DS-13-1683r—� d r_ a
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number. INSP- 195994 Permit Number: DS -7 -13 -1683
Scheduled Inspection Date: January 08, 2014
Inspector: Rodriguez, Jorge
Owner: ARISTIZABAL, MARI
Job Address: 134 NW 94 Street
Miami Shores, FL
Project:
Contractor:
<NONE>
HOME OWNER
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
1131010330760
tsunamg ueparanent comments
APPROACH CONCRETE AND CLEAN OUT SOIL Infractio Passed Comments
INSPECTOR COMMENTS False
January 07, 2014 For Inspections please call: (305)762 -4949 Page 3 of 27
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 07, 2014 For Inspections please call: (305)762 -4949 Page 3 of 27
CAl�
eunnnvc
Miami Shores village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Faux: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 7614949
PERMIT APPLICATION
JUL 292013
FBC 20
Permit No.
Master Permit Nob .
Permit Type: BUILDING ROOFING
JOB ADDRESS: 1-34
N \AO C�t re�'�
City: Miami Shores County: Miami Dade -zip: - 3 31 SO
Folio/Parcel#:
Is the Building Hbtorically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):_) V ` lr 1 A ( iQ k a- I Phone4P,
City: M l (2 AA 1 S ir) (di US State: L., zip: S�331{zp
Tenant/iessee Name: Phone*
Email: m l axz s 11(a q m cW
CONTRACTOR: Company Name:. _1"[ orn'e i)Lon-f r Phone#: _ (� $ 0 uQ �
Address:
City. State• Zip:
Qualifier Name: Phone#:
State Certification or Registration: Certificate of Competency#:
Contact Phone#: Email Address:
DE. SIGNER: Architect/Engineer. Phone#:
Value of Work for this Permit: SquareAlnear Footage of Work: �C
Type of Work: OAddition OAlteration Wrew ORepair/Replace ODeinolition
Description of Work: rA 0 jan Q Vt �°,c r! r �° P <e ("J ea n i,.�)) - Lsb, J
v.
Color thru fik:
*+� *+x�x�� *+x * *aa�s *+ ewe* ���s* ��*« �, x* � *s+ee� * «F�� *+�� *+et *�sss�►�� ** use *�e���xa�+r� *�e*ss�e *ew��s�ew�
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Fee $ Technolm Fee $
Double Fee $ Stractmvl Review $
TOTAL FEE NOW DUE $
r
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 met 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.
IVARNING 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 ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not oved and a reinspection fee will be charged
i
Signature-4 Signature
Owner or Agent Contractor
The instrume //�� bef m�Cthi The foregoing instrument was acknowledged before me this
day o , 20 b V�� �� 1 4 day of . 20 _, by
who is pepoll ly wn to me or who has produced who is personally known to me or who has produced
e 5, As identification and who did take ai. as identification and who did take an oath.
NOT
Sign: nr�evc
Print:
My Commission Expires:
APPROVED BY
,d
0i
SesS P2a8101
Plans Examiner
Structural Review
(Revised 3 /12t2012)(Revised 07 /10/WXRevised 000/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
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: ���-� (f� c<.� DATE:
ADDRESS:
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the taws of the State of Florida, RS 489.103(7).
And I have read and understood the following disclosure statement, which entities 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 yourown use and
occupancy. It may not be built for sale or lease: If you sell or lease a building you have built yourself within ones year after the
construction iSconhplete,.the law willpresume 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 Inidal each paragraph.
i. I understand that state law requires construction to be dorm by a licensed contractor and have_appiied 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.
Initihwl "" `
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 responsibility.
Instal
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 licensed contractor and having the permit filed In his or her name irstead of my own
name. I also understand that the contractor is required by law to be licensed In Floft and to list his or license ntnmbers on
permits and contracts. x A
Initial pJp
4. 1 understand that I may build or improve a one family or twwo4amily residence or a farts outbuilding. I may also build or improve
a commercial building it the costs do not exceed $75,000. The building or residence must be for my use or oacuoancy. it may
not be bunt or substantially Improved for sale or lease. If a building or residence that I have butt 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, onske supervision of the construction.
6. 1 understand that I may not hire an unlicensed person to ad as my contractor or to supervise persons wotMng on my building or
residence. It Is my responsibility to ensure that the persons whom I erhploy have the license required by law and by county or
municipal ordinance.
Initial � A
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 properly owner is providing his or her own labor and materials. 1, 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
ownet builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
InIffal_KA--
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. Army person working on my building who is not;licensed must work under my direct supervision
and must be employed by nle, 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. K k
I agree that, as the party legally and financially responsible for this proposed Construction activity, l will abide by all applicable
laws and requirement that govern oumer- builders as well as employers. I also understand that'the
Corrstruction 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 Irdemal Revenue Service, the
United States Small Business Administration, arm the Florida Department of Revenues. I also understand that 1 may contact the
Florida Construction Industry Ucensing Board at 850 .487.1395 or h JMww.m odd db r r-oldlhbft I
Initial .
