,in the Public Reeor{ds or dl liaml-Dade County,Floi4 da. Paml ID Number.I MID f o338Mq Together with oil rho tehonvais,herelllamonts and appartennaet s hereto bolongtug or in anywise appot(alahhg. To 11nve and to Hold, ate some In too simple forever. And the grantor hereby covenants%vlth sold grantee that the grantor Is ImAlly soized of geld land In rea simple;Ilml the grwltor has good right and lawful authority to sell and convoy said land;Ihnt Mo granter haeby Rhily%varraws tits title to sold land and will defend 1110 smug against the lawful olalms of all persons whemseevor; and that sold land is five or oil eaehwbroam except inY0s aecradng subsequent to Deounbe r 31,2012. Tit'SNNess Whuruo , the saki grantor has signed and sealed uses$pre ule Ilia day and year first above-svrdHen, DARD.tattividnat Wain lyMol•Lwatim Faro Paged h of PlopCawd) CFN:20130378123 BOOK 28627 PAGE 4784 Prepared byt Marla Pcrin Trldcttl Two,LLC S01 S.PlasW Drlt%Stdto 201 %Voss Palm B t►ch,Florlda 33401 Pile Ntn»bor: MSOM12-01 Hl Stgued,sen and deftwed fit our presenes: l�nnton etc.�riean ones Prig Namve ,•' . �c6 Aildrow S 162 Loigh Ave,San doss CA 9S 124 ob n Nice i►lean WhnmhMtd STATII OF Floddtt COUNTY OP Mow Dfide The lbregoing lusInnont vas adttoti alvd boibro me Ihis 101h day of M 2013 1 111 11 0.Brican and Slobhan Mo Brleatt, ltt dwd and%Wib.U wito Inure pet>zotmily known to the or ha lots n 1,� A.A as woniitteallon. Kota Ito dt�(�nrumistnn Y.xlNreq M, MARIA A PERLA MY C(M+ftrISSION tI EEWSW EXPIRES August 15.2014 dOtt3�&9183 noLgLb B--town I DBBD tadi"al%%%ow bgW-L%pI on?4co Paga:2of(PagaCeuatl A COPYJUN 2 5 013 Existing Wood Trusses to Remain 0 Lo Existing Concrete Block Wall 14'-0" Existing Wood Beam to Remain PERMIT Miami Shores VIIla Is APPROVED BY DATE = ZONING DEPT - - SUBJECT TO CCIMPUANCE WITH ALL FEDERAL``-,f. STATE AND COUNTY RULES MID RE3ULAMONS Page 1 of 2 v� ♦ Your Store: Dade County#277(Change) I=4x83 m.Oc FlWun T1- j3 9 w y r Model#113699 Store SKU#915440 4- $31.12 /EA-Each * � r This item cannot be shipped to the following statE ARFL,GA,LA,NC,SC,TX,VA,WV j � Store Only Buy Online,Pick Up In Store Today Check Store Inventory + PRODUCT DESCRIPTION Use the 8 ft. Pine Plywood Siding when you need weather resistance and love-maintenance. It features a textured finish F^r wood siding look and an 8 in.on-center groove pattern. California residents: seeProposiition 65 information P • Constructed of southern yellow long leaf pine • Textured finish for a traditional wood siding look • Exterior-grade with moisture-resistant bond • 8 in. On-center groove pattern • Can be painted or stained for a variety of exterior projects • Note: Product may vary by store • MFG Model# : 113699 • MFG Part#: 113699 SPECIFICATIONS Assembled Depth (in.) 0.578 in Assembled Height (in.) http://www.homedepotcora/p/Plytanium-19-32-4x8-8-in-Oc-Prem-Tl-11-Siding-113699/... 6/19/2013 Page 2 of 2 Assembled Width (in.) 47.933 in Color Manufacturer Warranty None Material Portion of product made from wood 98 Pressure Treated N Product Length (in.) 95.938 in Product Width (in.) MORE INFO "�ownloadable PDFs Installation Guide+ MSDS+ You will need Adobe®Acrobat®Reader to view PDF documents. Download a free copy from the Adobe Web site. Warranty For warranty information on this product, please call our Internet Customer Service Center at 9-800-435-4054 SHIPPING OPTIONS Store Exclusive. This item is available for purchase in select stores only. http://www homedepot.com/p/Plytanium-19-32-4x8-8-in-Oc-Preen T1-11-Siding-113699/... 6/19/2013