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DS-14-1019Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 212640 Permit Number: DS -5 -14 -1019 Scheduled Inspection Date: June 17, 2014 Inspector: Rodriguez, Jorge Owner: GREENBERGE, MARK D & DEBPRAH Job Address: 465 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)978 -4221 Parcel Number 1132060170120 Building Department Comments NEW CONCRETE SQUARE WALKWAY Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed fft Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2014 For Inspections please call: (305)762 -4949 Page 16 of 45 PERMIT# S 1Ll-i C l� CONTRACTOR: (i 1,n p °C, SUBMITTAL DATE: ag L bi- d 6).Q / L] ADDRESS: 9 e- qr`a ,5-1--, NAME: Hal-)C_- ? ` e rcch n l er1 RESUBMITAL DATES: PROJECT TYPE: j r.l_ FcPk no LA j6qc_LAJ09 PLUMBING ZONING STRUCTURAL MECHANICAL ELECTRICAL BUIL R1 , BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 INSPECTION LINE PHONE NUMBER: (305) 762 -4949 RECEIVED MAY 16 2014 13Y: FBC 20 Master Permit No. 14— 1019 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / (5— IV eo City: Miami Shores County: Miami Dade Zip: 3/33 Folio /Parcel#: 1/ = 3,2 4, -OM- On no Is the Building Historically Designated: Yes NO X Occupancy Type: 0 Load: Construction Type: CoS Flood Zone: NO BFE: FFE: OWNER: Name (Fee Simple Titleholder): /7719- s # D i df (A. A/i3 5 hone#: 30 9_/ /° V022/ Address: ¥4 S /V g ? ' .V. City: P7 5fl /YeS State: �i Zip: -3/3' Tenant /Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 00. f Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect /Engineer: Phone#: Address: i City: State: Zip: Value of Work for this Permit: $ / ©e2,' Type of Work: ❑ Addition Description of Work: ("I I / Square /Linear Footage of Work: Alteration ❑ New ❑ Repair /Replace ❑ Demolition 04 1110 r friocte t -1 pouri'd coo c_ ref r Specify color of color thru tile: a. rple Submittal Fee $) Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ p TOTAL FEE NOW DUE $ 6c-f. 66 (Revised02/24 /2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 inspection will not be approved an inspection fee will be charged. Signature 9 OWNER or AGEN The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 16 day of , 20 147 , by day of , 20 , by i ebaraA c fems? , who is personally known to , who is personally known to me or who has produced 5 _r/ /7 /324'.?6 as me or who has produced as Signature CONTRACTOR identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: ***** **************** ******** ** **** ** ************** * * **** ** ***** ** * ** **** * * ***** ** *ski:.*** **** ** ** ****** APPROVED BY J Plans Examiner ✓ ,Zoning Structural Review Clerk (Revised02 /24/2014) • L 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: biivra / ( 11 6/Wf7frflj DATE: 6 18 ADDRESS: II/PS- A 94, 32. S ®/ d 33i3 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 bulk yourself within one year after the construction is complete, the law will presume that you bulk 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 res. ?n ibIe 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 su s • ly improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built ', i r : ntially improved it for sale or lease, which violates the exemption. ' j% Initial I,�/ 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my uilding 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. Initial 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 matefials. 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. 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. 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 http : //www.mvfloridalicense.comIdbor /pro /cilbfnd;> tml Initial 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands that I am tt ' i arty 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 informa 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 :ve 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 day of iciat, , 20 /V . Produce /th-. e Li -n - o, ( , , J./ 1 • �E who was personally known to me or who has �j G c / 7. !45'-.5-75' 36 as identification. Miami Shores Village Building Department 10050 NE 2nd Ave. Miami Shores, FI 33138 My husband and I just purchased our home at 465 NE 96th ST after living on 94th St for over 30 years. Luckily this house is pretty much finished and no improvements are needed except for this one thing . The Tile walkway leading to our front porch is not in scale with the large entryway and door opening; and more importantly it is very slippery when wet. (photo Included) We have driven around the Shores and found many new more modern looking walkways and custom poured concrete courtyards and driveways. Our existing curved driveway is fairly new and in good condition, but we would like to have a more custom /modern entryway. Please find attached information required and necessary forms and surveys. We would like to remove the existing walkway, dig the required 6 or 7 inches, refill with a gravel base, level, frame and pour custom concrete large rectangles. We are currently looking for licensed and insured concrete companies. Thank you for your attention to this request. Sinc Deb Greenberg 465 NE 96th ST Miami Shores, FI 33138 305 978 -4221