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 fimmndally 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 arty of the in m ation 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 Ucensing 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 9 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 property 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.
a�Was acknowledged before me this _day of 20
B �� who was rsonall known to me or who has
y y
b
Produced the a icense or + as identification.
IV
WNER Nd� RYV- CU8ILLOS
.! „µ�n„hr , '
;'.. � v, •., .: Notary Public -State of Florida
My Comm Expires Sep 23, 2015
Commission # EE 128810
Bonded Through National Notary Assn.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
June 29, 2013
Permit No: ds13 -1683
Buildina Critiaue Review
1. 1) On the layout, please show the concrete driveway clearly.
2. 2) Specify well- compacted soil (Degree of soil compaction > 95% on Proctor
scale)
3. 3) Specify thickness & grade of concrete.
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.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
June 29, 2013
Permit No: DS13 -1683
Planning Critique
1. Parking is not permitted on the swale unless 2 parking spaces are present on the
plot. Please provide evidence that the garage was legally converted.
2. The comments below may be expanded on or modified depending on the
answer to the question above.
3. Please confirm that garage wasDriveway can not be located closer than 10 feet
from side lot line at front property line and not closer than 5 feet from the
extension of the side property line into the swale.
4. Maximum flare is 5 feet.
5. The end of the flare can not be located closer than 3 feet to the extension of the
side property line into the swale.
6. Driveway on plans does not connect to the driveway on the plot, is this
intentional? Driveway on swale must connect to driveway on plot.
David Daquisto
305 - 762 -4864
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.
c
C
oil M
DEC 0 201
,fWAATt'014 los "-w N 4AI
o4sp- UVAC- EOCK 904%6
L Ol d CO t� VIA c,'ro- 4) '9 4 0
51 Te-q,) Cnc�ee S-,or- wzk,�r,
PERMT1
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
f
.)-// a /J 3
BLDG DEPT
SUBJECT (0 CCNIRYNCE MH ALL FEDEF(/AL
STATE ANL) CGUNfY RULiS AND REGULATIONS --:=
lolf�
i
o
#0 1
eo7NN
f A \
L
oT Limaf-oc,,-, WAsiak
D TO:
)MIRE & SULUVAN,PA.
IC NATIONAL TOILE INSURANCE
T77-4BAL AND'
MANAGEMENT, LLC
;ORSANDMRASSIGNS
PEST MAYAPPEAR
THE WEST
25 FEET OF
LOT -5
i7S� 3-
JUL 2 9 2013
75.00' TOTAL R/W
3
Q
'uiT =*9
u 10 9 b 7 m s �A a
d •PA 6 tR B6 iB � N m � Yd . • F2 ••
.� .•
N- LEGAL DESCRIPTION:
LOT 4 AND THE EAST V2 OF LOT 5, BLOCK 933, 'MIAMI SHORES 5
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BO
J" OF THE PUBLIC RECORDS OF MIAMl-DADE COUNTY, FLORIDA.
LOCATION SKETCH
NOT TO SCALE
x c.emr ar 'Aw.1
SURVEYOR'S NOTES:
1) NOT VAUD UNLESS STGNATUREIS EMBOSSED WITH THE REQWERED LAND S
7a LEGAL DESCWPTION PROVIDED "OTHERS.
4PROPERTIESWOWNH REONWERENOTABSTUCT0FOREASEMENTSOR
ENCUMBRANCES NOT SHOWN ONTHEPROPER7YPLAT OF RECORD.
A) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOW
b) UNDERGROUND UTILMS, FOUNDATIONS, OR OTHER IMPROVEMENTS, fFAM
LOCATED.
6) ELEVATIONA IF SHOWN ARE aASED ONNATTONAL GEODETIC MMCAL DATUI
7) FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTE.
8) MEASUREMENTS TO WARE FENCES ARE TO CENTER OF WIRE.
9) WALL MEASU7J UMM ARE Mff M FACE OF WALL
10) DRAWING DISTANCE SETWEENWALLS AND/OR FENCES AND PROPFIMLBUE,
EXAGGERATED FOR CLARITY.
11) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDEW EMEROENCYMANi
FLOOD INFORMATION RATE MAPS
14 BEARINGS IFANYSHOWNARE MED ONASSUME MERIDIANAT.• CENTERUN
STREET (EAST)
CL. ==M CU
SYM 1 =7M M
FM- fiW=77SFa
sm fiw=7FSSE
TYR• dl®lC,ATES 7N
/w fffi=TWRX
OA&' fiw=7W oA
AF M" -• W=7WFM
n rA. fiw=7£8No
N A®IG47S4ND
s #A=70so
/p Ai071AMCE
(MJ fiWV=7WFN
CCNV—: M447MCO
PROFESSIONAL SURVEYING AND
LANNES & GARCI)
LB # 2098
FRANCISCO F. FAJARDO PSM;
385 ALHAMBRA CIRCLE - SUP.
CORAL GABLES, FLORIDA X
PH (305) 866 -7909 FAX (30: